Introduction by Bob Aronson
This blog has addressed many issues over the years, but we’ve never approached the issue of how our behavior when ill sometimes results in hurt feelings, the loss of friends and even the dissolution of marriages because so few of us know how to say, “I’m sorry,” in an effective and meaningful manner.
Anyone who has suffered a serious, life-threatening illness has at one time or another lost their temper, or become overly emotional and said and did things that are out of character. Unfortunately we rarely know just how deeply our words and actions can hurt others and worse yet, when and if we apologize we do so ineffectively. “I’m sorry,” are two words that are extremely difficult for most people to say and when we do use them it is often too late and without sincerity.
I’m a member of Alcoholics Anonymous. It is a twelve step program and two of the steps are devoted to apologizing. In AA it’s called “Making Amends” or apologizing to those you have hurt or harmed in some manner. Specifically step eight admonishes members to “make a list of all persons we had harmed, and became willing to make amends to them all.” And –Step Nine says, “Make direct amends to such people wherever possible, except when to do so would injure them or others.”
Having been part of that program for 33 years I should have more than a passing acquaintance with apologizing, but I don’t. I’m not very good at it and I don’t like doing it because like most people I don’t like having to admit that I’ve made mistakes….who does?
The bottom line is that making amends or apologizing is good for one’s mental health and I was made aware of that recently by Dr. Priscilla Diffie-Couch a family member with a Doctorate in Communication. A brilliant woman, Priscilla has for years served as a healthy living advisor to the Diffie family and her advice is always spot on. Recently I asked her to pen a guest blog for Bob’s Newheart and she responded with this essay on apologizing. It’s a subject to which I’ve given almost no thought and am grateful that she brought it to our attention.
I’m hoping we can talk Dr. Diffie-Couch into being a more regular contributor to our efforts. Thanks Priscilla.
How do You Apologize and Why Should You?
By Dr. Priscilla Diffie-Couch ED.D.
One of the most fundamental communication skills needed to maintain trusting and close relationships is found in the art of apologizing. The most common mistake we make is to respond to someone who expresses hurt feelings by saying, “Oh, you misunderstood. I didn’t mean to hurt you.” That only serves to insult that person’s intelligence. Few people would say, “I meant to hurt your feelings or offend you.”
Effective Apology—Mending Fences by John Kador is an excellent resource for understanding the skills involved in apologies that actually repair hurt feelings. His five “R’s” explain why an effective apology is far more than simply sincere and why extracted apologies leave us feeling so unsatisfied:
By RECOGNITION, he means acknowledging that feelings are not debatable or deniable. You must treat that person’s declaration of being hurt as valid and true. Denying the truth of your offense will do nothing toward healing. Of course, confining your attacks to the issues–not the persons who raised them–will greatly reduce your need to make apologies.
By RESPONSIBILITY, he means acknowledging your real role in this hurt. You must own the words that you said and accept that they caused hurt. Responsibility means saying, “I’m sorry. I see how that was offensive to you.” You must acknowledge your guilt and convey a willingness to do something about it. Saying “You misunderstood” not only adds insult to injury, it suggests you think the responsibility for fixing the hurt belongs with the person who is offended.
By REMORSE, he means verbally admitting that you made a mistake in the way you conveyed a message and you feel bad about causing the hurt. Arguing with someone who has expressed that your words were hurtful exposes that you do not feel contrite; your real goal is to prove you were right. Excuses are equally offensive. They only widen the wounds.
By RESTITUTION, he means the willingness to invest whatever time is required to ensure that the hurt party sees that you are sincere, feels better and knows that you care. Saying “That’s just the way I am” is tantamount to saying, “You are the problem, not me. You are too sensitive when I express my strong opinions. You are the one who should change, not me.” You are not alone in having strong opinions. It’s how and when you choose to express them that most affects your relationship with others.
When deeds and words collide, words seldom win. Saying, “I love you” is meaningless unless you are willing to take specific actions that truly reflect that love. Words have the power to inflict wounds that only deeds can heal. When you hurt others, the act of making a full apology is the deed required. It is critical in repairing a relationship damaged by hurt. Expressions of love are poor imposters of apologies.
By REPETITION, he means promising to avoid repeating the offense. Apologies that fall short are seldom seen as “wholehearted.” Vows to change help insure acceptance of your apology and increase the hurt party’s desire to take on responsibilities and benefits that come with forgiveness. But that is another story.
Effective apologies restore and improve relationships and pave the pathway to personal growth. People who have good relationships live longer and healthier lives.
This summary focuses on only part of what Kador deals with regarding effective apologies. Maybe you have questions. I did.
QUESTION: Do all my apologies have to include all five dimensions? The short answer is no. Passing events in our lives like bumping into someone or creating a disturbing noise call for little more than “I’m sorry.” The focus in this book, however, is repairing and improving relationships. Achieving that goal demands consideration of each dimension in framing your apology.
QUESTION: Isn’t it true that some people are overly sensitive and require an unusual number of apologies? True, but you have little to gain by excusing yourself from giving an apology based on what you see as the recipient’s personality shortcomings. Life demands dealing with all kinds of personalities. You cannot change others. You can control only your own behaviors. People with the greatest number of satisfying relationships are those who recognize the value of understanding and adaptation.
QUESTION: I am not a great communicator. Can’t I just send the injured person flowers or some kind of gift? No gift can convey the five dimensions that characterize a wholehearted apology. Gifts can easily be seen as taking the easy way out of situations that are full of needs and complexities.
QUESTION: But isn’t it possible that whatever I did or whatever I said does not warrant an apology? That is possible. Your first objective with someone who claims to be offended is to be sure that you have a full understanding of the basis for that claim. Use the words “Help me understand exactly what I said or did….” When no specific examples or explanations can be provided, then an extracted apology will do nothing to promote trust. Instead, say something like this: “I value our relationship, but giving you an empty insincere apology for something so vague will not bring us closer.”
QUESTION: Are there specifics about what I should or should not include in my apology? Begin with “I.” Use active voice. Example: “I’m sorry I hurt you,” not “I’m sorry you were hurt.” Do not include “if’s” or “buts.” Don’t joke. Don’t assume. Ask how someone feels. Use the person’s name. Don’t ramble. Don’t argue. Listen. Really listen. Then apologize.
Learn to apologize effectively. It’ll do your heart good.
An award winning high school speech and English teacher, Priscilla Diffie-Couch went on to get her ED.D. from Oklahoma State University, where she taught speech followed by two years with the faculty of communication at the University of Tulsa. In her consulting business later in Dallas, she designed and conducted seminars in organizational and group communication.
An avid tennis player, she has spent the last twenty years researching and reporting on health for family and friends. She has two children, four grandchildren and lives with her husband Mickey in The Woodlands, Texas.
Bob Aronson has worked as a broadcast journalist, Minnesota Governor’s Communications Director and for 25 years led his own company as an international communication consultant specializing in health care.
In 2007 he had a heart transplant at the Mayo Clinic in Jacksonville, Florida. He is the Bob of Bob’s Newheart and the author of most of the nearly 250 posts on this site. He is also the founder of Facebook’s nearly 4,000 member Organ Transplant Initiative (OTI) support group.
You may comment in the space provided or email your thoughts to him at firstname.lastname@example.org. And – please spread the word about the immediate need for more organ donors. There is nothing you can do that is of greater importance. If you convince one person to be an organ and tissue donor you may save or positively affect over 60 lives. Some of those lives may be people you know and love.
By Bob Aronson
Depression, what is it? Why can’t you just snap out of it? Many people including family and friends who have not experienced depression have great difficulty understanding it much like people who are not addicts can’t understand addiction. In both cases we often hear advice like, “Snap out of it, you’ve got things pretty good. There’s no reason to be depressed.” Or, “You made the choice to start drinking or using drugs so choose to stop.” Oh, if it were that simple.
Here’s a cold slap in the face to bring us into reality. Depression is a mental illness, like the common cold is a physical illness. There has long been a stigma associated with mental illness held over from the days of Insane Asylums and “Crazy” people. That stigma is rapidly disappearing because so many people suffer from depression which is often a chemical imbalance that is quite treatable. Your mental health is every bit as important as your physical health and one can affect the other.
Here are some shocking statistics from the National Institutes of Mental Health (NIMH).
- Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.3
- Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.1, 2
- While major depressive disorder can develop at any age, the median age at onset is 32.5
- Major depressive disorder is more prevalent in women than in men
Major or clinical depression is an awful feeling. It is a gnawing at the pit of your stomach, in your gut that makes you feel hopeless, helpless and alone. It is as though someone locked up your ability to reason, your sense of humor and your will to live in a windowless, dark, solitary confinement jail cell from which there is no escape. It is a constant feeling of impending doom combined with a profound sadness and even fear. It can steal your energy, memory, concentration, sex drive, interest in activities you used to love and…it can even destroy your will to live. Depression may not be as common as the common cold but it is much more common than ever before. Nearly 20 percent of Americans suffer from it at one time or another.
Logic says that you should be able to “Will” yourself out of this mood, but will power alone cannot give you the boost you need to get your life’s engine started again. Mental illness is not unlike physical illness. You cannot use will power to eliminate depression any more than you could use it to stop cancer. No one wants to be depressed, no one,. Think about it. If will power would work as an anti-depressant there would be no depression because again, no one wants to feel like what I described.
Let’s get to the medical description and symptoms as offered by the Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/depression/expert-answers/clinical-depression/faq-20057770
“To be diagnosed with clinical depression, you must have five or more of the following symptoms over a two-week period, most of the day, nearly every day. At least one of the symptoms must be either a depressed mood or a loss of interest or pleasure. Signs and symptoms may include:
• Depressed mood, such as feeling sad, empty or tearful (in children and teens, depressed mood can appear as constant irritability)
• Significantly reduced interest or feeling no pleasure in all or most activities
• Significant weight loss when not dieting, weight gain, or decrease or increase in appetite (in children, failure to gain weight as expected)
• Insomnia or increased desire to sleep
• Either restlessness or slowed behavior that can be observed by others
• Fatigue or loss of energy
• Feelings of worthlessness, or excessive or inappropriate guilt
• Trouble making decisions, or trouble thinking or concentrating
• Recurrent thoughts of death or suicide, or a suicide attempt
Your symptoms must be severe enough to cause noticeable problems in relationships with others or in day-to-day activities, such as work, school or social activities. Symptoms may be based on your own feelings or on the observations of someone else.
Clinical depression can affect people of any age, including children. However, clinical depression symptoms, even if severe, usually improve with psychological counseling, antidepressant medications or a combination of the two.”
The National Institutes of Health (NIH) has this to say about depression.
What causes depression?
Several factors, or a combination of factors, may contribute to depression.
• Genes—people with a family history of depression may be more likely to develop it than those whose families do not have the illness.
• Brain chemistry—people with depression have different brain chemistry than those without the illness.
• Stress—loss of a loved one, a difficult relationship, or any stressful situation may trigger depression.
Depression affects different people in different ways.
• Women experience depression more often than men. Biological, life cycle, and hormonal factors that are unique to women may be linked to women’s higher depression rate. Women with depression typically have symptoms of sadness, worthlessness, and guilt.
• Men with depression are more likely to be very tired, irritable, and sometimes even angry. They may lose interest in work or activities they once enjoyed, and have sleep problems.
• Older adults with depression may have less obvious symptoms, or they may be less likely to admit to feelings of sadness or grief. They also are more likely to have medical conditions like heart disease or stroke, which may cause or contribute to depression. Certain medications also can have side effects that contribute to depression.
• Children with depression may pretend to be sick, refuse to go to school, cling to a parent, or worry that a parent may die. Older children or teens may get into trouble at school and be irritable. Because these signs can also be part of normal mood swings associated with certain childhood stages, it may be difficult to accurately diagnose a young person with depression.
Ok we’ve defined the malady and we know how clinicians determine if patients have it so the next logical question is, “What can you do about it.” Well, the answer is simple, but it will take a major commitment on your part to make the answer work for you, we can start by identifying some hazards, potholes on the road to good mental health.
Depression: Ten Traps to Avoid
Dr. Stephen Ilardi, author of “The Depression Cure,” has identified several things that can make depression worse. First, know this. Depression is a serious medical condition and should be treated by a doctor or licensed therapist. Having said that, here”s what Dr. Ilardi suggests.
Trap 1: Being a Couch Potato
When you’re feeling down, it’s tempting to hole up in your bed or on the couch. Yet exercise – Even moderate activity like brisk walking – has been shown to be at least as effective against depression as antidepressant medication. It works by boosting the activity of the “feel-good” neurochemicals dopamine and serotonin.
For an “antidepressant dose” of exercise, try at least 40 minutes of brisk walking or other aerobic activity three times a week.
Trap 2: Not Eating “Brain Food”
Omega-3 fats are key building blocks of brain tissue. But the body can’t make omega-3s; they have to come from our diets. Unfortunately, most Americans don’t consume nearly enough Omega-3s, and a deficiency leaves the brain vulnerable to depression. Omega-3s are found in wild game, cold-water fish and other seafood, but the most convenient source is a fish oil supplement. Ask your doctor about taking a daily dose of 1,000 mg of EPA, the most anti-inflammatory form of omega-3.
Trap 3: Avoiding Sunlight
Sunlight exposure is a natural mood booster. It triggers the brain’s production of serotonin, decreasing anxiety and giving a sense of well-being. Sunlight also helps reset the body clock each day, keeping sleep and other biological rhythms in sync.
During the short, cold, cloudy days of winter, an artificial light box can substitute effectively for missing sunlight. In fact, 30 minutes in front of a bright light box each day can help drive away the winter blues.
Trap 4: Not Getting Enough Vitamin D
Most people know vitamin D is needed to build strong bones. But it’s also essential for brain health. Unfortunately, more than 80 percent of Americans are vitamin D deficient. From March through October, midday sunlight exposure stimulates vitamin D production in the skin – experts advise five to 15 minutes of daily exposure (without sunscreen). For the rest of the year, ask your doctor about taking a vitamin D supplement.
Trap 5: Having Poor Sleep Habits
Use the bed only for sleep and sex – not for watching TV, reading, or using a laptop. Turn in for bed and get up at the same time each day. Avoid caffeine and other stimulants after midday. Finally, turn off all overhead lights
Trap 6: Avoiding Friends and Family
When life becomes stressful, people often cut themselves off from others. That’s exactly the wrong thing to do, as research has shown that contact with supportive friends and family members can dramatically cut the risk of depression. Proximity to those who care about us actually changes our brain chemistry, slamming the brakes on the brain’s runaway stress circuits.
Trap 7: Mulling Things Over
When we’re depressed or anxious, we’re prone to dwelling at length on negative thoughts – rehashing themes of rejection, loss, failure, and threat, often for hours on end. Such rumination on negative thoughts is a major trigger for depression – and taking steps to avoid rumination has proven to be highly effective against depression.
How can you avoid rumination? Redirect attention away from your thoughts and toward interaction with others, or shift your focus to an absorbing activity. Alternatively, spend 10 minutes writing down the troubling thoughts, as a prelude to walking away from them.
Trap 8: Running with the Wrong Crowd
Scientists have discovered that moods are highly contagious: we “catch” them from the people around us, the result of specialized mirror neurons in the brain. If you’re feeling blue, spending time with upbeat, optimistic people might help you “light up” your brain’s positive emotion circuits.
Trap 9: Eating Sugar and Simple Carbs
Researchers now know that a depressed brain is an inflamed brain. And what we eat largely determines our level of inflammation. Sugar and simple carbs are highly inflammatory: they’re best consumed sparingly, if at all.
In contrast, colorful fruits and veggies are chockablock with natural antioxidants. Eating them can protect the body’s omega-3s, providing yet another nice antidepressant boost.
Trap 10: Failing to Get Help
Depression can be a life-threatening illness, and it’s not one you should try to “tough out” or battle on your own. People experiencing depression can benefit from the guidance of a trained behavior therapist to help them put into action depression-fighting strategies like exercise, sunlight exposure, omega-3 supplementation, anti-ruminative activity, enhanced social connection, and healthy sleep habits.
So you think you’ve avoided all the traps, but you are still depressed, now what? According to the National Alliance on Mental Illness (NAMI) here are the options. (http://www.nami.org/Content/NavigationMenu/Mental_Illnesses/Depression/Depression_Treatment,_Services_and_Supports.htm)
Treating Major Depression
Although depression can be a devastating illness, it often responds to treatment. The key is to get a specific evaluation and a treatment plan. Today, there are a variety of treatment options available for depression. There are three well-established types of treatment: medications, psychotherapy and electroconvulsive therapy (ECT). A new treatment called transcranial magnetic stimulation (rTMS), has recently been cleared by the FDA for individuals who have not done well on one trial of an antidepressant. For some people who have a seasonal component to their depression, light therapy may be useful. In addition, many people like to manage their illness through alternative therapies or holistic approaches, such as acupuncture, meditation, and nutrition. These treatments may be used alone or in combination. However, depression does not always respond to medication. Treatment resistant depression (TRD) may require a more extensive treatment regimen involving a combination of therapies.
Bob Aronson of Bob’s Newheart is a 2007 heart transplant recipient, the founder of Facebook’s nearly 4,000 member Organ Transplant Initiative (OTI) and the author of most of these donation/transplantation blogs. You may comment in the space provided or email your thoughts to me at email@example.com. And – please spread the word about the immediate need for more organ donors. There is nothing you can do that is of greater importance. If you convince one person to be an organ and tissue donor you may save or positively affect over 60 lives. Some of those lives may be people you know and love.
Mental Illness is as real as cancer — you can’t “think” your way out of it.
Get over it! It’s all in your head,” was and is a common utterance by those who don’t understand that just because it is in your head doesn’t make it less real. Will power cannot dislodge demons of the mind any more effectively than it can stop cancer. Both are real, both are serious and treatment for both is available and necessary.
The difference between the two is that while we accept illnesses of the body as real illnesses we, as a society, have not yet fully accepted mental illness as a disease and until we do greater societal problems will ensue.
Both pre and post transplant patients suffer from depression. Some suffer from other mental illnesses as well. Just because we need or have had an organ or tissue transplants doesn’t mean we aren’t subject to all the ills that befall everyone else. In reality we may be more susceptible because we have come face to face with death. Many of us live with it for years. You can’t get on the transplant list unless you have an end stage disease. That’s fancy doctor talk for, “You are dying.”
The U.S. Centers for Disease Control (CDC) says that although mental health and mental illness are related, they represent different psychological states.
Mental health is “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.”1 It is estimated that only about 17% of U.S adults are considered to be in a state of optimal mental health.2 There is emerging evidence that positive mental health is associated with improved outcomes.
Mental illness is defined as “collectively all diagnosable mental disorders” or “health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning.”2 Depression is the most common type of mental illness, affecting more than 26% of the U.S. adult population.3 It has been estimated that by the year 2020, depression will be the second leading cause of disability throughout the world, trailing only ischemic heart disease.4
Evidence has shown that mental disorders, especially depressive disorders, are strongly related to the occurrence, successful treatment, and course of many chronic diseases including diabetes, cancer, cardiovascular disease, asthma, and obesity5 and many risk behaviors for chronic disease; such as, physical inactivity, smoking, excessive drinking, and insufficient sleep.
Unfortunately public acceptance of mental illness treatment has been slow in coming despite the fact that many effective treatments have existed for a long time. Often people who are affected don’t seek help because of the embarrassment of being labeled “mentally ill”
Mental Health America (MHA) is trying to dispel the myths surrounding mental illness. The five most common are: (http://www.mentalhealthamerica.net/go/workplacewellness/5myths )
Myth #1: Mental illness is the same as mental retardation.
The Facts: Mental illness and mental retardation are entirely different disorders. Mental retardation is primarily characterized by limitations in intellectual functioning, while intellectual functioning varies among persons with persistent mental illness just as it does across the general population.
Myth #2: Recovery from mental illness is impossible.
The Facts: While these illnesses are persistent, research has shown that with treatment, the majority of people with mental illnesses achieve genuine improvement in their symptoms over time and lead stable, productive lives. As the treatment of mental illness has advanced, the focus of treatment has shifted from simply minimizing symptoms to true recovery-that is, the reintegration into mainstream society, including (and perhaps most importantly) the world of work.
Myth #3: Mentally ill and mentally restored employees (that is, those in whom mental illness is effectively treated) tend to be second-rate workers.
The Facts: Far from being inferior workers, individuals with mental illnesses may in fact be superior in many ways to their co-workers without mental illness. Employers who have hired these individuals report that their attendance and punctuality exceed the norm, and that their motivation, work quality, and job tenure is as good as — or better than — that of other employees. Research has shown that there is no difference between the productivity of workers with and without mental illness.
Myth #4: People with psychotic disabilities cannot tolerate stress on the job.
The Facts: The response to job-related stress, and precisely which factors will be perceived as stressful, vary among individuals with psychiatric disabilities just as they do among people without such disabilities. For all workers — with or without psychiatric disabilities — productivity is optimized when there is a close match between the employee’s needs and his or her working conditions.
Myth #5: Mentally ill and mentally restored individuals are unpredictable, potentially violent, and dangerous.
The Facts: This myth is reinforced by media portrayals of people with mental illnesses as frequently and randomly violent. However, a research literature review conducted at Cornell University found absolutely no evidence to support such portrayals. The fact is that the vast majority of individuals with psychiatric disabilities are neither dangerous nor violent.
So, Given that we understand the myths and can deal with them let’s look at one form of therapy that can be and has been very effective in some cases.
While mental illness was not an issue, a serious brain injury was in the case of former congresswoman Gabby Gifford who was seriously wounded when shot in the head in an attempted assassination. Her therapists have used music to help her learn to walk and speak again, as well as give her an emotional boost along her stunningly difficult path. If you want to learn more about the Gifford story click on this link from ABC TV news.
The power of music
- Trigger memories. Think of jingles that remind you of a company’s name, or that song that always takes you back to your senior year of high school.
- Promote learning. Next time you have a phone number or list of terms to remember, try putting it to music. Elicit emotions. The movie industry has long known how to use background music to heighten terrifying, tragic or exhilarating moments.
- Provide motivation. Chores can become an entirely different experience when set to an energetic beat. Improve coordination. If you hear music while you’re walking, you can’t help but to walk to the beat. That’s a biological process called “entraining,” in which a rhythm and melody pull us into synchrony with them.
- Reduce stress and pain. Calming music can entrain you to breathe deeply and the memories music elicits can remind you of happier, more peaceful times and places.Source: Concetta Tomaino, executive director of the Institute for Music and Neurologic Function at the Beth Abraham Family of Health Services in New York.
Music holds a unique role in human life. Its rhythms help organize movements — almost no one can resist a good beat. Music brings up memories. And music, it seems, can help retrain the speech centers of the brain.
I could go on here and offer quote after quote about what music therapy is and does but the best way to for readers to know how it works is to listen to what patients have to say. The American Music Therapy Association (AMTA) http://www.musictherapy.org/ has a section on its web site where patients relate their experience with music therapy. Here are just a few, you can read more by going to the AMTA site.
Parent testimonial, written by Tamera Norris
Music has the power to enrich the mind of a child with autism. Many people with autism have limited verbal expression. They live a life of involuntary silence. “After silence, that which comes nearest to expressing the inexpressible is music.” (Aldous Huxley) That is the reason why “music (became) the shorthand of (William’s) emotions.” (Leo Tolstoy) It gave him opportunities for speech, emotional contact and mental focus.
From the age of four through his current age of 16, William has taken a music bath once or twice a week at The Music Settlement. As Oliver Wendell Holmes once said, “…a music bath… is to the soul what the water bath is to the body.” Music has flown out, immersing restless feelings, calming William, minimizing his hesitation. Then it ebbed and he met the eyes of the therapist. With the guidance of Ronna Kaplan and other music therapists, William has developed, encouraged to tune his fine and gross motor skills. The therapy program made use of live and recorded music, pre-planned dialogues for the clients and sound effects. While learning to play instruments, William also learned life skills. “Music (became the soundtrack of (his) life.” (Dick Clark)
Being born with autism makes it difficult to interact with others or communicate verbally. It causes the affected person to be unaware of reacting in ways that others do not commonly react in society. Music therapy provided William a non-threatening environment in which to build relationships with peers, express himself verbally and nonverbally and learn to participate in socially acceptable ways. This was achieved through group therapy, as well as individualized sessions. Both forms were ideal for William, because individual lessons allowed him to learn at his own pace. These lessons were tailored to meet his needs. They helped him to learn to read music, follow a rhythm, and to respect the need to display the proper behavior in the proper situation. Small group therapy required him to learn to take turns and to be a focused member of a team. He had to use proper questions and verbal responses. He had to learn to be both leader and supportive member. This even carried over to life outside of The Music Settlement, as William auditioned for and earned a position on a regular team of drummers for his school. He was able to perform at the House of Blues in front of a large, noisy audience, with no problem. This was not something that he would have been able to withstand before his experiences in music therapy.
We are very pleased and thankful for the progress that William has made over the years and we foresee him continuing to flourish with additional music therapy. The combination of an excellent music therapy curriculum and an enthusiastic, care-giving staff, has enabled William not to just, “…go where a path might lead, but instead to go where there is no path and leave (his) trail.” (Ralph Waldo Emerson)
I am closing with a short poem, expressing my feelings about The Music Settlement and its staff. It is simply entitled, Thank You.
Music therapy teaches
It’s about communication.
It’s about what William’s taught,
In nurturing situations.
He’s learned patience
Growing in many ways.
His social skills developed,
Made him what he is today.
So, thank you for your guidance,
As only music can touch.
Thank you for reaching our William,
Because it means so much.
A physician/patient talks about his recovery.
R.B.Fratianne, MD. Prof. of Surgery, CWRU Dir. Emeritus, Burn Center Metrohealth Med. Center. I was deeply honored by the gracious invitation to attend this year’s annual meeting of The AMTA and receive the Advocate of the Year Award. At the meeting, I was impressed by the level of enthusiasm and dedication to excellence shown by the highly trained professionals I met. They radiated pride in their work coupled with an intense sense of fellowship which made me feel welcome and respected – even though I was a rookie. For this I am very grateful.
I learned the value of music therapy first-hand when I had a brain tumor diagnosed several years ago. Fortunately it was not a cancer, but my recovery from major cranial surgery was slow and difficult. I was given physical/occupational and speech therapy. The music therapist working with me on the burn unit knew I played piano by ear and she suggested I work out on the piano as part of my therapy. At first everything seemed strange and “nothing” worked. Molly wouldn’t let me quit. I wanted to – it was frustrating! Slowly I began the feel at home at the keyboard and all my other therapies started to become more effective. I could “think” better.
Music therapy forced my brain to respond to the complex patterns of pitch, tempo and melody, and forced me to integrate motor function with the psycho-acoustic properties of what I was trying to express. I promptly regained my surgical skills at my pre-operative level and returned to practice on the burn unit. This response is known as neuro-plasticity; the unique ability of the brain to bypass injured areas and to re-teach the damaged brain how to regain more normal function.
I believe music therapists play an important, but often overlooked, role in helping patients cope with the effects of illness, pain, loneliness and fearful apprehension about the future of their health. Unfortunately all too often, music therapy is not reimbursed by insurance companies and many hospitals, therefore, do not use this modality of patient care. Other traditional forms of therapy, i.e. physical/occupational/speech etc., have demonstrated they are a cost effective addition to patient recovery. Insurance companies are therefore willing to compensate hospitals for these services and they generate income for the medical facility.
Music therapy professionals MUST produce evidence that their services provide a cost effective addition to other forms of care. THAT MEANS GOOD SCIENTIFIC RESEARCH must be carried out to demonstrate what we all believe. It is not enough to show a reduction in pain and anxiety with music therapy. Research must show a reduction in length of stay or improved patient outcomes for patients such as those sustaining head trauma/post traumatic stress disorder etc. Only then will insurance companies agree to reimburse hospitals/nursing homes for music therapy services; and more medical facilities will be able to incorporate music therapy as a standard of care. Then patients will receive the services we all know will benefit them. May God Speed your efforts on behalf of the patients you serve.
The Knot at the End of the Rope
Submitted by Florence Cohen
My father lived life with strength and determination. As complications associated with diabetes diminished his physical capabilities, his indomitable will to combat the disease fervently hammered away. A WW II Navy Seal, Joe Altman lived by a simple rule; when you get to the end of your rope, tie a knot and hang on.
When dementia struck hard and violently broke through Dad’s spirit, music therapist Alessandro Ricciarelli entered his life. Armed with six strings attached to a wooden guitar, Alessandro surpassed the capabilities of the most sophisticated medical technology.
Each time Alessandro walked through the door, an invisible wall formed around them, creating a comfortable space in which a trusting bond of friendship would quickly form. Alessandro brought with him happiness, encouragement, added a sense of meaning and purpose to Dad’s life, and, in doing so, resuscitated his spirit. In a most gentle way, Alessandro treated Joe with the utmost dignity and respect.
Alessandro’s dedication was not limited to actual hospital visits; he took personal time to learn songs that were relevant to Dad and made recordings of their sessions together to be enjoyed at any given time. Alessandro appreciated the power of positive thoughts, and with his kind words, a smile, compassion, and a true desire to make Dad happy, he encouraged Dad’s participation, leaving us with cherished memories of my father having one last chance to express himself through music, smiling and enjoying life.
In a very real sense, Alessandro was that knot at the end of the rope on to which Dad grabbed. I am forever grateful to the Music Therapy Program at NYU Medical Center, more specifically, to Mr. Alessandro Ricciarelli.
Obviously music therapy works..at least in some cases with some people but then not all therapy works all the time in all cases.
I will be posting other blogs on the subject of mental illness and the therapies available to those afflicted. Just know there is help available. It may take some time to find it and it may turn out to be a combination of therapy or therapies and/or medication. There is help but you have to find it. It is up to you to seek it out because it is very unlikely a miracle will knock on your door and say, “May I come in? I’m the cure for all that ails you.” If that does happen, don’t let them in. It won’t be real.
Bob Aronson of Bob’s Newheart is a 2007 heart transplant recipient, the founder of Facebook’s nearly 3,000 member Organ Transplant Initiative and the author of most of these donation/transplantation blogs.
You may comment in the space provided or email your thoughts to me at firstname.lastname@example.org. And – please spread the word about the immediate need for more organ donors. There is nothing you can do that is of greater importance. If you convince one person to be an organ and tissue donor you may save or positively affect over 60 lives. Some of those lives may be people you know and love.
Please view our music video “Dawn Anita The Gift of Life” on YouTube https://www.youtube.com/watch?v=eYFFJoHJwHs. This video is free to anyone who wants to use it and no permission is needed.
If you want to spread the word personally about organ donation, we have another PowerPoint slide show for your use free and without permission. JAgain, write to me and ask for “Life Pass It On.” I will email it to you immediately. This is NOT a stand-alone show; it needs a presenter but is professionally produced and factually sound. If you decide to use the show I will also send you a free copy of my e-book, “How to Get a Standing “O” that will help you with presentation skills. Just write to email@example.com and I will send the show and book ASAP.
Also…there is more information on this blog site about other donation/transplantation issues. Additionally we would love to have you join our Facebook group, Organ Transplant Initiative (OTI). The more members we get the greater our clout with decision makers.
Bob Aronson de Newheart de Bob es un centro receptor de trasplante 2007, el fundador de la Iniciativa de Facebook cerca de 3.000 miembros de trasplantes de órganos y el autor de la mayoría de estos blogs de donación / trasplante.
Usted puede dejar un comentario en el espacio proporcionado o por correo electrónico a sus pensamientos a mí en firstname.lastname@example.org. Y – por favor difundir la palabra acerca de la necesidad inmediata de más donantes de órganos. No hay nada que puedas hacer lo que es de mayor importancia. Si se convence a una persona para ser un donante de órganos y tejidos puede salvar o positivamente afectará a más de 60 vidas. Algunas de esas vidas puede haber gente que conoces y amas.
Por favor, vea nuestro video musical “Dawn Anita The Gift of Life” en YouTube https://www.youtube.com/watch?v=eYFFJoHJwHs. Este video es libre para cualquier persona que quiera usarlo y no se necesita permiso.
Si quieres correr la voz personal sobre la donación de órganos, tenemos otra presentación de PowerPoint para su uso gratuito y sin permiso. JAgain, escribir a mí y pedir “Life Pass It On.” Voy a enviar por correo electrónico a usted inmediatamente Esto no es un espectáculo independiente,. Necesita un presentador, pero es producido profesionalmente y objetivamente sonido Si usted decide utilizar el archivo. demuestro que también le enviará una copia gratuita de mi libro electrónico, “Cómo obtener un Standing” O “que le ayudará con habilidades de presentación. Sólo escribo email@example.com y enviaré el programa y el libro lo antes posible.
Además … hay más información sobre este sitio de blogs de otros temas de donación / trasplante. Además, nos encantaría que te unas a nuestro grupo de Facebook, la Iniciativa de Trasplante de Órganos (OTI). Cuantos más miembros que tienen la mayor influencia en nuestra toma de decisiones.
This blogsite is all about organ donation/transplantation issues. Substance abuse (tobacco, alcohol, drugs) kills more organs than any other cause. That’s why we continue to bring it to your attention. We hope you will talk about it with your elected officials. (The author, Bob Aronson, is a former smoker (1991) and a recovering alcoholic (1982). He also received a heart transplant in August of 2007.
I have long said that the best way to eliminate the organ shortage crisis is to reduce the demand for transplantable organs. The only way we can do that is to live healthier lives. But living healthier means sacrifice and for some the sacrifice is just too big, especially if you are an addict.
“Addiction Medicine: Closing the Gap Between Science and Practice.” Is a new report from The National Center on Addiction and Substance Abuse at Columbia University. Just released it offers a harsh look devastating national problem. http://tinyurl.com/7o67a26 The largest preventable public health problem in the United States is substance abuse and addiction. They are the leading causes of preventable death and the numbers prove it.
In 2009 about 2,5 million Americans died — nearly 600,000 of them were attributable to alcohol, tobacco or other drugs. 600.000 of them. Let me put that into perspective. When the Luxury liner Titanic sank in 1912 1500 people died. It would take 400 Titanic sinkings every year to total the 600,000 killed by alcohol, tobacco and drugs. That is one more than Titanic sinking every day of the year. Can you imagine the outrage if ships were headed to Davey Jones Locker that frequently. But there is no outrage over the numbers killed by drugs, none. Politicians don’t even talk about it, the issue is not one that comes up in political campaigns and is certainly never a topic of political debate.
As taxpayers we are concerned about how our money is spent and you will often see politicians make a huge issue out of a million dollar cost overrun but can you name one that has made an issue of the $468 billion dollar yearly cost of addiction and substance abuse?
Worse yet, the recent report from the National Center on Addiction and Substance Abuse at Columbia University (CASA Columbia) indicates that only one in 10 people with addiction to alcohol and/or drugs report receiving any treatment of any kind, ever. None, zippo, nada, niente, nothing. . Can you imagine the outrage if the neglect included heart or lung disease, cancer(s), asthma, diabetes, tuberculosis, or stroke and other diseases of the brain?
The Columbia University report is one of the most comprehensive ever and it clearly indicates that Tobacco use is the leading preventable cause of death and disability in this country…number one. Ahh…but wait there’s more.
- 40 % of traffic fatalities involved someone under the influence
- Prescription drug overdose deaths are up 500 percent since 1990
- Increased risk of heart and lung diseases
- Cancer and sexually transmitted diseases are up
- There’s more parental substance abuse which affects children performing poorly in school and developing behavioral problems.
- There’s more domestic violence, child abuse, unplanned pregnancies and financial problems.
The Columbia report also points out that there are 80 million people in the U.S. that are 12 and older that are abusing substances but not yet addicted. It says these people represent a huge opportunity to intervene before disaster strikes but there is no program for intervention so it is likely these people will just be added to the growing list of casualties.
Apparently one of the big reasons for the lack of action in the U.S. is that about a third of us believe that addiction is simply a lack of willpower and self-discipline and that people should be able to control their habits.. While the medical community long ago accepted addiction as a disease many in the public do not and that accounts for some of the lack of action.
Another reason for the lack of action is money. Local, state and federal governments collect a lot of tax money from the sale of alcohol and tobacco. In 2009 the Feds collected about $7 billion dollars in cigarette excise taxes. Billions more are collected by local and state governments and while some of the money goes to smoking cessation programs it is nowhere near enough.
So here’s the dilemma. If government makes a serious effort to get people to quit smoking or to get into treatment for other addictions these people will quit buying the products that generate tax revenue and that means they will have to raise taxes elsewhere or cut spending. They are not inclined to do either. All politicians like to talk about lower taxes but the taxes they will not reduce or eliminate are the ones they collect on products that are killing us.
We must get a handle on this problem because it will ruin us far more quickly than any other threat facing us. This report is well worth reading and when you are done take an additional step. Get in touch with every politician you know and turn up the heat to do something about this national disgrace.
Bob Aronson of Bob’s Newheart is a 2007 heart transplant recipient, the founder of Facebook’s 1800 member Organ Transplant Initiative and the author of most of these donation/transplantation blogs.
You may comment in the space provided or email your thoughts to me at firstname.lastname@example.org. And – please spread the word about the immediate need for more organ donors. There is nothing you can do that is of greater importance. If you convince one person to be an organ and tissue donor you may save or positively affect over 60 lives. Some of those lives may be people you know and love.
Please view our video “Thank You From the Bottom of my Donor’s heart” on http://www.organti.org This video was produced to promote organ donation so it is free and no permission is needed for its use.
If you want to spread the word personally about organ donation, we have another PowerPoint slide show for your use free and without permission. Just go to http://www.organti.org and click on “Life Pass It On” on the left side of the screen and then just follow the directions. This is NOT a stand-alone show, it needs a presenter but is professionally produced and factually sound. If you decide to use the show I will send you a free copy of my e-book, “How to Get a Standing “O” that will help you with presentation skills. Just write to email@example.com and usually you will get a copy the same day.
Also…there is more information on this blog site about other donation/transplantation issues. Additionally we would love to have you join our Facebook group, Organ Transplant Initiative The more members we get the greater our clout with decision makers.