Hebden Bridge counselling, psychotherapy and coaching services. Narrative and lifestyle approaches to problems of everyday living – including couple conflict, anger management, communication problems, life goals, stress, self-confidence, anxiety and depression.
How to fix a conflicted Christmas and an Unhappy New Year aftermath…
By Dr Jim Byrne, Doctor of Counselling
We are here, and it is now. And it seems this now, where we are, is the same now we were in before the Christmas and New Year fantasies arrived to try to sweep us off our feet.
Of course, Christmas and the New Year are a great opportunity for families and friends to get together, to share food, and exchange gifts, and to be happy and relaxed, away from a tough working year.
I hope you are one of the many people who has enjoyed the festivities; the special foods; the parties; the gift exchanging; and any spiritual significance the festivities had for you. (And even if you could not afford the special foods, and the gift exchanges, etc., I still hop you had a happy and peaceful time over the holiday period!)
I hope you are not one of those unfortunate people for whom Christmas turned into interpersonal conflict; unhappiness; and strained relationships.
The Holiday Fall-out
Every year, around this time, I see at least one or two individuals – and sometimes a married-couple or two – who have had a miserable Christmas or New Year event. And so I have a lot of experience of dealing with those kinds of upsets.
In 2016, I wrote a pamphlet about How to Beat the Christmas Blues, in which I described my system of “re-framing adversities” in order to restore your sense of happiness and peace – even while conflict is going on, and in its aftermath. I subsequently wrote a book on How to Have a Great Relationship.
But this year, in the run-up to Christmas, I decided to write a book about How to Resolve Conflict and Unhappiness – Especially during Festive Celebrations – which would be helpful to individuals and couples – and families – throughout the year; because conflict and unhappiness can arise whenever families and friends congregate anywhere, at any time. It is true that Christmas seems to be the main contender for the title of “the unhappiest time of year (for a minority of people”) – and as “the biggest surge in divorce petitions” (again, affecting for a minority of couples).
My solution to holiday conflict and unhappiness
In this book, I have presented a very powerful ‘technology’ for overcoming emotional distress – regardless of the cause. I have also included special advice for couples about how to communicate so as to avoid conflict – or to manage that conflict better; plus special sections on insights into how to communicate more effectively with loved ones; and how to understand and improve your own ‘conflict style’.
Dr Jim’s Blog: Freud, sex, literature, Descartes, and the body-brain-mind-environment-complexity!
Part Two: More on ‘What are the linkages between psychology and psychotherapy, on the one hand, and literature, on the other’?
Copyright (c) Jim Byrne, July 2018
Recently, I’ve been blogging about some of the important linkages, or overlaps, between psychology, on the one hand, and literature, on the other.
For examples: I have written about:
(1) Some of the books that helped to grow my emotional intelligence; or to help me to ‘complete’ (or process) some early, traumatic experience;
(2) My own semi-autobiographical novel/story about the life of Daniel O’Beeve – and how this is legitimate psychotherapy for the reader, as well as the writer;
(3) How to “write a new life for yourself” – in the form of a new paperback book about a system of psychotherapy, which I have developed over a number of years.
(4) How psychological insights seep into literature; and how literature in turn influences, or humanizes, psychology and psychotherapy.
Today, I want to describe some experiences with literature that I’ve had over the past couple of days.
Visiting bookshops in Bradford
Two days ago – on Saturday 21st July – Renata and I took some time out and went to Bradford for lunch, and to take a look around the shops, including two bookshops and the main DVD/movie outlet (HMV, in the new arcade).
In Waterstones’ bookshop, towards the end of our visit, I was looking for something which would help me to reflect some more upon the linkages between psychology and literature.
There was nothing of any relevance in the Psychology section.
Then I went looking for a Literature section. The best I could find were two adjacent book cases, one on Poetry, and one on Drama. (Bradford is not a particularly big city).
In the drama section, there were a few books on literature, including one by Julian Barnes: Through the Window – Seventeen essays (and one short story); London; Vintage Books; 2012.
The blurb on the back of this book suggested it was exactly what I was seeking. It began like this: “Novels tell us the most truth about life…”
I bought it, and brought it home, and dived into the Preface, which describes ‘a Sempé cartoon’, which shows three sections of a bookshop. On the left, the Philosophy section; on the right, the History section; and in the middle, a window that looks out at a man and a woman who are approaching each other from roughly the locations of those two sections, and who are inevitably (and accidentally) going to meet in front of the middle section, which is the Fiction section.
For Julian Barnes, this cartoon describes his own beliefs about the central role of fiction in our lives.
“Fiction, more than any other written form, explains and expands life”, he writes, with great assurance. “Biology, of course, also explains life; so do biography and biochemistry and biophysics and biomechanics and biopsychology. But all the biosciences yield no biofiction. Novels tell us the most truth about life: what it is, how we live it, what it might be for, how we enjoy and value it, how it goes wrong, and how we lose it. Novels speak to and from the mind, the heart, the eye, the genitals, the skin; the conscious and the subconscious. What it is to be an individual, what it means to be part of a society. What it means to be alone. …” Etcetera.
However, it could be objected that, while the various sciences instruct, and suggest what must be done and not done, the literary arts merely create visceral and emotive sensations, which must link up with our socialization in general – that is to say, our previous learning – to help us to decide what to do with this new literary information; these insights; or newly forming feelings and thoughts.
Indeed, it seems to me that if all we had was literature, then we would be “weaving without weft” – or trying to make a fabric without those long strings, from one end of the loom to the other, through which the shuttle passes. We would be trying to make sense of fictions in the absence of the insights we gain from the various sciences, and the ruminations of the various philosophers.
However, the reverse is also true. Without literature and art, the sciences would provide us with long strings of facts, set up on our mental looms, but with no means of weaving a living fabric of warmth and depth and emotional meaning.
An example from fiction
What I omitted from my story above is this: Before going to Waterstones’, we had visited the Oxfam shop, which has a vast floor dedicated to second-hand books, included the abandoned books of waves of undergraduates and postgraduates from the local universities: yards of books on Psychology, philosophy, health studies, and so on. And then there’s History, and lots of novels – many of the pulp variety – and some classics.
During this visit, I did look at psychology, and health studies, and personal development; but I began by looking for a novel which might help me to elucidate some of the points I’ve been exploring in these blog posts. And I did find one.
I found Mantissa, by John Fowles. This author’s name jumped out at me because I have read five of his nine books – but I had never come across Mantissa.
So I opened it, and what should leap off the page at me, but a quotation by René Descartes. This had an electrifying effect upon me, because I have been arguing – in earlier blog posts in this series – that philosophies, like Descartes’ misleading ‘cogito’ (“I think therefore I am”), got into psychology; and that, whatever arises within, or gets into, psychology, inevitably finds its way into literature. And here was a living proof of my assertions. The particular quote from Descartes, promulgated by John Fowles, on page 5 of Mantissa, included the following conclusion:
“…this I, that is to say the soul by which I am what I am, is entirely distinct from the body, is even easier to know than the body, and furthermore would not stop being what it is, even if the body did not exist”.
We know from previous considerations of this ‘cogito’-philosophy of Descartes by generations of philosophers, that it is impossible to sustain his beliefs about the body-mind split.
But the more important consideration is this: Why is John Fowles beginning his novel with this quotation?
Is it his intention to argue that we are souls, separate and apart from our bodies?
Or is he going to try to undermine Descartes’ belief?
Part I (of IV) begins with the suggestion of ‘a consciousness’ surrounded by “a luminous and infinite haze”. And out of this connectivity comes an individual consciousness – a male person, in a bed, looking up at two women; one of whom claims to be his wife, and the other a doctor (of neurology); and the suggestion emerges of ‘loss of personal memory’. The ‘wife’ departs, and a nurse arrives to join the doctor, and it unfolds that the treatment for this poor man (Mr Green’s) mental problem is a physical therapy. (The theory, explicitly stated by the doctor, is that there is a link between the genitals and the personal sense of remembered self!)
At this point, we can say that Fowles seems to be setting out to refute Descartes view of a separation between mind and body, by treating memory loss via the genitals. (Crazy theory, I know! But it proves to owe a lot to Freud’s theory of psychosexual stages of human development!)
Fowles’ intention to undermine Descartes seems likely, especially given that the doctor in this story is a neurologist: a specialist in understanding brain-mind functioning. Or the physical brain as the substrate of mind.
Mr Green proves to be resistant to the sexual activities to which he is subjected by the doctor and the nurse, until, at the start of Part II, it emerges that no such reality exists. There are no physical bodies present! It is all going on in the mind of Mr Green – (who is obviously, ultimately, Mr Fowles!) – who is essentially writing (in his mind) some scenes of pornography.
This is an echo of one of Descartes’ meditations, in which he wonders if he might be just a brain suspended in a vat by an evil demon, and that his brain imagines that it is attached to a body in an external environment. (I know! Descartes was a nut!)
(But think about today’s counsellors and psychiatrists. Most counsellors think of the client as a floating mind! And most psychiatrists think of the mind-brain as a chemical unit separate and apart from the stresses and strains of its social environment, its philosophy of life, and its personal history of experience!)
Towards the end of Part IV, it becomes obvious that all of the action being described within this narrative, is not actual action, but narrative within narrative; with a magical edge, provide by the presence of the Greek goddess, Erato: (originally introduced as the doctor of neurology!); and the pornographic ravings of a juvenile author (Fowles!)
There is a nod backwards towards Freud in this book; not alone by reducing all human activity to a sexual nightmare; but also these nuggets:
“Now listen closely, Mr Green”. (This is said by the doctor of neurology; who we later learn is the goddess Erato!) “I will try to explain one last time. Memory is strongly attached to ego”. (NB: Ego is the English-psychoanalyst rendering of Freud’s concept of ‘the I’.) “Your ego has lost in a conflict with your super-ego”, – (Super-ego is the English-psychoanalyst rendering of Freud’s concept of ‘the Over-I’ [the first instantiation of which is every baby’s mother]). – “which has decided to repress it – to censor it”. (The concept of repression comes from Freud!) “All nurse and I wish to do is to enlist the aid of the third component of your psyche, the id”. (‘The id’ is the English-psychoanalyst rendering of Freud’s concept of ‘the It’; the ‘thing’ that we are at birth! The ‘whole thing’, body-brain-and-embryonic-mind). “Your id” writes Fowles, through the ethereal person of the doctor/goddess, “is that flaccid member pressed against my posterior. It is potentially your best friend. And mine as your doctor. Do you understand what I am saying?” (Page 31 of Mantissa).
So, I think some of my points are being ‘firmed up’ here (if you will pardon my inability to refrain from making a pun at the expense of Fowles and Freud!) In particular, I think it is safe to say that ideas pass freely between philosophy, psychology and literature. Each feeds off the other. There are no impermeable boundaries between those domains of thought!
And we have to be awake to this reality for various reasons which I will look at later. The most obvious one being that fictions find their way into philosophy; and philosophical fictions find their way into psychology; and fictitious aspects of psychology inform counselling and psychotherapy! And round and round!
Back to Julian Barnes
Earlier I quoted a very strong argument by Julian Barnes, from the Preface of his book, Through the Window; in which he said: “Novels tell us the most truth about life…”.
However, if you read your texts closely, you will often be rewarded with insights like this: Barnes was inconsistent.
Really? In what way?
Well, just 45 words after the end of his strong claims about novels telling the most truth, we read this statement; the final statement of the Preface:
“The best fiction rarely provides answers; but it does formulate the questions exceptionally well”. (Emphasis added, JWB).
So, if we put his two main ideas together, we get this:
Novels tell us the most truth, but not in the form of answers; only in the form of questions!
Does that make any sense? No.
Because the novel actually presents imaginary scenarios as history. Reading those scenarios – and taking them at face value – the reader finds that certain questions automatically form within their body-brain-mind, based on their socialization; their past experiences; and their current circumstances.
The author cannot control which questions will form in the mind of the reader.
But what is the value of the questions that are thus formed by fictional writing?
The value is huge! Why? Because questions are the first and most essential part of what some people call ‘thinking’, but which I call ‘overt, conscious perfinking’ – where ‘perfinking’ means perceiving- feeling- thinking, all in one grasp of the mind.
So, novels impact us, by bringing up new thoughts, and especially questions, which, if we pursue them, may produce dramatic answers that shunt us out of a current reality into a range of new possibilities! In this sense, novels are potentially hugely therapeutic!
For this reason, I recommend novels – the very best novels – my counselling clients; and to my supervisees – counsellors who need to keep growing their hearts and minds; and improving thereby their body-brain-mind-environment-complexity!
How did the body get into the previous statement?
It might have been difficult to answer the question – ‘What does the body have to do with reading and/or writing novels?’
Except, while I was scanning the pages of John Fowles’ Mantissa, Renata came over to me and showed me a book she had found: ‘The Anatomy of Change: A way to move through life’s transitions’. This book was written by Richard Strozzi Heckler (1993), a teacher of Aikido (which is a system of Japanese unarmed combat – which I studied briefly at the Dublin Judo Club, in 1991-’62). Heckler’s philosophy of life can be summed up like this:
Renata pointed me at a section on Living in the Body; in which Heckler describes how he was once hired by a juvenile detention centre, where he was to work with difficult juveniles who were violent offenders. He worked with one, physically huge, and very angry young man who expressed the desire to kill somebody, because he was so angry. Heckler, intuitively, and pragmatically, told this youth that he could show him precisely how to kill somebody. The youth was hooked, and they began to work on the Aikido pressure points. But this youth’s physical energies prevented him easily learning what needed to be learned; and so Heckler began to work on his body, to get him to the state where he could master the Aikido pressure points that he wanted to learn. However, through the process of focusing his attention on his own body, and learning to release tensions, this youth lost his interest in killing anybody. He was beginning to live in his body; and he realized it was more interesting to find out about himself than to kill anybody.
Moving a muscle can change a thought, and/or an emotion. Physical training is profoundly stress reducing. It teaches physical self-confidence. And, the softening of ‘body armouring’ can release the person’s feelings, intuitions, and compassion, and, according to Heckler, it can heal our physical and emotional wounds. (That certainly lines up with my own experience at the Dublin Judo Club [which was actually called the Irish Judo Association at the point when I joined]). Our experiences shape our body-brain-mind; and we can begin to loosen and reframe our most troubling experiences by working from the body-side of our body-brain-mind, or from the mind-side of our body-brain-mind.
Reading a novel on the way to and from your equivalent of the Judo Club will double your progress in healing your body-brain-mind; and seeing a good, wise, broadminded counsellor, at some point each week, will also help!
Dr Jim’s Blog: What are the linkages between psychology and psychotherapy, on the one hand, and literature, on the other…?
Copyright (c) Jim Byrne, July 2018
I recently posted some comments on LinkedIn on the connections between psychology and literature, and the effects of literature upon my own therapeutic journey.
Sometimes my second thoughts are better than my first; and on this occasion I think there is certainly a need to clarify some of my positions:
Firstly: When I wrote that I had learned more from literature than I had ever learned from my academic studies, I think this was only true of my life in my twenties and up to the age of 33 years.
In my teens, I had looked at the tens of thousands of books that were stacked from floor to ceiling in some of the book shops along Aston Quay, in Dublin City, and I despaired of ever being able to read even a tiny fraction of that mountain of literary and pulp fiction wordage. So I veered towards reading non-fiction for several years. Indeed, in the main bookshop I used on the quays, I began to buy second-hand books that looked at psychology subjects, and I was very interested in hypnosis, and the inferiority complex.
From about the age of 22 years, I read a lot of economic and politics.
But, around that time, I did find some significant fiction books that had a huge effect upon my emotional development. And, when I was 27 years old, i read Dostoevsky’s ‘The Idiot’.
Secondly: Beyond the age of 33 years, I began to take seriously the study of psychology, beginning with person-centred counselling; and then Transactional Analysis; and then Gestalt therapy. And eventually studied 13 different systems of counselling and psychotherapy.
Years later I studied Claude Steiner’s ‘Achieving Emotional Literacy’, which I found to be very effective teaching of emotional intelligence, including the development of empathy. However, nobody who has read any novels by Charles Dickens would try to deny that Dickens teaches empathy by evoking it, while Steiner teaches empathy by delineating it.
Carl Rogers’ writings call for empathy, but I learned how to feel it from reading Dickens, Donna Tartt, Ursula Le Guin, Kurt Vonnegut, and many others; including Dostoevsky and Graham Green.
Thirdly: Here is the bit that I missed in my earlier posts. The discipline of ‘literature creation’ is always informed (in my view) by the leakage of psychological theory into the public domain.
How can I support this claim?
One way to do so is to look at D. H. Lawrence’s novel, Sons and Lovers, which suggested that the main character had an ‘Oedipus complex’ about his mother. I wrote about this in my own semi-autobiographical novel like this:
‘When Sigmund Freud saw the play, Oedipus Rex, in Vienna, in the late 1890’s, he found himself believing that he, personally, had lusted after his own mother. He then subsequently inferred that this must be a universal law of sexual development, which applies to all sons – which it is not.
‘Because D.H. Lawrence adopted this idea of Freud’s, in his semi-autobiographical novel, Sons and Lovers, the idea has become generalized that young men commonly suffer from an Oedipus complex. But Lawrence did not get this idea from reflecting upon his actual relationship with his mother. He got it from his wife Frieda, who had got it from Otto Gross, “an early disciple of Freud’s”. And he misleadingly inserted it into the heads of his readers, thus distorting their understanding of the most fundamental relationship in human society.”
So let us wash this psychobabble out of English/Irish/World literature for all time. A young boy is perfectly capable of pure feelings of love for his mother; and a mother is perfectly capable of feeling pure love for her son – provided she is emotionally well, with a secure attachment style.
In this case, the psychologist – Freud – misleads us, because he was influenced by his misreading of *Greek Literature* into believing in the universal lusting of sons for their mothers. (The Greek myth does not claim that this is a universal tendency, but that it was a most unfortunate accident which befell Oedipus,which was facilitated because he had been misled by his servants into thinking his mother was dead).
On the other hand, I got a much better sense of guidance on healthy love between a mother and her son from Donna Tartt’s novel, The Goldfinch. And, again, I wrote about this in my own semi-autobiographical novel (or story), like this:
‘The most extreme pain arising out of my (Jim’s) sense of loss of a loving connection to my mother came when I was reading The Goldfinch, an extraordinary novel by Donna Tart, just a few months ago. Theo Decker, the main character, is a twelve year old boy, who is in trouble at school, for being associated with another boy who was caught smoking. Theo and his mother have been called in for a meeting with the school staff. It’s raining heavily as they leave their apartment building, in Manhattan, so they take a cab, but have to abandon it near the New York Museum of Modern Art (MOMA), because the cab seats smell foul. Then, because it is still raining hard, and they are running early for their school appointment, they decide to shelter in the MOMA, and look at some of Theo’s mothers’ (and his) favourite paintings.
‘Throughout this process, Theo describes how handsome/ beautiful his mother looks; her fashion sense; her art appreciation; and how she speaks to him – and has often spoken to him – respectfully, playfully, joyfully, artfully, maternally but also increasingly as though he were an equal adult; or an increasingly equal person. And he describes all the wonderful moments of shared experience they have had. I begin to get the feeling of an intense sense of love for his mother – which is reciprocated – and which has nothing in common with Freud’s ‘Oedipus Complex’ twaddle.
‘This is just plain ordinary liking and loving of a type which I never experienced with my mother – (and not even with Ramira, my first wife, who hurt me and insulted and offended me for the six years of our marriage). Theo Decker loves his mother, and she loves him; and that was like a blow to my solar plexus, which brought tears to my eyes: the realization that my mother never showed any such love for me; and often treated me worse than I would treat a stray dog!’
Fourth: I suspect that most of the influences of psychology that seep into literature, and from literature, into the public imagination, are more positive than negative. Perhaps it would be correct, and helpful, to say that literature popularizes and humanizes psychological theories, but we do need psychology as a discipline to inform all of us. Common sense cannot substitute for psychological research. But we should never forget that psychology owes its origins to *philosophers* like Plato, Aristotle, Locke and Hume; as well as Freud and Klein; Skinner and Watson; Ellis and Beck; John Bowlby; and today, Allan Schore, Daniel Siegel, and many others.
And psychological theory is just that: theory, which has to be applied and revised; over and over and over again; from generation to generation; and to be reformed and rejigged to take account of insights coming from other disciplines; like sport psychology; nutritional psychiatry; neuroscience; sleep science; and on and on.
Fifth: I did not invent the idea that there is a link or affinity between psychotherapy and fictional literature. Indeed, Arabella Kurtz (a British psychotherapist) and J.M. Coetzee (a South African novelist) co-authored a book of exchanges, titled “The Good Story: Exchanges on truth, fiction and psychotherapy”, London: Harvill Secker: 2015. Here is the briefest of extracts, to make an important point:
Arabella Kurtz: “The stories we tell about our lives may not be an accurate reflection of what really happened, indeed they may be more remarkable for their inaccuracies than anything else …” This truth applies as much to the stories our clients tell us (counsellors) as it does to the stories we make up about who we are, and what we do with our clients in sessions. “But they (these stories) are simply all we have to work with, or all that we know we have; and we can do a great deal with these stories, particularly if we take the view that there are truths, of the subjective or intersubjective kind, to be revealed in the manner of telling”. (Page 63).
I believe we are story-tellers in a sea of stories. We benefit, as humans, by reading the stories of our fellow humans, and telling our own stories; and not just by reading the theories that come out of the psychology lab, or the ‘sanitized reports’ that some therapists produce as ‘clinical research’!
Common sense cannot substitute for psychology and psychotherapy research and development; but neither can third-person, passive voice reports of abstract numerical quantification substitute for stories that warm and move the human heart!
Dr Jim’s Blog: Literature, personal writing of fiction, and therapeutic healing of the heart and mind
Copyright (c) Jim Byrne, July 2018
Individual Life is a gift, bestowed by Collective Life, upon fragments of Living Stuff. Life is a rolling floor-show of life living itself!
We come into existence knowing nothing; and guessing what life might be about. We stumble through childhood, suffering the blows of negative treatment, and savouring the kiss of good fortune. We float into adolescence with the naiveté of a baby encountering its first crocodile! And, if we are fortunate, we encounter love in our late twenties, or our early thirties, and feel the full range of emotions: from ecstatic and sweet joy, to fearful and angry insecurity.
The Bamboo Paradox: The limits of human flexibility in a cruel world – and how to protect, defend and strengthen yourself
Finding the Golden Mean that leads to strength and viable flexibility, in order to be happy, healthy and realistically successful
By Dr Jim Byrne.
With contributed chapters by Renata Taylor-Byrne
The Institute for E-CENT Publications: 2020
Are human beings like bamboo? Are we designed to withstand unlimited pressure, stress and strain? Is our destiny to be sacrificed on the altar of ‘flexible working arrangements’?
We live in a world in which there are dark forces that wish us to forget that we are fleshy bodies, with physical and mental needs; and physical and mental limitations; and to be willing to function like mere cogs in the wheels of somebody else’s financial or technological empire.
Rational Emotive Behaviour Therapy (REBT) has played into this narrative, and given it philosophical support, by promoting a form of Extreme Stoicism in the name of therapy and wisdom, which it patently is not. (General Cognitive Behaviour Therapy [CBT] also supports this agenda, but to a lesser degree, or in a less obvious way! And some forms of Extreme Buddhism also advocate ‘detachment’ from material concerns, such as the need for a balanced life!)
In this book, I review the research that we have done on the limits of human endurance, and the determinants of that endurance – as well as identifying a viable philosophy of life – which will help you to optimize your strength and flexibility, while at the same time taking care of your health and happiness.
If you want to take good care of yourself in the modern mad-market, you could benefit from studying this book. It will provide you with both a compass and a suit of armour which will support you with the challenges and battles you will inevitably face.
Often, we need to encounter the possibility of love in more than one relationship before we can make sense of this ennobling and devastating emotion.
We seek words for our experiences of love and hate, joy and devastation, only to fall back again and again into the void of unknowing: the wordless pit of unconsciousness.
If we are fortunate, we will discover some aspects of the great literature of those who traversed these trackless voids of human beginnings and developments before us; and we may feel in our hearts and guts the pains and pleasures, the defeats and victories, that those who went before us felt and described.
How to Resolve Conflict and Unhappiness: Especially during Festive Celebrations:
Coping with and resolving frustrations, disappointments and interpersonal clashes at family celebrations like Christmas, Yuletide, Hanukkah, Eid, and Thanksgiving
Dr Jim Byrne (With Renata Taylor-Byrne)
Conflict can happen in families at any time of year. It jut so happens that the first Monday after the Christmas & New Year annual holidays is called ‘Divorce Day’, because that is when the highest number of divorce petitions is issued. And it seems most likely that the other major family holiday times are the runners up in the divorce stakes. However, what is hidden under these divorce statistics is the mountain of personal and social misery that precedes such drastic ‘solutions’ to repeated conflict, disappointments and interpersonal clashes.
But there is a better way to deal with these problems. Rather than letting the misery build up over time, you can take control of both your own mind, and the way you communicate within your family and society. You can insulate your social relationships from constant or repeated misery and unhappiness; and learn to have a wonderful life with your family and friends.
The solutions have been assembled by Dr Jim Byrne in this book about how to re-think/re-feel/re-frame your encounters with your significant others; how to communicate so they will listen; how to listen so they can communicate with you; and how to manage your lifestyle for optimum peace, happiness and success in all your relationships.
The highest calling of a human being is to make sense of our own life, as moral beings, and to share that understanding with those who follow along behind us, so that they might avoid – or traverse more smoothly – the swamps and volcanoes that we had to endure.
Whether we are born in the smallest village in Ireland, or the largest suburb of the largest city in the United States of America; or somewhere in South America; or South Asia, or Central Africa; there is nothing to say that we may not have the latest parable of human suffering and divine love on the tip of our tongues!
Metal Dog – Long road home, by Jim Byrne (Daniel O’Beeve)
I was born in the Year of the Dog, 1946 – during the summer; which makes me a Metal Dog. Metal Dogs are hardwired to promote justice and fairness, and to be loyal to others. They are offended by injustice and unfairness.
Because I was a Metal Dog, I would not settle for the rotten social position I was thrown into; and I would not accept the kind of loveless life that my parents had modelled for me. So I left home at the age of eighteen years, and began a kind of vagabond life (which looked okay from the outside), but I was just wandering from one unworkable situation to another. However, somehow, because I am a persistent “dog”, I kept knocking on the doors of life to try to find a way into a more enjoyable of life. By dint of effort, and some good luck, especially in finding a couple of women who were able to love me, and to teach me how to love, I found my way to a kind of unimaginable Nirvana! The Lotus Land…
The reading of good quality literature – from any and every era of the novel and the stage play – is emotionally educating, and healing of traumatic past experiences. You can recover from sadness and depression; anger towards the world; and defeatist timidity: Just by exposing your mind and heart to the stories of others who went before you.
The writing of semi-autobiographical stories – with some, little emotional distance from direct, personal experience – is a great way to indirectly digest past traumatic or difficult experiences.
A good semi-autobiographical story, built on fragments learned from the insights of generations of novelists and other authors, is a great way to pass on personal healing examples and therapeutic gifts. And that is what I have tried to do in my story about Daniel O’Beeve.***
I would like to encourage readers to begin to write short pieces, stories – in semi-autobiographical form – about their own difficulties in the past. It will help you enormously to grow your emotional literacy (or EQ).
This book has struck a chord with many counsellors, psychologists, psychotherapists, psychoanalysts, and social workers. It has received a lot of *Likes* and *Comments* on LinkedIn, in particular; and it is selling very well indeed.
It may also be selling well to self-help enthusiasts, or individuals who want to improve their own sleep, diet/nutrition, and physical activity; as well as improving their general self-management; stress management; and emotional intelligence.
Today, we are announcing the publication of a new book:
This book contains more than 20 exercises to help you to process your troublesome experiences; to set goals; to manage emotions; to improve your self-management and creative thinking; and much more besides. It also contains a chapter for counsellors on how to incorporate elements of writing therapy into face-to-face counselling and therapy sessions.
Author’s introduction: In this book, I provide you with a road-map which will support you in building a bridge into a better future for yourself.
I have used a more gradual approach than Julia Cameron. I want to help you to begin with small steps; in an easy, simple way; and to slowly build up your ‘writing muscles’.
In the process, you will develop a great capacity to manage your thinking-feeling-perceiving more reasonably; in a more self-regulated fashion. You will become more intuitive; more creative; and a more efficient and effective problem-solver. You will be less troubled by stress and strain, and more likely to succeed in achieving whatever goals you want to pursue!
Renata’s Coaching Blog: Do managers/leaders realise how crucial their sleep habits are for their staff?
“Your abusive boss is probably an insomniac:”- A revealing research study by a Professor of Management
I continue to do my research on the science of sleep, and the things I am discovering are really quite fascinating. I have begun to structure my book on this subject as I go along with my research.
Here’s an example of the kinds of things I’m discovering:
“Your abusive boss is probably an insomniac”
When people are in a position of responsibility for, and control over others, their work can be very difficult and physically draining at times. (This applies to managers at every level: directors, company executives, university and college managers, social and health care managers, emergency service managers, police management, psychiatrists, supervisors, teachers, and parents; and many others). Because of this wear and tear, self-care is very important when you are managing people. But so also is the need to take care of the people you manage.
In this blog I’m going to describe a research study which shows how the physical condition of a leader (or manager) can negatively impact the behaviour of their employees, or staff.
The research was conducted by Christopher Barnes, (who is an associate professor of management at the University of Washington’s Foster School of Business), with his colleagues Lorenzo Lucianetti, Devasheesh Bhave, and Michael Christian. He summarised the research they had done in an article in the Harvard Business Review in 2014, in an article entitled: “Your abusive boss is probably an insomniac.”
Sleep affects productivity – your own and your team’s
Christopher Barnes’s previous research had investigated the effect in the workplace of the sleep behaviour of the staff, and he had found that sleep was crucial for replenishing people’s ability to control their own behaviour.
He and his colleagues then went on to conduct a field study of 88 leaders and their subordinates. For two weeks, they conducted surveys of leaders at the start of each work day, about the quality of the leader’s sleep on the previous night and the amount of self-control they had over themselves at the point of completing the survey questionnaire.
And for the same period of two weeks, their subordinates completed surveys when they had finished the day’s work, and recorded any abusive supervisor behaviour of their leader (manager) on that day, as well as their own work involvement on the same day. The research was aimed at focussing on the individual leaders, rather than assessing leaders in relation to each other.
Researchers tracked the amount of sleep that the leaders had (their sleep patterns) over a number of weeks. During that time, the reactions and observations of their subordinates to their leader’s performance was carefully recorded. (There was no knowledge, on the part of the workers, of the amount of sleep that their boss was getting, during the course of this research exercise).
Sleep quality and quantity affects leadership ability
The research revealed that, if the supervisor had experienced a poor night’s sleep, this resulted in a more derogatory and disrespectful attitude towards the supervisees the following day.
Lack of restful sleep also led to a reduction in the leader’s ability to self-regulate – (to manage their responses to others constructively). This was described by the employees in their reports of their leader’s behaviour.
Another quite alarming result also occurred: On the days after the leader had a disturbed night’s sleep, the employees – (even if they had nourishing sleep themselves) – were less interested in their work during that day, as a result of the leader’s insomnia, with a consequent lack of productivity. As Matthew Walker commented:
” …it was a chain reaction effect, one in which the lack of sleep in that one superordinate person in a business structure was transmitting on, like a virus, infecting even the well-rested employees with work disengagement and reduced productivity.” (Page 302, Walker. 2017).
Leading, managing and working with others needs energy and stamina, and this research is clear evidence of the vital importance of making sure that people working in management roles get a good night’s sleep (of at least seven to nine hours per night). This will have a really beneficial effect, not only on the manager’s own health, but also on the morale and work performance of the people they are in charge of during the working day, which can only be a very good thing for the organisation as a whole.
But changing habits and altering behaviour isn’t easy, especially when there is strong, social pressure to conform to the patterns of sleep of the people around you. Many managers feel under pressure to over-work and avoid self-care strategies, because of the macho cultures in some organizations. And these macho cultures actually work against the productivity of the organization!
Sorting out your priorities, as a working manager, can be difficult on your own; and being coached within your own organization can simply reinforce the pre-existing macho and self-neglectful culture.
In my chapter on sleep, in Lifestyle Counselling and Coaching for the Whole Person, I mentioned some former leaders who harmed their brains (and now we know, also their teams!) through lack of adequate sleep – Thatcher and Reagan being the most notable examples. The current President of the United States boasts that he only takes 5 hours sleep per night. So don’t make the mistake of working for him, folks!
Clearly, you could often benefit from coaching outside your organization on the subject of managing your health and leadership ability by managing your sleep, and other lifestyle factors. This could be one of the best investments of your precious time that you ever make.
The crux of leaderships is this: “Example, example, example!” What kind of example are you currently setting, at home and in work, in terms of self-care, including adequate sleep?
Contact me if you want to be coached on how to manage your energy and increase the quality and quantity of your sleep, so that your working life and home life can be enriched.
THE NEW WRITING PROJECT: A TRILOGY ON COUPLES THERAPY AND HAPPY RELATIONSHIPS
Copyright (c) Jim Byrne, 2018
In this blog post, I want to introduce you to my writing project – which involves three new books on couples therapy.
Writing is in my blood. I have been writing since I was 19 years old, when I used to have to construct routine notices for military noticeboards! (Who would have guessed it?!) But it took 11 years before I published my first two books. Then another 39 years to figure out how not only to write meaningful and engaging material – (which I could edit adequately; and which I could publish and promote) – before I could claim to be a relatively successful author/editor/publisher.
But all of that is just too conscious, and agent-centred. Perhaps it should not be seen in those terms. Indeed, my current situation supports that view. This is it:
Somewhere in the past 48+ hours, I began to write a three volume series on couples therapy, based on my twenty years of experience of helping many couples to improve their marriages, or marriage-like relationships.
But there I go again, expressing the viewpoint of ‘the agent’. In practice, it might be more accurate to write that “a three volume series on couples therapy began to write me; or began to write itself, through me!”
Anyway, whether I, or my Muse, are responsible, the writing work has begun. Not that you could call what I have done so far “writing a book”. Why? Because there is such a huge amount of material to be organized into three volumes.
The main reason for the three volumes is the sheer mass of helpful insights, techniques, models, experiences and processes that I want to share with fellow counsellors, therapists, counselling students, and self-help enthusiasts.
But if I have learned one thing in the process of trying to write books that sell, it is this: Readers want to read a digestible chunk of material which is clear, relatively simple (in so far as that is achievable), and not too broad in scope. And my main motivation in writing, from the beginning, has been to serve the reader; to make their journey enjoyable, and as effortless as possible.
When I briefly reviewed the material on couples therapy that I have on hand, I found it was like being a gardener who has only three window boxes (the three ‘volumes’), but into those three containers s/he has to place the most important parts of a huge lawn, some colourful flower beds, a rockery, and a huge shrubbery.
How to narrow down the material to fit the boxes?
I had no idea! So, I slept on that problem, overnight, and the next day (yesterday) I had evolved a viable division. (Again, the ‘agent’! Perhaps I should write: “’It’ had evolved itself into a more manageable shape, which has an internal consistency!”)
Over the weeks ahead, I will publish bits and pieces of Volume 1, so that interested individuals can get a sense of what is ‘coming down the (turn)pike’.
The challenge of writing
Writing in general is a hugely challenging proposition. I enjoy it enormously. And it can be rewarding when the books begin to sell as well as our recent book is doing. Lifestyle Counselling and Coaching for the Whole Person is the first major breakthrough we have had in our publishing activities so far. In the month of March to date, it has brought in about 40% of my gross income.
But please remember, it took me 50 years to get to this point, and the world will never be able to pay me enough for all the hours of ‘apprenticeship’ that I have spent on my loving care of the written word! (Individuals who want to get help with their own writing projects can always tap into my writing experience, here: Authorship Coaching.***)
And if you have an interest in couples therapy, for yourself, your clients, or whatever, I hope my new project will prove interesting to you.
News and updates about ABC Coaching and Counselling Services
in January to March 2018
And about Emotive-Cognitive Embodied Narrative Therapy (E-CENT)
23rd March 2018
In this brief newsletter, we aim to update you about the books and blogs we have been researching and writing – on diet, exercise, sleep, and emotional self-management – at ABC Coaching and Counselling Services, and publishing via the Institute for Emotive-Cognitive embodied Narrative Therapy (E-CENT).
Following on from our very busy and successful year in 2017, we have continued to research and write according to our declared plans.
In the first few weeks of this year, Renata has been busy researching the science of sleep, especially in so far as it affects our emotional functioning and general health and well-being.
Today we want to share with you a blog post which is ‘hot off the press’. It concerns the impact of blue light LED devices, like computer screens, iPads, iPhones, and the negative effects these devices have upon sleep, if we use them close to bedtime! This is it: iPads and iPhones disrupt your sleep…***
Regarding some announcements about depression and medication
Some research results that should be known by all counsellors and psychotherapists, as well as their clients
Copyright (c) Jim Byrne, 2018
We wanted to post a blog about the new hype about antidepressants, which has been generated by a new report, which will be mentioned below; and which has been wildly hyped in the British newspapers over the past few days.
Then the magazine, What Doctors Don’t Tell You, produced an article which we liked, and we posted a link to that article, on Facebook, as follows:
“Antidepressants are a family of drugs that are bad and dangerous to know – and now researchers have named Effexor (venlafaxine) as the baddest of the bad. Patients are much more likely to attempt suicide while taking Effexor than any of the other antidepressants, a new study has found.
“The news comes as no surprise to those who’ve already been exposed to the drug. It’s considered to be one of the most powerful antidepressants, and one of the hardest to tolerate. In fact, around 19 per cent of patients stop taking the drug early because they can’t stand the side effects, which include anxiety, sexual dysfunction, weight gain, high blood pressure and thyroid depression. One patient even reported a sudden change of hair colour.
“They are the lucky ones. Once over the initial hurdles of life-destroying side effects, withdrawal symptoms are so severe that it’s almost impossible to stop taking the drug.
Antidepressants are a family of drugs that are bad and dangerous to know – and now researchers have named Effexor (venlafaxine) as the baddest of the bad…
Some time later, there was a response.
A statement in defence of antidepressants!
A contact on a major social media platform posted this piece:
Unnamed Person: “…” (The statement made by Unnamed Person has been removed, at their request, and is now replaced by a simple statement of the objections they made to my post above.) This was the substance of their objection:
1. It is ridiculous to post my post, because it is based on just ONE study!.
2. It seemed to Unnamed Person that there is a rigorous 6-year study of antidepressants and talking therapy which I should have posted alongside my post, for the sake of balance. And for the sake of acting responsibly.
I (Jim Byrne) responded like this:
Jim ByrneHi Unnamed Person,
Thanks for your message. So I looked up the study to which you refer, and this is what I found:
“The international study – an analysis pooling results of 522 trials covering 21 commonly-used antidepressants and almost 120,000 patients – found that all such drugs were more effective than placebos.” (Source, SBS News, Australia: https://www.sbs.com.au/…/antidepressants-really-do-work…).
What could possibly be wrong with the design of that study?
Well, look! They “…pooled the results of 522 studies…”.
What could be wrong with that?
Well, *how many* studies were *conducted* by drug companies, where they *refused* to release the results? It could be that they hide the almost half of studies which show *no benefit*, and publish the just over 50% that show *modest benefits*. (And they try very hard to *hide* the very widespread and *very serious* negative side effects of all of these ‘medicines’. (See this report in The Sydney Morning Herald – an equally well known Australian news outlet: https://www.smh.com.au/…/2008/03/02/1204402265828.html)
Here are some extracts from that Sydney Morning Herald source:
“The key issue is simple. In any situation, to make any kind of sensible decision about which treatment is best, a doctor must be able to take into account all of the available information. But drug companies have repeatedly been shown to bury unflattering data.”
“Sometimes they bury data that shows drugs to be actively harmful. This happened in the case of Vioxx and heart attacks, and SSRIs and suicidal thoughts. Such stories feel, intuitively, like cover-ups. But there are also more subtle issues at stake in the burying of results showing minimal efficacy, and these have only been revealed through the investigations of medical academics.”
“In January a paper in the New England Journal Of Medicine dug out a list of all trials on SSRIs that had ever been registered with the US Food and Drug Administration and then went to look for those same trials in the academic literature. There were 37 studies which were assessed by the regulator as positive and, with a single exception, every one of those positive trials was written up, proudly, and published in full.”
“But there were also 33 studies which had negative or iffy results and, of those, 22 were simply not published at all – they were buried – while 11 were written up and published in a way that portrayed them as having a positive outcome.”
I (Jim) then commented:
So, Unnamed Person, let me sum up. You cannot evaluate the effectiveness of drugs when the companies producing those drugs are allowed to selectively publish the results they want you to hear; and to hide the results they do not want you to hear.
And if some idiot, or charlatan, does a meta-analysis of the studies published by the drug companies, and their patsies, and says this proves those drugs are safe and effective, I have just one thing to say to them: This is not science! This is not good academic work! This is propaganda for the drug companies!
So, Unnamed Person. Who is being ridiculous? Think again about the flag you were flying under: “There is a *rigorous* 6-year study of antidepressants”. That flag is a pirate rag! There is no possibility of rigorous studies of all of the data on antidepressants so long as drug companies are allowed to hide bad data, and to publish what they choose to show us!
Unnamed Person‘s response
Later, Unnamed Person, got back to me:
Here is an extract from the opening of Dr Moncrieff’s piece:
The extraordinary media hype over the latest meta-analysis of antidepressants puts the discussion of these drugs back years. Despite the fact that 9% of the UK population are taking antidepressants,1 and rates of prescribing have doubled over the last decade,2 the authors of the analysis are calling for yet more prescribing. John Geddes suggested in The Sun newspaper that only 1 in 6 people are receiving adequate treatment for depression in high income countries. In The Guardian he estimates that 1 million more people require treatment with antidepressants in the UK, but by my maths, if 9% are already taking them and they only represent 1 in 6 of those who need them, then 54% of the population should be taking them. I make that another 27 million people!
But there is nothing ground-breaking about this latest meta-analysis. It simply repeats the errors of previous analyses. Although I have written about these many times before, I will quickly summarise relevant points.
The analysis consists of comparing ‘response’ rates between people on antidepressants and those on placebo. But ‘response’ is an artificial category that has been arbitrarily constructed out of the data actually collected, which consists of scores on depression rating scales, like the commonly used Hamilton rating Scale for Depression (HRSD). Analysing categories inflates differences.3 When the actual scores are compared, differences are trivial, amounting to around 2 points on the HRSD which has a maximum score of 54. These differences are unlikely to be clinically relevant, as I have explained before. Research comparing HRSD scores with scores on a global rating of improvement suggest that such a difference would not even be noticed, and you would need a difference of at least 8 points to register ‘mild improvement’.
Moreover, even these small differences are easily accounted for by the fact that antidepressants produce more or less subtle mental and physical alterations (e.g. nausea, dry mouth, drowsiness and emotional blunting) irrespective of whether or not they treat depression. These alterations enable participants to guess whether they have been allocated to antidepressant or placebo better than would be expected by chance.4 Participants receiving the active drugs may therefore experience amplified placebo effects by virtue of knowing they are taking an active drug rather than an inactive placebo. This may explain why antidepressants that cause the most noticeable alterations, such as amitriptyline, appeared to be the most effective in the recent analysis.
Antidepressant trials often include people who are already on antidepressants. Such people may experience withdrawal symptoms if they are randomised to placebo, which, given that almost no antidepressant trial pays the slightest attention to the problems of dependence on antidepressants, are highly likely to be classified as relapse.
The analysis only looks at data for eight weeks of treatment, whereas in real life people often take antidepressants for months or even years. Few randomised, placebo-controlled trials have investigated long-term effects, but ‘real world’ studies of people treated with antidepressants show that the proportion of people who stick to recommended treatment, recover and don’t relapse within a year is staggeringly low (108 out of the 3110 people who enrolled in the STAR-D study and satisfied inclusion criteria).5 Moreover, several studies have found that the outcomes of people treated with antidepressants are worse than the outcomes of people with depression who are not treated with antidepressants,67 even in one case after controlling for the severity of the depression (as far as possible).8 The huge increase in prescribing of antidepressants over the last three decades has been accompanied by a substantial rise in the numbers of people who are in receipt of long-term disability benefits due to depression and related disorders in the UK, and this is at a time when benefits for other disorders, like back pain, have been reducing.9
Calling for antidepressants to be more widely prescribed will do nothing to address the problem of depression and will only increase the harms these drugs produce. …
Here is a brief extract from one of the main sections that deal with diet and depression:
(ii) Treating depression
There are many different views about how to treat depression, and here is a summary of some of the most recent explanations of what is happening to us when we are depressed.
Firstly, the views of Dr Kelly Brogan will be summarised, as she has a unique explanation, which she has described in her recent book, titled ‘A Mind of Your Own’ (2016)[i]. She is a practising psychiatrist in America, with training as a medical doctor, and a degree in cognitive neuroscience, including clinical training from the NYU School of Medicine. She uses holistic methods of treating her patients and describes her work as ‘lifestyle medicine’. In this approach, she uses the techniques of meditation, nutrition and physical activity as crucial daily habits with which to treat her depressed patients (and this approach overlaps, but is not co-extensive with, the E-CENT approach [Byrne, 2016]).
Dr Brogan’s view is that depression is a symptom or sign: “…that something is off-balance or ill in the body that needs to be remedied”.
She considers that mental illness symptoms aren’t entirely psychological or solely neurochemical. And she points out in her book that there is no single study which has produced evidence that depression is caused by a lack of chemical equilibrium in the brain.
She considers depression to be a grossly misidentified state and in particular for women who, in the US, are being medicated at the rate of one in seven. Also, one in four women in their 40’s and fifties use psychiatric drugs.
She states: “We owe most of our mental illnesses – including their kissing cousins such as chronic worry, fogginess and crankiness – to lifestyle factors and undiagnosed physiological conditions that develop in places far away from the brain, such as the gut and the thyroid”, and she goes on to state that:
“You might owe your gloominess and unremitting unease to an imbalance that is only indirectly related to your brain’s internal chemistry. Indeed, what you eat for breakfast … and how you deal with that high cholesterol and afternoon headache (think Lipitor[ii] and Advil[iii]) could have everything to do with the causes and symptoms of depression.”
Her opinion of the foolishness of applying chemical solutions to people’s problems is very clear. In her view: “… if you think a chemical pill can save, cure or ‘correct’ you, you’re dead wrong. That is about as misguided as taking aspirin for a nail stuck in your foot.”
Her approach is to get a medical and personal history of her clients, their manner of birth (natural or section), whether breast fed or not; and she orders lab tests to ascertain the whole picture of their biological make-up.
She focusses on the information from their cellular analysis and the workings of the immune system, and points out to the reader of her book that, over the last twenty years, medical research has identified the significant part that inflammationplays in the creation of mental illness.
She also focuses on the client’s lifestyle, dietary habits e.g. sugar consumption, the condition of their guts, and microbe balance (in their guts), hormone levels – e.g. thyroid and cortisol – and genetic variations in their DNA, which could affect their susceptibility to depression. And finally, their beliefs about their own health can also play a role, she says.
So Dr Kelly Brogan shares the same conviction as Dr Perlmutter (2015): that the state of our guts is a very important determinant of our emotional well-being.
Dr Perlmutter (2015) states: “Depression can no longer be viewed as a disorder rooted solely in the brain. Some of the studies have been downright eye-opening. For example when scientists give people with no signs of depression an infusion of a substance to trigger inflammation (in the body), classic depression symptoms develop almost instantly”. (Page 76)
Perlmutter is a board-certified neurologist and Fellow of the American College of Nutrition. He is also president of the Perlmutter Health Centre in Naples, Florida. Dr Perlmutter considers that our mental health and physical wellness are totallyaffected by the internal systems of bacteria that operate in the gut.
But what exactly is going on in our guts? Apparently, we’ve all got millions of microbes in our body and most of them live in our digestive tract (10,000 species!). And each of the microbes have their own DNA, and that means that for every human gene in our body, there are at least 360 microbial genes. These organisms include fungi, bacteria and viruses. In a healthy gut, most of these microorganisms are ‘friendly’, with a few ‘bad’ bacteria which are controlled by the ‘good’ stuff.
These tiny microbes: (1) strongly influence our immune system; (2) affect absorption of nutrients; (3) signal to us whether our stomach is empty or full; (4) and determine our level of inflammation and/or detoxification (which are directly related to disease and health). They also affect our moods.
Apparently our guts contain 70-80% of our immune system, and so our gut bacteria participate in maintaining our immunity.
They can also keep cortisol and adrenaline in check. These are the two major hormones of the stress response, which can cause havoc in the body when they are continually triggered and flowing.
And our gut microbes influence whether we get any or all of the following conditions: Allergies, ADHD, asthma, dementia, cancer and diabetes, a good night’s sleep; or whether we quickly fall prey to disease-causing germs. And there is increasing evidence of a link to anxiety and depression.
Dr Perlmutter makes recommendations for changes in people’s diet which he says will:
(1) treat and prevent brain disorders;
(2) alleviate moodiness, anxiety and depression;
(3) bolster the immune system and reduce autoimmunity problems; and
(4) improve metabolic disorders, including diabetes and obesity, which are all linked to overall brain and body health.
He makes recommendations which are very practical, including…
…end of extract…
[i] Brogan, K. (2016) A mind of your own: The truth about depression and how women can heal their bodies to reclaim their lives. London: Thorsons.
[ii] Lipitor is a drug commonly prescribed for reducing high cholesterol.
[iii] Advil (ibuprofen) is a nonsteroidal anti-inflammatory drug (NSAID). Ibuprofen works by reducing hormones that cause inflammation and pain in the body.