Showing posts with label life and death. Show all posts
Showing posts with label life and death. Show all posts

Sunday, 8 November 2015

Who am I and why am I here?

Ah, the good old existential crisis rears its head. Suddenly the world does not make sense. The beliefs that you build your world upon are shattered and you find yourself questioning everything. This can creep up on you slowly or smack you in the face.

This can happen for many different reasons. Death touches your life, the betrayal of someone close, being let down by someone you trusted and valued, the moment where you wake up in the middle of the night and realise you cannot breathe because you are only existing and not living. It can happen because of a lie or a truth you uncover, it can be other people’s unfathomable behaviour, it can be a traumatic event or an everyday pattern.

Something bewilders us, confuses us, dumbfounds us and suddenly, the world does not make sense. The very core of our being stumbles upon a shifting surface as we flail desperately for something solid to cling to.

“Every person must choose how much truth he can stand.” Irvin D Yalom, When Nietzsche Wept

What do we do with this? The human mind and its meaning-making instinct will do a number of things with this. We can develop a seemingly robust system of cognitive dissonance where we find a deep dark chasm of our minds to launch those messy things which do not fit with what we believe and we carry on our lives as though they never existed. This tends to have the effect of ill-fitting underwear. It is slightly uncomfortable, but bearable. Over time, the chaffing can become more than an irritation or an inconvenient thought, it can become unbearable. The box we put things in begins to spill over.



We might also just develop a new set of beliefs. Ah, this is how to make sense of the world. It’s because of…if everyone would just do this…then the world would work better. And as a shortcut, we might just use the clichés and banal little greeting card sayings that get plastered up on facebook or so easily drool out the mouths of the masses. After all, that’s much easier than thinking for yourself, isn’t it?

“One should not search for an abstract meaning of life. Everyone has his own specific vocation or mission in life to carry out a concrete assignment which demands fulfilment. Therein he cannot be replaced, nor can his life be repeated. Thus, everyone’s task is as unique as is his specific opportunity to implement it.”   Victor Frankl, Man’s search for Meaning.

It could be said that this place of uncertainty, not-knowing the answers, of not being able to come up with logical rational explanation for what is going on, is the most uncomfortable place a human being finds themselves. I think this is true. I also think that this is magical place of opportunity where pain and grief and hurt and anger and disbelief can be transformed into something else.

But transformation is not some nice neat comfortable process. Because sometimes things cannot co-exist. Sometimes one thing has to die for another to live. This is also true of ideas, thoughts and beliefs. When you are writing, you must choose one word over another, you have to let some go. And you always, no exceptions, begin with a stark white blank page. Somehow that gets transformed into something else.


As we, moment-by-moment, write the story of our lives, there will always be blank pages, words which have to discarded, characters who are painfully sliced away. The end product is beautiful, unique, sometimes bizarre, sometimes tragic and painful, sometimes hilarious and often, so very often, sometimes does not make sense – until the final word.

Dr Murphy - signing off

Sunday, 8 June 2014

Defying death - bring it on

Ouch. Someone hit me where it hurts, metaphorically, this week. All this prevention stuff you do, does it really work? Getting a hobby is not going to stop you from feeling like you want to die. Erm, no it’s not and the really honest answer is, I can't answer that. Yes, that’s right, I don’t have all the answers. And I had another great blog post all ready to go, but this feels important. Okay, so this challenge is somewhat over-simplified and it would take more than 140 characters in twitter to answer. In fact, more than this blog post, as part of the answer can be found in the culmination of thousands of research papers and the work of many passionate, dedicated organisations and individuals.

Can we count how many people didn’t die by suicide? Can we count how many people didn’t die of anything? Any prevention effort for mental or physical health is targeted, based on statistics and demographics and research, but you cannot with absolute certainty say that one particular thing prevented someone from doing something. Starkly, the answer to whether or not something works in suicide prevention is a matter of life and death. The person is either still alive or they are not.



Think of all the factors that lead to someone thinking about suicide. It is never just one thing, so it is unlikely that just one thing will help. Although there is a tipping point in both, and it’s on that precipice while the scales are still tipping back and forward that one small, tiny thing can change the tipping direction. It could be a kind word or smile – someone actually noticed me today. It could be a moment of revelation in therapy – suddenly I have clarity. It could be someone showed compassion – I am worth something. Anything that helps someone to believe that they are a worthwhile human being in the midst of their descent into the black hole of suicidal thinking, could be the lifeline that they need.

It is my hunch, from many conversations about suicide, that it is the big things in life that make people want to die. No one ever comes to the decision to take their life lightly and without thought and turmoil and pain. Big things like devastating loss, overwhelming sadness, paralysing fear, life-changing events. And it is the smallest things that make it possible to keep living. No matter how small and fragile that life force is, it has more power than death can ever have. Even in the blackest darkness a tiny pinprick of light has an impact and becomes a magnet for our attention and for our hope.

"Hope is the thing with feathers, that perches in the soul. And sings the tune without the words, and never stops - at all"      Emily Dickinson

So, if you ask me what makes a difference, I am inclined to say – something, anything – anything except nothing. If we do not reach out, people will die. Of course we have fantastic evidence-based interventions. Let’s have some more of that please. And also, no matter how difficult and uncomfortable and scary it can be, let’s keep talking about suicide. This is literally death-defying work.

If you’ve noticed that I have steered clear of statistics and quoting research papers, well done. It’s deliberate. That is not what this blog is about – there are many others out there doing exactly that, and doing it incredibly well. This blog is simply what I think, which has been influenced by too many people, books and academic papers to list. What comes out this end is my own process in making sense of it all.

Dr Murphy – signing off. Maybe something lighter next time…like shame, maybe?