Think About This
April 21st, 2012What characteristic do you believe you lack entirely but see manifesting in everyone else? And, If you do have it, you see yourself as having less of it than anyone else?
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Table Talk by David Hoban, MD Think About ThisApril 21st, 2012What characteristic do you believe you lack entirely but see manifesting in everyone else? And, If you do have it, you see yourself as having less of it than anyone else? The Edifice ComplexJuly 23rd, 2011An elaborate construction of interconnected rationalizations housing Self-esteem. The builder is not subject to housing codes or regulation. Any attempts to gain entrance to the completed structure are strongly opposed by the dweller. Reflection on the MetroJune 28th, 2011I noticed, taking the train in early morning Paris, women who were half-dressed, getting dressed and made up. It was as if the jam packed car was a private boudoir. Ordinarily I would think that making up the face is done in private until the face in the mirror matches the mask one wants to present to the public. Not true. I watched a woman put on lipstick, lip-liner, powder, eye shadow, and eye-liner then, replacing sandals with high heals, she tied a scarf around her neck and pulled her tight, tapered pants over her heals. She was not alone. It seemed possible to me that these women had, in fact, placed themselves in an autistic shell awaiting their emergence into the world of offices or professionalism, in such a way that the masses did not exist at all. Added to this is the sight of nine in ten people texting and stroking their I-pods in a ‘different,’ solipsistic world. Perhaps there is no difference since almost everyone who was not making up was sharing a distinctive posture, neck bent forward, chin down, eyes fixed, both thumbs moving rapidly. There is hardly a person to be seen reading a newspaper so the opportunity to offend by glancing at someone’s open page seems forever lost. The obsessive, addictive quality is hard to ignore. All of this leads me to think, although people generally believe they are connected, and that this constitutes something beneficial for society, that the autistic shell is the next evolving organ. What people are doing in reality is not ‘connecting’ but putting themselves in a state of consciousness which involves, at best, being in contact with a machine and symbols. Symbols, of course stand for something, but are not the thing. What is transmitted is quantitative bits of information, even if that information is “I love you.” Information is not understanding. The multiplication of information is the tower of Babel. People might be exchanging the getting of attention and the giving of attention through these media but absent is the intangible yet vitally essential, qualitative, dynamic living exchange that exists only through direct human contact. So, while we are priding ourselves in the revolutionary impact of the information age, perhaps we should take pause before another ‘hope’ for humanity turns into the next (mysterious) problem to be solved. AphorismsMay 17th, 2011Aphorisms often have unnoticed inner content. We tend to be satified with nodding knowingly at their wisdom. Beyond cleverness and humor they can serve as framworks that help to reveal understanding, layer by layer in experience. Here are a few I have created, overheard in everyday speach, or read, often by isolating lines from fiction or poetry. Hell is being one millionth of an inch from what you think you should be. The dressmaker doesn’t have problems unless the dress has to hide rather than reveal. You can want to do anything but you don’t have to. Time belongs to you. Tumble off the roof of your dreams. There is no evil, only error You can see the meaning of what is seen but can you see the meaning which is what is seen? The facts are always the same. Change the way of seeing them and they will change. Change is to decline to be in the present what you were in the past Abjure the why and seek the how Hope deferred injures the heart If we are both transformed and changed what then becomes of me and thee? Ignorance of your ignorance is your fiercest enemy The deadliest sin is ignorance Remember not to believe Conscience is fear which is a shadow of justice Pity is the shadow of love Conscience must be applied to acts that will be done, not to deeds that have been done Happiness and misery are equally distributed in the World Facts, the idlest of superstitions He knows not how to know who knows not how to unknow We meet to part. Do we part to meet? The yoke of Must Do you labor at the letter I If you scale a mountain you must face many a slip and fall Who but madmen say, “I am right. You are wrong?” Love of self makes the mine excel the thine Death has an extra key to your safe. A liar must have a good memory Vanity always seeks a great love to its credit The mendacity of social relations When dignity does not give, Humor cannot live To find a short way by a long wandering People who like downey peaches are apt not to think of the stone PrinciplesJanuary 28th, 2011A person of principle is much admired in our society. Political choice is an example. People vote for the candidate who is firm; unwavering; determined; strong; hard-working; has a heart of gold; is heroic; tough; loyal; faithful; well-mannered; Christian; visionary; willing to buck the tide; entrepreneurial; a calculated risk-taker; independent; a family man; patriotic; chaste; redeemed; a softy inside; knows what he likes and what he doesn’t; simple; competitive; underrated, and destined to succeed. The majority sees its own principles mirrored in its candidate. It is impossible to oppose principles assumed by all to be virtues so the electorate votes on the perception of who possesses them in greatest quantity. No matter the party affiliation, no matter what their policy differences, a candidate must be perceived to possess theses socially trained characteristics. Principles are a substitute for a greater capacity to understand. They reflect an early and important stage of development when we lack the capacity to understand. When one understands, he or she has no need for principles because he or she is in possession of a skill developed from within. Principles are a product of environment, inculcated from without. They are unwavering because they are inexorably linked with identity and self-esteem. They serve as wings and stabilizers of one’s sense of who one is regardless of who one actually is. .Once principles are established and reified as opposed to being seen as elements of an earlier stage of development, any contradictory experience is perceived as threat and rationalized. Only recently has there emerged an understanding, little known to most, which demonstrates that when an experience violates a principle with which one is identified, we tend to discard the experience rather than change our principle. History is replete with centuries of examples of prevailing belief systems overriding simple truths. In psychiatry, demonic possession as an explanation for mental illness has only recently, so to speak, been supplanted and still holds sway in many parts of the world. We have been acculturated to judge people on their outward characteristics. When exercising judgment, the person who understands appears no different outwardly than the person of principle. However, he possesses an additional capacity to change his mind when circumstances alter cases. In the same way that Pygmies do not develop depth perception because living in dense forest precludes the necessity to see in the distance, our culture lacks the ability to perceive this inner capacity. We are exposed only to the belief that people’s outward behavior reflects his inward development. One might object that it is impossible to know anyone’s inwardness and that outward characteristics are all we have to go on. This is akin to an earlier time when people, ignorant of microscopes, said that it is impossible to see or even know the existence of something called bacteria. Something is invisible to the conventional eye does not mean it has no existence. No matter how much people in the past focused on exorcising demons, knowledge of microbiology ultimately brought about solutions to infectious disease. One who understands has the appropriate “instrumentation” to perceive the realities inherent in time, place, or circumstances. He or she does not need to rely on whether these realities match a preexistent model or principle to guide his actions. The content of one’s principles is less important than a knowledge that one is acting on them. This knowledge can provide the space for understanding to enter Below is an account from the book, Thinkers of the East that more than hints at the development and continuous transmission of such knowledge. Baahaudin lived more than a thousand years ago. A Morning’s Marketing Bahaudin Naqshband one morning went into the great market of Bokhara with a long pole. He started to shout hoarsely until a crowd gathered, amazed at such behavior from a man of his fame and dignity. When hundreds of people had assembled, uncertain of what to think or do, Bahaudin took up his pole and started to overturn stalls until he was surrounded by piles of fruit and vegetables. The Emir of Bokhara sent a representative to Bahaudin’s house, to ask him to attend court immediately, to explain himself. Bahaudin said: “Let the doctors of the law be present, the chief courtiers, the senior administrators, commanders of the army and the most important merchants of the town.” The Emir, together with his advisors, concluded that Bahaudin had gone mad. Deciding to humor him until they could have him committed to the Abode of Health, the Emir and his court summoned the people named by Bahaudin. When all were assembled, Bahaudin entered the audience hall. “You are no doubt aware, Your Presence Bahaudin,” said the Emir, “Why you are here. And you know why the rest of us are here. Please therefore say anything which you have to say.” “Sublime Gateway to Wisdom! It is known to all that a man’s behavior is always taken as the index of his value. This has reached such a stage with us that a man has to do no more to gain acclaim and approval than to behave in a certain manner, no matter what his inner state may be. Conversely, if a man merely does something considered objectionable, he is regarded as being objectionable.” The king said, “We do not yet understand what you are attempting to teach.” Bahaudin said, “Every day, every hour, in every man, there are thoughts and inadequacies which, given vent to, would be illustrated by actions as damaging as my actions in the market-place. My teaching is that these thoughts and shortcomings, due to insufficient understanding, are as damaging to the community and to the individual as if he were to behave in a riotous manner – and more so.” “What,” said the king, “is the solution to this problem?” “The solution,” said Bahaudin, “is to realize that people must be improved inwardly, not just prevented by custom from showing their coarseness and destructivity, and applauded if they do not.” The entire court was so impressed by this remarkable teaching, says the chronicler, that a public holiday of three days was announced, to enable the people to celebrate the receiving of such wisdom. Bahaudin Naqshband lived in Fourteenth Century Afghanistan, in a Muslim culture. His message has been continuously in circulation since then, in both Muslim and Christian cultures. It has yet to penetrate. Whether legend or fact, this story serves to illustrate the existence of a capacity to perceive inwardness that contradicts our assumption that it has no existence at all, thus exposing us as the primitives. If we can learn from this I believe we will have gone far toward understanding why it is we continuously elect lying politicians who do things we see as betraying us. In fact, we are electing mirrors of ourselves. References: Shah, Idries Thinkers of the East Inmate QustionaireJanuary 3rd, 20111) Is your authoritarian Warden hidden in his or her office? ImpossibleDecember 19th, 2010I spoke to a man in prison. He complained about the food, the callousness of the guards, his lack of choice, his loneliness, feeling coerced, the system, his losses, his longings, his lack of comfort, his poverty. “I’m a junkie,” he said, in the same way I might say I am a doctor. “Junk is beautiful. If only I could have my junk without all this shit.” “Yes,” I said, “wouldn’t it be great. There’s only one problem with it.” “What’s that?,” he asked. “You can’t have your junk without all this shit. The only thing standing in your way is that it’s impossible.” He bolted from the room, angrily exclaiming to the guards, “This motherfucker is sicker than I am!” Watching him leave the room, I at least felt reassured that such an attitude does not exist outside of prisons. IncurableDecember 3rd, 2010I heard from a colleague awhile back, about a woman who had had longstanding, unremitting symptoms of anxiety and depression. Along with these she had some vague experiences of dizziness and loss of balance. She had been treated by psychiatrists for years with antidepressants, which are used for both anxiety and depression. My colleague friend was quite astute and referred her to a neurologist, who diagnosed multiple sclerosis, a degenerative disease with no cure. The story might end here, with most physicians nodding in agreement that it is most important to first rule out physical causes for emotional symptoms. However, there’s a twist. The patient breathed a sigh of relief when informed that she had an incurable degenerative neurological disease. “Thank God,” she said, “all the other doctors have told me it’s in my head.” What is Knowledge not used?November 23rd, 2010While at the conference in London I found myself in the men’s room standing behind a distinguished-looking gentleman. The room was narrow and he moved to the sink to wash his hands, Unable to pass him, I waited for him to finish but didn’t wash my own hands. As we walked out he turned to me and told me that he was an anthropologist, an emeritus professor no less, and had recently read of a study done at Parliament. MPs were observed in a men’s room as to whether they washed their hands after urinating. The findings were striking. If someone was in the room they all washed their hands. If no one was in the room, none washed their hands. I recounted that I learned years ago in medical school that urine was sterile and that it was not necessary to wash one’s hands. He responded that he had recently seen his doctor who told him the same thing. So I asked him why he washed his hands, His answer? “Because you were there.” I often wonder why we don’t use the knowledge we have. Or is it that knowledge not used is really ignorance in disguise. Heard at the Dentist’ OfficeOctober 17th, 2010“Shall we make an appointment for next week now?” “Doctor, you know I am afraid of dentists. Can I make one when I feel pain?” “You can do that, but by the time you feel pain you will lose the tooth” “I’ll call you next week to make an appointment.” |
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