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James K. Abshire, M.D.

Author of Live Love & Let Go

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Recent Posts

  • PERSPECTIVES!
  • THE 1, 2, 3
  • FEAR OF PAIN AND SUFFERING
  • Since there are Dogs, There must be a God (Part 2)
  • Since there are dogs, God must exist (Part 1)

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  • Florene Kunder on The Gift of Healthcare
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  • Dennis Antonacci on Stress = Attitude, Focus and Perspective

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Perspective

June 27, 2016 by Dr. James Abshire 3 Comments

jka car 2 “CRUNCH!”  What was that? I turned to look forward and saw the emergency phone pole. It suddenly became painfully obvious that I had been wrong. I had thought the pole was put there for someone to use the phone in case of emergency. But no, it looks like the pole was actually put there to create an emergency. I got out of the car to survey the damage…and yes, I had just totaled my car going 10mph through an otherwise empty parking lot.

I was angry at myself, but I wanted to blame whoever designed the lousy parking lot. Why on earth would they put FOUR emergency phone poles scattered out in the middle of a parking lot that’s not much bigger than your average supermarket lot? Do they really think that many people are going to have emergencies all at once? For that to occur, something major would have had to happen-like if somebody is bombing the city, in which case nobody would need to be using the emergency phones. I’d be willing to bet nobody has ever used any of the phones. One phone on the side of the fence would have sufficed. Also, they made the parking spaces so narrow that if you aren’t in an end space, then you may only have about six inches to get in and out of the car.

My embarrassment was laid bare when I had to explain the accident to the insurance lady. My responses to her questions went something like this:

“Yes ma’am, it was 7am. I was coming to work. I hit a pole in the middle of the parking lot. No, the pole wasn’t damaged – they make those things to last, but the car – not so much.”

“No ma’am, I had not been drinking any alcohol.”

“No ma’am, I don’t use street drugs.”

“No ma’am, I was not using my cell phone.”

“Yes ma’am, I hit a bright yellow emergency pole that was all by itself out in the middle of the parking lot. Did you know bright yellow poles don’t look so bright yellow with sun glasses on? Anyhow, I had looked to see there were no cars or people in that area of the parking lot, and then I had my head turned while I was looking to circle around to get an end parking space so that I could get out of my car without having to worry about whacking somebody else’s car door when I get out of my car. Next thing I knew was the pole had stopped my car. Do you know that lots of other people have hit that pole, too?”

“No ma’am, I was not doing donuts in the parking lot. Believe it or not, I’m actually a respected physician…, or at least I used to be.”

In my book, Live, Love, and Let Go, I discuss the themes of attitude, focus, and perspective. If you have a problem, whatever the problem may be, then reemphasizing on keeping a positive attitude, focusing on your faith, or looking at it with a different perspective will help with how well you cope with the situation. In the case of my totaled car, it would be easy to remain angry, mad, embarrassed, and get depressed over the situation. Instead I chose to keep a positive attitude and look at the situation from a different perspective:

  • There are a couple hundred people that work in my building. It was amazing that all of them seemed to know all about my car. People I didn’t even know came up to me. Instead of being completely embarrassed, I choose to feel good that so many people know who I am.
  • I could be upset over rising insurance rates. Instead, I’m glad that I have insurance that will give me money to help buy another used car.
  • My car had been a used car (2003). It’s much better to wreck a used car then a new car.
  • My kids are happy. They figure they have a pass in case they ever wreck a car.
  • My wife is happy as I’ve proved to the world that I’m human.
  • I’m happy that I haven’t done anything this dumb in a long, long, time.

This episode also highlighted a couple of valuable concepts to me. The first is that when you make a mistake, it’s best to just fess up and admit it from the outset. Mix in a little self-deprecating humor and people will often identify with you and even give advice. In my case, many people came up to tell me about other people hitting that pole. Advice included suggestions for a replacement car (including not to get a new one), and ‘be careful in parking lots.’ The concept of owning a mistake is something that many politicians would do well to heed.

The second important concept relates back to perspective. We all go through difficult events and times in our lives. From a perspective standpoint, it helps to ask yourself if the problem will matter 5, 10, 50, or even 100 years from now. If you project far enough out into the future, the problem will become trivial. After all, someday in the afterlife, we will be reunited with loved ones in a loving and forgiving environment. Our current problems will be small in comparison. Use this concept to ease your troubles. It will let you let you find humor when relatively small things like trashing your car happen.

We will explore another perspective on life’s difficulties in the next blog. Until next time, peace be with you and watch out for those bright yellow emergency poles…they can be hard to see! – James

Filed Under: Blog Tagged With: admit your mistakes, faith, focusing on your faith, James K. Abshire, keeping a positive attitude, perspective, positive self-talk

Don’t be a-Freud

May 28, 2016 by Dr. James Abshire 3 Comments

 

Sigmund Freud

 

 

 

 

Sigmund Freud was a strange dude. The father of psychoanalysis must have had more than a few problems of his own. Let’s examine some aspects of his life and you be the judge:

 

  • While at the University of Vienna, he spent 4 weeks dissecting hundreds of eels in an unsuccessful search for their male reproductive organs. ( I guess I don’t have Freud’s  intellectual curiosity because I would have called it a day before the first eel)
  • Freud developed the idea of stages of development i.e. oral, anal, and phallic. (Looks like we know what was on his mind).
  • Freud believed all children have an ‘Oedipal complex’, which includes a desire for sexual relations with a parent. ( speak for yourself Sigmund)
  • Freud was addicted to tobacco, even after being diagnosed with cancer of the mouth. Freud believed addictions were a substitute for masturbation. (Now why didn’t I ever think of using that as a reason to get patients to stop smoking?)
  • Not exactly a darling of the feminist movement, he came up with the idea of girls having ‘penis envy’. (I wonder why he didn’t think boys have ‘breast envy’.)
  • Freud recommended cocaine as a treatment for depression and morphine addiction. He used it himself for his own depression, and also got several of his friends addicted.
  • Freud was Jewish and experienced anti-Semitism throughout his life. He thought that was part of what made him see things differently. He became atheist and felt religion was just an illusion. He was also pessimistic about the future of civilization. (Without God, I understand the pessimism. Also, if religion was just an illusion, does that mean the anti-Semitism was just an illusion too?)
  • Freud moved to London to escape Nazism. He died in 1939, right before Hitler really got going. This is a shame as I would have loved to see Freud’s explanation for Hitler. (It probably would have been that Hitler was mad at the world due to ‘penis envy’.)

Freud’s work is responsible for the classic notion of a psychiatrist sitting and talking with a patient who is lying on a couch BLOG 9 1and reliving their childhood to find the source of their problems. Most modern psychologists are no longer doing Freudian psychoanalysis. Instead, the focus is on CBT (Cognitive Behavioral Therapy) which tries to change thoughts, behaviors, and emotions. CBT may be combined with medications. CBT makes more practical sense by treating patient’s present and future emotions, rather than reviewing the past.

Most, if not, all of us have had times in our lives filled with thoughts of depression, anxiety, or poor self-image. We have negative thoughts at these times and often mentally beat ourselves up over past and current issues. Some event or series of events probably got these negative thoughts started. Possibilities include:

  • Some sort of past abuse
  • Suffering a loss
  • Fear
  • Alcohol or drug use
  • Past criticism
  • Letting someone down
  • An illness
  • Relationship problems
  • Failure to perform as expected
  • Regretting something that we did
  • Regretting something that we didn’t do

Now, one could spend hours, days, or even a lifetime reliving the past trying to figure out where our negative thoughts started – a la Freud. Whether we figure it out or not, the real question is what are we going to do about it going forward? The answer is that we need to let go, accept it, and change the negative thoughts to positive thoughts. CBT, which was introduced in the last blog, has tools that can be used to make it happen.

BLOG 9 3Our negative thoughts frequently involve beating ourselves up over something we did or didn’t do. We must learn to forgive ourselves in order to stop these negative thoughts. CBT asks us to look at the situation as if it was your friend instead of you. Almost all of the time, we would say that we would tell a friend that whatever happened was not a big deal and we should just forgive, forget, and move on. This technique is very successful. But what if we really did something seriously wrong and we are not able to forgive ourselves? This is where adding the application of Christian faith to CBT is essential. Let’s look at 3 advantages of the Christian faith that can turn our lives to the positive:

First, forgiveness is a paramount In the Christian faith. After all, Jesus died for us so that our sins are forgiven. Moreover, if God forgives, we really must forgive ourselves. If God forgives us and we don’t forgive ourselves, then we’re really saying that our opinion is more important than God’s. Therefore, we need to forgive ourselves, turn to positive thoughts, and use it to move forward to serve God.

The second attribute of the Christian faith that we should utilize is the concept of eternity. No matter what the problem is, ask yourself is it really going to matter 5, 10, 50, 100 or more years from now? Thanks to God’s saving grace, the answer will be no. Will we all get along in heaven? …the answer is yes. Will there be grudges or shame in heaven? … The answer is no as Christ has lifted us all up.

Third, God gave us a purpose to our lives, which is to serve Him. We serve Him by sharing Christ’s teaching, BLOG 9 2which includes helping each other, spreading love, peace, hope, faith, and sharing His Word. This positive purpose to our lives should provide us the drive and need to move forward in positive fashion. We don’t accomplish the purpose by moping, worrying, and agonizing over negative thoughts.

I encourage you to employ all of these concepts, get off the couch, pat yourself on the back, and move forward.

Next time: Gratitude

 

 

 

 

 

Filed Under: Blog Tagged With: CBT (Cognitive Behavioral Therapy), Christian faith, forgive ourselves, forgiveness, negative thoughts, positive self-talk

Self-Talk… Don’t Loose the Argument

May 17, 2016 by Dr. James Abshire 7 Comments

Man talking to a clone of himself

We all have self-talk. This is our inner talk…what we say to ourselves, usually quietly unless we look around first to make sure no one else is there. We all do it…well, maybe not all of us, but almost all of us. I’m not sure how the famous Marcel Marceau (the pantomime artist) talks to himself. Maybe he just pictures rooms with invisible walls in his mind. It must be weird to think in terms of clownish cartoons, with people in white painted faces moving very slowly and bumping into obstacles that aren’t really there.

But maybe Marcel Marceau is the lucky one with comical inner thoughts, while the rest of us are left dealing with reality, often with accompanying negative self-talk.

Negative self-talk is bad. It can worsen our mood, causing more depression and anxiety. It decreases self-confidence, making it harder for us to perform. This is why athletes try to build themselves up. As boxing champion, Mohammed Ali would say, ‘I am the greatest’, not ‘I’m champ because I got a lucky punch in.’

David Snowden at the University of Kentucky led a research study on aging known as the Nun Study. They followed 678 nuns over time. By choosing nuns to study, they eliminated lifestyle variables such as diet, living conditions, not smoking/drinking etc., as they were all almost identical. They reviewed their life journals that they started writing in the 1930’s at the age of roughly 20. Use of key positive words in the journals showed that some had much more positive thoughts. They found that:blog 8 happy nuns

  • The nuns with positive thoughts had a roughly 10 year longer lifespan on average. TEN YEARS…that is huge.
  • The nuns with positive thoughts had no Alzheimer’s. The negative thinking nuns had a significant incidence of Alzheimer’s.
  • Almost all of the nuns are now deceased. They did autopsies and they did find that one nun with positive thoughts had significant Alzheimer’s disease in her brain. However, that nun showed no signs of Alzheimer’s dementia while alive.

Clearly the ones with positive thoughts have healthier bodies and healthier brains. Like the healthier nuns, we need to get ‘into the habit’ of positive self-talk.

Positive self-talk will be key to recovery if you are battling depression or anxiety. Positive self-talk is also helpful if you are having stress in your life (which is all of us have really as life is inherently stressful).

Positive self-talk can be fostered and increased. Here are some of the ways:

  • Strengthening your faith
  • Building supportive relationships
  • Cultivating gratitude
  • Seeking laughter
  • Prayer and meditation
  • Considering situations from a different perspective (i.e. how will things be in 1, 5, 10, 100 years?)
  • Finding a positive purpose to your life
  • Exercise (to burn off inner anxieties, stress, and negative thoughts)
  • Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy is a type of psychological therapy which has been shown to be very effective in treating problems such as depression, anxiety, and post-traumatic stress. CBT has been shown in studies to be as effective as antidepressant medications. The combination of CBT with antidepressants is even more powerful. Similarly, a combination of all of the above ideas is the best way to keep positive.

CBT relies on your thoughts, behaviors or actions, and emotions all being interrelated. You can improve your emotions (such as decreasing depression and anxiety) by altering your thoughts and behaviors. In other words, a positive activity or thought can improve your mood.

cbtNow I have heard some doctors say that CBT and faith are not really compatible. The reasoning was that faith relies on the spiritual belief while CBT relies on western scientific deduction. They felt CBT was what people should turn to when faith was not working to solve the problem.

Actually, CBT can be used with faith to build the strongest emotional support. Borrowing on reasoning from St. Augustine, CBT fits in quite nicely with God’s plan. Augustine asserted that God exists as a Holy Trinity – Father, Son, and Holy Spirit. God also created man in His own image, and so our essence can be broken down into 3 parts which can be viewed in different ways:

  • Consciousness of self, knowledge, love
  • Memory, understanding, and will
  • Our soul seeks eternity, truth, and love
  • We exist, we know we exist, and we are glad for that

Similarly, we can be thought of as:

  • Behaviors, thoughts, and emotions, which is the basis of CBT. So Augustine would argue that CBT is based in God’s plan and design for us. If we add thoughts of God into that mix, it will obviously be much more powerful.

 

Next time we’ll look more at how we can use CBT in conjunction with faith to overcome negative thoughts and emotions.

Filed Under: Blog Tagged With: Cognitive Behavioral Therapy (CBT), faith, negative self-talk, positive self-talk, positive thoughts, self-talk

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