Out of the Nightmare: Recovery from Depression and Suicidal Pain QUOTES

4 " The circles of shame are vicious. Painful feelings of shame help cause people to be depressed and suicidal, these in turn become shameful aspects of the self. Being angry does not necessarily cause more anger, being envious does not necessarily cause more envy (though once we envy, we can also envy someone's lack of envy), but, in our culture at least, shame (and envy and self-pity) are things to be ashamed about. The two common feelings of suicide are hopelessness and powerlessness; each is shameful, and this additional experience of shame adds pain on pain. A man who despairs because he feels his prospects of having a family are hopeless also feels he will never lose the feeling of shame over being wifeless and childless. To be powerless to change one's life in ways that others can is cause to feel ashamed of one's powerlessness. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

5 " Even if we accept the view that biochemical imbalances may contribute to depression and suicide, it is a mistake to assume that the biochemical aspect of the problem is entirely within the victim. It is also partly within the physiological makeup of the people around the suicide. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

6 " If the social stress is physical, sexual, or emotional abuse, the way to treat the depression is to stop the abuse. Unfortunately, advocates of the biochemical treatment of depression have gone along with the view of academic theory and popular culture that the problem is entirely within the skull of the victim. Enthusiasm for biochemical treatment and research is partly due to the fact that it helps perpetuate the myth that suicide and depression should be treated by changing the victim, not by changing ourselves. As long as we have a narrow view of the causes of biochemical imbalance, such as limiting it to innate genetic defects, we can practice denial on the social complicity in the causation of suicide. The narrow view does nothing to help reduce pain and increase resources for the millions of people whose problems do not respond to medications. It also deprives us of an opportunity for progress in a much broader area for social reform. The dynamics behind the oppression of the suicidal is similar to the dynamics of other forms of injustice; progress in one area can support progress in other areas. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

7 " Suicidal pain includes the feeling that one has lost all capacity to effect emotional change. The agony is excruciating and looks as if it will never end. There is the feeling of having been beaten down for a very long time. There are feelings of agitation, emptiness, and incoherence. 'Snap out of it and get on with your life,' sounds like a demand to high jump ten feet. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

8 " Do human beings have an infinite amount of energy with which to resist death? It is kinder and more accurate to say that they fought until they had no more fight left in them. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

9 " Both the suicidal and non-suicidal are often angry with others. One way to discharge this anger is to fantasize about violent revenge. The insults of daily life often cause fantasies of revenge to flare up and quickly subside. The people with these fantasies usually do not act on them; they are not motives or goals. They are involuntary responses to perceived insult—ways of coping with rage. The suicidal, whether or not they attempt, suffer tremendous and persistent pain and anger. That this pain should find its way into their fantasies and dreams is no surprise. This ideation is not a motive for action; it is an alternative to action. Fantasizing about suicide is an effort to delay or avoid suicide, not the activity of formulating a motive, goal, or intention. Fantasies doubtlessly succeed in preventing many attempts. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

10 " Despair, grief, and depression are not things that people can simply stop, any more than someone can will an end to a toothache or the pain of withdrawal. Acutely suicidal people have lost all sense of having power over their pain. To tell them to magically acquire will power is like asking a crippled person to race against a champion. It does not help them do the thing in question; it just makes them feel worse. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

11 " The suicidal lead shame-drenched lives. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

12 " When we criticize the suicidal for being selfish, we are actually criticizing them for not enduring their pain with grace and good manners. These are nice qualities; we may be correct to reproach average citizens for not having them. But to expect everyone in pain to have them is unrealistic. Bearing pain quietly is what moralists call a supererogatory act--an act that is above the call of duty. Expecting everyone to who is suicidal to behave in a way that is morally above average is simply abusive. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

13 " In one sense the cause of suicide is simple: overwhelming pain. This overwhelming pain, however, is the aggregate of thousands of pains. Any hurt that we have ever suffered, if it remains consciously or unconsciously lodged within us, can contribute to suicide. This may range from being an incest victim 50 years ago, to losing a job 10 years ago, to having a car battery stolen yesterday. The pains come from everywhere: ill-health, family, peers, school, work, community, caregivers. For each suicide there was a finite point at which this aggregate became too much. Although "The straw that broke the back," is frequently an accurate metaphor, no one pain is ever the cause of suicide. Suicidal pain is decomposable into thousands of pains, and nearly all of these pains are decomposable into painful constituents. Sexual abuse, job loss, and personal theft each have numerous painful constituents. The search for the single cause is a fundamentally wrongheaded approach to the understanding and prevention of suicide.
It is inaccurate to say simply that pain causes suicide, since a level of pain that is lethal for one person may not be lethal for someone with greater resources. Similarly, deficiency in resources cannot be regarded as the cause of suicide, since two people may have equal resources and unequal pain. Our resources may also come from everywhere; even such trivial distractions as going to a movie can contribute to coping with suicidal pain. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

14 " Self-destructive behaviors do not exist because there is a force within us that tries to hasten our return to an inorganic state; they exist because they provide short-term relief from pain that threatens to become intolerable. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

15 " Suicidal pain includes the feeling that one has lost all capacity to effect emotional change. The agony is excruciating and looks as if it will never end. There is the feeling of having been beaten down for a very long time. There are feelings of agitation, emptiness, and incoherence. "Snap out of it and get on with your life," sounds like a demand to high jump ten feet. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

16 " Suicide is not chosen; it happens when pain exceeds resources for coping with pain. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain

17 " Snap out it' is abusive. It kicks people when they are down. It makes people in pain feel more hopeless, more powerless, more frustrated, more estranged from humanity. It says, 'I don't want to be bothered with your pain any longer.' For people not in great pain, "Snap out of it" may be helpful advice if they have trouble getting going in the morning. For the despairing, however, it has no positive and many negative consequences. None of the conditions associated with suicide can be snapped out of. "

― , Out of the Nightmare: Recovery from Depression and Suicidal Pain