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NYC Psychotherapist Blog

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Showing posts with label positive thinking. Show all posts
Showing posts with label positive thinking. Show all posts

Tuesday, November 15, 2022

What is Toxic Positivity?

While there are many benefits to positive thinking, including stress relief and increased resilience, toxic positivity is harmful.   

Toxic positivity rejects difficult emotions with an attitude of "good vibes" only.  It aims to present a facade of inauthentic cheerfulness. 

Rather than allowing yourself or others to acknowledge difficult emotions, you invalidate these experiences with toxic positivity (see my articles: What is Emotional Validation? and What is Self Validation?).


What is Toxic Positivity?

Toxic positivity only allows for positive emotions at the expense of your true emotions.  Over time, when you engage in toxic positivity, instead of being genuine, you create a false self (see my article:  What is a False Self?).

Signs of Toxic Positivity
  • Minimizing or dismissing your own experiences or the experiences of others
  • Denying genuine emotions such as sadness, anger, grief, feelings of loss or helplessness or other challenging emotions
  • Shaming yourself or others for having difficult emotions
  • Wanting to feel only "good vibes" all the time
  • Feeling guilty for feeling difficult emotions
  • Being intolerant of difficult emotions
  • Feeling the need to be constantly busy in order to push down difficult emotions (see my article: Are You "Keeping Busy" to Avoid Painful Emotions?)
And so on.

Examples of Toxic Positivity
Toxic positivity can take many forms.  The following examples are just a few of the things that people say to themselves or to others, which are often meant to be helpful but which minimize, dismiss and invalidate genuine emotions:
  • Death of a Loved One: Going through grief after the death of a loved one is a normal experience (see my article: Allowing Room For Grief).
    • Invalidating statements include:
      • "You shouldn't feel sad." 
      • "She's in a better place."
      • "He wouldn't have wanted you to be so sad."
      • "It's been six months. Why are you still so sad?"
  • Breakup of a Relationship: Ending a relationship, even one that was unhealthy, is a loss and it's important to acknowledge and work through that loss (see my article: 7 Reasons You Might Be Struggling With a Breakup).
    • Invalidating statements include:
      • "You're better off without him."
      • "Why are you so sad when you were the one who broke up with her?"
      • "Just get back out there and find someone else."
      • "The best way to get over someone is to get under someone else."
  • Loss of a Job: The loss of a job, even a difficult job, is still a loss (see my article: Job Loss and Loss of Identity).
    • Invalidating statements include:
      • "Look at the bright side. Now you don't have to deal with your difficult boss."
      • "Cheer up. It's not the end of the world."
      • "It's only a job. No one died."
      • "It's not as bad as it seems."
      • "Look for the silver lining. Now you have more time to relax."
  • A Serious Medical Diagnosis: Getting news about a serious medical diagnosis can be frightening (see my article: Serious Medical Problems Can Change the Way You Feel About Yourself).
    • Invalidating statements include:
      • "Stop complaining. Other people have it much worse than you."
      • "Stop worrying. Just be positive."
      • "Don't make a mountain out of a mole hill."
      • "Stop being so negative."
      • "It will all be okay."
  • Coping With a Traumatic Experience: Reactions to trauma are unique for each person. What might not be traumatic for one person--even someone from the same family--might be traumatic for another (see my article: When Your Traumatic Past Lives on in the Present).
    • Invalidating statements include:
      • "You think that's traumatic? When I was a kid, I had it much worse."
      • "It's all in your head."
      • "Stop being so negative."
      • "I thought you were stronger than that."

Next Article:
In my next article, I'll discuss the harmful effects of toxic positivity and how to avoid them: Why is Toxic Positivity Harmful?.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapy).

I work with individual adults and couples (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or Josephine Ferraro, LCSW - NYC Psychotherapist.








Thursday, November 30, 2017

The Mind-Body Connection in Psychotherapy: Looking Beyond the "Happy Talk"

While I believe in positive psychology and optimism, over the years, I've seen too many psychotherapy clients who use positivity as a defense mechanism.  In other words, they only focus on the positive aspects of their life and avoid dealing with serious emotional problems  (see my article: Are You Using Your Idea of "Positive Thinking" to Deny Your Problems?).

The Mind-Body Connection: Looking Beyond the "Happy Talk" to Underlying Emotional Issues

When people only focus on the positive aspects of their life, not only do they avoid thinking about their problems, they also avoid taking action to try to change their problems.

There's often a fear of dealing with unpleasant aspects of their life, so they'll say that everything is "fine" and everything about their childhood was "great."

In the meantime, it takes so much psychic energy to maintain this defensive attitude that it often leaves people feeling mentally and physically exhausted.  And underneath it all, they feel miserable, but they just can't admit it to themselves or, initially, to their therapists.

The people who avoid their problems aren't delusional--they're in denial--and their unresolved problems manifest in other ways: insomnia, headaches, backaches, muscle spasms, excessive drinking, drug abuse, compulsive gambling, and so on.

They're often so busy "looking on the bright side" that they don't want to see other areas of their life that are falling apart.

Aside from avoidance and denial, part of the problem is our culture's infatuation with positive thinking.  For more than 50 years, we've had dozens of books on "how to be happy" and "choosing happiness" that many people develop unrealistic ideas of how their life should be.  They think they're supposed to be happy all the time and if they're not, something must be wrong with them.

Fictional Vignette:  The Mind-Body Connection: Looking Beyond the "Happy Talk"

Edna
Edna came to therapy because she was having problems sleeping.

The Mind-Body Connection: Avoiding Problems Can Cause Insomnia and Other Physical Problems

She told her therapist that she wanted to learn mindfulness meditation so she could de-stress at the end of the day, and she chose her therapist because she had an expertise in mindfulness and the mind-body connection.

One of the first things that her therapist noticed during the initial psychotherapy consultation was that Edna was stiff.  She sat rigidly at the edge of the couch with her hands tightly clasped, eyes wide open, and a rigid, tight smile on her face.  She was also clinching her jaw.

When her therapist asked her about her family history, Edna brushed this off saying that she had a "great" childhood and she didn't see any reason to dwell on her family history.

When the therapist told her that they didn't have to dwell on her family history, but it's customary to get basic information about the family, Edna reluctantly agreed to talk briefly about her family.  Then, she seemed to flounder for a few minutes, finally asking, "What do you want to know?"

Her therapist told her that she would like to know about her relationships with her parents and her siblings, how they got along, if there were any significant events when she was growing up that impacted her, and so on.

Edna thought for a moment, and then she said that she got along well with her parents while they were both alive, and she also got along with her older brother.  Her father died when she was nine "...but I got over that," and her mother and brother were still alive.

When her therapist asked her how she got over her father's death, Edna told her that she, her mother and brother "just put it behind us and we went on with our lives."

Although Edna continued to smile, her eyes were welling up with tears and she was grasping tightly to the sides of the chair.

Since this was the initial consultation, her therapist noted Edna's reaction to herself, but she didn't press her about it.

Edna went on to say that she has had a "very happy life" and it would be "perfect" if only she could overcome her problems with insomnia.  This is why she wanted to learn mindfulness meditation in therapy because she tried it on her own and she couldn't focus.

During the next few sessions, her therapist guided Edna through mindfulness meditation, but Edna continued to have problems focusing.  She also got headaches, neck pain, and backaches during the meditation and she got spasms in her right arm.

The Mind-Body Connection: Looking  Beyond the "Happy Talk" 

Edna told her therapist that she would frequently have these physical problems and her doctor told her that there was nothing medically wrong with her.  He suspected that these physical problems were psychological and possibly related to stress.  But Edna discounted this and told her doctor that her life was "wonderful" and she wasn't under any particular stress, nor did she have any psychological problems.

Her therapist asked Edna if she would be willing to try a hypnotherapy technique called the Affect Bridge where clients sense into their physical and emotional reactions to see what comes up (see my article: The Body Offers a Window Into the Unconscious Mind).

Edna told her therapist that she would be willing to try it, but she doubted that anything in particular would come up.

Using the Affect Bridge, her therapist asked Edna to sense into the tightness in her jaw and go back to  the earliest memory she could remember that was related to this physical sensation.

After a couple of minutes, Edna's jaw began to quiver and tears rolled down her face, but she seemed totally unaware of her emotional and physical reactions because she told her therapist that nothing came up for her.

When her therapist pointed out to Edna that her jaw was trembling and tears were streaming down her face, Edna seemed surprised.  She appeared to be cut off from these sensations.

Although she couldn't associate any particular memory with her physical and emotional reaction, she realized that she was feeling a little calmer--as if something in her had been released.

Her therapist recognized that the work would be slow because Edna was defending against feeling her emotions and physical reactions, and going too fast would be overwhelming for her.

When Edna returned for her next session, she said she slept better after their last session and that hypnotherapy technique, the Affect Bridge, seemed to help her--even if she didn't understand why.  So, she agreed to continue to work with the Affect Bridge.

Edna made slow and steady progress in therapy, although she continued to maintain that there wasn't anything in particular, other than her sleep problem, that was affecting her.

During that time, she was assessed in a sleep lab, and she was told that she didn't suffer with sleep apnea and there weren't any other medical problems that could explain her sleep problem.  The sleep specialist recommended that she continue to attend her psychotherapy sessions.

Over time, using the Affect Bridge, Edna began to identify an emotion that was associated with the stiffness in her jaw:  Anger.

This surprised Edna, "I can't imagine where that came from.  I don't have anything to be angry about."

Although she couldn't identify anything that she was angry about, she said that she could sense the anger in her jaw as well as in her throat and neck.

When they focused on her throat, Edna said she felt a tightness in her throat as well as tears behind her eyes.

Although this was a little frightening for Edna, she becoming more psychologically minded in therapy and she was curious as to where all of this would lead.

As usual, her therapist told Edna at the end of their session that if she remembered any dreams, she could bring them in.  Usually, Edna would say that she never remembered her dreams.

But the following session, Edna came in and she looked upset.  She told her therapist that she had a dream the previous night that disturbed her.  Her therapist asked her to tell the dream in the present tense as if she was still in the dream.

The dream was about her father on the day that he died.  He never had any health problems, but he had a sudden heart attack when Edna was 10, and in the dream she was telling him not to leave her.  As a 10 year old, she believed that if she prayed, he would be all right, but he never recovered and he was pronounced dead on arrival at the hospital.

Edna said that when she woke up from the dream, she was clinching her jaw and her jaw hurt.  She also realized when she woke up that she was crying in her sleep.

As they talked about the dream and how close it was to what actually happened 20 years ago when her father died, Edna told her therapist that she thought she had "put all of that behind me."

Even talking about the dream was disturbing to her but, by the end of the session, she was feeling calmer.  And when she came back the following session, she reported sleeping better that whole week.

Reluctantly, she acknowledged that it was obvious to her that she had never mourned her father and she was still holding onto a lot of grief.  She was also still angry about her father leaving her and that her prayers for his survival went unanswered.

Edna told her therapist that when her father died, there was no one to talk to about it.  Her mother and older brother refused to talk about it, and the other family members told her that she needed to "move on" and focus on her studies.  Now, looking back on it, she realized how ridiculous it was for her relatives to tell a 10 year old this, and she felt angry about this too.

Edna said that, in the past, she thought that if she just focused on being positive, doing affirmations, and remained goal-oriented and motivated that she would have a sense of well-being, but it was clear to her now that her body and her dream were trying to tell her something else.

Edna was now ready to accept that her insomnia and other physical symptoms were connected to trauma related to her unresolved grief.  She was now willing to listen to her therapist talk to her about the connection between the mind and the body and to work on her unresolved trauma.

Conclusion
Anything can be used as a defense against feeling uncomfortable emotions, including positive thinking, positive psychology and affirmations.

There's absolutely nothing wrong with positivity and affirmations.  The problem arises when people use positivity to avoid their problems.

This avoidance is usually due to fear of dealing with the problems and develops into denial.

When clients avoid dealing with their problems, especially unresolved trauma, these problems can manifest in physical ways (as seen in the fictional vignette above).

If clients are fortunate enough to have a medical doctor who rules out medical problems and understands the mind-body connection, the doctor will recommend psychotherapy.

There are certain mind-body therapy modalities, like the Affect Bridge in hypnotherapy, that can help clients to tap into physical sensations to understand the underlying issues.

When clients have a good therapeutic rapport with their therapist, they are usually more willing to be curious and explore the underlying issues.

When underlying traumatic issues are identified, a trauma-informed therapist can help the client to work through these issues.

Getting Help in Therapy
Fear and denial can be very powerful.

Sometimes, when people are very emotionally invested in believing that they only need positive thinking or positive affirmations--to the exclusion of dealing with underlying problems--they blame themselves when positivity isn't enough to make them feel better.

A skilled trauma-informed psychotherapist will work in a gentle way to help clients to overcome their fear and denial so they can eventually work through their underlying trauma.

If you have been feeling stuck and you think you might be avoiding dealing with emotional problems, you could benefit from seeking help from a skilled psychotherapist.

Rather than suffering on your own, you could free yourself from your traumatic history so you can lead a healthier, more fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I have helped many clients to work through psychological trauma so they can move on with their lives.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.







































Monday, November 3, 2014

Psychotherapy Blog: Are You Using Your Idea of "Positive Thinking" to Deny Your Problems?

As a psychotherapist, I'm all for people having a genuinely positive attitude about themselves and life.  I think that people who have a genuinely positive attitude, especially people who can reframe unfortunate things that happen to them as being meaningful, tend to be more resilient.

A Genuinely Positive Attitude About Life Can Help You to Be Resilient

While positive thinking can be a valuable tool to deal with life's challenges, using positive thinking to deny your problems is just another form of denial and is counterproductive (see my article:  Changing Coping Strategies That No Longer Work For You: Avoidance).

Using "Positive Thinking" as a Form of Denial and Avoidance

Over the years, I've seen many instances where psychotherapy clients use their idea of positive thinking as a form of denial, which keeps them from acknowledging and being proactive about their problems.

Rather than acknowledging and coping with their problems, they use their version of positive thinking to deny that they have problems or that they need to be proactive.

For many of them, it's as if acknowledging that they have problems makes them a "negative person," which, understandably, they don't want to be.

"Putting on a Happy Face" Doesn't Help When You're Life is Falling Apart

But "putting on a happy face" while your personal or work life is falling apart doesn't help.

No one would expect you to tell everyone you know about your problems.  But so many people come into therapy and, instead of being honest with themselves, they want to learn how to be "positive" in order to avoid coping with problems.

This isn't what adherents of positive thinking had in mind.

The following composite scenario is an example of how the idea of positive thinking can be used as a form of denial:

Ted
When Ted came to therapy, he said he wanted to learn to be a more positive person.  He felt that if he could learn to be positive, he wouldn't feel so filled with "negativity."

After hearing about his personal life, I could understand why Ted was feeling so badly:  He was burdened with high debt, and not only did he stop opening his mail, he also avoided taking the collection calls to his home phone.  He was heading down a slipper slope without even realizing it.

He felt that all he needed to do was to be positive and "the universe would provide."

When I inquired as to what he thought he could do, aside from whatever the universe might or might not provide, he didn't know what to say.

It became clear rather quickly that Ted's problem wasn't that he needed to be positive.  His problem was that he wasn't being realistic.  Instead, he wanted to pull the covers over his head, avoid dealing with his problems, and hope that "positivity" would take care of things.

In other words, Ted was so frightened by his problems that he only wanted to find a magical solution, like being positive, to make everything all right in his life.

Are You Using Your Idea of "Positive Thinking" to Deny Your Problems?

As Ted continued in therapy and we began to explore the difference between being confident and resilient while taking action to resolve problems  vs. just trying to be "positive," being passive, and hoping that his problems would disappear.

As time went on, Ted began to see that his fears were paralyzing him, and he wanted to take flight into a magical world where he could delude himself rather than being proactive and taking steps to deal with his problems.

As is often the case, Ted's fears stemmed from childhood memories of his family struggling to keep their heads above water financially.  This family history and the emotional trauma that went with it left their psychological marks on Ted.

Over time, Ted was able to work through his childhood trauma so that it no longer got triggered in his current situation.  This took time.

At the same time, he began to take steps to deal with his financial problems:

  • He hired an attorney to help him negotiate with his creditors.  
  • He went to Debtors Anonymous, a 12 Step program for people who spend compulsively and get themselves into debt.  
  • He also continued to come to his therapy sessions regularly.

As he took steps to deal with his problems, he felt reinforced and empowered to take additional steps.

This work wasn't easy or fast because Ted's sense of denial as well as his fear were strong.  There were times when he still longed for a magical solution to make all his problems go away.

This wish was understandable.  Would we all wish that someone could wave a magic wand and make problems go away?

The difference lies in seeing the wish for what it was.  In Ted's case it was a childlike wish from a time when he was younger and felt overwhelmed by his family's problems.

As an adult, when he felt gripped by this fear, he felt that all he needed to do was to recite affirmations and "be happy," and his problems would take care of themselves.

Whenever he would backslide, we would talk about whatever was getting triggered in him from the past and work through that issue.

Each time that this happened, we would explore what was underlying his magical wish, work through it, and then Ted would continue to make progress.

At the same time, instead of berating himself for having the wish, Ted learned to develop self compassion for the younger part of himself that was holding onto this wish.

Although he was learning in therapy to be compassionate for that younger part of himself, at the same time, he was also learning not to allow that younger part of himself to be in charge.

He learned that the adult part of himself had to be in charge at the same time that he acknowledged the hurt and pain of his younger self.

Progress in therapy is usually not like a straight arrow that begins and keeps going straight forward.

Progress is usually more like a spiral with two steps forward and one step back.  This is part of the therapeutic process.

Over time, as Ted learned to cope with his fears and to take action, he realized that he was feeling genuinely positive about himself.  His positive feelings were no longer a defense--they were real, and they were based on his experience of being proactive, feeling capable, and taking care of himself.

As Ted became more confident in himself and his ability to deal with his problems, he saw the real power of being positive.

Getting Help in Therapy
Understanding that the "power of positive thinking" doesn't mean being passive or hoping that something external will resolve problems is often a difficult concept for people, who use this defense mechanism, to see because the wish for something magical is so strong.

Without the help of a licensed mental health professional, people who use this defense mechanism often double down and think they just need to "try harder" to make positive thinking work for them.  But, in the meantime, their problems, left unattended, get worse.

Getting Help in Therapy

If there are times when you can see that you're using your idea of positive thinking as a way to avoid dealing with your problems, you could benefit from working with a licensed mental health professional who can help you work through the fears underneath your denial.

A licensed mental health professional can also help you to learn to be compassionate with yourself so you can start being proactive to overcome your problems and feel genuinely positive about yourself.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

To find out more about me, visit my website:  Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.