Friday, December 25, 2009

On Our Social Venture – Core beliefs

Before I tell you our idea, I’d like to get down a few fundamental beliefs I hold in the arena of depression/depression treatment.

And just to be clear: Although every member of my team (Dan, Hari, Colin, myself) played a crucial role in creatively synthesizing our idea (I didn’t even come up with the core of our idea – Dan did), and although lines fuse and blur when it comes to who came up w/what (we’ve talked over so much and I’ve read so much there’s no way I can hold all the sources in my head), the views I put down here are mine alone to be responsible for – only I can be held accountable for them. In general, this goes for anything on this blog, of course.

What I’m trying to say is that I’m giving all due credit to my team and to anyone else who may have influenced me, but if you have a problem with anything on this blog, you have a problem with me. Don’t judge my team by my writing.

CORE BELIEFS (in no particular order)

1 Depression should only be thought of as an illness if it helps you to think about it that way. Given that depression operates on a spectrum, and that nearly everybody has experienced aspects of it at one point or another, things are already very imprecise.

Do NOT let a doctor’s (or your own) diagnosis trap you in a box. Do NOT rely on and cling to an identity as a “depressed person” unless it helps you to frame it as a struggle where you will ultimately win.

2 The human spirit is stronger than you know, stronger than any medical expert knows, stronger than anyone ever to have existed knew, and stronger than anyone who ever will exist will ever know.

You can (sometimes) thwart death through sheer will. There are medical annals that attest to this.

3 The medical industry and all medical/health professionals serve as means to an end, not as ends themselves. The same goes for medical (and all types of) credentials. Credentials are only useful in terms of the experience it took to acquire them.

I said experience – not time, not running through administrative hoops, not going through motions.

If the time it took to get your credentials proved useless, or you failed to learn from your experiences, or the world changed such that what you did learn became obsolete (this happens), then those credentials become entirely useless.

Even (and especially) the established professionals should hear out new ideas. After they hear them out, they’re free to dismiss them. I hold myself to this exact same standard. It may sound harsh, but we cannot afford stale egos amidst the crisis of now.

4 There should be a separation between person and idea. When I critique people, I try to focus on the merits/flaws of their ideas, or at least of their actions and how those actions represent them. I try not to attack them personally or make assumptions about them. Please do the same for me.

5 Root causes of depression (and the inability to defeat depression) must be addressed, not symptoms. I believe root causes include, but are not limited to:

-Lack of opportunity to express one’s unique self – to develop one’s innate genius (see my earlier post “In Defense of Individuality”)

-Stigma (more on this later)

-Lack of a sense of self-worth

-Hopelessness/sense of futility

-Perfectionism

-Fear of failure (goes along w/perfectionism)

-Inability to find and connect with “your kind of people,” whether because of physical/geographic barriers or mental/psychic barriers. “Your kind of people” meaning people who are passionate about similar things, who support you, who challenge you, etc. Think Robin Williams’ definition of “soulmate” in the movie Good Will Hunting: Someone who challenges you.

Etc.

6 The idea that chemical-imbalance-correcting miracle drugs or passive therapy will provide a long-term antidote to depression is pure horseshit. It mocks human agency.

And this is true even for the best psychotherapists and psychiatrists. Yes, talking and learning about yourself can be life-changing, and talking to wise intelligent people can provide eureka moments of clairvoyance for us (so the old saying goes, “10 minutes w/a wise man is worth 10 years of books"), and medication may help some people to some degree, but at a certain point you need to take action to change your life.

7 People have a fundamental desire to embrace their passions (Hari’s words, shared idea).

8 There is a disastrous stigma associated with traditional interventions, especially for young people (or at least some of them…or at least me). I know there is a distinction b/w stigmas w/identifying yourself as depressed, and stigmas w/seeking help – I’m going to focus on the second one here. So, aspects of this stigma/things that contribute to this stigma include, but are not limited to:

-I personally have felt condescended against by many psychotherapists and psychiatrists (and even by MD's who generally have very little training on the matter yet had the nerve to impose "help" on me in a definitive tone of voice), and in general I believe intellectual snobbery is a huge barrier to treatment.

-Many medical professionals seem to believe they have the solution to depression sitting right in their minds, extrapolated from piles and piles of textbooks and years and years of study and observation. Bad news for you guys: you’re wrong. We’re humans, not math riddles. There’s no one solution (nor one set of solutions, nor combination of pills/exercise/talking) for all people – there’s no panacea.

-When I go to a therapist, there’s just this horrible stuffy and lame and passive feel to the whole thing. I just get the wrong vibe.

-I don’t particularly like carrying around therapists' cards and appointment reminders in my wallet.

-If you’re going to set aside time during your day to fight depression, why not spend it doing something you like, rather than sitting in a therapist’s office? Yes, it’s still hard work, but you can focus your efforts where you want them to be, rather than where someone else tells you they should be.

Etc.

9 Traditional interventions were designed top-down. For example (and I know this is an extreme and outdated one), professionals used to diagnose people with mental health illnesses based on how they responded to medication…what a strange reversal…

Why not have college students design solutions for college problems?

Alright, that’s enough for now. I’m sort of hesitant to put down core beliefs as I’ve done here, because it seems to imply that they're the only core beliefs I have, and that they’re unchangeable – NOT the case.

Still, that should give you a primer and some understanding of where we’re coming from when we talk about our solution.

Read the next post for the (current version of the) idea itself.

-David

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2 comments:

  1. Justin and "Avid Reader" (uh oh, I'm already enormously biased to like you), thanks for the incredible replies! Given the bit of overlap b/w your replies, I will respond to both in a separate post as soon as I can!

    Happy Holidays to you both!

    -David

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  2. Hey Justin, just put up a reply post, but here are my thoughts on the remainder of your comments:

    1 Agree it's circular, and that it can't really be helped. All I really meant to say was, don't think in ways that won't benefit you (even if they may be "true").

    3 I've got enormous respect for the well-intentioned people out there. And while I may sound fervently against all professionalism, that's not really how I feel - I'm just against professionalism for the sake of professionalism. Lastly, I'd have to add that unfortunately good intentions are not enough when it comes to tackling the important challenges of the world. This is a struggle that I and many social entrepreneurs (and teachers, and doctors, and many others) must deal with every day. We must hold ourselves to the most rigorous standards, and ensure that we are accomplishing what needs to be accomplished, not simply meaning well.

    5 I see symptoms to be more along the lines of: "headaches, fatigue, loss of energy, sleep difficulties, etc." I agree that my "root causes" are somewhat vague, and that it would be enormously helpful to determine more specifically what depressed people are trying to accomplish when trying to overcome depression. That's exactly what my team and I will be (trying to be) doing over the next few months! It's difficult, because I'm fairly confident many depressed people themselves wouldn't be entirely sure of their answers to these questions. But we must try anyway.

    7/8 It's interesting you mention the farm idea. One of the ideas I came up with was essentially "Study abroad to save your life." The idea stemmed from hearing about schizophrenics being taken to residential facilities on farms in VT, w/counselors for therapy and psychiatrists for drug compliance, but with simple regimented lifestyles (get up at a certain time, go to bed at a certain time, do a certain number of hours of farm chores each day, etc).

    I thought it would be good to take them to rural China (or similar type location). It would force participants (maybe groups of 15 or so) to be isolated from distractions (no facebook, no American consumerism, etc) but would force them to interact with each other (no ability to meaningfully interact with Chinese peasants) and create a strong community. It would also force them to adopt healthy life habits (diet, exercise or work in rice paddies, etc). And simultaneously they could organize lesson plans to teach English at local high schools/colleges - if done well, teaching can be enormously rewarding. Lastly, it would be way cheaper to house them after you paid for a plane ticket to China, which would pay off if it was a long-term program. And of course any minimal amount of rent paid/help rendered would infinitely help the Chinese peasants - our people. It pains me to see how little they have, and how much potential they have.

    I'm still interested in this, and have all the connections to pull it off (I basically did it while I was in China), but it's not very immediately scalable and there are loads of other things to work out...

    Alright, take it easy. Hope break's been good.

    -David

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