Well-being is based on mental maintenance

Seeking support is not a weakness, it’s a necessity. Reach out. Get professional help. For some people, going through a difficult time in life will not require professional help, however for some, a qualified and experienced ear can be hugely beneficial when it comes to finding your way in this new world. It’s about processing your emotions around the situation and learning ways to navigate the tough times that are emotionally helpful. 

~ Fitzpatrick, PSI, 2018

Contact| Pieta 

SpunOut.ie - Ireland's Youth Information Website 

Samaritans Ireland

Depression Support | Depression Help Ireland | Aware

Mental Health First Aid Ireland - What is MHFA? (mhfaireland.ie)

See Change | Say No To Mental Health Stigma

Welcome to ReachOut.com | ReachOut Australia

A Lust For Life - Irish Mental Health Charity in Ireland

Learned Helplessness and Depression

One cognitive account of depression is the Learned Helplessness Theory (Seligman, 1975). It argues, that depression occurs when people expect that bad events will occur and that there is nothing they can do to prevent them, or cope with them.

Learned Helplessness Theory emerged through Martin Seligman's work with laboratory dogs. He designed an experiment which consisted of three individual dogs, all restrained by harnesses. Dog group (a) was the control group, receiving no electric shock. Dog groups (b) were paired up. One dog in a pair was administered with a mild electric shock and at any time the dog could cease the electric shock by stepping their paw upon a lever. Dog group (c) were too paired up, however one of the dogs was a wired up to a dog in group b and the shocks they received were in congruence with that of group (b). The idea of this was that the group (c) dog would receive a shock that was erratic in timing, unavoidable and inescapable. The tests resulted in groups (a) and (b) recovering quite promptly from the experience. As predicted however, group (c) dogs were left meek and subdued; portraying symptoms similar to those of clinical depression and thus conforming to Seligman’s predictions: that helplessness can be learned. 

Learned helplessness results from being trained to be locked into a system. It can involve a state of apathy or passive behaviour induced by negative conditioning. People may believe that their personal 'defects' will render them helpless to avoid negative events in the future, and their sense of hopelessness places them at significantly greater risk for depression.

Although Seligman theorized that learned helplessness and depression had similar origins, the theory was widely criticized and he has since revised his ideas in his 'Explanatory Style'. This proposes that depression is linked to how we attribute causalities of certain events in our life or traits of our existence (i.e. whether we attribute events to internal, stable or global aspects) (Yen, 1998). Therefore, it is interesting to ask whether learned helplessness is in fact a cause of depression or a correlated side effect of becoming depressed.

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"Life inflicts the same setbacks and tragedies on the optimist as on the pessimist, but the optimist weathers them better" ~ Martin Seligman

Psychology and Film: A short list of some recommended depictions.

"You know what your problem is, it's that you haven't seen enough movies - all of life's riddles are answered in the movies" (Steve Martin)

Shame - Sex Addiction; Michael Fassbender style.

The Basketball Diaries - Heroin Addiction. A young Di Caprio is more interested in skin popping than shooting hoops. 

 

Awakenings- Catatonia. Based on real events, a tragic and heartfelt story with Robin Williams and Robert DeNiro. From Oliver Sachs' book of the same name.

 

Lars and the Real Girl - Loneliness, Shyness, and Social Ineptitude. When you think it's time enough for the family to meet your sex doll. She's a great listener!

 

Owning Mahowny - Gambling Addiction. The late Phillip Seymour Hoffman as a Canadian Banker with all the cash he needs. Based on a real-life incident: Canadian Imperial Bank of Commerce clerk Brian Molony, who embezzled over $10 million from his employers in just 18 months to support his gambling habit.

 

The Butterfly Effect - The Butterfly Effect! The idea, used in chaos theory, whereby a small change at one place in a complex system can have large effects elsewhere, e.g., a butterfly flapping its wings in Rio de Janeiro might change the weather in Chicago.

Memento - Short-Term Memory Loss. Guy Pearce has anterograde amnesia and is unable to store recent memories.

 

Melancholia - Melancholia! Lars Von Trier's take on the mental downfall of one woman (with the end of the world not helping).
 

Project Nim- A great look at the intelligence of our closest animal relative. The chimp also knew one term: 'Ooohh Ooo, Ah Ah', meaning; 'this bath's too hot.' 

Take Shelter - Curtis LaForche (Michael Shannon) starts to believe that he is in the early stages of developing paranoid schizophrenia. His mother was diagnosed with the illness at a similar age and he is fearful of suffering the same fate. The plot explores the boundaries between delusions and reality.

 

The Greatest Movie Ever Sold - Product Placement and Advertising in TV and films;  directed by Morgan Spurlock, the guy who brought you 'Super Size Me'.
 

The Bridge - Suicide. A tragic look at how the Golden Gate Bridge in San Francisco has become an infamous place to take one's life.

 

Girl, Interrupted - Mental Institutions. Based on the true story of Susanna Kaysen in the 1960s.

 

The Machinist - An Insomniac doubting his own sanity. The producers of the film claim that Christian Bale dropped from about 173 pounds in weight down to about 110 pounds to make the film. His 63-pound weight loss is said to be a record for any actor for a movie role. He regained the weight in time for his role in Batman Begins (2005). A must see.

 

American Beauty - A film about suffocating conformity to social roles, and how people sometimes need to break free of them.
 

Castaway - Survival, Loneliness, Social Isolation; and a ball more loyal than most friends. WILSON!!!!

Helen - Major Depressive Disorder. A powerful depiction of woman going through the throes of Clinical Depression.

Monster- Psychopathy. Based on the life of Aileen Wuornos. It earned Charlize Theron an Academy Award for best Actress; it could have got one for the similarity alone (right). 

 

Changeling - Capgras Syndrome: A disorder in which a person holds a delusion that a friend, spouse, parent, or other close family member has been replaced by an identical-looking impostor.

 

Catfish - The internet and online personas. Great documentary style film showing just how false the online world can be. It can also shed light on the often predatory world of online behaviour.

 

Hotel Rwanda - Prejudice and discrimination. The film is also relevant to the discussion of pro-social and altruistic behaviours. It was nominated for Best Original Screenplay at the 77th Academy Awards, with Don Cheadle also being nominated for Best Actor.

 

Crash - An incredibly powerful and sophisticated 2004 Paul Haggis film about cultural diversity.

 

Devil's Advocate - Persuasion and attitude change. ''Vanity, definitely my favourite sin.''

 

The Savages - Dementia and family conflict amongst others. Starring Laura Linney and the late Philip Seymour Hoffman.

 

< Me, Myself & Irene - Dissociative Identity Disorder (DID); previously known as Multiple Personality Disorder.

or Fight Club (right) if you fancy less laughs.

Boyhood - Growing up and the elusive experience of youth. Amazingly it was shot just over 39 days spanning 12 years.

 

12 Angry Men - An incredibly powerful portrayal of social influence and decision-making processes within a jury. It's in black and white, but things aren't as black and white as they may seem. Puns...

Fatal Attraction - Erotomania. The top grossing movie of 1987. Nominated for several Academy Awards; the movie was the cause of much discussion around the topic of marital infidelity.

Bully - Bullying. A 2011 documentary; the film follows the lives of five students in U.S. schools who face bullying on a daily basis.

127 Hours - Resilience. Produced by Danny Boyle; a true story based on mountain climber Aron Ralston.

Racism and Prejudice; the list here is endless, but notable mentions go to American History X, A Time to Kill , Gran Torino , and This is England.

 

Antichrist - Delusions, Sadomasochism, Depression, Femininity and the rest. To be honest, this one is completely out there; make of it what you will. Directed by Lars von Trier, some have dubbed it a grotesque masterpiece. I thought it was top class; even though I didn't get my head around it.

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"It's funny how the colours of the real world only seem really real when you watch them on a screen."
                                                                                                                                   ~ Anthony Burgess

Depressive Disorders

The causes of depression are mixed. There is no one cause for depression - even for a single person. And so we think of it as a risk factor model: where depression develops in the context of risks, and when those risks get high enough, the person goes over some threshold to develop this self-sustaining depression. Those risks might be divided into three categories; psychological, environmental and biological.

On the biological side we have genetics and other physiological factors which can give the person a predisposition towards being depressed. The psychological aspect can include thinking patterns or cognitive style personalities that may leave a person at a greater risk for depression. While environmental factors can include the stressors the person faces and a lack of social support. When the sum total of all these risk factors get high enough, then that can push us over some threshold and we go into a period of clinical depression. For some people, one of those three factors may be stronger than the other but it's unlikely that there is one cause - there's usually some balance of all of the factors. Nevertheless, all of the risk factors should be attended to.

As depression begins to take hold, people stop performing behaviours that previously provided reinforcement, such as hobbies and socialising. Moreover, depressed people tend to make others feel anxious, depressed and hostile (Joiner and Coyne, 1999). Eventually, these other people begin to lose patience, failing to understand why the person just can't snap out of it. This diminishes social support even further and may eventually cause depressed people to be abandoned by those who are most important to them (Nezlek et al., 2000). Additionally, longitudinal studies show that reductions in social support are a good predictor of subsequent depression (Burton, 2004).

 

In short, behavioural theorists believe that to begin feeling better, depressed people must break this vicious cycle by initially forcing themselves to engage in behaviours that are likely to produce some degree of pleasure. Eventually, positive reinforcement produced by this process of behavioural activation will begin to counteract the depressive affect, undermine the sense of hopelessness that characterizes depression, and increase feelings of personal control over the environment.
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''If you know someone who’s depressed, please resolve never to ask them why. Depression isn’t a straightforward response to a bad situation; depression just is, like the weather. Try to understand the blackness, lethargy, hopelessness, and loneliness they’re going through. Be there for them when they come through the other side. It’s hard to be a friend to someone who’s depressed, but it is one of the kindest, noblest, and best things you will ever do.''
              ~ Stephen Fry

Suicide and Ireland

Figures from the Central Statistics Office show that the number of suicides registered in Ireland fell by 6% last year. The CSO's yearly summary shows 475 suicides were registered in 2013, compared to 507 in 2012. The CSO statistics show several counties recording rates of suicide well above the national average of 10.3 per 100,000 population. Males accounted for over 83% of all suicide deaths last year. The number of registered suicides in the 15-24 age group fell by 23% last year, however Ireland still has the fourth highest suicide rate in that age group in the European Union (RTE, 2014).

Women are likely to attempt suicide about three times more often than men, but men are, on average, three times more likely to actually kill themselves. These differences may be due to (1) a higher incidence of depression in women and (2) men's choice of more violent and lethal methods, such as shooting themselves or jumping off buildings. The suicide rate for both men and women is higher among those who have been divorced or widowed. Women's suicides are more likely to be triggered, although not certain to be triggered by any means, by failures in love relationships, whereas career failure more often prompts men's suicides (Shneidman, 1976). Further, a history of sexual or physical abuse significantly increases the likelihood of later suicide attempts (Garnefski & Arends, 1998).

Is suicide contagious?

Most people react to hearing the news of a suicide with sadness and curiosity. Some people react by attempting suicide themselves, often by the same method they have just heard about. Gould (1990) reported an increase in suicides during a 9-day period after widespread publicity about a suicide. Clusters of suicides (several people copying one person) seem to predominate among teenagers, with as many as 5% of all teenage suicides reflecting an imitation (Gould, 1990; Gould, Greenberg, Velting, & Shaffer, 2003). Suicide prevention charity Console has called for a real-time register of suicide data to be kept. It said it could then "act on timely and accurate statistics to put measures in place to prevent such phenomena as suicide clustering or contagion".

Why would anyone want to copy a suicide? First, suicides are often romanticized in the media: An attractive young person under unbearable pressure commits suicide and becomes a martyr to friends and peers by getting even with the (adult) world for creating such a difficult situation. Also, media accounts often describe in detail the methods used in the suicide, thereby providing a guide to potential victims. Little is reported about the paralysis, brain damage, and other tragic consequences of the incomplete or failed suicide or about how suicide is almost always associated with a severe psychological disorder. More important, even less is said about the futility of this method of solving problems (Gould, 1990, 2001; O’Carroll, 1990).

To prevent these tragedies, mental health professionals must intervene immediately in schools and other locations with people who might be depressed or otherwise vulnerable to the contagion of suicide. But it isn’t clear that suicide is ''contagious'' in the infectious disease sense. Rather, the stress of a friend’s suicide or some other major stress may affect several individuals who are vulnerable because of existing psychological disorders (Durand & Barlow, 2013).
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''The ability to be in the present moment is a major component of mental wellness'' ~ Abraham Maslow