Health

Saturday, November 04, 2006

The Secret To Permanent Weight Loss

by: Kathy Thompson

AND SAVE MONEY IN THE PROCESS. The secret is simple and basic. Just three little words --- DON'T BUY IT! If you don't buy it, you won't eat it. If you don't eat it, you won't get fat. So your problem starts at the store or restaurant.

Since your diet starts at the store, were you ever taught how to shop for food? Probably not. The grocery store can destroy your diet and get into your pocketbook . First you need to check the layout of the store, ---where everything is. Leave the produce for last, so it will be as fresh as you can get it.

REMEMBER: 70% of the products are there just to take your money. Notice how many rows they have of soda, cereal, and snacks. Look what they've done to the potato--instant potatoes, mashed potatoes, french fries, tater tots, shoe string, chips, twice baked. Notice the shelves along the aisles. Everything is conveniently displayed close to your reach--a ploy by the store to buy those products. On the lower shelves are products aimed at kids. Look lower or higher, and you will find the same products--for less. If nature didn't make it, you don't need it. Stay away from processed and imitation foods. Try to stay away from canned food (you never know what's in the can). Stick with the fresh & frozen foods.

Check out the PACKAGES carefully. That box or package may not be full. 1 -Solids are measured by weight-- ounces, pounds. . 2 -Liquids are measured by volume-- gallon, quart, pint. 3- Price -5% of the price for the product is for the product it itself. 95% of the price is for; packaging, manufacturing, transportation, middlemen, salaries, insurance, utilities, etc. Let's say a gallon of milk cost $2.00. The milk is 10 cents, the rest is $1.90.

According to the FDA, LABELS must be specific and truthful. If the label says "Kraft Pasteurized Processed Cheese Food," it is not cheese. If it says "Breakfast Orange Drink"--it is not juice. Check out the nutritional values, particularly fat---stay away from saturated fat. INGREDIENTS must be listed in dominance order. If sugar or water is listed first, it is mostly sugar or water. The last ingredient is least significant. Anything after salt is of little use. Do you know what those ingredients are? Can you pronounce them? And you want to feed this to your family?

COUPONS are a gimmick to get you to buy something you don't need in the first place. Save 50 cents on chips, when you can save $3 if you didn't buy it. Do you ever find coupons for REAL food? Marketers know you need the basics. Nature didn't make snickers, it made nuts. Nature didn't make chips, it made potatoes. Nature didn't make soda pop, it made water and juice. Nature didn't make wieners, it made fish. Nature didn't make Snickers, it made raisins. Nature didn't make fritoes, it made corn. Our society is food oriented. On every corner there is a restaurant, fast food, and everything in between. You are bombarded with ads from the media. Your body knows what it needs. It knows when to stop eating apples, not candy. Once you start eating Mother Nature's diet you can lose weight, and feel much better about yourself Listen to your body.

Add exercise to your lifestyle, and you can add years to your life. Do something every day, even if its walking, climbing stairs, playing with the kids. A good exercise program should include aerobics (running, swimming, jump rope, fast dancing), endurance (working with weights), and flexibility ( calisthenics, yoga). Your body was meant to be used, not abused. You deserve it.

To Give or Not to Give

by: News Canada

(NC)-Donating one's own blood before an operation can provide peace of mind - but patients who donate their own blood also tend to require more blood in total than those who do not pre-donate, and the pre-donation can be both time- consuming and inconvenient.

Andreas Laupacis, of the Loeb Research Institute in Ottawa, has designed an audiobooklet to help patients decide whether they want to pre-donate their own blood, and is testing its effectiveness with 200 patients scheduled for elective heart surgery. He wants to find out whether those who receive the audiobooklet prior to discussing their options with their physicians are more knowledgeable about their options; have more realistic expectations about needing blood and suffering side effects; feel their decision was easier; and make different choices than those who did not receive the audiobooklet. If the audiobooklet proves useful, it can be used in other Canadian cardiac centres and modified for other types of surgery.

Dr. Laupacis' research is being funded by the Canadian Institutes of Health Research (CIHR). CIHR is Canada's preeminent health research catalyst and is funded by the government of Canada. An exciting new concept, CIHR is modernizing and transforming the health research enterprise in Canada.

To learn more about CIHR please visit: www.cihr.ca, e-mail: info@ cihr.ca or write to: CIHR, 410 Laurier Avenue West, Ottawa ON K1A 0W9.

Food Poisoning Can Spoil Your Day

by: News Canada

(NC)-Eating outdoors in summer can be an appetizing experience. Fresh air, combined with healthy activity, can tantalize the taste buds. Picnics and camping often focus on the enjoyment of food. However, there can be hidden hazards lurking in the cooler or picnic basket.

Canada's leader in safety-oriented™ first aid training, St. John Ambulance, suggests you take simple precautions to ensure your food is safe to consume.

Make sure your cooler is stocked with ice or freezer packs capable of keeping the contents cold until you're ready to consume them.
Always store food items separately, using individual containers or a sturdy plastic wrap.
Keep cutlery and utensils in a clean storage container, away from the food.
If you plan to cook outdoors, make sure the cooking surface is clean and that food is protected from airborne pollutants.
Never leave food exposed to the air where insects and other creatures may contaminate it.
Food poisoning can have serious consequences. It's important to know what to do if you suspect food poisoning. St. John Ambulance first aid courses teach you essential, lifesaving techniques that can reduce suffering and prevent injury.

Signs and symptoms of food poisoning

Casualty may experience nausea, dizziness, stomach cramps, diarrhea or vomiting.
Casualty may also suffer breathing problems or chest pain.
First aid for food poisoning

Assess the casualty's condition and place them at rest.
Do not give fluids.
Do not induce vomiting.
Monitor the casualty's condition.
If it worsens, seek medical help.

Knowing what to do in an emergency can make all the difference. For more than 118 years, Canadians have trusted St. John Ambulance for quality first aid training and products. With more than 300 centres across Canada, St. John Ambulance is the leader in state-of-the-art training programs. See what St. John can do for you - call the branch nearest you or check us out on the web at www.sja.ca.

Finding The Help You Need - Close To Home

by: News Canada

(NC)-No matter where you live, trying to find out about cancer support and treatment services can feel like navigating a foreign city with a crummy map.

But at the Canadian Cancer Society's information service, information specialists rely on a unique tool to make the search easier - a computerized database listing approximately 7,000 community services Canadians can turn to for help close to home.

That information is gathered and kept up to date by a team of Canadian Cancer Society volunteers and staff throughout Canada.

"This collection of cancer-related services is unique in Canada," says information specialist Jan MacVinnie. "Our callers appreciate being able to find the help they need close to home."

The database covers a huge range of services including screening programs, treatment locations, support groups, smoking cessation programs, wigs, prostheses and programs such as music therapy.

The service is Canada's toll-free bilingual source of cancer information. Trained and caring specialists provide information which helps newly diagnosed patients and their families understand their condition and act as informed members of their healthcare team.

When you want to know more about cancer, call the Canadian Cancer Society's information service at 1 888 939-3333 or e-mail info@cis.cancer.ca.

Feeding The Brain

by: News Canada

(NC)-Infants need high levels of DHA, or docosahexaenoic acid, for brain development and function. But Sheila Innis, of the University of British Columbia, believes that they may not be able to produce sufficient DHA on their own, and may need a dietary supplement to avoid deficits in brain function. She is testing her belief by feeding piglets diets with and without DHA. DHA is a polyunsaturated fatty acid that is transferred to the fetus during gestation and is found in breast milk. However, it is not present in fruits and vegetables, infant formulas, or nutritional products used for adults and children with gastro-intestinal diseases.

Dr. Innis' research is being funded by the Canadian Institutes of Health Research (CIHR). CIHR is Canada's preeminent health research catalyst and is funded by the government of Canada. An exciting new concept, CIHR is modernizing and transforming the health research enterprise in Canada.

To learn more about CIHR please visit: www.cihr.ca, e-mail: info@ cihr.ca or write to: CIHR, 410 Laurier Avenue West, Ottawa ON K1A 0W9.

About The Author


News Canada provides a wide selection of current, ready-to-use copyright free news stories and ideas for Television, Print, Radio, and the Web.

News Canada is a niche service in public relations, offering access to print, radio, television, and now the Internet media, with ready-to-use, editorial "fill" items. Monitoring and analysis are two more of our primary services. The service supplies access to the national media for marketers in the private, the public, and the not-for-profit sectors. Your corporate and product news, consumer tips and information are packaged in a variety of ready-to-use formats and are made available to every Canadian media organization including weekly and daily newspapers, cable and commercial television stations, radio stations, as well as the Web sites Canadians visit most often. Visit News Canada and learn more about the NC services.

FAT LOSS: The Truth on Fat Loss and how to Achieve it!

by: Mandy Gibbons

Fat Loss in General

This morning I conducted a search engine "search" on the word fat loss. "Fat Loss" and "Fat Loss Supplements", being the most popular keywords, came up with a combined 1800 links, in one search engine. I went to the next search engine I ran a word count on "fat loss" rather than a link count. The results came up as 46106! WOW! Why is it that fat loss / losing body fat related information and products are so much in demand, yet obesity and being overweight are on the up and up, and are actually at the highest rate ever. With the health and fitness industry booming it seems absurd that this is occurring. Doesn't it?

Temptation and Obstacles Effecting Your Attempts at Fat Loss

The fact is that losing body fat or fat loss is not easy. We are tempted every day with fast fatty and sugary foods with super deals of quick easy meals involving drive through access and home delivery. These fast food meals are "fast" and often "affordable" with meal deals for a family of four sometimes costing under $10 - $12. Who wouldn't pass this up! Before you know it, it's the end of the day, the family is hungry, dinner time is drawing nigh and your beat. I can fully understand why people choose this option when our lifestyles are so hectic.

The Alcohol "Social and Relaxation" Temptation

An odd heading for this paragraph, I know, but I needed to draw your attention to the fact that alcohol will not help your fat loss efforts. I know we hear the saying so often that "doctors say that it's healthy to have one or two wines per day", however this is in regards to the properties of red wine assisting in the prevention of clogged arteries - not a fat loss miracle! If red wine is necessary for medicinal purposes and perscribed by a doctor then obviously your health comes first. However the topic here is fat loss........................

My views are "everything in moderation". BUT I DO KNOW THAT if you want to make a genuine effort to lose body fat that a couple of alcoholic drinks per day could easily effect your fat loss attempts. So unless your's is the case above then I would seriously think about "cutting back".

Since I began as a trainer years ago I have found that it is usually junk food or alcohol that prevents my clients from losing body fat. Just going without those few EXTRA drinks after work or consuming less alcohol at social gatherings will make a considerable difference to how much body fat you lose.

Quit Fooling Yourself

Do not fool yourself by thinking that if you just fat burn or exercise for one extra session per week you can rid yourself of all those extra calories and fat from alcohol and food. Unfortunately our bodies aren't that easily fixed.

Why Most People Don't Succeed at Losing Body Fat

Other than the temptations mentioned above people tend not to succeed at fat loss because they are either not committed, not well informed on fat loss or they are committed for the wrong reasons. In other words you either aren't abiding by the rules, or have been mislead by some other belief or you are trying to lose body fat because you are trying to keep other people happy by doing so rather than yourself.

Making Sure You are Trying to Lose Body Fat to Please YOU, Not Everyone Else.

Think about why it is you want to lose body fat. Make sure you really want to put in 100% effort.. You want to feel great about making this decision not obliged to do it. Losing body fat can help increase your self-esteem as well as boosting your health so giving it your best shot with a positive frame of mind is always the "way to go".

Things that You Should Do Before You Get Started!

First you may want to make notes on what time of the day, when and where that you will most probably find it the most difficult to stick to this program. If, say for instance, "calling in at the drive thru for fast food on the way home from work or picking the children up" is where you find that you are most likely to go wrong then be prepared for it by making the appropriate changes. eg Having a meal which is already partly prepared in the fridge so that it will only take an extra 10 - 15 minutes to cook. Being organised with food preparation is very very important. It is exhausting coming home after a long day and realising you have to then organise something for dinner (amongst other things) You can bet the children would jump for joy if you offered them Mac's - so you do - at least there is no washing up the dishes after dinner either...Sound familiar?

Re-orgnanising Your Lifestyle - Don't Make it Difficult on Yourself!

Re-orgnanising your lifestyle may be quite a challenge for most people and families. But if you want to succeed at fat loss I am sure you want to be able to do it without tearing your hair out. Your goal is to re-arrange and plan your day so that you, your family and your new lifestyle can run smoothly. Such as planning your low-fat meals and recipes in a diary. Planning your grocery shop with a shopping list to prevent you from buying unnecessary junk food is also a great idea. Pre-preparing meals, making appointments for your exercise time slot etc all needs to be written into your appointment book or diary. You can tick each appointment off as the day progresses. When planning your shopping list remember, that unless you have the time, don't go getting all creative with lowfat banquets etc for lunches and dinner. Choose simple to prepare ingredients and meals.

What Exercise Should I be Performing to Burn Body Fat?

There seems to be alot of controversy over what to do and what not to do when it comes to "fat burning" exercise. Mostly it depends on your fitness level and if you have any type of injuries, back pain or medical conditions that may affect what you can and can't do. Make sure you check with your doctor first before starting any type of exercise or eating program, so he / she can indicate and provide you with a letter verifying that it is "ok" for you to start exercising and at what level.

Different Types of Exercising for Fat Burning

Treadmills, indoor cycles, cardiovascular machines etc any of these are great for performing fat burning exercise, provided your doctor says it's cool to go ahead with it. If you enjoy being outdoors then walking and cycling are also great. Finding a program that suits your bodies needs and fitness level is important. Make sure you add variety to your fat burning program as you advance adding hills, inclines and speed rather than increasing the time. A reasonable time for fat burning is approx 20 - 30 mins.

You should also know that if you increase the time of your fat burning session, and not the intensity and other variations, you will find that as you advance your program your sessions may become too long. This will only encourage you to think that your exercise is becoming too time consuming and a chore - which will lead you to "throwing in the towel". So keep up the variety to keep it interesting.

The Wrong Program for You: A Common Mistake that Leads to Lack of Fat Loss

Have you ever read a successful fat loss story that you, and everyone else you know, tried only to find that it didn't work that well for you or them? Did you stop to think that maybe the person in the success story had their program specifically designed for their body type, not yours! If you really want to "kick some fat loss butt" you need a program that is designed to suit your body type and fitness level. Don't expect super results from a program that someone else used, remember they may have had a different metabolism, fitness level, body shape and eating program to you, which makes it very difficult for you to reach the same levels of fatloss as they did.

FREE FAT LOSS EXERCISE Sample Program:
http://www.virtualfitnesstrainer.com/articles/Fat_Loss_Cardio_Program.htm
This program is a sample program to give you an idea of the variations you can use for your fat burning programs.

Where to go from here.............
After reading this article you should have a greater knowledge of where you may be going wrong with your fat loss or how to get started on a new fat burning program.

If you are keen to get started on your own personally designed health and fitness program please feel welcome to visit my web site: http://www.virtualfitnesstrainer.com.

I look forward to seeing you again soon.

Happy Training!

Kind Regards
Yours in fun, health and fitness
Mandy Gibbons
Virtual Fitness Trainer
http://www.virtualfitnesstrainer.com

Persons who are of good health, suspect of their health or are aware of any conditions, physical deficiencies or diseases should always consult a physician before undertaking any eating or exercise program. Mandy Gibbons, Virtual Fitness Trainer, www.virtualfitnesstrainer.com.au and www.virtualfitnesstrainer.com disclaims any liability or loss in connection with the above program or advice given in this article.

The above article (in it's entirety) is free for use on other health and fitness related web sites and newsletters on the condition that the following section below is copied and pasted to the base or top of the article.

About The Author


This article was written by:
© Mandy Gibbons 2001
Personal Fitness Trainer & Consultant

VIRTUAL FITNESS TRAINER
"Make your Health and Fitness Program a Success today!"

12 month Online Personal Training & Health and Fitness
Membership. Workouts, Exercises, Low Fat Eating Plans,
complete with instructions, all designed to suit specific
health and fitness goals. Better yet -- it's all included in the
one affordable membership package!

mandy@virtualfitnesstrainer.com
http://www.virtualfitnesstrainer.com

The Sticky Facts About Minor Wound Care

by: News Canada

(NC)-You probably think you know all the facts when it comes to the topic of minor wound care - if you cut your finger, just dab a tissue on it and you're ready to go! Unfortunately it is not as simple as that. Minor wounds deserve special treatment in order to heal most efficiently and minimize the appearance of scars. So before you peel off that bandage make sure you know the difference between the facts and the misconceptions on minor wound care.

Misconception: It is best to let a minor wound heal over with a scab.

Fact: Scabs actually impede the healing process by creating a barrier between healthy skin cells. The cells have to work their way under the scab in order to form new tissue and heal. Scabs can also be easily torn or scratched, causing re-injury.

Misconception: It is best to let a wound "breathe" or air out.

Fact: The best way to protect a wound is to cover it with a bandage until fully healed. Bandages that absorb a wounds fluid and maintain a natural moisture balance are ideal for healing and enables skin cells to migrate together to form new tissue.

Misconception: It is best to leave a wound uncovered.

Fact: Covering a wound with bandages is essential to wound care: a bandage provides extra cushioning and protection from any re-injury that may occur, as well as preventing exposure to water, germs and dirt.

With Canadians' safety in mind, a variety of advanced care products have been created to treat all minor wounds, including BAND-AID® Brand Hurt-Free™ Antiseptic Wash - a cleanser featuring an anesthetic to help ease the throbbing of minor wounds - and BAND-AID® Brand Water Block Plus™ Finger-Wrap - designed to stay on fingers when wet. For more information on first care contact the BAND-AID® Brand website at www.bandaid.com.

Early Diagnosis Improves Treatment

by: News Canada

(NC)-Popular myths have led many to believe that mental health disorders are untreatable. As a result, a lot of people who suffer don't seek help. In fact most mental disorders are treatable. The treatment success rate for schizophrenia is 60 percent, 65 percent for major depression, and 80 percent for bipolar disorder. The success rate for treatments of heart disease, on the other hand, is only 40 - 50 percent.

A variety of treatments are available to improve symptoms. In fact, for most mental disorders there is more than one proven treatment. Most fall under two general categories, psychosocial and pharmacological. The combination of the two - known as multimodal therapy - can sometimes be even more effective than each individually.

Although there is a wide range of treatments, the stigma and fear associated with mental illness prevents many from seeking help. The longer mental illness goes untreated the more serious, and less treatable, the illness can become. Early identification and intervention of mental illness is key to getting your life back on track.

For more facts about mental illness and how a book called "Catch a Falling Star: A Tale from the Iris the Dragon Series" is helping parents identify and understand early onset mental illness visit www.iristhedragon.com.

About The Author


News Canada provides a wide selection of current, ready-to-use copyright free news stories and ideas for Television, Print, Radio, and the Web.

News Canada is a niche service in public relations, offering access to print, radio, television, and now the Internet media, with ready-to-use, editorial "fill" items. Monitoring and analysis are two more of our primary services. The service supplies access to the national media for marketers in the private, the public, and the not-for-profit sectors. Your corporate and product news, consumer tips and information are packaged in a variety of ready-to-use formats and are made available to every Canadian media organization including weekly and daily newspapers, cable and commercial television stations, radio stations, as well as the Web sites Canadians visit most often. Visit News Canada and learn more about the NC services.

Don't Get Burned By Summer Sun

by: News Canada

(NC)-Warm summer days filled with bright sunshine aren't always good for you. Over exposure to sunlight can cause serious sunburn, pain and the long-term risk of skin cancer. St. John Ambulance, Canada's leader in safety-oriented™ first aid training and products, points out that you can still enjoy sun if you reduce risk by taking precautions.

People with fair skin are most susceptible to sunburns. However, no matter what the skin type, the harmful effects of the sun, such as sunburn, can be sustained by anyone.

Prevention is your best defense. Use a sunscreen strong enough to block out harmful rays. Remember to apply it liberally many times over the course of a day in the sun as it will soak into skin, evaporate and be washed off in water.

Don't stay outdoors for extended periods without covering exposed skin. Never leave tender skin exposed for more than a few minutes at a time. Wear a light, sun repellent cover over bathing suits or other light clothing. Always keep your head and eyes protected.

First Aid for sunburn

Sunburns can be very serious. Ranging from mild discomfort to severe burning over a large portion of the body, extreme sunburn can be further complicated by heatstroke. For minor sunburn, St. John Ambulance suggests the following first aid:

Check the casualty thoroughly to determine the extent and severity of the burn.
Get out of the sun immediately.
Cover the burn with a wet towel or gently sponge the area with cool water to relieve pain.
Pat the skin dry and apply medicated sunburn ointment or lotion. Apply according to directions on the package and watch for warning signs of an allergic reaction.
Protect burnt areas from further exposure to the sun.
Don't break blisters - doing so may promote infection. If large areas of the skin begin to blister, seek medical help.
If the casualty begins to vomit or develops a fever, give first aid for heatstroke and get medical help.
First Aid for heatstroke

Heatstroke is a life-threatening condition in which the body's temperature rises far above normal. The body's temperature control mechanism fails, sweating may stop and the body temperature rises rapidly. When you notice rapid pulse, noisy breathing, convulsions or vomiting and hot, flushed skin, give first aid for heatstroke.

Check the casualty for symptoms of heatstroke. Lowering the body temperature is the most urgent first aid for heatstroke.
Move the casualty to a cool, shaded place or indoors if possible. Call for medical help.
Cool the casualty by removing clothing, covering with a wet sheet, immersing in cool water or sponging with cool water, especially in the armpits, neck and groin areas.
When the body feels cool to the touch, cover the casualty with a dry sheet. If temperature begins to rise again, repeat step three.
Continue to monitor the casualty until medical help is available.
St. John Ambulance is Canada's leader in first aid training and products. For more than 118 years, St. John Ambulance has provided services to prevent injury and reduce suffering. For more information on high quality St. John Ambulance training and products, contact the branch nearest you or visit our website, www.sja.ca.

Dispelling The Myths About Cellulite

by: News Canada

Myths and Realities

Cellulite only happens to overweight women.

Cellulite results from the skin losing its elasticity and firmness. This allows fluids and fat deposits into the lower layers of the skin and is not the result of being overweight.

While losing weight may reduce body fat, it does not correct or eliminate cellulite. Even very slim women can have cellulite on their thighs, buttocks and hips.

Cellulite is hereditary.

Cellulite is influenced by several factors including your genes, gender, the amount of fat on your body and the thickness of your skin. For example, thinner skin and excess body fat makes cellulite more visible.

Young women never have cellulite.

Cellulite can develop as early as puberty but is not easily noticed due to the suppleness of young skin.

Cellulite is a natural part of aging.

While it can worsen with age, you don't have to sit back and accept it. Regular exercise, eating a healthy diet and using a body contouring cream daily can visibly reduce cellulite. A good body contouring cream to try is RoC® Retinol Body Contouring Triple Action, a clinically proven formula that reduces the appearance of dimpled skin in just eight weeks.

Cellulite won't get any worse.

If you don't take action against cellulite it will get worse over time, especially as the skin continues to lose its firmness and elasticity.

Strict dieting will eliminate cellulite.

On its own, dieting cannot eliminate cellulite. In fact, strict dieting is more likely to eventually increase your body fat percentage, worsening the condition.

Toning and firming will eliminate cellulite.

As with dieting, exercise alone will not get rid of cellulite. To visibly reduce the look of cellulite - diet, exercise, and the use of a body contouring cream daily are key.

Men never have cellulite.

Men don't usually have a problem with cellulite because their fat cells are shaped differently and fat is stored differently.

However, some men may develop cellulite on their neck or stomach.

Cancer Survivor Turns Cancer Information Specialist

by: News Canada

(NC)-When callers to the Canadian Cancer Society's information service connect with Isabelle Wilson, they're talking to someone who's been there herself.

The Christmas of 1997 was turned upside down for the Montreal mother of three. Days before the holiday she learned she had a rare tumour on her left lung. The lung was removed on Christmas Eve. Wilson was a 30-year-old non-smoker and had a six-month-old baby at home. Even her doctors were stunned.

"Everything went so fast," she says. "I didn't know what was happening to me."

Worse, Wilson had to recuperate during the infamous ice storm, which knocked out power and heat to her home for days. Eventually she turned to the Canadian Cancer Society's information service for support and help in understanding her condition. It was a life-changing call. Three years later, Wilson joined the service herself.

"Knowing there was a professional there who was with me and researching this disease too meant a lot. I felt a lot less isolated," says Wilson, a biologist and former health services worker. "One morning I woke up and said, 'I have to do this job.'"

The service is Canada's toll-free bilingual source of cancer information. Trained and caring specialists provide information about cancer and community resources. This helps newly diagnosed patients and their families understand their condition and act as informed members of their healthcare team.

When you want to know more about cancer, call the Canadian Cancer Society's information service at 1 888 939-3333 or e-mail info@cis.cancer.ca.

Bug Bites… The Itch May Be The Least Of Your Worries

by: Dr. Brian Aw, M.D., and C.C.F.P. (courtesy of News Canada)

(NC)-In most cases insect bites are harmless and if left alone, the irritation will subside within 48 hours.

However, for some people, particularly children, scratching bites may lead to a highly contagious bacterial skin infection called impetigo. Left unchecked, impetigo can spread to other parts of the body and even from person to person.

As a family physician, I recommend the following tips to ensure you and your family maximize your summer fun and avoid this irritating skin disease:


Apply an effective insect repellent as directed. As an alternative to chemical-based repellents, I recommend citronella-based products such as Natrapel®, particularly for young children.

Avoid scratching. To calm the itching, traditional products such as calamine lotion may be useful. I also recommend my patients use AfterBite®, a product designed to neutralize the allergens that cause the itch.

Keep fingernails short and clean. The bacteria streptococcal, which causes impetigo, hides under fingernails and enters the body when scratching the bite. Children are more vulnerable to this disease because streptococcal is often found in sand piles where kids play.

Recognize the symptoms. Impetigo is characterized by a red bump on the skin where yellow pus accumulates and dries, leaving a scab that can be itchy.

Protect the infection. Impetigo spreads easily through direct body contact, sharing towels, bedding and clothes. Although it is not a serious disease, it needs immediate attention to stop it from spreading.

Seek treatment. The best way to avoid impetigo is to treat a bug bite as soon as possible. Should impetigo develop, oral antibiotics and antibiotic creams may be required as prescribed by your doctor.
Dr. Brian Aw is a general practitioner, specializing in travel medicine.

For tips on bug bite prevention and product information visit: www.tendercorp.com/canada.

Book Helps Families Deal With Mental Illness

by: News Canada
(NC)-More people than ever are taking care of their our bodies through proper nutrition and exercise. They realize that the human body is a finely tuned machine that needs on-going maintenance. The same however cannot be said for the mind. Without proper care, our brains can suffer from degeneration and, in some cases, mental disorder. Author Gayle Grass emphasizes the importance of healthy brains in her new children's illustrated book called "Catch a Falling Star: A Tale from the Iris the Dragon Series,". Intended to create awareness and act as a positive tool for dialogue within families, "Catch a Falling Star," deals with mental health and illness, the importance of early diagnosis, and how to handle the unfounded stigma. Endorsed by some of Canada's top child psychiatrists, "Catch a Falling Star" teaches families that every child at times encounters emotions or behavior that can cause problems in their lives. "This book has an important and powerful message - we must listen to our children, and respond with wisdom and support to their fears and worries, and make use of available specialists to reduce suffering and distress," says Dr. Joe Beitchman, Clinical Director for the Child Psychiatry Program at the Centre for Addiction and Mental Health. For more facts about mental illness and how "Catch a Falling Star: A Tale from the Iris the Dragon Series" is helping parents identify and understand early onset mental illness visit www.iristhedragon.com.

A Day In The Life Of A Cancer Information Specialist

by: News Canada

(NC)-The lines can crackle from hundreds of miles away, but it's the telephone that has brought nurse Donna Kennedy closer to those she wants to help.

Kennedy is one of the caring pairs of ears in the Regina, Saskatchewan call centre of the Canadian Cancer Society's information service. There, trained information specialists answer questions from Canadians across the country looking for information about cancer and community resources. This helps newly diagnosed patients and their families understand their condition and act as informed members of their healthcare team.

Once a nurse to cancer patients in a local hospital, Kennedy found the pressures of having to do more with less and mounting paperwork were pulling her away from where she wanted to be - with patients.

Joining the service as an information specialist nearly six years ago has "brought that part of me back that I was missing in the hospital," says Kennedy, a married mom of two young adults. "Even though it's over the telephone you bond quite quickly with people because it's so intimate."

The Canadian Cancer Society's information service is Canada's toll-free bilingual source of cancer information. The Regina centre is one of four call centres across the country - other centres are in Hamilton, Montreal and Vancouver.

Averaging 25 calls a day herself, Kennedy says her role is sometimes like "a translator," explaining the confusing medical jargon patients often hear when first diagnosed.

"Some days the calls are very difficult. Sometimes a caller is very upset because a family member is dying," says Kennedy, who supported her husband in his cancer recovery 19 years ago. "I try to be very understanding and to support people in whatever their trouble is.

"People tend to apologize a lot when they're very upset. But there's nothing they have to be sorry about ... We're there to help the person, to provide ideas for them and options."

No matter where the caller lives, information specialists can give information about such things as risk reduction, treatments, drugs, clinical trials, and support groups in the caller's region, helped by a computer database listing approximately 7,000 community services nationwide.

"I really enjoy helping people and teaching," says Kennedy. "It's been a wonderful experience to know you are able to help people with any questions or concerns they may have regarding cancer."

When you want to know more about cancer, call the Canadian Cancer Society's information service at 1 888 939-3333 or e-mail info@cis.cancer.ca.

Successful Weight-loss Pointers

by: Regena English

Well we're at it again, trying to honor our promise on New Year's Day to lose weight and tone up those flabby parts. Although the year's still young more than half of our New Year's Resolutioners have strayed from their promise of fitness and or weightloss. The reasons may vary as to why their resolutions have been pushed to the side, one common compliant is difficulty in maintaining a healthy lifestyle. Why? It's difficulty to break old HABITS!

For so long we've had a life of overindulgence with the foods that are considered taboo, now we're expecting ourselves to enjoy doing without those favorites with no effort whatsoever. Rather than ease into a new way of eating through gradual elimination of our no no foods we jump in with both feet not expecting any backlash. To our surprise we have reactions ranging from endless cravings,headaches, stomach and intestinal discomforts.Some pointers for being successful this year:


As mentioned above ease into your new eating plans, gradually eliminate forbidden foods from diet. As far as exercise is concern give yourself plenty of time to build your endurance, don't attempt to workout for two hours the first day and you've been sedentary for twenty years.

Set goals that are short term. Instead of setting a long-term goal to lose forty pounds this year, lose four pounds a month.

When you feel anxious and desperate to reach your goal in a hurry remind yourself of past day,week, or month's progress. Losing alot of weight in a hurry leaves little time to adjust lifestyle habits for long-term success.

If you're not able to reach your goals alone join a support group that reflects you. Stop by http://www.onelist.com and peruse their categories of health and fitness surely you'll find a list for a individual like yourself.

Have hobbies and other outside interests so you're sure to get a mental break from your goal. Thinking to much about having to lose forty pounds can depress even the most enthusiastic of persons.

Don't be afraid to take time out of your day to relax your nerves and do nothing but enjoy that moment.

Use you imagination to see yourself after reaching your goal. The more vivid the mind picture the better, doing this will enlist the aid of the subconscious. It has been said that our goals are 10% actual work and 90% mental. So don't be afraid to be child-like in using your imagination to help you reach your goals without sweat and strain.
Always remember, "What the mind can conceive it can achieve!"

Fighting Asthma - Part 2

by: Richard Lowe, Jr.

One week my wife had severe asthma and it would not go away. In fact, we had visited our doctor numerous times for adrenalin shots. These helped in the short term (for a day or so) but the asthma just returned again later. Both of us wanted to resolve this condition on a more permanent basis, as it was becoming very difficult to deal with.

We talked to our doctor, a wonderful man named Dr. Frischer, and he directed us to a specialist. Someone who was familiar with the disease and could help us come up with a permanent handling.

I must admit that my wife did not want to go to this specialist. She didn't say why, she just was not comfortable with him. However, I convinced her, and before long we had pulled up to the doctors office, which was in a little hospital in Paramount, California.

The specialist took one look at Claudia and knew that her asthma was terrible. He had Claudia breath into a tube, then tisked to himself when he saw the result. It appeared that Claudia was not getting anywhere near the amount of oxygen that a normal person received. In fact, her lungs were drawing in about a forth of the normal amount of air - it was pretty bad that day. Which meant, of course, it was the perfect day to see the specialist.

The guy did some more tests, then recommended an allergy panel to determine exactly which substance was causing Claudia's condition. He explained that asthma is usually triggered by something, some particle in the air. It could be dust, pollen, cockroach droppings, cat dandruff or any other small particle.

We agreed and the panel was done. The doctor swabbed her arm with about twenty different substances, explaining that they would swell up into little bumps if anything registered. One substance registered strongly - simple dust. It seemed that Claudia's asthma was caused by dust.

While we were there, the specialist increased her Prednisone dosage to 60 milligrams. This is an incredibly high dosage of this drug, but based upon Claudia's poor breathing, the doctor felt it was necessary. If you remember from the previous article (part 1), prednisone has the side effect of making Claudia extremely hostile to our poor cat Baby. Well, during the next few weeks that cat had to be guarded night and day by Al and myself to keep Claudia from killing it.

The result of this trip? We finally realized the link between the environment and Claudia's asthma. We decided to be a little more proactive, and purchased some air filters for the living room and bedroom. These helped control the asthma to a certain extent. The other result? Now Claudia was feeling the other major short term side effect of Prednisone - it's very difficult to stop taking..

Fighting Asthma - Part 1

by: Richard Lowe, Jr.

My wife has asthma. It is extremely difficult, if not impossible, for anyone else to understand what that means and implies. If you have not had to care for someone with asthma, you cannot even begin to comprehend what it is like to deal with this condition. When I mention it to someone and they start telling me what they think, I have to control my feelings ... they do not and cannot understand. I restrain myself because they think they are being helpful. It's the same kind of thing when a single person gives a married couple advice on their union, or someone without kids thinks he knows how to raise them.

So what does it mean when I say my wife has asthma? It means her life is in constant danger. Every single day that she's breathing is a good day - because she survived the night. A week without gasping is a luxury, and a full month without an asthma attack is almost unheard of. What today really means is another day of breathing - it may be a difficult day or a good day, but there is always the knowledge that breathing is the most important thing.

You see, breathing is something that most of us take for granted. We never think about it, never need to be concerned about taking that next breath. Personally, the worst trouble I have had with my own breathing is a bad cold - my nose was stuffed and I had to use my mouth.

My wife, on the other hand, has to think about breathing all of the time. Some days she breaths fine, others are difficult. Breathing problems are in a special class all of their own - it's not like, say, having problems going to the bathroom, a cold or throwing up. These things all are minor compared to not breathing. You see, with breathing problems there is no time to think. You've got just minutes or even seconds to make a decision and get into action.

I discovered my wife had asthma soon after we were married. It was news to her also - she had never had asthma before, although her child had attacks when he was younger. So one day, out of the blue, Claudia came home because she had difficulty breathing ... and I didn't have a clue what to do.

This is a very unusual circumstance for me ... not knowing what to do. I am very intelligent by any measure and I make a strong point at knowing how to handle just about anything in my life. Before this time, no matter what the emergency was, I could and did handle it. Yet here I was with my wife having difficulty breathing. Over the next few days I learned a little bit. One thing I learned real fast is not al doctors are created equal. You see, even though our doctor visits were covered under insurance, our doctor would not accept any insurance. She ran a strictly cash operation. So on top of having a medical crisis we had a financial one - we had to pay the doctor then wait for the insurance company to pay us back. This severely limited our options at a time when we really needed options.

So when Claudia had breathing troubles we rushed over to the doctors office and asked for help. The doctor gave her a shot of adrenalin to correct her breathing. I watched in awe as my wife trembled from an injection of the same stuff they use to start a person's heart if it has stopped. I wondered for a moment if the "cure" was worse than the disease. The wonder soon stopped as Claudia's breathing settled down and she could take a breath without gasping. Her color returned to her normal pink - she had been slightly purple in hue., and the doctor prescribed something called Prednisone.

The next few weeks were not good weeks. You see, I didn't know it at the time, but Prednisone has some side effects. The most important one being that large doses tend to make a person a little bit psychotic. What I'm saying is my normally calm and collected wife became the "She Devil From Hell" ... but not so much to me or my son. No, her frustration was taken out on the cat (Baby).

That poor cat went through hell for those weeks. I had to protect him several times from the wrath of my wife for some new offense ... it appeared to her that the cat was trying to annoy her and make her miserable. I do believe that Baby used up at least two lives during those weeks ... and he only survived because my son and I protected him.

There were several trips to our local doctor during this first year with asthma. We noticed that the disease was not getting better, and our doctors did not really appear to know what they were doing. Their answer was more Prednisone and more adrenaline ... so we decided to see a specialist.

Conquering the Common Cold

by: Mari Peckham

What do we know about the Common Cold?


No Cure. Antibiotics, designed to knock out bacterial infections, do nothing when it comes to treating a cold.

None of us are safe! No matter how strong and healthy we are, an occasional cold will reduce us to whimpering, sneezing, coughing versions of our former selves.
So, what do we do? Lay back with a box of tissue, pop a couple of cold tabs and wait it out? Not necessarily! Doctors who specialize in self-care medicine say that there is a lot more that we can do to get through a cold comfortably, and possibly more quickly! Here is some of the best advice that experts have to offer on the subject.


Vitamin C - "Vitamin C works in the body as a scavenger, picking up all sorts of trash - including virus trash," Says Keith W. Sehnert, M.D., a physician with Trinity Health Care in Minneapolis, Minnesota. "It can shorten the length of a cold from seven days to maybe two or three."
Studies conducted at the University of Wisconsin found that cold sufferers taking 500 milligrams of vitamin C four times a day suffered from about half as many symptoms (coughing, sneezing. etc) as those not taking the vitamin.

Best way to get it? Drink it! Orange, grapefruit, and cranberry juices are excellent sources of vitamin C.


Zinc - Suck on zinc lozenges and cut your cold short, to an average of just 4 days! It also can help reduce symptoms such as dry, irritated throat. Unfortunately, it doesn't work for everyone, but when it works, it works!

R and R - Take a day or two off of work, or at least slow down! Extra rest enables your body to focus it's energy on getting you well.

Stay Warm - Keep your immune system cozy by bundling up against the cold. This way your body can use energy to fight your cold instead of protecting you from the cold.

Eat Lightly - Eat, but steer clear of foods that put a strain on your body's metabolism. Eat fewer fatty foods, meat and milk products, and eat more fresh fruits and vegetables.

Chicken Soup - A silly folk remedy? No! Researchers at the Mount Sinai Medical Center in Miami Beach have found that hot chicken soup, either because of its aroma or its taste, "appears to possess an additional substance for increasing the flow of nasal mucus." Researchers say that this mucus serves as a first line of defense in removing germs from your system, so eat up!

Liquids - Drink six to eight glasses of water, juice, tea, and other mostly clear liquids daily to keep the body hydrated and to flush out impurities.

NO Smoking! - Smoking aggravates the throat and interferes with the infection-fighting activity of the cilia, the microscopic "fingers" that sweep bacteria out of your lungs and throat. Even if you don't quit for good, at least stop for the duration of your cold.

Salty Gargle - Dr. Van Ert of San Francisco advises mixing 1 teaspoon of salt into a glass of warm water and gargling away whenever your throat hurts.

Hot Toddy - Get a good night's sleep and clear a stuffed-up nose by sipping a "hot toddy" or a half a glass of wine before bedtime, suggests Dr. Caughron, a family practitioner specializing in preventive medicine in Charlottesville, Virginia. But don't go overboard! More alcohol than that can stress out your system and make recovery more difficult.

Get Steamed - Clear congestion and relieve a dry cough by taking a hot steamy shower. Or make a steam tent by draping a towel over your head above a bowl of boiling water.

Keep Your Germs to Yourself - Cough and blow away, but do it into a disposable tissue instead of sharing them! Then promptly throw the tissue away and wash your hands.

Medicate - If you decide to take over the counter medication, follow the instructions carefully and only take medication that addresses the symptoms that you are suffering from.
Looking for alternatives to drugs? Try these herbs and teas that contain special properties that are natural antagonists against colds!


Goldenseal and Echinacea - "I recommend herb capsules such as goldenseal and echinacea at the early onset of a cold," says Elson Haas, M.D. He says that goldenseal stimulates your liver, which helps to clear up infections. Echinacia clean your blood and lymph glands, helping circulate infection-fighting antibodies and removing toxic substances from the body. Try one or two capsules twice a day for up to two weeks.

Garlic - Garlic is known for its antibiotic effect and "can actually kill germs and clear up your cold symptoms more rapidly," says Dr. Haas. He recommends two or three oil-free garlic capsules three times a day.

Licorice Root Tea - Dr Van Ert recommends this teas for it's anesthetizing effects for soothing irritated throats and relieving coughs.

Other Teas - Celestial Seasonings Sleepytime tea, or tea brewed with hops or valarian her, have natural tranquilizing effects that will help you rest. Add a teaspoon of honey, a simple carbohydrate that has a sedative effect.

Monolaurian - Dr. Van Ert also recommends this fatty acid (available in capsule form) for it's antiviral effect. He recommends taking two capsules three times a day with some food, for helping the immune system stay fit to battle the cold virus.
A cold may be something that we have to live with, and through, but finding ways to make the best of it will help you get back on your feet in record time.

Narcissistic Personality Disorder Tips

by: Sam Vaknin, Ph.D.

FIVE DON'T DO'S

How to Avoid the Wrath of the Narcissist


Never disagree with the narcissist or contradict him

Never offer him any intimacy

Look awed by whatever attribute matters to him (for instance: by his professional achievements or by his good looks, or by his success with women and so on)

Never remind him of life out there and if you do, connect it somehow to his sense of grandiosity

Do not make any comment, which might directly or indirectly impinge on his self-image, omnipotence, judgment, omniscience, skills, capabilities, professional record, or even omnipresence. Bad sentences start with: "I think you overlooked ... made a mistake here ... you don't know ... do you know ... you were not here yesterday so ... you cannot ... you should ... (perceived as rude imposition, narcissists react very badly to restrictions placed on their freedom) ... I (never mention the fact that you are a separate, independent entity, narcissists regard others as extensions of their selves, their internalization processes were screwed up and they did not differentiate properly) ..." You get the gist of it.
The TEN DO'S

How to Make your Narcissist Dependent on You

If you INSIST on Staying with Him


Listen attentively to everything the narcissist says and agree with it all. Don't believe a word of it but let it slide as if everything is just fine, business as usual.

Personally offer something absolutely unique to the narcissist which they cannot obtain anywhere else. Also be prepared to line up future sources of primary NS for your narcissist because you will not be IT for very long, if at all. If you take over the procuring function for the narcissist, they become that much more dependent on you which makes it a bit tougher for them to pull their haughty stuff - an inevitability, in any case.

Be endlessly patient and go way out of your way to be accommodating, thus keeping the narcissistic supply flowing liberally, and keeping the peace (relatively speaking).

Be endlessly giving. This one may not be attractive to you, but it is a take it or leave it proposition.

Be absolutely emotionally and financially independent of the narcissist. Take what you need: the excitement and engulfment and refuse to get upset or hurt when the narcissist does or says something dumb, rude, or insensitive. Yelling back works really well but should be reserved for special occasions when you fear your narcissist may be on the verge of leaving you; the silent treatment is better as an ordinary response, but it must be carried out without any emotional content, more with the air of boredom and "I'll talk to you later, when I am good and ready, and when you are behaving in a more reasonable fashion".

If your narcissist is cerebral and NOT interested in having much sex - then give yourself ample permission to have "hidden" sex with other people. Your cerebral narcissist will not be indifferent to infidelity so discretion and secrecy is of paramount importance.

If your narcissist is somatic and you don't mind, join in on endlessly interesting group sex encounters but make sure that you choose properly for your narcissist. They are heedless and very undiscriminating in respect of sexual partners and that can get very problematic (STDs and blackmail come to mind).

If you are a "fixer", then focus on fixing situations, preferably before they become "situations". Don't for one moment delude yourself that you can FIX the narcissist - it simply will not happen. Not because they are being stubborn - they just simply can't be fixed.

If there is any fixing that can be done, it is to help your narcissist become aware of their condition, and this is VERY IMPORTANT, with no negative implications or accusations in the process at all. It is like living with a physically handicapped person and being able to discuss, calmly, unemotionally, what the limitations and benefits of the handicap are and how the two of you can work with these factors, rather than trying to change them.

FINALLY, and most important of all: KNOW YOURSELF.
What are you getting from the relationship? Are you actually a masochist? A codependent perhaps? Why is this relationship attractive and interesting?

Define for yourself what good and beneficial things you believe you are receiving in this relationship.

Define the things that you find harmful TO YOU. Develop strategies to minimize the harm to yourself. Don't expect that you will cognitively be able to reason with the narcissist to change who they are. You may have some limited success in getting your narcissist to tone down on the really harmful behaviours THAT AFFECT YOU which emanate from the unchangeable WHAT the narcissist is. This can only be accomplished in a very trusting, frank and open relationship.

(Co-authored with Alice Ratzlaff)

About The Author


Sam Vaknin is the author of "Malignant Self Love - Narcissism Revisited" and the editor of mental health categories in The Open Directory, Suite101, and searcheurope.com.

His web site: http://samvak.tripod.com

Frequently asked questions regarding narcissism: http://samvak.tripod.com/faq1.html

Narcissistic Personality Disorder on Suite101: http://www.suite101.com/welcome.cfm/npd

Narcissistic Personality Disorder (NPD) At a Glance

by: Sam Vaknin, Ph.D.

Most narcissists (75%) are men.

NPD is one of a "family" of personality disorders (formerly known as "Cluster B").

Other members: Borderline PD, Antisocial PD and Histrionic PD.

NPD is often diagnosed with other mental health disorders ("co-morbidity") - or with substance abuse, or impulsive and reckless behaviours ("dual diagnosis").

NPD is new (1980) mental health category in the Diagnostic and Statistics Manual (DSM).

There is only scant research regarding narcissism. But what there is has not demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection to NPD.

It is estimated that 0.7-1% of the general population suffer from NPD.

Pathological narcissism was first described in detail by Freud. Other major contributors are: Klein, Horney, Kohut, Kernberg, Millon, Roningstam, Gunderson, Hare.

The onset of narcissism is in infancy, childhood and early adolescence. It is commonly attributed to childhood abuse and trauma inflicted by parents, authority figures, or even peers.

There is a whole range of narcissistic reactions - from the mild, reactive and transient to the permanent personality disorder.

Narcissists are either "Cerebral" (derive their narcissistic supply from their intelligence or academic achievements) - or "Somatic" (derive their narcissistic supply from their physique, exercise, physical or sexual prowess and "conquests").

Narcissists are either "Classic" - see definition below - or they are "Compensatory", or "Inverted" - see definitions here: "The Inverted Narcissist".

NPD is treated in talk therapy (psychodynamic or cognitive-behavioural). The prognosis for an adult narcissist is poor, though his adaptation to life and to others can improve with treatment. Medication is applied to side-effects and behaviours (such as mood or affect disorders and obsession-compulsion) - usually with some success.

Please read CAREFULLY!

The text in italics is NOT based on the Diagnostics and Statistics Manual, Fourth Edition (1994).

The text in italics IS based on "Malignant Self Love - Narcissism Revisited", second, revised, printing (2001)

An all-pervasive pattern of grandiosity (in fantasy or behaviour), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts. Five (or more) of the following criteria must be met:


Feels grandiose and self-importance (e.g., exaggerates achievements and talents to the point of lying, demands to be recognized as superior without commensurate achievements)

Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion

Firmaly convinced that he or she is unique and, being special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions)

Requires excessive admiration, adulation, attention and affirmation - or, failing that, wishes to be feared and to be notorious (narcissistic supply)

Feels entitled. Expects unreasonable or special and favourable priority treatment. Demands automatic and full compliance with his or her expectations

Is "interpersonally exploitative", i.e., uses others to achieve his or her own ends

Devoid of empathy. Is unable or unwilling to identify with or acknowledge the feelings and needs of others

Constantly envious of others or believes that they feel the same about him or her

Arrogant, haughty behaviours or attitudes coupled with rage when frustrated, contradicted, or confronted
Some of the language in the criteria above is based on or summarized from:

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition (DSM IV). Washington, DC: American Psychiatric Association.

The text in italics is based on:

Sam Vaknin. (2001). Malignant Self Love - Narcissism Revisited, second, revised, printing. Prague and Skopje: Narcissus Publication.

For the exact language of the DSM IV criteria - please refer to the manual itself !!!

About The Author


Sam Vaknin is the author of "Malignant Self Love - Narcissism Revisited" and the editor of mental health categories in The Open Directory, Suite101, and searcheurope.com.

His web site: http://samvak.tripod.com

Frequently asked questions regarding narcissism: http://samvak.tripod.com/faq1.html

Narcissistic Personality Disorder on Suite101: http://www.suite101.com/welcome.cfm/npd

Morality As A Mental State

by: Sam Vaknin, Ph.D.

INTRODUCTION

Moral values, rules, principles, and judgements are often thought of as beliefs or as true beliefs. Those who hold them to be true beliefs also annex to them a warrant or a justification (from the "real world"). Yet, it is far more reasonable to conceive of morality (ethics) as a state of mind, a mental state. It entails belief, but not necessarily true belief, or justification. As a mental state, morality cannot admit the "world" (right and wrong, evidence, goals, or results) into its logical formal definition. The world is never part of the definition of a mental state.

Another way of looking at it, though, is that morality cannot be defined in terms of goals and results - because these goals and results ARE morality itself. Such a definition would be tautological.

There is no guarantee that we know when we are in a certain mental state. Morality is no exception.

An analysis based on the schemata and arguments proposed by Timothy Williamson follows.

Moral Mental State - A Synopsis

Morality is the mental state that comprises a series of attitudes to propositions. There are four classes of moral propositions: "It is wrong to...", "It is right to...", (You should) do this...", "(You should) not do this...". The most common moral state of mind is: one adheres to p. Adhering to p has a non-trivial analysis in the more basic terms of (a component of) believing and (a component of) knowing, to be conceptually and metaphysically analysed later. Its conceptual status is questionable because we need to decompose it to obtain the necessary and sufficient conditions for its possession (Peacocke, 1992). It may be a complex (secondary) concept.

See here for a more detailed analysis.

Adhering to proposition p is not merely believing that p and knowing that p but also that something should be so, if and only if p (moral law).

Morality is not a factive attitude. One believes p to be true - but knows p to be contingently true (dependent on epoch, place, and culture). Since knowing is a factive attitude, the truth it relates to is the contingently true nature of moral propositions.

Morality relates objects to moral propositions and it is a mental state (for every p, having a moral mental relation to p is a mental state).

Adhering to p entails believing p (involves the mental state of belief). In other words, one cannot adhere without believing. Being in a moral mental state is both necessary and sufficient for adhering to p. Since no "truth" is involved - there is no non-mental component of adhering to p.

Adhering to p is a conjunction with each of the conjuncts (believing p and knowing p) a necessary condition - and the conjunction is necessary and sufficient for adhering to p.

One doesn't always know if one adheres to p. Many moral rules are generated "on the fly", as a reaction to circumstances and moral dilemmas. It is possible to adhere to p falsely (and behave differently when faced with the harsh test of reality). A sceptic would say that for any moral proposition p - one is in the position to know that one doesn't believe p. Admittedly, it is possible for a moral agent to adhere to p without being in the position to know that one adheres to p, as we illustrated above. One can also fail to adhere to p without knowing that one fails to adhere to p. As Williamson says "transparency (to be in the position to know one's mental state) is false". Naturally, one knows one's mental state better than one knows other people's. There is an observational asymmetry involved. We have non-observational (privileged) access to our mental state and observational access to other people's mental states. Thus, we can say that we know our morality non-observationally (directly) - while we are only able to observe other people's morality.

One believes moral propositions and knows moral propositions. Whether the belief itself is rational or not, is debatable. But the moral mental state strongly imitates rational belief (which relies on reasoning). In other words, the moral mental state masquerades as a factive attitude, though it is not. The confusion arises from the normative nature of knowing and being rational. Normative elements exist in belief attributions, too, but, for some reason, are considered "outside the realm of belief". Belief, for instance, entails the grasping of mental content, its rational processing and manipulation, defeasible reaction to new information.

We will not go here into the distinction offered by Williamson between "believing truly" (not a mental state, according to him) and "believing". Suffice it to say that adhering to p is a mental state, metaphysically speaking - and that "adheres to p" is a (complex or secondary) mental concept. The structure of adheres to p is such that the non-mental concepts are the content clause of the attitude ascription and, thus do not render the concept thus expressed non-mental: adheres to (right and wrong, evidence, goals, or results).

Williamson's Mental State Operator calculus is applied.

Origin is essential when we strive to fully understand the relations between adhering that p and other moral concepts (right, wrong, justified, etc.). To be in the moral state requires the adoption of specific paths, causes, and behaviour modes. Moral justification and moral judgement are such paths.

Knowing, Believing and their Conjunction

We said above that:

"Adhering to p is a conjunction with each of the conjuncts (believing p and knowing p) a necessary condition - and the conjunction is necessary and sufficient for adhering to p."

Williamson suggests that one believes p if and only if one has an attitude to proposition p indiscriminable from knowing p. Another idea is that to believe p is to treat p as if one knew p. Thus, knowing is central to believing though by no means does it account for the entire spectrum of belief (example: someone who chooses to believe in God even though he doesn't know if God exists). Knowledge does determine what is and is not appropriate to believe, though ("standard of appropriateness"). Evidence helps justify belief.

But knowing as a mental state is possible without having a concept of knowing. One can treat propositions in the same way one treats propositions that one knows - even if one lacks concept of knowing. It is possible (and practical) to rely on a proposition as a premise if one has a factive propositional attitude to it. In other words, to treat the proposition as though it is known and then to believe in it.

As Williamson says, "believing is a kind of a botched knowing". Knowledge is the aim of belief, its goal.

About The Author


Sam Vaknin is the author of "Malignant Self Love - Narcissism Revisited" and the editor of mental health categories in The Open Directory, Suite101, and searcheurope.com.

His web site: http://samvak.tripod.com

Frequently asked questions regarding narcissism: http://samvak.tripod.com/faq1.html

Narcissistic Personality Disorder on Suite101: http://www.suite101.com/welcome.cfm/npd

Metaphors of the Mind (Part II)

by: Sam Vaknin, Ph.D.

Storytelling has been with us since the days of campfire and besieging wild animals. It served a number of important functions: amelioration of fears, communication of vital information (regarding survival tactics and the characteristics of animals, for instance), the satisfaction of a sense of order (justice), the development of the ability to hypothesize, predict and introduce theories and so on.

We are all endowed with a sense of wonder. The world around us in inexplicable, baffling in its diversity and myriad forms. We experience an urge to organize it, to "explain the wonder away", to order it in order to know what to expect next (predict). These are the essentials of survival. But while we have been successful at imposing our mind's structures on the outside world – we have been much less successful when we tried to cope with our internal universe.

The relationship between the structure and functioning of our (ephemeral) mind, the structure and modes of operation of our (physical) brain and the structure and conduct of the outside world have been the matter of heated debate for millennia. Broadly speaking, there were (and still are) two ways of treating it:

There were those who, for all practical purposes, identified the origin (brain) with its product (mind). Some of them postulated the existence of a lattice of preconceived, born categorical knowledge about the universe – the vessels into which we pour our experience and which mould it. Others have regarded the mind as a black box. While it was possible in principle to know its input and output, it was impossible, again in principle, to understand its internal functioning and management of information. Pavlov coined the word "conditioning", Watson adopted it and invented "behaviourism", Skinner came up with "reinforcement". The school of epiphenomenologists (emergent phenomena) regarded the mind as the by product of the brain's "hardware" and "wiring" complexity. But all ignored the psychophysical question: what IS the mind and HOW is it linked to the brain?

The other camp was more "scientific" and "positivist". It speculated that the mind (whether a physical entity, an epiphenomenon, a non-physical principle of organization, or the result of introspection) – had a structure and a limited set of functions. They argued that a "user's manual" could be composed, replete with engineering and maintenance instructions. The most prominent of these "psychodynamists" was, of course, Freud. Though his disciples (Adler, Horney, the object-relations lot) diverged wildly from his initial theories – they all shared his belief in the need to "scientify" and objectify psychology. Freud – a medical doctor by profession (Neurologist) and Bleuler before him – came with a theory regarding the structure of the mind and its mechanics: (suppressed) energies and (reactive) forces. Flow charts were provided together with a method of analysis, a mathematical physics of the mind.

But this was a mirage. An essential part was missing: the ability to test the hypotheses, which derived from these "theories". They were all very convincing, though, and, surprisingly, had great explanatory power. But - non-verifiable and non-falsifiable as they were – they could not be deemed to possess the redeeming features of a scientific theory.

Deciding between the two camps was and is a crucial matter. Consider the clash - however repressed - between psychiatry and psychology. The former regards "mental disorders" as euphemisms - it acknowledges only the reality of brain dysfunctions (such as biochemical or electric imbalances) and of hereditary factors. The latter (psychology) implicitly assumes that something exists (the "mind", the "psyche") which cannot be reduced to hardware or to wiring diagrams. Talk therapy is aimed at that something and supposedly interacts with it.

But perhaps the distinction is artificial. Perhaps the mind is simply the way we experience our brains. Endowed with the gift (or curse) of introspection, we experience a duality, a split, constantly being both observer and observed. Moreover, talk therapy involves TALKING - which is the transfer of energy from one brain to another through the air. This is directed, specifically formed energy, intended to trigger certain circuits in the recipient brain. It should come as no surprise if it were to be discovered that talk therapy has clear physiological effects upon the brain of the patient (blood volume, electrical activity, discharge and absorption of hormones, etc.).

All this would be doubly true if the mind was, indeed, only an emergent phenomenon of the complex brain - two sides of the same coin.

Psychological theories of the mind are metaphors of the mind. They are fables and myths, narratives, stories, hypotheses, conjunctures. They play (exceedingly) important roles in the psychotherapeutic setting – but not in the laboratory. Their form is artistic, not rigorous, not testable, less structured than theories in the natural sciences. The language used is polyvalent, rich, effusive, and fuzzy – in short, metaphorical. They are suffused with value judgements, preferences, fears, post facto and ad hoc constructions. None of this has methodological, systematic, analytic and predictive merits.

Still, the theories in psychology are powerful instruments, admirable constructs of the mind. As such, they are bound to satisfy some needs. Their very existence proves it.

The attainment of peace of mind is a need, which was neglected by Maslow in his famous rendition. People will sacrifice material wealth and welfare, will forgo temptations, will ignore opportunities, and will put their lives in danger – just to reach this bliss of wholeness and completeness. There is, in other words, a preference of inner equilibrium over homeostasis. It is the fulfilment of this overriding need that psychological theories set out to cater to. In this, they are no different than other collective narratives (myths, for instance).

In some respects, though, there are striking differences:

Psychology is desperately trying to link up to reality and to scientific discipline by employing observation and measurement and by organizing the results and presenting them using the language of mathematics. This does not atone for its primordial sin: that its subject matter is ethereal and inaccessible. Still, it lends an air of credibility and rigorousness to it.

The second difference is that while historical narratives are "blanket" narratives – psychology is "tailored", "customized". A unique narrative is invented for every listener (patient, client) and he is incorporated in it as the main hero (or anti-hero). This flexible "production line" seems to be the result of an age of increasing individualism. True, the "language units" (large chunks of denotates and connotates) are one and the same for every "user". In psychoanalysis, the therapist is likely to always employ the tripartite structure (Id, Ego, Superego). But these are language elements and need not be confused with the plots. Each client, each person, and his own, unique, irreplicable, plot.

To qualify as a "psychological" plot, it must be:


All-inclusive (anamnetic) – It must encompass, integrate and incorporate all the facts known about the protagonist.

Coherent – It must be chronological, structured and causal.

Consistent – Self-consistent (its subplots cannot contradict one another or go against the grain of the main plot) and consistent with the observed phenomena (both those related to the protagonist and those pertaining to the rest of the universe).

Logically compatible – It must not violate the laws of logic both internally (the plot must abide by some internally imposed logic) and externally (the Aristotelian logic which is applicable to the observable world).

Insightful (diagnostic) – It must inspire in the client a sense of awe and astonishment which is the result of seeing something familiar in a new light or the result of seeing a pattern emerging out of a big body of data. The insights must be the logical conclusion of the logic, the language and of the development of the plot.

Aesthetic – The plot must be both plausible and "right", beautiful, not cumbersome, not awkward, not discontinuous, smooth and so on.

Parsimonious – The plot must employ the minimum numbers of assumptions and entities in order to satisfy all the above conditions.

Explanatory – The plot must explain the behaviour of other characters in the plot, the hero's decisions and behaviour, why events developed the way that they did.

Predictive (prognostic) – The plot must possess the ability to predict future events, the future behaviour of the hero and of other meaningful figures and the inner emotional and cognitive dynamics.

Therapeutic – With the power to induce change (whether it is for the better, is a matter of contemporary value judgements and fashions).

Imposing – The plot must be regarded by the client as the preferable organizing principle of his life's events and the torch to guide him in the darkness to come.

Elastic – The plot must possess the intrinsic abilities to self organize, reorganize, give room to emerging order, accommodate new data comfortably, avoid rigidity in its modes of reaction to attacks from within and from without.
In all these respects, a psychological plot is a theory in disguise. Scientific theories should satisfy most of the same conditions. But the equation is flawed. The important elements of testability, verifiability, refutability, falsifiability, and repeatability – are all missing. No experiment could be designed to test the statements within the plot, to establish their truth-value and, thus, to convert them to theorems.

There are four reasons to account for this shortcoming:


Ethical – Experiments would have to be conducted, involving the hero and other humans. To achieve the necessary result, the subjects will have to be ignorant of the reasons for the experiments and their aims. Sometimes even the very performance of an experiment will have to remain a secret (double blind experiments). Some experiments may involve unpleasant experiences. This is ethically unacceptable.

The Psychological Uncertainty Principle – The current position of a human subject can be fully known. But both treatment and experimentation influence the subject and void this knowledge. The very processes of measurement and observation influence the subject and change him.

Uniqueness – Psychological experiments are, therefore, bound to be unique, unrepeatable, cannot be replicated elsewhere and at other times even if they deal with the SAME subjects. The subjects are never the same due to the psychological uncertainty principle. Repeating the experiments with other subjects adversely affects the scientific value of the results.

The undergeneration of testable hypotheses – Psychology does not generate a sufficient number of hypotheses, which can be subjected to scientific testing. This has to do with the fabulous (=storytelling) nature of psychology. In a way, psychology has affinity with some private languages. It is a form of art and, as such, is self-sufficient. If structural, internal constraints and requirements are met – a statement is deemed true even if it does not satisfy external scientific requirements.
So, what are plots good for? They are the instruments used in the procedures, which induce peace of mind (even happiness) in the client. This is done with the help of a few embedded mechanisms:


The Organizing Principle – Psychological plots offer the client an organizing principle, a sense of order and ensuing justice, of an inexorable drive toward well defined (though, perhaps, hidden) goals, the ubiquity of meaning, being part of a whole. It strives to answer the "why’s" and "how’s". It is dialogic. The client asks: "why am I (here follows a syndrome)". Then, the plot is spun: "you are like this not because the world is whimsically cruel but because your parents mistreated you when you were very young, or because a person important to you died, or was taken away from you when you were still impressionable, or because you were sexually abused and so on". The client is calmed by the very fact that there is an explanation to that which until now monstrously taunted and haunted him, that he is not the plaything of vicious Gods, that there is who to blame (focussing diffused anger is a very important result) and, that, therefore, his belief in order, justice and their administration by some supreme, transcendental principle is restored. This sense of "law and order" is further enhanced when the plot yields predictions which come true (either because they are self-fulfilling or because some real "law" has been discovered).

The Integrative Principle – The client is offered, through the plot, access to the innermost, hitherto inaccessible, recesses of his mind. He feels that he is being reintegrated, that "things fall into place". In psychodynamic terms, the energy is released to do productive and positive work, rather than to induce distorted and destructive forces.

The Purgatory Principle – In most cases, the client feels sinful, debased, inhuman, decrepit, corrupting, guilty, punishable, hateful, alienated, strange, mocked and so on. The plot offers him absolution. Like the highly symbolic figure of the Saviour before him – the client's sufferings expurgate, cleanse, absolve, and atone for his sins and handicaps. A feeling of hard won achievement accompanies a successful plot. The client sheds layers of functional, adaptive clothing. This is inordinately painful. The client feels dangerously naked, precariously exposed. He then assimilates the plot offered to him, thus enjoying the benefits emanating from the previous two principles and only then does he develop new mechanisms of coping. Therapy is a mental crucifixion and resurrection and atonement for the sins. It is highly religious with the plot in the role of the scriptures from which solace and consolation can be always gleaned.
About The Author


Sam Vaknin is the author of "Malignant Self Love - Narcissism Revisited" and the editor of mental health categories in The Open Directory, Suite101, and searcheurope.com.

His web site: http://samvak.tripod.com

Frequently asked questions regarding narcissism: http://samvak.tripod.com/faq1.html

Narcissistic Personality Disorder on Suite101: http://www.suite101.com/welcome.cfm/npd

Metaphors of the Mind (Part I)

by: Sam Vaknin, Ph.D.

The brain (and, by implication, the Mind) has been compared to the latest technological innovation in every generation. The computer metaphor is now in vogue. Computer hardware metaphors were replaced by software metaphors and, lately, by (neuronal) network metaphors. Such attempts to understand by comparison are common in every field of human knowledge. Architects and mathematicians have lately come up with the structural concept of "tensegrity" to explain the phenomenon of life. The tendency of humans to see patterns and structures everywhere (even where there are none) is well documented and probably has its survival value added.

Another trend is to discount these metaphors as erroneous, irrelevant, or deceptively misleading. Yet, these metaphors are generated by the same Mind that is to be described by them. The entities or processes to which the brain is compared are also "brain-children", the results of "brain-storming", conceived by "minds". What is a computer, a software application, a communications network if not a (material) representation of cerebral events?

In other words, a necessary and sufficient connection must exist between ANYTHING created by humans and the minds of humans. Even a gas pump must have a "mind-correlate". It is also conceivable that representations of the "non-human" parts of the Universe exist in our minds, whether a-priori (not deriving from experience) or a-posteriori (dependent upon experience). This "correlation", "emulation", "simulation", "representation" (in short : close connection) between the "excretions", "output", "spin-offs", "products" of the human mind and the human mind itself - is a key to understanding it.

This claim is an instance of a much broader category of claims: that we can learn about the artist by his art, about a creator by his creation, and generally: about the origin by any of its derivatives, inheritors, successors, products and similes.

This general contention is especially strong when the origin and the product share the same nature. If the origin is human (father) and the product is human (child) - there is an enormous amount of data to be safely and certainly derived from the product and these data will surely apply to the origin. The closer the origin and the product - the more we can learn about the origin. The computer is a "thinking machine" (however limited, simulated, recursive and mechanical). Similarly, the brain is a "thinking machine" (admittedly much more agile, versatile, non-linear, maybe even qualitatively different). Whatever the disparity between the two (and there is bound to be a large one), they must be closely related to one another. This close relatedness is by virtue of two facts: (1) They are both "thinking machines" and, much more important: (2) the latter is the product of the former. Thus, the computer metaphor is unusually strong. Should an organic computer come to be, the metaphor will strengthen. Should a quantum computer be realized - some aspects of the metaphor will, undoubtedly, be enhanced.

By the way, the converse hypothesis is not necessarily true: that by knowing the origin we can anticipate the products. There are too many free variables here. The existence of a product "collapses" our set of probabilities and increases our knowledge - to use Bohr's metaphor.

The origin exists as a "wave function": a series of potentialities with attached probabilities, the potentials being the logically and physically possible products.

But what can be learned about the origin by a crude comparison to the product? Mostly traits and attributes related to structure and to function. These are easily observable. Is this sufficient? Can we learn anything about the "true nature" of the origin? The answer is negative. It is negative in general: we can not aspire or hope to know anything about the "true nature" of anything. This is the realm of metaphysics, not of physics. Quantum Mechanics provides an astonishingly accurate description of micro-processes and of the Universe without saying anything meaningful about both. Modern physics strives to predict rightly - rather to expound upon this or that worldview. It describes - it does not explain. Where interpretations are offered (e.g., the Copenhagen interpretation of Quantum Mechanics) they run into insurmountable obstacles and philosophical snags. Thus, modern science is metaphorical and uses a myriad of metaphors (particles and waves, to mention but two prominent ones). Metaphors have proven themselves to be useful scientific tools in the "thinking scientist's" kit.

Moreover, a metaphor can develop and its development closely traces the developmental phases of the origin. Take the computer software metaphor as an example:

At the dawn of computing the composition of software applications was serial, in machine language and with strict separation of data (called: "structures") and instruction code (called: "functions" or "procedures"). This was really a "biological" phase akin to the development of the embryonic brain (mind). The machine language closely matched the physical wiring of the hardware. In the case of biology, the instructions (DNA) are also insulated from the data (amino acids and other life substances). Databases were handled on a "listing" basis ("flat file"), were serial and had no intrinsic relationship to each other (an alphabetic order is an extrinsic order, imposed from the outside and existing only in the mind of the "imposer"). They were in the state of a substrate, ready to be acted upon. Only when "mixed" in the computer (as the application was run) did functions operate on structures.

This was, quite expectedly, followed by the "relational" organization of data (a primitive example of which is the spreadsheet). Data items were related to each other through mathematical formulas. This is the equivalent of the wiring of the brain, as the pregnancy progresses.

The latest evolutionary phase has been the OOPS (Object Oriented Programming Systems). Objects are modules which contain BOTH data and instructions in self contained units. The user is acquainted with the FUNCTIONS performed by these objects - but not with their STRUCTURE, INTERNAL COMMUNICATIONS AND PROCESSES. Objects, in other words, are "black boxes" (am engineering term). The programmer is unable to tell HOW the object does what it does, how does external, useful function arise from internal, hidden ones. Objects are epiphenomenal, emergent, phase transient. In short: much closer to reality as we came to describe it in modern physics.

Communication can be established among these black boxes - but it is not the communication (its speed or efficacy) that determine the overall efficiency of the system. It is the hierarchical and at the same time fuzzy organization of the objects which does the trick. Objects are organized in classes which define their (actualized and potential) properties. The object's behaviour (what it does and to what it is allowed to react) is defined by its very belonging to the class. Moreover, a principle of "inheritance" is in operation: objects can be organized in new (sub) classes, inherit all the definitions and characteristics of the original class plus new properties which distinguish it from its origin. In a way, these newly emergent classes are the products and the classes that they derived from are the origin. This process so closely resembles natural phenomena that it lends additional credibility to the metaphor.

Thus, classes can be used as building blocks. Their permutations define the set of all soluble problems. It can be proven that Turing Machines are a private instance of a general, much stronger, class theory (back to the Principia Mathematica). The integration of hardware (computer, brain) and software (computer applications, mind) is done through "framework applications" which adjust the two elements structurally and functionally. An equivalent must be found in the brain (a priori categories, a collective unconscious?).

We use the term evolution because one phase replaces another. Relational databases cannot be integrated with object oriented ones, for instance. To run Java applets, a "virtual machine" needs to be embedded in the operating system. These phases closely resemble the development of the brain-mind couplet.

When is a metaphor a good metaphor? When it teaches us something about the origin that could not have been gleaned without it. That it must possess some structural and functional resemblance we have already established. But this is not enough. This is merely the "quantitative, observational" aspect of the metaphor. There is also a qualitative one: it must be instructive, revealing, insightful, aesthetic, parsimonious - in short, it must establish a theory and the resulting hypotheses. A metaphor is a theory which is the result of given logical and aesthetic rules. It must be subjected to the rigorous testing demanded by science before it can be judged to be a reliable one.

If the software metaphor is correct, the brain must contain the following features:


Parity checks through back propagation of signals - the electrochemical signal in a neurone must move back (to its origin) and forward, simultaneously in order to establish a feedback parity loop

The neurone cannot be a binary (two state) machine (a quantum computer will be a multi-state one, for instance). It must have many levels of excitement (representation of information). The threshold ("all or nothing" firing") hypothesis must be wrong

Redundancy must be evident in all the aspects and dimensions of the brain and its activities: the hardware (different centres will perform similar tasks), communications (information transfer channels will be replicated and the same information will be simultaneously transferred over more than one as a basis for comparison), retrieval (data excitation will happen in a few spots at the same time) and usage of obtained data (through working, "upper" memory).

The basic concept of the working of the brain must be the comparison of "representation elements" to "models of the world". Thus, a coherent picture is obtained which allows for predictions and for manipulation of the environment in effective, result producing ways.

Many of the functions solved by the brain must be recursive. To a large extent, we could even half expect to find that we can reduce all the activities of the brain to computational, mechanically solvable, recursive functions. Should this happen, the brain will come to be regarded as a Turing Machine and the wildest dreams of Artificial Intelligence will come true. Until such time, however, a strong recursive streak should be evident in the operations of this magnificent contraption inside our heads.

The brain must be a learning, self organizing, entity.
Only if these six requirement are cumulatively met - can we say that the software metaphor is a strong one. Otherwise, we should be forced to neglect it in favour of a stronger one.

The brain is a paranoiac machine governed by Murphy's Laws. It assumes the worst, prepares for it and takes no chances. Precariously balanced, materially delicate, in charge of life itself it can - and does - take no chances.

About The Author


Sam Vaknin is the author of "Malignant Self Love - Narcissism Revisited" and the editor of mental health categories in The Open Directory, Suite101, and searcheurope.com.

His web site: http://samvak.tripod.com

Frequently asked questions regarding narcissism: http://samvak.tripod.com/faq1.html

Narcissistic Personality Disorder on Suite101: http://www.suite101.com/welcome.cfm/npd

The Iron Mask - The Common Sources of Personality Disorders

by: Sam Vaknin, Ph.D.

Do all personality disorders have a common psychodynamic source?

To what stage of personal development can we attribute this common source?

Can the paths leading from that common source to each of these disorders be charted?

Will positive answers to the above endow us with a new understanding of these pernicious conditions?

Acute Anger

Anger is a compounded phenomenon. It has dispositional properties, expressive and motivational components, situational and individual variations, cognitive and excitatory interdependent manifestations and psychophysiological (especially neuroendocrine) aspects. From the psychobiological point of view, it probably had its survival utility in early evolution, but it seems to have lost a lot of it in modern societies. Actually, in most cases it is counterproductive, even dangerous. Dysfunctional anger is known to have pathogenic effects (mostly cardiovascular).

Most personality disordered people are prone to be angry. Their anger is always sudden, raging, frightening and without an apparent provocation by an outside agent. It would seem that people suffering from personality disorders are in a CONSTANT state of anger, which is effectively suppressed most of the time. It manifests itself only when the person's defences are down, incapacitated, or adversely affected by circumstances, inner or external. We have pointed at the psychodynamic source of this permanent, bottled-up anger, elsewhere in this book. In a nutshell, the patient was, usually, unable to express anger and direct it at "forbidden" targets in his early, formative years (his parents, in most cases). The anger, however, was a justified reaction to abuses and mistreatment. The patient was, therefore, left to nurture a sense of profound injustice and frustrated rage. Healthy people experience anger, but as a transitory state. This is what sets the personality disordered apart: their anger is always acute, permanently present, often suppressed or repressed. Healthy anger has an external inducing agent (a reason). It is directed at this agent (coherence).

Pathological anger is neither coherent, not externally induced. It emanates from the inside and it is diffuse, directed at the "world" and at "injustice" in general. The patient does identify the IMMEDIATE cause of the anger. Still, upon closer scrutiny, the cause is likely to be found lacking and the anger excessive, disproportionate, incoherent. To refine the point: it might be more accurate to say that the personality disordered is expressing (and experiencing) TWO layers of anger, simultaneously and always. The first layer, the superficial anger, is indeed directed at an identified target, the alleged cause of the eruption. The second layer, however, is anger directed at himself. The patient is angry at himself for being unable to vent off normal anger, normally. He feels like a miscreant. He hates himself. This second layer of anger also comprises strong and easily identifiable elements of frustration, irritation and annoyance.

While normal anger is connected to some action regarding its source (or to the planning or contemplation of such action) – pathological anger is mostly directed at oneself or even lacks direction altogether. The personality disordered are afraid to show that they are angry to meaningful others because they are afraid to lose them. The Borderline Personality Disordered is terrified of being abandoned, the narcissist (NPD) needs his Narcissistic Supply Sources, the Paranoid – his persecutors and so on. These people prefer to direct their anger at people who are meaningless to them, people whose withdrawal will not constitute a threat to their precariously balanced personality. They yell at a waitress, berate a taxi driver, or explode at an underling. Alternatively, they sulk, feel anhedonic or pathologically bored, drink or do drugs – all forms of self-directed aggression. From time to time, no longer able to pretend and to suppress, they have it out with the real source of their anger. They rage and, generally, behave like lunatics. They shout incoherently, make absurd accusations, distort facts, pronounce allegations and suspicions. These episodes are followed by periods of saccharine sentimentality and excessive flattering and submissiveness towards the victim of the latest rage attack. Driven by the mortal fear of being abandoned or ignored, the personality disordered debases and demeans himself to the point of provoking repulsion in the beholder. These pendulum-like emotional swings make life with the personality disordered difficult.

Anger in healthy persons is diminished through action. It is an aversive, unpleasant emotion. It is intended to generate action in order to eradicate this uncomfortable sensation. It is coupled with physiological arousal. But it is not clear whether action diminishes anger or anger is used up in action. Similarly, it is not clear whether the consciousness of anger is dependent on a stream of cognition expressed in words? Do we become angry because we say that we are angry (=we identify the anger and capture it) – or do we say that we are angry because we are angry to start with?

Anger is induced by numerous factors. It is almost a universal reaction. Any threat to one's welfare (physical, emotional, social, financial, or mental) is met with anger. But so are threats to one's affiliates, nearest, dearest, nation, favourite football club, pet and so on. The territory of anger is enlarged to include not only the person – but all his real and perceived environment, human and non-human. This does not sound like a very adaptative strategy. Threats are not the only situations to be met with anger. Anger is the reaction to injustice (perceived or real), to disagreements, to inconvenience. But the two main sources of anger are threat (a disagreement is potentially threatening) and injustice (inconvenience is injustice inflicted on the angry person by the world).

These are also the two sources of personality disorders. The personality disordered is moulded by recurrent and frequent injustice and he is constantly threatened both by his internal and by his external universes. No wonder that there is a close affinity between the personality disordered and the acutely angry person.

And, as opposed to common opinion, the angry person becomes angry whether he believes that what was done to him was deliberate or not. If we lose a precious manuscript, even unintentionally, we are bound to become angry at ourselves. If his home is devastated by an earthquake – the owner will surely rage, though no conscious, deliberating mind was at work. When we perceive an injustice in the distribution of wealth or love – we become angry because of moral reasoning, whether the injustice was deliberate or not. We retaliate and we punish as a result of our ability to morally reason and to get even. Sometimes even moral reasoning is lacking, as in when we simply wish to alleviate a diffuse anger.

What the personality disordered does is: he suppresses the anger, but he has no effective mechanisms of redirecting it in order to correct the inducing conditions. His hostile expressions are not constructive – they are destructive because they are diffuse, excessive and, therefore, unclear. He does not lash out at people in order to restore his lost self-esteem, his prestige, his sense of power and control over his life, to recover emotionally, or to restore his well being. He rages because he cannot help it and is in a self-destructive and self-loathing mode. His anger does not contain a signal, which could alter his environment in general and the behaviour of those around him, in particular. His anger is primitive, maladaptive, pent up.

Anger is a primitive, limbic emotion. Its excitatory components and patterns are shared with sexual excitation and with fear. It is cognition that guides our behaviour, aimed at avoiding harm and aversion or at minimising them. Our cognition is in charge of attaining certain kinds of mental gratification. An analysis of future values of the relief-gratification versus repercussions (reward to risk) ratio – can be obtained only through cognitive tools. Anger is provoked by aversive treatment, deliberately or unintentionally inflicted. Such treatment must violate either prevailing conventions regarding social interactions or some otherwise deeply ingrained sense of what is fair and what is just. The judgement of fairness or justice (namely, the appraisal of the extent of compliance with conventions of social exchange) – is also cognitive.

The angry person and the personality disordered both suffer from a cognitive deficit. They are unable to conceptualise, to design effective strategies and to execute them. They dedicate all their attention to the immediate and ignore the future consequences of their actions. In other words, their attention and information processing faculties are distorted, skewed in favour of the here and now, biased on both the intake and the output. Time is "relativistically dilated" – the present feels more protracted, "longer" than any future. Immediate facts and actions are judged more relevant and weighted more heavily than any remote aversive conditions. Anger impairs cognition.

The angry person is a worried person. The personality disordered is also excessively preoccupied with himself. Worry and anger are the cornerstones of the edifice of anxiety. This is where it all converges: people become angry because they are excessively concerned with bad things which might happen to them. Anger is a result of anxiety (or, when the anger is not acute, of fear).

The striking similarity between anger and personality disorders is the deterioration of the faculty of empathy. Angry people cannot empathise. Actually, "counter-empathy" develops in a state of acute anger. All mitigating circumstances related to the source of the anger – are taken as meaning to devalue and belittle the suffering of the angry person. His anger thus increases the more mitigating circumstances are brought to his attention. Judgement is altered by anger. Later provocative acts are judged to be more serious – just by "virtue" of their chronological position. All this is very typical of the personality disordered. An impairment of the empathic sensitivities is a prime symptom in many of them (in the Narcissistic, Antisocial, Schizoid and Schizotypal Personality Disordered, to mention but four).

Moreover, the aforementioned impairment of judgement (=impairment of the proper functioning of the mechanism of risk assessment) appears in both acute anger and in many personality disorders. The illusion of omnipotence (power) and invulnerability, the partiality of judgement – are typical of both states. Acute anger (rage attacks in personality disorders) is always incommensurate with the magnitude of the source of the emotion and is fuelled by extraneous experiences. An acutely angry person usually reacts to an ACCUMULATION, an amalgamation of aversive experiences, all enhancing each other in vicious feedback loops, many of them not directly related to the cause of the specific anger episode. The angry person may be reacting to stress, agitation, disturbance, drugs, violence or aggression witnessed by him, to social or to national conflict, to elation and even to sexual excitation. The same is true of the personality disordered. His inner world is fraught with unpleasant, ego-dystonic, discomfiting, unsettling, worrisome experiences. His external environment – influenced and moulded by his distorted personality – is also transformed into a source of aversive, repulsive, or plainly unpleasant experiences. The personality disordered explodes in rage – because he implodes AND reacts to outside stimuli, simultaneously. Because he is a slave to magical thinking and, therefore, regards himself as omnipotent, omniscient and protected from the consequences of his own acts (immune) – the personality disordered often acts in a self-destructive and self-defeating manner. The similarities are so numerous and so striking that it seems safe to say that the personality disordered is in a constant state of acute anger.

Finally, acutely angry people perceive anger to have been the result of intentional (or circumstantial) provocation with a hostile purpose (by the target of their anger). Their targets, on the other hand, invariably regard them as incoherent people, acting arbitrarily, in an unjustified manner.

Replace the words "acutely angry" with the words "personality disordered" and the sentence would still remain largely valid.

About The Author


Sam Vaknin is the author of "Malignant Self Love - Narcissism Revisited" and the editor of mental health categories in The Open Directory, Suite101, and searcheurope.com.

His web site: http://samvak.tripod.com

Frequently asked questions regarding narcissism: http://samvak.tripod.com/faq1.html

Narcissistic Personality Disorder on Suite101: http://www.suite101.com/welcome.cfm/npd