The Dirtbag Dad

Distress and Impairment

These symptoms (distress and impairment) are a critical element to a mental health diagnosis. Not only is this aspect misunderstood with regards to the President, but for those who suffer from mental health ailments in general (perhaps more importantly). Dr. Frances eloquently (and succinctly) clarifies this in his letter to the New York Times:

FEB. 14, 2017

To the Editor:

Fevered media speculation about Donald Trump’s psychological motivations and psychiatric diagnosis has recently encouraged mental health professionals to disregard the usual ethical constraints against diagnosing public figures at a distance. They have sponsored several petitions and a Feb. 14 letter to The New York Times suggesting that Mr. Trump is incapable, on psychiatric grounds, of serving as president.

Most amateur diagnosticians have mislabeled President Trump with the diagnosis of narcissistic personality disorder. I wrote the criteria that define this disorder, and Mr. Trump doesn’t meet them. He may be a world-class narcissist, but this doesn’t make him mentally ill, because he does not suffer from the distress and impairment required to diagnose mental disorder.

Mr. Trump causes severe distress rather than experiencing it and has been richly rewarded, rather than punished, for his grandiosity, self-absorption and lack of empathy. It is a stigmatizing insult to the mentally ill (who are mostly well behaved and well meaning) to be lumped with Mr. Trump (who is neither).

Bad behavior is rarely a sign of mental illness, and the mentally ill behave badly only rarely. Psychiatric name-calling is a misguided way of countering Mr. Trump’s attack on democracy. He can, and should, be appropriately denounced for his ignorance, incompetence, impulsivity and pursuit of dictatorial powers.

His psychological motivations are too obvious to be interesting, and analyzing them will not halt his headlong power grab. The antidote to a dystopic Trumpean dark age is political, not psychological.

ALLEN FRANCES

Coronado, Calif.

The writer, professor emeritus of psychiatry and behavioral sciences at Duke University Medical College, was chairman of the task force that wrote the Diagnostic and Statistical Manual of Mental Disorders IV (D.S.M.-IV).

An Eminent Psychiatrist Demurs on Trump’s Mental State

 

Cheyne Lempe, the Enormocast, Climbing, Expeditions, & Anxiety

How's that for a long title?

I just finished listening to an episode of one of my top, go-to podcasts: the Enormocast. The Enormocast is focused on climbing. It definitely covers areas most non-climbers won't have any clue as to what being discussed. Yet, to paraphrase its host Chris Kalous, there really isn't anything else to talk about! And even if so, why would anyone even want to talk about something other than climbing? The beauty of Chris is that while talking about only climbing, he manages to cover a lot of other really interesting human aspects within the context of climbing. And he does it quite well.

While this episode with big wall climber Cheyne Lempe is about a big wall expedition to the extremely remote and cold Baffin Island, it's really about a lot more that just the climbing. It touches on journeys, generalized anxiety (as a medical affliction), and quite a few other thought-provoking topics.

I too have generalized anxiety. It’s not been all that long that I’ve been able to name it specifically, but as Cheyne touched upon, it’s been something that’s been part of my journey and growth pretty much my whole life. It’s only recently that I’ve begun to see how it has been at play in the past. Sometimes with mental health disorders, people tend to take a negative view, e.g. “I suffer from x.” I don’t quite see it that way. For me, anxiety can be both my greatest curse and greatest gift. As I’ve become friends with anxiety, gotten to know it better, and really have owned it, I’ve seen how I’ve let it channel me into the abyss of despair and paralysis. But I’ve also seen how it has helped me achieve incredible commanding heights. Much of this is about your brain and how it’s wired. Anxiety people have minds that think a lot… to the point of potentially harmful overthinking! I can use my brain to scare and talk myself out of everyday actions that otherwise could give me immense benefit. Or I can learn to flip the downward spiral and use my mind with all of its thoughts and ideas to spin them into great creations.

One of my favorite observations: A hammer is a tool. In and of itself, it’s neutral. It’s what you use it for that has impact (yeah, bad pun!). You can use a hammer to build a home for someone who really needs a good, safe shelter. Or you can use it to bash their skull in. Same hammer, different outcomes. One good, one bad. The hammer is neither.

If you're interested, check out the www.enormocast.com!

 

Fresh Air Parenting

The balance between helicopter and free-range parenting: fresh-air style!

Fresh-Air Parenting

Holiday Eating Strategies 2013

A short funny post from Brendan Leonard:

    It's Time to Gain That Holiday Weight Again

I think we all can relate to this on some level!

Happy Holidays!

Laird is God

But, of course!

Here are Laird Hamilton's laws for fitness (from Outside Magazine).  I am very much in accord with these!

Laird's Laws

By: MONIQUE RYAN

17 commandments from water god Laird Hamilton, who says fear is good, failure isn't bad, and you should treat your body like a truck, not a temple

The Icon: Laird Hamilton in Malibu, California.     Photo: Peggy Sirota

1. I base everything on how I feel. You can tell me, if you're 43 years old and six foot this, that's going to do that to you, this will do this but your body is the best instrument for reading how things affect you.
2. You want strength that you can actually control and apply. When you sit down on an exercise machine, with your back against a chair, you tend to shut down the rest of your body. When you stand up and your body has to hold a position to actually support the weight, you'll have a hard time. So you need to incorporate other elements. I'll do machines where I hold my legs up, or stretch while I'm on them, or add leg lifts while I'm doing presses.
3. It's really about keeping in shape for life. Think about your body like a car. Once you park a car, it might not start again. But if you just keep driving it, it'll keep going. It likes to be driven.
4. If it's potato chips in, it's potato chips out. You eat garbage, you're probably going to perform like garbage.
5. Vacation is an opportunity to get in a good routine. It's like mini boot camp. I just got back from a heli-snowboarding trip in Alaska. I'd been wanting to work on my legs, so I go up there and board all day for 12 days. If we didn't get enough, we'd chop firewood or take hikes in deep snow. I come out of that and my legs feel strong.
6. This is something I'm trying to learn: how to rest. Going full steam ahead all the time is not always the most productive approach, because then you're always trying to play catch-up with recovery.
7. You have to go and try different stuff. The thing is, when you reach a certain level in any sport, you become so efficient at it that the effort level is really diminished. Your body has adapted. So what are you getting? Snowboarding has helped my surfing. Windsurfing has helped my surfing. Biking, for sure, has helped my surfing.
8. Above everything, sleep. I'm an eight-to-ten-hour guy. Not that I can't operate with less, but for my overall well-being, I gotta have at least eight.
9. I like espresso. It's good stuff.
10. I have friends who eat healthier than anybody, but it takes them all day. And if they don't have their sprouted bread, they go into a seizure. I can eat a Big Mac. I'm not going to love it, but it won't put me into toxic shock. It's like if a car is too high-performance, then it's sensitive to any kind of fuel. I like being more like a truck. If a little diesel gets in there, maybe a little water, it'll cough and burp a bit, but it's gonna get through it and keep running.
11. Chew more. That'll probably do more for your ability to absorb nutrients from your food than just about anything.
12. It's always more enjoyable to train with other people. It's going to be more stimulating, but it also pushes you because you have accountability. You can't just think, Oh, that was enough. Your partner will say, "That was only 29. I thought we were doing 30."
13. Fear is an unbelievable motivator, but it also makes people freeze in their tracks. Once you start to understand it, fear becomes something you can tap into. Fear comes from the understanding that you can die. It usually makes me make really good decisions and gives me power.
14. If you aren't able to be scared, you either haven't been hurt or you're completely ignorant.
15. We are each our own greatest inhibitor. People don't want to do new things if they think they're going to be bad at them or people are going to laugh at them. You have to be willing to subject yourself to failure, to be bad, to fall on your head and do it again, and try stuff that you've never done in order to be the best you can be.
16. Schedule training in the morning so that normal daily chaos—long meetings, family demands, traffic—won't end your workout before it begins. Plus, you'll jump-start your metabolism, meaning you'll burn more calories (even while sitting behind a desk), feel better all day, and work more efficiently.
17. In the end, if you're still just there, doing it, you win.

Laird's Laws