We Are Not Our Emotions

dakota ridge boulder CO chi gung spotMoods intrigue me.  I woke up this morning and headed out for a morning walk just before dawn.  I was, as always, watching myself.  I was in a foul mood.  I didn’t want to get up and I didn’t really want to be walking.  The thoughts that kept arising were predictable and almost humorous.

I was miserable and the weather was no good (actually perfect: clear, sunny, and about 40 degrees).  I could be satisfied by nothing including the nice warm coat I was wearing (scratching my neck).  I did not give much energy to the thoughts that would pop into my mind and decided to just be in my state of blues.

After I walked for about a half an hour on the Sanitas Valley Trail (trailhead just a few block from where I was staying in Boulder, CO) I noticed a heaviness in my heart.  I was walking quite slow on a fairly flat trail, but I could feel that my heart was not functioning properly.  Physically my heart is in great shape, but I am aware that a certain number of heart attacks are caused by emotional, and not physical, effects.  I could feel that it was not pumping adequately and that my blood pressure was just a tad low.  I breathed energy into the area and kept walking.

Finally I came to a lovely spot in the sun overlooking the entire city of Boulder and beyond.  Nestled in the boulders I had done my morning Chi Gung exercises here yesterday.  Today, I just lay down on the rocks.  No energy for anything else.

The pressure in my chest was still there, so I did an advanced Thetahealing technique called heart toning.  This lifted the pressure within minutes.  I then proceeded to clear my energetic field of negativities.  I am aware that being negative can attract more negativity and that picking up negativity can subsequently make one negative.  In either case, I used Thetahealing to clear myself.

Although I was resolved to just be in Dakota Ridge Trail, Boulder COwhatever state I was in, the energetic work shifted everything.  I felt connected to all-that-is and energized.  I got up and did  Dragon and Tiger Chi Gung and even the Eight Brocades Chi Gung that I rarely find the time or energy to do.

The day suddenly seemed marvelous.  Moods seem so arbitrary and transient, yet it is so easy to give them more weight and attention than they deserve.  Thought for the day:  What would true freedom from moods be like?

Placebo

I’ve been so busy with work and school, it is so good to finally have some time to write.

This week we studied co-occurring disorders.  I was especially interested in the perspective presented on depression.  Mainstream medicine appears to be in denial around the use of anti-depressants.  Research consistently shows that antidepressants do not work any better than placebo.  So why do we still use them?  They get approved as drugs because they do have a statistically significant effect on depression.  However, that effect is not clinically significant.

The difference between clinical significance and statistical significance can be described like this:  Le’ts say that people start the study with depression reported as a 7.0 on a ten point scale with the most severe depression being 10.  And at the end of the study they have improved to a 4.0.  That’s great!  They are feeling better.  However, the placebo controls have also improved and they come in at a 4.1.  For our example the 4.0 is statistically different than the 4.1.  However the difference between placebo and anti-depressant is not clinically different.  People just don’t say, “my depression is down to 4.0 from 4.1 and I feel the difference.”

Different ailments appear to have respond differently to placebo.  Depression is highly responsive to placebo.  Research from 1999 found the effects of placebo on depression to be 75%.  However, these placebo effects on depression have been continuing to grow over the past couple decades, so that now we are finding certain antidepressants no better than placebo.  Menopausal hot flashes also have a nice placebo response.  And at least one third of the results of pain relief can be attributed to placebo effect alone.

Placebo, or context effect as I like to call it, has been extensively studied.  We know some of the things that will increase the likelihood of a treatment being effective.  These range from the color of the pill to patients perception’s of the health care practitioner.   Placebo effect is really not much different than marketing.

The mental health practitioner doesn’t realize that when they listen attentively to their client, label them with a disorder name (e.g. “You have bipolar depression.”) and tell the client that there is a pill that will “stabilize their brain chemistry” they are actually marketing the treatment.  They may also tell the client that the drug’s effects could “kick in” immediately, or they might occur slowly over a period of a couple months.  This gives the client options on how to respond to their “placebo/antidepressant”.  If the client then runs into someone that is on “their” antidepressant and they say it “saved their life”, they have additional context to boost the effectiveness of the treatment.

The word “placebo” has gotten a bad wrap, in the sense that only a fool would respond to placebo effect.  That is one of the reasons I prefer “context effects” over “placebo”.  Context matters and optimizing context to support healing seems like a good strategy, not a unethical strategy.  Certain settings, particular colors, and personal biases make a difference in treatment effectiveness.  Does optimizing context fall under the adage of “first do no harm” or does it harm someone to play into their natural tendencies to put faith in certain people, places and things?

REFERENCES
Kirsch, I., (2008). Challenging Received Wisdom: Antidepressants and the Placebo Effect.  McGill Journal of Medicine, 11(2): 219-222.

Di Blasi, Z. & Kleijnen, J., (2003).  CONTEXT EFFECTS:  Powerful Therapies or Methodological Bias?  Evaluation & The Health Professions, 26(2), 166-179 DOI: 10.1177/0163278703252254.