What Anger Makes Us

Trail near The Lodge at Whitefish Lake, Whitefish, Montana

Dear Readers,
I wish you all the curious, thoughtful, open, and loving friends like I have!
The same person I mentioned in “What Does Love Make Us?”, Sean, helped inspire this post tonight, coaxing insights to emerge just by being his curious, thoughtful, open, and loving self. Earlier I wrote a brief list of what I think love makes us:
Vulnerable. Courageous. Powerful. Forgive. Willing. Selfless. Grow. Better.

So what does anger make us? A dichotomy emerged in conversation today:

Adversaries
We see it everywhere: Rage poured forth, one person onto another, groups against each other. It’s us against them, no question, no nuance, no reflection, ‘no quarter.’ Yikes.

It’s understandable, of course, and sometimes even justified, this adversarial mindset and approach to the opposition, ‘the enemy’. Longstanding experiences of socially accepted marginalization, dismissal, and oppression fester and seethe, then spew forth like pus under pressure. As with any abscess, lancing that pent up wrath relieves pain, even as the initial incision stings momentarily.

Then we ‘go to war,’ as some might say. We ‘fight’. We take both an offensive and defensive stance, we weaponize our words, and we make all the worst assumptions of those we pre-judge as against us. We close our minds to alternative perspectives, plow forward with agendas that we believe can only be achieved by vanquishing all who resist. Even if our mindset is not this extreme, we risk sliding down that slippery slope. Abstraction and dehumanization of anyone ‘on the other side’ happens all too easily, my friends, and the louder the adversarial voices around us, the more pressure we feel to follow suit.

Where and what does this get us?

Looking back on my own life, on policy and human history, I can think of few tangible examples where the adversarial approach has benefited us, individuals and the collective alike, in the long run. And when it does, the costs are extraordinarily high, often borne by those with the least power or choice. Death, destruction, trauma, and lives irrevocably shattered–the adversarial route of anger scorches the earth.

Advocates
I have a friend who exudes rage and has suffered relationship and reputation damage from it. It makes me cringe because I understand the origin of their anger as protectiveness, righteous outrage on behalf of others, and a belly full of fire to do good.

I have also witnessed them advocate for their causes with diplomatic, almost loving assertiveness toward total strangers. They are bold but respectful, strong and friendly, a force of nature, like a stiff wind that envelopes and nudges you firmly but not forcefully from behind, getting you to where you might have been going just a little faster and with more urgency. People receive their words and advocacy with openness, curiosity, and a willingness to consider action; how often do you see interactions like this?

In January I wrote “Tested and Called“, feeling angry and a little hopeless after Alex Pretti’s murder by border patrol agents. It was my first documented “DIY pep talk“, I see now. I wrote about anger and courage, ‘hope’s two daughters.’ I reminded myself that in the face of all that makes me angry, I can and must continue to show up and ‘fight’ for things and people I care about. Better writers than I have made the distinction between fighting for and fighting against. It’s a subtle attitude shift that matters.

Fighting against–being adversarial–too easily devolves into ad hominem and caustic division: name calling, shaming, othering, dismissing, dehumanizing, and even violence. The external focus and negative energy depletes us, and when we see little to no progress we burn out. Fighting for, or advocacy, on the other hand, carries a light from within, an intrinsic motivation of renewable energy, fostered and amplified when any progress is made. Advocacy attracts allies, grows a movement, and creates sustained and sustainable change agency.

The language of advocacy centers the cause, not the opposition. It informs, educates, inspires, and empowers. Advocacy demands accountability of the systems it seeks to change, as well as its own advocates themselves. The strongest and most effective advocates strive always to walk the talk.

I have written this blog for eleven years. Surely there are posts that I would not write, or write differently, today compared to when they were published. Information evolves, and I along with it. My attitudes and opinions change with age and experience. But I can stand with confidence by the intent of every post here as non-adversarial advocacy of some kind–even when the execution misses the mark. I look for others with a similar ethos, especially in medicine and science.

Whom do you admire for their non-adversarial advocacy?
What good do you see them doing in the world?
How can we amplify them?

Below are Instagram accounts that I follow for their strong advocacy in the face of threats to the integrity of our scientific and medical institutions. Some of their posts verge on adversarial, but for the most part I perceive an earnest, professional, and evidence-based mission to protect public safety. And of course I think of Braver Angels and Builders for their work to bridge division and move us away from adversarial political engagement.

Lastly, apologies for this second delayed post–life! Quality time with Son and Daughter, both home from college, took precedence over sitting at the laptop. Worth it! May we all have such meaningful and fulfilling choices to make!

Fired But Fighting

Illinois Department of Public Health

Stand Up For Science!

American College of Obstetricians and Gynecologists (ACOG)

DogGlauc: Will Flanary, MD

DIY Pep Talk

“Wait, I have mantras for this!”

How are you affected by anxiety, rumination, or otherwise tenacious yet counterproductive thoughts and feelings in life? Many of us lose sleep. We lie awake, before falling asleep or having awoken at night, or both. I talk with patients about this regularly, a common problem that manifests for each of us in our own unique way.

Recently a patient mentioned it to me during a routine visit. After decades of stress-induced insomnia of various causes, there was a sense of placid acceptance in his tone and posture, and also hope that he may still find a way to overcome. He listed some prior life stressors, none of which had turned out nearly as badly as he had ‘unncessarily worried.’ He said when he remembers this, he is able to de-escalate in general, but it doesn’t necessarily help him at night. Since meeting me he had also been practicing box breathing to relax and calm his nervous system, which sometimes helps him sleep. So we agreed he could try to combine the two when insomnia hits: Breathe intentionally and rhythmically while repeating a reassuring, de-escalating mantra of his choosing. I’m excited to hear how this goes for him.

For some months I had been ruminating on and off about friction in a longstanding relationship. I journaled, spoke to multiple friends, and also lost sleep, which happens to me rarely. I entertained exiting the relationship altogether, but that was neither justified nor productive. I saw it as a personal challenge to walk my talk of showing up, sticking with it, and being my best relational self, despite feeling unappreciated and disrespected. What other story could I tell about this person and our relationship? The day before an upcoming encounter I felt almost squirelly from anticipation and ambivalence about how to approach the meeting. Then it hit me: I have mantras for this.

  1. I’d rather regret being too kind than not kind enough.
  2. Strong back, soft front.
  3. Do no harm, take no shit.

And just like that my conscience cleared, fight or flight turned off, and dread transformed into optimistic anticipation. I marvel still at how I recite my mantras everywhere to patients, on this blog, in social media posts and comments–I have even made stickers of them–and yet they escaped me when I needed them in a period of distress. I am all about relationships and yet this one flummoxed me–significantly. The mantras saved me–better late than never, and even better just in the nick of time!

I can neither prove nor disprove, but I tell the story that because I presented with honest equanimity and humbly confident professionalism, the encounter went smoothly. The relationship might even have improved? …I can’t say. I think I generally show up this way by nature and practice, but this time I had to talk myself into it. So I wonder, in all these years of friction (at least on my side) in this relationship, how much was actually mine to own, or in my imagination? This dynamic is definitely an outlier, so I don’t want to fixate on it; yet sometimes the exceptions point to areas of deeper potential insight and learning, no? Regardless, I’m grateful for how this episode has illuminated a new awareness for me and sharpened my attention to my own default attitudes and assumptions.

So what are your DIY pep talk methods? How did you come across them and why do they work so well? What mantras hold you up?

Happy Sunday, friends. Have a great week!

Recipe for Friendship

At Loba Pastry and Coffee in Chicago: “Honey ~Squiggle~ Things” and “Fancy (ask for flavor)” pastries. It doesn’t matter what you get here, friends. You simply cannot go wrong.

Happy 19th day of National Card and Letter Writing Month!
Happy 11th Anniversary to Healing Through Connection!
Happy 100K+ total views on this blog in these eleven years–and thank you to all the humans who have viewed, commented, and followed all this time!

Today’s NCLWM prompt is Recipe. What is your recipe for deep, meaningful friendship?

Last weekend I communed with Phara, Christine, Heather, and Grant.
This weekend it was Donna, Jacob, Amber, Kasey, Troy, and James.
Holy cow, I am the luckiest person in the world to know so many amazing people and have the privilege to call them friends.

Donna cut through months of circular rumination and clarified the core of my mental and emotional struggle with one particularly vexing patient relationship. She and Jacob both helped me solidify ideas, structure, and themes for Book. Amber taught me about her generation at work and what it means to be a software engineer. And Kasey, Troy, and James just filled my tank the way they always do–sitting at brunch with them today made me wonder about and attempt to articulate my own Recipe for Friendship:

Ingredients:
–1 frontal lobe for Openness – enough to be willing to meet someone new
–1 or more Shared Interests – things over which we bond, in which we can grow together
–Many scoops Attention – each to the other, for both verbal and nonverbal communication
–Open faucet Curiosity – consistent interest in learning more about each other
–Demonstrated Common Ethos – core values that hold up our integrity in relationship with self and one another
–Consistent and regular Effort – demonstration that the relationship is worth our energy to cultivate and maintain
–When possible, In Person Contact – can substitute phone and video when needed; best results when added regularly
–Measured, in-context Vulnerability – key for depth and meaning
–Heaps and loads and oodles Love; impossible to add too much
–Time – no substitute, the more the better
–Trust and Devotion- will develop with Time, the last ingredients that occur spontaneously and multiply themselves, like strong sourdough starter

Method:
–This recipe can be made in any setting or context, at any time.
–Carry the ingredients on your person–mind and heart–at all times, ready when the opportunity to cook up a new friendship arises.
–Ingredients above are listed in likely order of occurrence, though most can be added at any time and then repeatedly, ‘to taste,’ in cooking/cultivating process.
–Additional ingredients of your choice encouraged, to personalize and make your friendships special to you and your friends
–Keep multiple recipes going at all times, each at various stages of mixing, stirring, rising, preheating, shaping, baking, simmering, braising, aging, cooling, etc.
–Even projects that have been apparently inactive for long periods may be self-sustaining without loss of flavor or nutrients, depending on stage of cultivation.
–Once a recipe is well underway, however, it will likely require regular additions of at least Attention and Effort to succeed over Time, depending on proportions and mixtures of the other ingredients.

This is a staple recipe. I cook by feel; as this is my first attempt at articulating my method, it will likely evolve if I keep trying to capture it in words. Now that I think of it, I could use sourdough starter as the whole metaphor, no? Oh well, maybe another time.
Everybody should have their own favorite friendship recipe–or maybe multiple ones!–on hand, written or not, like figuratively sturdy, dog-eared index cards with evidence of repeated use–stains, wrinkles, folds, and tweaks written in small cursive, legible only to the owner.
The strongest and most successful recipes are likely to be shared, mixed, and matched for additional depth of essence, character, temper, etc.–we all know the best loved recipes last the longest–often for generations.

My deepest and brightest thanks too all the friends who brought this forth for me today.
Love you all.