My struggles with obesity are well known and well publicized. Although my web page regarding weight loss hasn’t been updated lately, that will be changing soon, as I have some new focus on obesity — causes and treatment.
When you have an enforced lack of mobility, if you don’t deliberately lower your caloric intake, you are going to gain weight. Read more on When Life Lowers Your Physical Activity, You Don’t Have To Get Obese…
In my previous blog post, I talked about “Keeping Up With The Kardashians” — and asked some fans for advice for aspiring reality TV stars. If you got drawn in by that, I continued the topic in my private opt-in newsletter. If you haven’t followed that, you can register for free by filling in that little form up in the top right-hand corner. It’s a no-spam non-commercial commentary blog and you can opt-out at any time. But there is more to say — and this time, I’m reaching deep into the psychology of those who are in the spotlight and want to be in the spotlight.
The tie between the popularity of reality TV shows and celebrity worship was not immediately evident. But it is obvious that our American society is clearly increasing in — Narcissism. In Greek mythology, Narcissus was a handsome young man who was sitting on a stone precipice, admiring his own reflection in the water, when he fell in and drowned. The spot where this happened was allegedly marked by the first Narcissus flower. In modern times — like at dinner last night — the narcissus is a wonderful edible flower that is often served as garnish with sushi. Go figure. The queen of the current American psychology of narcissism in unquestionably Jean Twenge, PhD., a professor at the University of California San Diego, who has written a couple of books and lots of articles on the phenomenon of modern narcissism, and has been much interviewed in the public media. In a recent article, she is defending her own research and findings. Frankly, my non-systematic review of clinical data suggest she is right on. She has been criticized — a badge of boldness and popularity, think I — for attributing narcissism somehow to children having been brought up to believe they are special. Once again, I personalize. My parents filled my head with feelings of being special. Comparing me to Wonder Woman” and, when I was very young, telling me that I was “smarter than the average bear” like Yogi.
But they also told me this gave me a terribly heavy responsibility, They impressed this on me mainly through religion — most especially, making sure that I read parts of the (Jewish) prayer book before the service at all holidays and Sabbath. And we got to temple early, long before services started, because my father of blessed memory had to “warm up” the organ. (He also directed the choir) They never failed to remind me that I was named after Queen Esther, the woman who saved the Hebrew people. In the Book of Esther, she did this by winning a (Royal) beauty contest. I can’t have been older than 6 or so when I explained to her that if we were waiting for me to save the people by winning a beauty contest, then the people are in trouble. She told me I could maybe do this by working hard in school. I guess the rest is history. Many have told me I must have been “raised right.”
Narcissism is a concept that originated with Freudian psychiatry. It was believed to originate in a man when his relationship with his mother was overly close. Other theorists have suggested in may be related to excessive closeness or neglect from either parent. Here is a good summary of the evolution of the concept, as well as the currently accepted diagnostic criteria. There seem to be biological and/or genetic factors, as well as psychological reasons that people can end up diagnosed as the full blown “Narcissistic Personality Disorder.” A personality disorder is a way of dealing with the world that a human “develops” during adolescence that is dysfunctional, causing pain to the individual and/or to the people in the world who deal with this person. Estimates of prevalence (frequency) of this disorder in the general population is estimated at about 6%. If you know more than 20 people (you do), chances are you know at least one. They come across as egotistical, to put it mildly. They are not particularly empathic, blame other people for their problems. Their self-esteem is inflated. Their attitude toward themselves fluctuates between feeling “omnipotent” and feeling “devalued.” Curiously enough, I seem to be more likely to meet people with this disorder as colleagues or associates than I am to see them as patients. I believe that to be because when they have troubles in life, they invariably believe the difficulties that caused them are other people’s problems, and not theirs. So it is no surprise that folks with these problems don’t usually show up in a psychiatrist’s office seeking treatment. I can think immediately of a couple of technically excellent surgeons who would meet criteria, as well as a couple of psychologists and psychotherapists. Especially one who believes herself so gifted in application of a certain psychotherapeutic method that nobody else should perform psychotherapy in any other way. Of course, it just ain’t so. I shall avoid discussing narcissism in presidential candidates for now, although it is not hard to imagine another posting about that one. When people note there is an increase in narcissism, they do not usually mean the same full-blown personality disorder we are discussing above. Very often we diagnose narcissistic “traits” for people who have some aspects of narcissism in their personality. There is a fair amount out there. In case you are curious, there is an online test (with a bunch of disclaimers that it should not be used for a clinical diagnosis) to see if you are in any way a little narcissistic. Narcissism seemed historically to be just a little more frequent in men than in women. However, most of the followers of the Kardashians known to me are women. Some statistics suggest that the growth in narcissism that has taken place in our generation comes mainly from women. Remember, they want to be admired, but may also feel “devalued.” While all these changes in the world have been going on, I have been aging. I do look at objective research findings to confirm observations whenever I can. Still, I think the page indexed below is correct when it infers more people will look at a woman’s physical appearance than at her character development. Put this into the context of the age of the internet and most particularly, Facebook. It is possible for a woman who craves more admiration and self-esteem than she has got, to vicariously live the life of someone with the ascribed status that comes with wealth, fame, and physical attraction. This page adopts Twenge’s work and associated studies into a set of directions to help men avoid “hooking up” with narcissistic women. By this time, I have pretty much made up my mind that I am not terribly likely to get a Kardashian-type status in any social context known to me. But I am still wondering — what do I really know about the people, the women who make up a non-negligible amount of people I know either casually or as folks on a professional staff? What do I know about them if they like and follow the Kardashians? Yes, the obligatory formal academic type psychological studies do exist, and have been reviewed. Note that this article focuses on “celebrity worshipers,” who have taken a scale relevant to that entity, which seems to be far from having 100% consistency with the designation of “narcissist,” although I suspect there may be more than a little overlap. This paper specifically cites a fairly large study (343 folks) where 4 of 5 scales on the inventory for narcissism correlate with the Celebrity Attitudes scale for “celebrity worship.” Aspects of psychopathology (that is, mental illness) that are found in the population of celebrity worshipers more frequently than in the population at large include a “proneness” to fantasy and a “tendency” toward addiction, and criminality, depression and anxiety. This particular combination sounds like more than a few of my “dual-diagnosis” patients — that is, folks being treated simultaneously for addictions and mental illness. As for me, I have at least decided that I am not suited for Kardashian-type celebrity worship. Given the above psychopathology, I am very glad I do not encourage such psychopathology, for I was imprinted with the notion that with great power comes great responsibility (many years before the popular Spiderman movies picked up this slogan). Somehow, I still want to believe that every human has the capability of elevating the entire human race by elevating individuals to higher moral situations. I will cling to these beliefs of my childhood, as anachronistic as they may seem. I feel somehow noble that I have put this effort into explaining what is going on.
Why people are obsessed with the Kardashians? I have not followed them in the slightest. I am obsessed about knowledge — how to apply it to helping humans (my favorite species) have happier lives through scientific knowledge. I was very surprised when I heard two professionals — a man and a woman whose knowledge I respect — gushing about how much they loved the Kardashians. I wanted to know why. I admitted to them that I was, perhaps, just a little bit, well, jealous. My patients mostly seem to like me well enough, and some even say the love me. But I did not understand how or why people could “gush” about loving the Kardashians. My friends came to the rescue. They told me, step by step, the things that the Kardashians had done to make them so “lovable.” They thought I could replicate the process. Of course, me being me, I tried to find all that I could in the neuroscience and (more) the psychological literature, to figure out what worked, and why — and what they may have forgotten to tell me. Read more on Cashing In On The Kardashians…
“Dr. Goldstein; you aren’t going to sit there and tell me you believe in love, are you?”
She asked me to help with her weight problem. At 25 years old, she could not have been more than 25 pounds overweight.
“I need a pill to make me stop eating lasagna,” she told me.
I went into my maternal mode. “Oh no, my dear, that is not a really good thing to do.” I explained patiently that if she were hungry enough for her hunger to wake her at 6:30 in the morning and propel her to the preparation and consumption of microwave lasagna, she was probably hypoglycemic and she needed enough protein snacks in the evening to maintain her blood sugar in the morning. Read more on A Pill To Make Me Stop Eating Lasagna…
It happened several years ago, when one of the immigrants of Mexican origin I frequently saw as a patient in the poorer counties of California came to see me and pulled a pen and a steno pad out of her purse. My Spanish was a bit more rudimentary than it is now. She was matronly, with mostly grayed hair in the classic bun. She asked me if I could spend a few extra minutes with her. I told her I would take all the time I could, and try to serve her needs. It wasn’t her, she said. It was her youngest daughter, aged 13. Read more on Delayed Gratification And Life…
People often want to know something about their psychiatrist.
There is this thing called “transference” where their past relationship history can certainly color what they think and feel. I have no big secrets to hide from my patients, so I can usually be direct and take only an insignificant amount of time on these issues. Usually it just takes one of my stabs at humor.
For those to whom religion is an important facet of life, I am often asked about my beliefs. I often end up saying things like, “I am very sorry I am Jewish and not the Christian you would have preferred, but do you think Christ could work through a crazy old Jewish lady like me who would work really hard to help you feel better?” A “yes” and a laugh and we get straight into the meat of things with that one. Read more on Liberal or Conservative — Different Brains or Different Opinions?…
As you will read elsewhere, I am back after an extended absence and I am not only in a new place, but doing new things.
My first outside project is obesity treatment, with a generous share of my methods and philosophy to help those of you who want to lose weight.
My own weight loss was quite dramatic — approx 200 lbs — and I’ve kept the weight off for about 5 years now. How did I do it — drugs? surgery? diet and exercise?
No — I used some really plain old common sense and research supplementation. Together with the proper mindset, this is what will give anyone the longest lasting and safest weight loss possible.
I’m sharing with you a portion of a new book that I will publish soon. Here is a taste, as we say in the dieting business: Read more on Mindful Eating…