Mental health and slow healing

Am enjoying a book called Dopamine Nation by Dr Anna Lembke. I also happened to come across a newspaper piece by author Rose Cartwright about mental health having predominantly environmental, rather than chemical causes. It’s fascinating. Since I suffer incurably from the journalists’ affliction of blogging about anything I’ve just discovered, without passing through the efforts required for actual expertise, here are a few things I’m learning:

  1. You can get excused from quite a lot of things these days by saying ‘it’s not good for my mental health’ (this is my wife’s insight). This is an upgrade on the excuse of Bartleby the scrivener, invented by Herman Melville, who avoided unpleasant tasks at work simply by saying ‘I’d rather not’. (I use Bartleby’s excuse a lot at church.)
  2. Sadly, perhaps the best way to raise the alarm about your difficulties in life is to use the language of mental health. If you do, at least someone will eventually come along to help.
  3. Mental ill-health itself, like white light passed through a prism, has a colourful spectrum of differing causes and cures. We need to think prismatically (as Rose Cartwright points out) rather than simplistically.
  4. The common practice of ascribing mental ill-health to a chemical imbalance in the brain, and then prescribing a drug to fix it, is rather less-well attested in the scientific literature (I think) whereas other causes, like poverty, trauma and deprivation have a rather stronger correlation. Rose Cartwright again: Evidence that exposure to environmental stress is the leading determinant of common mental health problems like anxiety, depression and OCD, seemed to be overwhelming, whereas evidence that organic brain dysfunction or genetics are the leading causes of such conditions seemed to be comparatively scant.
  5. Addressing one colour in the spectrum (the drug route) is arguably not going to entirely fix things in most cases.
  6. Academics generally know this. But academics don’t have ten-minute appointments with patients for which they are equipped only with a desperately scant toolbox.
  7. So doctors are left managing the problem and the result is a feedback loop involving doctors, drug companies, and mildly-sedated patients, few of whom are going anywhere except round and round again.
  8. I am reminded of a blog I wrote about the magazine Private Eye’s tame(ish) medic, Dr Phil Hammond. He wrote: Friendship and a feeling of belonging; an ability and curiosity to learn and adapt; purposeful physical and mental activity; observation and appreciation of the environment; compassion for others; food that is both delicious and nutritious; an ability to switch off and relax and regular, restorative sleep— collectively these daily joys of health are more powerful than any drug.
  9. Here’s a dream. Imagine a government that set up a proper study about the causes and cures of mental illness. Imagine it learnt that the issues to tackle are poverty, inequality, childhood trauma, struggling parents, discrimination, bad living conditions, food that isn’t food, the closing of recreational spaces and youth clubs, and (perhaps) the unlicencedness of smartphones, which (perhaps perhaps) are as dangerous and unregulated as cars in the 1920s. Imagine this enlightened government realized that investment and attention in those areas would reverse the tidal rise of ‘mental health problems’.
  10. Then imagine if they didn’t. Then further imagine what we non-career-politicians could do instead to make our corner of the world more congenial to the wellbeing of many: slow mission; patient revolution. No need to wait for politicians or blame them. Imagine.

Freedom’s laughter

Photo by Eye for Ebony on Unsplash

Just went to a fascinating seminar with my wife on ‘teacher retention and recruitment’, part of this year’s Cambridge Festival.

No, fascinating it really was. There were perhaps a number of messages but one struck home. Those with long memories have seen every trend in education come, go, and come again.

We are apparently–hopefully– at ‘peak prescription’. That is, teachers are being told (prescribed) how to teach. Teachers who mentor early career teachers are (it is feared) being told how to mentor them, the right framework, the right steps.

Never mind that children are complex, teachers are complex, solutions are complex and based on a teacher’s own style and personality. The teaching force is being trained like an army, and delivering a lesson is taught like cleaning and assembling a rifle, this way, or the wrong way.

The panel of speakers were lamenting that joy and laughter was disappearing – the joy and laughter that had kept some of them in the classroom for 30 years. It’s a bad sign when the laughter dies away.

Next to me, I could sense my normally-calm wife stirring in agreement. (As P G Wodehouse might have said of Jeeves, the eyebrow was raised a full quarter-inch).

There were other complaints. Pay has diverged from graduate equivalents in the past handful of years – – ten years ago, that wasn’t a problem. Workload has eased but still teachers aren’t given the opportunity to learn, grow, take on board the current research, deepen their practice. Management needs improvement. An HR department might help.

But how many times do we have to go round this? Central control looks like a short-cut to widespread efficiency, but it stifles the creativity that makes teachers excel. Education is not the same as training. The very thing you want to unleash (flourishing in staff and students) is flattened and numbed by standardization and mechanization. The shortcut, the quick way, runs into the sand.

Then look at other pieces of our austerity-savaged public services. Junior doctors? Defence lawyers? Pay, conditions, space, respect. Saving money has cost us so much.

person wearing blue and black blazer holding bag
Photo by Godisable Jacob on Pexels.com

The slow-step of freedom

If you like to control things, you do not do well with freedom. You don’t have to look far to see this. You may see it in your workplace or even your home. We certainly see it in nations.

In some countries (Egypt, Pakistan, Eritrea, North Korea for example but even in these days, the New York City subway apparently), people call in the army to do non-military stuff. The army is efficient, or cheap, or a machine capable of being ordered around, people believe. And they like it for that reason.

In Egypt and Pakistan, generals, proper generals who have been exposed to army for a lifetime, and should know better, believe the army is efficient, so they give it jobs like building airports or retailing soap-powder. It is perhaps no surprise that these same generals also have the IMF Bailout Department on speed-dial.

I am a fan of freedom, but I am also my culture’s child. I like living in a country where you can say most things without a van turning up at your doorstep filled with people who mean you harm. I like the way people can start businesses without having to look over their shoulders in case the state (or the Party) seeks control or the army has already cornered that part of the market.

But is there an argument for freedom as a good thing in itself, a way to make a society prosper, despite freedom’s raucous and rowdy ways, so disturbing to the serenity of the autocrat’s pillow?

Michael Polanyi (1891-1976), whom I heard about because of Lesslie Newbigin, was a Hungarian polymath. After earning cojones as a scientist (two of his students and one of his sons won Nobel Prizes), he changed roles at the University of Manchester from Professor of Physical Chemistry to Professor of Social Studies. He was a Catholic Christian. And he started writing about freedom and knowledge.

One of the ways to get wonderful things to emerge, he wrote, though I paraphrase, is to:

  1. set some boundary conditions
  2. let free agents do their stuff, freely, within the boundaries set.

It is (I think) classic liberal economics. It is also (as Polanyi taught), the driver of great science:

S]cientists, freely making their own choice of problems and pursuing them in the light of their own personal judgment, are in fact co-operating as members of a closely knit organization.

Such self-co-ordination of independent initiatives leads to a joint result which is unpremeditated by any of those who bring it about.

Any attempt to organize the group … under a single authority would eliminate their independent initiatives, and thus reduce their joint effectiveness to that of the single person directing them from the centre. It would, in effect, paralyse their co-operation

Michael Polanyi quoted, yes, in Wikipedia, which sort of proves the point.

I like this, a lot, because it is a rationale for freedom, not just in economics or science, and a rationale that goes beyond the idea that freedom is generally a nice thing to have. It is, given good guardrails, the way to get human societies to thrive and flourish further and wider than any single individual is capable of imagining or delivering. Being a herd, rather than being led by a demogogue, is our superpower.

Freedom looks inefficient, and slow, and awkward, and a roundabout way of getting things done– particularly if you like the idea of being in control. But it is not nearly so inefficient as the army.

Craftsmanship

Photo by Anne Nygård on Unsplash

Those of us who read the Bible in a year are probably deep into the Pentateuch by now, or just emerging from it. I’m not currently on a Bible-in-a-year scheme but I do now and again listen to our the audio one-year Bible that we downloaded from Audible, one of the better bargains on the site.

The passage I listened to recently was about the Israelites constructing the tabernacle in the desert. What struck me was the project scope and the ambition:

  1. The cost, all that gold, acacia wood and other precious metals and materials.
  2. The artistry, those carved cherubim above the Ark
  3. The craftsmanship: tongs, shovels, forks, basins, altars, tent-poles, curtains.

It was a national investment, costly in materials and time, built beautiful, and built to last. And it was the best they were capable of.

Every profession and trade that I can think of can be subject to loving, careful craftsmanship. Every profession and trade contains people whom other people in the same trade respect as excellent at their job.

This excellence is an option for all of us, I think. Even constrained by budgets and deadlines we can lavish craftsmanship into whatever it is we do. Even the traditional cry of newspaper journalism– I don’t want it good, I want it by 4:30— didn’t prevent journos from journalistic excellence.

Some things do get in the way of craftsmanship: bad management, for instance; repeated changes in project scope; a certain disrespect for the final customer; perhaps relentless cost-cutting; perhaps the sheer impossibility of doing a job to be proud of within the time and costs available; perhaps the pointlessness of the thing attempted. All of these things make for a mush of shoddy, of half-baked, of poorly constructed and badly finished products that we find ourselves swimming through every day.

Then we come across things that sit comfortably in the hand, that do their job perfectly, that take our breath away with their elegance, things done with great skill, and we think… beautiful.

And he carried me away in the Spirit to a mountain great and high, and showed me the Holy City, Jerusalem, coming down out of heaven from God … The glory and honour of the nations will be brought into it (Revelation 21:10, 26 NIVUK).

Alexei Navalny’s slow work

I was so shocked and saddened to hear of the death of Alexei Navalny. I thought, Mandela-like, he was going to survive prison and see the regime he opposed collapse around him. Not to be. But how brave, how slow, how peace-loving it was to return to Russia when he didn’t need to, and take his stand with determination and wit, retaining a sense of fun even if all around him was grim. This is the powerless frightening the life out of the powerful; President Putin could not evidently bring himself to utter his name.

It was quite something to discover that this Russia hero had a Christian faith. I’m grateful to blogger Diane Butler-Bass for this slightly redacted version of his testimony. (You can find more of her here, and I enjoy her weekly writing)

In prison, apparently, he used to pretend he was on a spaceflight–hence the discomfort–towards a new Russia, one that was Europe-like in its democracy and rule of law, but Russia-like in its history and greatness. He didn’t see it yet. Instead the call from his Lord was: ‘This day you will be with me in paradise’.

The fact is that I am a believer, which, in general, rather serves as an example of constant ridicule in the Anti-Corruption Foundation, because mostly people are atheists, I myself was quite militant.

But now I am a believer, and this helps me a lot in my work, because everything becomes much, much simpler. I think less, there are fewer dilemmas in my life — because there is a book (editorial note: the Bible) in which, in general, it is more or less clearly written what needs to be done in each situation. It’s not always easy, of course, to follow this book, but in general I try.

And therefore, as I already said, it is easier for me, probably than many others, to get involved in politics.

A person recently wrote to me: “Navalny, what is everyone writing to you: ‘Hold on, don’t give up, be patient, grit your teeth? Why do you have to endure it?’ I think you said in an interview that you believe in God. And it is said: ‘Blessed are those who thirst and hunger for righteousness, for they will be satisfied.’ Well, that’s great for you, then!”

And I thought — wow, this person understands me so well!

It’s not that I’m great, but I’ve always perceived this specific commandment as more or less an instruction for action. And so, of course, not really enjoying the place where I am, nevertheless, I do not have any regrets about coming back, about what I do. Because I did everything right. On the contrary, I feel such satisfaction or something. Because at some difficult moment I did as expected according to the instructions, and did not betray the commandment…

For a modern person this whole commandment — “blessed, thirsty, hungering for righteousness, for they will be satisfied” — sounds very pompous. People who say things like that are supposed to be, quite frankly, crazy. Crazy strange people are sitting there with disheveled hair in their cell and, therefore, trying to cheer themselves up with something. Although, of course, they are lonely, they are loners, no one needs them. And this is the most important thing. Our power, the system is trying to tell such people: “You are lonely, you are a loner.”

It is important to intimidate first, and then show that you are alone. Well, because what normal, adequate people adhere to some kind of commandment. The thing about loneliness is very important. It is very important as a goal of power. Excellent, by the way, one of the wonderful philosophers named Luna Lovegood said about this. Remember this was in Harry Potter? And talking to Harry Potter during some difficult times, she told him: “It’s important not to feel lonely, because, of course, if I were Voldemort, I would really like you to feel lonely.” Of course, of course, our Voldemort in the palace wants this too….

I don’t feel alone at all. And I’ll explain why. Because this construction — “blessed are those who hunger and thirst for righteousness, for they will be filled” — it seems somehow exotic, strange, but in fact this is the main political idea that now exists in Russia…

This is very important, despite the fact that our country now, of course, is built on injustice, and we are constantly faced with injustice. We see the worst kind of injustice — armed injustice. Nevertheless, we see that at the same time millions of people, tens of millions of people, want the truth. They want to achieve the truth, and sooner or later they will achieve it. They will be satisfied.

This is the truth, and you can’t argue against it. And sooner or later these people who want the truth will achieve their goal, they will be satisfied.

And the important thing that I want to tell you, and in your person, you, the prosecutor, in general, all the authorities and all the people, is that it is important not to be afraid of these people. And do not be afraid of those who seek the truth.

Alexei Navalny

Compounding

Photo by Edward Howell on Unsplash

My grandad was disabled because, as an 18-year-old, a month or two before the Armistice in the first war, he was gassed. He ended up losing a lung. All his life he had a mighty cough, and he never slept lying down. I knew him and look like him and apparently act like him.

Possibly he would have praised the power of compounding that meant his life was easier than his father’s. My great-grandad was bedridden with gangrene, cared for by his wife, in a small house with few luxuries beyond a piano. (There were not enough chairs, for example, so my grandad ate his meals standing up as a child.)

The compounding wealth and compounding technology had meant my grandad had a job and a comfortable home, all supplied by the council, and electricity and water and TV and a pension and holidays. The boy who’d run down the street when someone said, ‘Look, a car!’, grew to be the old man who watched Neil Armstrong step on the moon, and he was amazed and grateful for it all.

My memory of him is seated in his chair, by the coal fire, books by his feet, reading, reading (though not when we grandchildren were around when his sense of fun gave full rein). He was a keen socialist, and a Methodist preacher, and he belonged to that era when town councils and public funds supplied things for the common good–like libraries and education–and socialism and the welfare state sort-of worked.

Two generations on and what has compounding achieving? Economic compounding means welfare benefits are more generous and people’s means are on average greater. Technological compounding means I have computers and the internet, an electric bike and electric buggy, a pacemaker in my chest that supplies the heartbeats I need. Today we test drove a new car and I’ve recently joined a gym, whose machines adjust themselves to me, work out a fitness scheme, and lead me into it. None of this is merited. I have just floated on the rising tide of compounding: other people making little steps to make things good or better, to do things well, repeated and repeated and repeated.

Surely this points to the power of quiet revolution, of patient progress, of slow purposefulness. This tide is rising all over the world, subverted constantly by evil, but rising, rising.

The lube

Without it, the world grinds and splinters and crunches.

Photo by jonathan ocampo on Unsplash

Here’s a thing. I was reading one feminist criticising another and she accused her of being ‘joyless.’

It is a missing piece.

You can be campaigning for social justice, but if you’re joyless you’re a bit brutal.

You can be a brave single mum, but if you’re joyless, you’re just tired and hard.

You can be someone carrying heavy responsibilities and onerous duties but if you have not joy you’re just stressy and self-pitying.

You can be working hard for very needy people, but joyless, you’re not too attractive a person to be with.

Joy lightens loads and eases tensions. It makes smooth work of heavy work. Joy respects the opponent. Joy understands we’re all broken, all needy, all in pieces, only anything at all because we’ve been scooped up and smiled on and loved. Joy looks into the grimmness but isn’t itself begrimed. Joy peers into the depths of darkness but finds a spark.

Joy is the lube.

Hope valley

Photo by Felix on Unsplash

Hope Valley is a place, in the English Peak District, where our men’s breakfast group held one of our annual walking weekends.

It’s also an emotional space, a rather life-saving one. So much about our world seems never to budge. The wrong people are in jail and the wrong people are in palaces. Lives are snuffed out at a dictator’s whim. Armies clash, soldiers die, loved ones mourn. Shells blow futures to smithereens. Praying people pray and pray and nothing happens.

‘God,’ said Desmond Tutu (I paraphrase), ‘we know you’re on the side of the right, but couldn’t you make it a little more obvious?”The arc of history is long, but it bends towards justice,’ famously quoted Martin Luther King.

Perhaps I could be allowed to add: sometimes this arc of history seems very long, longer than scurrying our little human lives can bear. Many lives aren’t long enough to see the good arrive.

Nor does the arc always bend in entirely pleasing ways. Mandela became president of South Africa, a happy geometry. Not long afterwards he was followed by a thief who plundered the country, rather than built it, and then by a good person, but who has, by some accounts, yet to get a grip. So a bad thing was followed by a different bad thing (plunder) and then by another different bad thing (unmended brokenness).

That arc of history has non-linear qualities. It wobbles. Sometimes it veers in the wrong direction.

Which is why you need hope, and why, for now, it’s a valley.

Thanks to hope we can know that the arc will be tamed someday, that symmetry will be restored.

That the arc will come to rest on a mountaintop.

The short-cut: a little frisson of freedom, soon disappointing

Here’s St Augustine, who, I’m realizing, did for Christian thought in the City of God roughly what Newton did for physics in the Principia Mathematica.

St Augustine is out to get you. Photo by Dan Gold on Unsplash

This starts being about pears, and is from Augustine’s Confessions. You have to take a slightly deep breath, but if you come out from under it, it’s worth keeping going.

A pear tree there was near our vineyard, laden with fruit, tempting neither for colour nor taste. To shake and rob this, some lewd young fellows of us went, late one night (having according to our pestilent custom prolonged our sports in the streets till then), and took huge loads, not for our eating, but to fling to the very hogs, having only tasted them. And this, but to do what we liked only, because it was misliked. Behold my heart, O God, behold my heart, which Thou hadst pity upon in the bottom of the bottomless pit. Now, behold, let my heart tell Thee what it sought there, that I should be gratuitously evil, having no temptation to ill, but the ill itself. It was foul, and I loved it; I loved to perish, I loved mine own fault, not that for which I was faulty, but my fault itself. Foul soul, falling from Thy firmament to utter destruction; not seeking aught through the shame, but the shame itself!

So I think what he’s saying is that he and his fellow lewd young fellows, after scandalously playing in the streets, ransacked a pear tree: not because they needed the pears, but just for the fun of it. But why? after a few more paragraphs, he tells us:

I might mimic a maimed liberty by doing with impunity things unpermitted me. 1

So: he knows the rules. But he tastes a kind of freedom by breaking the rules. It’s a ‘maimed freedom’. But it’s still a kind of freedom.

This is so true about everything and sits exactly at the dividing line between the short-cut and the slow. Rule breaking feels like the way to get stuff done. ‘Move fast and break things’ is now a Silicon Valley cliche. But (according to Augustine), the result is ‘a maimed freedom’.

In my younger days I watched two people I know well each make a large amount of money by starting their own businesses. (They didn’t know each other.) I observed that both broke the rules to get where they did. It would complete the narrative arc if I were able to say that both now regret it. I can’t. I’m not sure they do regret it, though each has changed focus somewhat.

But I do think that all the times we let our greed and impatience get the better of us, as I do, we invest in a maimed freedom, not the real thing. And my mate Augustine backs me up.

The quiet revolution in the churches (part 2)

Photo by Bikash Guragai on Unsplash

This is something fascinating going on in Britain (and, I suspect, in the rest of Europe and the Western world):

  • Society is relying more on the social contribution of churches
  • Church attendance is declining
  • Churches are discovering that social action, church growth and discipleship belong inextricably together, and together open the way forward for a season of fresh growth, relevance and impact for the Church.

It is a quiet, slow-burn, patient revolution, my favourite type. It is not centrally organized, but spontaneously has arisen all over the nation. It developed through a decade of austerity and was shocked into further action by the pandemic. I think in a career of observing church trends in the UK, it is the most encouraging thing I have ever seen. It builds on and with other trends in the UK that have moved the needle: the rise of beautiful worship; the flourishing of the alpha course; the development of church-planting churches, networks and movements. There is probably a bunch of dying that the Church still needs to do, but perhaps for the first time in a generation, or longer, there are railway tracks heading into a bright future, and the Church is riding on them.

Here’s a quote from a report produced by the Theos thinktank in 2020, just as the worst of the pandemic was being felt:

Over the past decade, the contribution that the Church of England makes to society through its social action has increased, reflecting an increase in the demand and expectation for it. At the same time, church attendance in the country has continued to decline; by most key metrics, attendance at Church of England services fell between 15% and 20% from 2009-2019. This is the paradox facing the Church of England in 2020: the national church of a nation which is increasingly reliant on its social action and yet less and less spiritually connected to it. 1

The report noted that ‘the Church grows in number and depth when it is present in and connected to its local area, which may be manifested through its social action.’ Its longevity and presence make it well placed. Hospitality and generosity are significant. And ‘participation in social action can also offer a practical route into faith for people who weren’t previously part of the church community.’2

Exciting stuff. And it doesn’t involve massaging church statistics until something positive is squeezed out. It’s everywhere. I see it in the Christmas letters I receive from friends. I see it in my own church which, in other ways, is not exactly a picture of glowing health. I see it elsewhere in Cambridge. And I read it in reports like this one.