“You say, ‘I am rich. I have everything I want. I don’t need a thing!’
And you don’t realize that you are wretched and miserable and poor and blind and naked.”
Rev. 3:17, NLT
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If you would come to me and speak this boldly, I’d run you off. “You have no right speaking to me in this way!” Our personal relationships are essentially based on “boundaries.” My continuing friendship with you is based to a large degree on your respecting these social rules and restrictions. We look to social protocol to guide us.
God is the only one we would allow to speak to us so boldly and directly (and even then it’s still unwelcome).
Self-sufficiency has become the specific goal of the speaker, it is how he measures a respectable Christian life. Respectability however, is a disturbing development for simple believers. “I don’t need a thing.” Within our hearts there is a hunger to be independent. Self-sufficiency and pride are disturbing thought processes for simple disciples.
There is a delusion that is quite prevalent– we may feel that we have arrived. We finally are capable of something important. We have done all the necessary things, we have jumped through all the hoops, and have “made it.” It somehow feels like we have accelerated the sanctification process. Much of this comes from a feeling of being ‘spiritually exceptional.’
Jesus is confrontive. He will not diminish the truth, to spare our feelings. I think that that is quite remarkable. We esteem and value honesty, but when it is focused on us it seems difficult.
“You don’t realize that you are wretched and miserable and poor and blind and naked” (Rev. 3:17).
None of these five words would we use to describe ourselves.Let’s consider them anyway:
wretched– terrible, very bad
miserable– unhappy, depressed
poor–lacking sufficient resources
blind– sightless, without vision
naked– bare, without covering
These five words that describe the “real” position of the believer in pride. These five words dismantle us, stripping us of our lies. We have evaluated ourselves and discovered that we must be exceptional believers. (Perhaps my innate specialness is true after all!)
Twenty years ago my wife and I took an evaluation for placement in a language school. I assumed I was quite exceptional, but two hours later I was told that I failed the test and would be assigned to the lowest level for the rest of the semester. I was shocked! And my dear wife, was put into the highest. What a blow to my pride!
“We will speak the truth in love, growing in every way more and more like Christ.”
Eph. 4:15
He reaches out to us because He loves us profoundly. It is a love that is not based on any kind moral performance. However, it is quite necessary for us to step into the piercing light, and an intense desire to enter reality. It is difficult for us to slough off the lies, and to understand what is true. Trust me, Jesus speaks nothing but the truth, and He loves us while He does it.
NAMI’s Interviews With Danielle Steel & Kay Jamison
Last year, Steel published His Bright Light, a memoir of her son, Nick Traina, who committed suicide at age 19 after a life-long battle with bipolar disorder (manic depression). More recently, Jamison has published Night Falls Fast: Understanding Suicide, combining research, clinical expertise and personal experience to explore one of the world’s leading causes of death.On February 8, the Senate Appropriations Subcommittee on Labor, Health, Human Resources, Education & Related Agencies will hold a hearing on suicide prevention that will include testimony from best-selling author Danielle Steel and Professor Kay Redfield Jamison, author of several academic and popular books on mental illness.
Interviews with Steel and Jamison have appeared in “Spotlight,” a special supplement to The Advocate, the quarterly publication of the National Alliance for the Mentally Ill (NAMI). Conducted by NAMI executive director Laurie Flynn, they offer a possible preview of Steel and Jamison’s testimony on Tuesday. Excerpts follow below.
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Dr. Kay Jamison
NAMI’s Interview with Kay Jamison
Spotlight (Winter 1999/2000)
NAMI: What do we know about the linkage between suicide and mental illness?
Jamison: The most important thing to know is that 90 to 95 percent of suicides are associated with one of several major psychiatric illnesses: depression, bipolar illness, schizophrenia, drug and alcohol abuse, and personality disorders. These are obviously treatable illnesses. Another thing people don’t think about enough or emphasize enough is that because cancer and heart disease hit older people, they are seen as lethal illnesses. Because the age of onset for mental illnesses is very, very young, people don’t tend to think of mental illnesses as the potentially lethal illnesses they are. It’s important for people to understand that they have an illness to begin with and then that they get good treatment for it.
NAMI: You have spoken specifically of suicide and college students.
Jamison: Yes. Suicide is the second major killer of college aged kids. It’s the second leading killer of young people generally.
NAMI: You also have pointed out that, worldwide, suicide is the second leading killer of women between ages 15 and 45. These statistics are staggering, yet most people don’t seem to be aware of it.
Jamison: Absolutely. Across the world. There are almost two million suicides a year worldwide. I think people just don’t have any sense of the enormity of it. Suicide unfortunately has been so individualized and, because of the early suicide movement in this country, so separated from mental illness. People working in the field of suicide concentrated on existential factors and vague sorts of things, when in fact the underlying science is very clear that they’re associated with a few mental illnesses.
NAMI: Knowing what we do about illness and its treatability allows us to be able to discuss preventing suicide.
Jamison: Right. [U.S. Surgeon General] Dr. David Satcher’s emphasis has been very strong on three fronts. One is public awareness. Secondly, intervention and all that’s involved in making doctors and others more able to ask the kinds of questions needed to uncover mental illness. And then, thirdly, to support the science that’s necessary to study suicide.
NAMI: What else can policy makers and public officials do?
Jamison: I think we have to have public officials talking about it. When you have someone like Jesse Ventura out there saying these outrageous things-I think it’s really beyond the pale-we’ve got to have the president of the United States saying look we’ve got a real epidemic here, and there’s something we can do about it. People are dying from not gaining access to treatment-or from having three days in the hospital, and then going out and dying.
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NAMI’s Interview with Danielle Steel
Spotlight (Winter 1999)
NAMI: “His Bright Light” is a very personal story about a very painful subject, the mental illness and death of a child. What did you hope people would learn by sharing your story?
Steel: I hoped first of all that people would come to know my son, and learn what an extraordinary person he was. I wrote the book to honor him, and to share with people what a remarkable person he was, in spite of his illness. I also wrote it to share with people the challenges we faced, so that they feel less alone and less isolated with their pain, in similar situations. I wrote it to give people hope and strength as they follow a similar path to ours.
NAMI: What did you learn from this painful tragedy?
Steel: I’m not sure yet what I learned from the tragedy, except that one can and must survive. But from his life, I learned a great deal about courage and perseverance, and love.
NAMI: Lots of people in America might be facing signs of a mental illness in one of their children. What about Nick’s behavior made you realize that it was more severe than just the normal growing pains of a child?
Steel: Nick was different. Always. His moods were more extreme. I sensed from early on, that despite his many wonderful qualities, there was something very wrong. I knew it in my gut, as I think many parents do.
NAMI: How long did it take for Nick to be diagnosed as manic-depressive and receive treatment for that condition?
Steel: Nick was not clearly diagnosed as manic depressive until he was 16, a good 12 years after we began the pursuit of the causes for his ‘differences’. He received no medication until he was 15, and did not receive the most effective medications until he was 16. A long and very painful wait for all concerned!
NAMI: Prior to knowing of Nick’s manic depression, what did mental illness mean to you? Did you associate stigma with mental illness?
Steel: I don’t think I realized, before Nick, that one could still be functional, or seemingly functional, if mentally ill. I thought of it as something totally incapacitating, and of people who were shut away. I don’t think I realized how intelligent and capable mentally ill people can still be. I’m not sure I did associate a stigma with mental illness. It just seemed like a sickness, and not necessarily a shameful one. I just thought of Nick as sick, whatever it was called, and wanted him to be cured.
NAMI: How did Nick deal with the knowledge that he had a mental illness?
Steel: For a long time, Nick himself was in denial about his illness. And eventually, he accepted it. In the last year, he told people he was manic-depressive. Before that, when he felt ‘normal’ on medications, he believed he was cured. He had a hard time accepting at first that he would be manic-depressive all his life.
NAMI: Are schools able to cope with the mental illness of a child?
Steel: In most cases, I don’t believe they are. It is a huge challenge for all to meet, and certainly hard on the other kids to have one child acting out. We were very lucky, in Nick’s high school years we finally found a wonderful school that understood the problem, accepted him as he was, and was willing to work with him in a framework he could cope with. They were remarkably flexible and creative. But for most schools, it’s asking a lot to expect them to adapt to a mentally ill child.
NAMI: If you could tell a family member who is caring for someone who is mentally ill one thing, what would that be?
Steel: Never give up. Get the best help you can. Keep trying, keep loving, keep giving, keep looking for the right answers, and love, love, love, love. Don’t listen to the words, just listen to your heart.
NAMI: What do you think support groups like NAMI can do for families coping with the mental illness of a loved one?
Steel: I think groups like NAMI can provide support, both emotional and practical—the knowledge that you are not alone. And resources, where to go, who to talk to, what works. You need all the information you can get, and it is just about impossible to do it alone.
NAMI: Stereotyping the mentally ill as violent and dangerous is pervasive in America. How do we change this perception?
Danielle: Information. Obviously there must be some mentally ill people who are violent and/or dangerous. But I suspect that most are not. Nick certainly wasn’t either of those, he was gentle, loving, smart, funny, compassionate, extremely perceptive about people, and very wise. I cannot conceive of Nick as ‘dangerous,’ although ultimately he was a danger to himself. But for the most part, I think the turmoils of the mentally ill are directed within and not without.
NAMI: What do you think the average American should know about mental illness?
Steel: I think most people should know how common it is…I also think people should know how serious it is when it goes untreated. And how potentially lethal it can be. It is vitally important to get good treatment, the right medication, and good support. If you let a bad cold turn into bronchitis and then pneumonia, without medication, it can kill you. If you do not treat serious diabetes, it can kill you. If mental illness goes untreated, it can kill you.
NAMI: We know that having “hope” is important to battling any disease. What hope do you see for people with mental illness?
Steel: I see a huge amount of hope. The medications today can give people whole, happy, productive lives. There are lots and lots of people with mental illness holding down good jobs, even with important careers, happy family lives, and doing great things. It is possible to lead a good and happy life if you are mentally ill. If those who are doing just that would speak up, it would give great hope to all those who are still groping their way along in the dark.
NAMI: What is Nick’s legacy?
Steel: Nick’s legacy is the love we had and have for him, the word we have spread of what a terrific person he was. In his lifetime, he touched countless lives, with his warmth, with his mind, with his music, with his words. Through his experiences, others have and will learn. Through the Nick Traina Foundation, hopefully we can bring help to others, in his name.
For more information or assistance, please contact NAMI at: http://www.nami.org/
Edgar Degas, Melancholy/ c. 1874, oil on canvas, Phillips Collection, Washington D.C.
The sadness flows from this painting. Degas caught the dark despondency of his model. Her inertia becomes something we can gaze on carefully and at leisure.
This is one of my favorite paintings. For me, it captures an essence of what depression “looks” like. The anguish and the whole sense of being is seen in the expression of her face. She is frozen in her despair.
Depression immobilizes and then lays waste all that it touches. It is a vicious blight on the human soul.
I remember as a boy seeing a prehistoric bug caught in amber. It struck me as a bit macabre. This poor insect frozen for all to see.
Little did I realize that this was going to happen to me.
For almost 20 years I’ve tangled with clinical depression. It was initiated by a brain tumor in 2002 and has been evident since then.
Depression to me is like being frozen in a deep sadness that clings to my soul. It shows me no mercy when it is active, but I can go several weeks at a time without it being an issue.
There is a dual aspect to this. My experience is like a complete suppression of the good and optimistic, combined with an increase of despair and despondency. I despair of any future good that might occur. Everything becomes bleak and black.
My life becomes a meltdown; a cascading effect of worsening feelings.
A few points that have helped me:
A main point for me is to doubt the “certainties of despair.” I believe that God’s promises to me contain a “future and a hope.” This is vital. At times I feel too far gone, and completely irredeemable. I must doubt the lies of the enemy.
Freedom come through a real faith in God’s grace. I believe that His Holy Spirit empowers the weak. He holds my hand as I stumble in the path. My confidence is in His promises to this “weak lamb.”
Scripture tells me that Jesus’ present ministry is one of intercession for my soul. “Who then is the one who condemns? No one. Christ Jesus who died—more than that, who was raised to life—is at the right hand of God and is also interceding for us” (Rom. 8:34.)
Jesus has the power to keep His flock. He also gives me a few select companions. I meet with some of “my fellow sheep” at my local church. These know me, and their friendship encourages me. They don’t condemn.
I hope that some of this helps, if anything I hope you have a window into my convoluted faith. I don’t want pretend to have all the answers. I’m not a guru. I’m a “work in progress,” and some ways far behind you, the reader.
“Wherefore he is able also to save them to the uttermost that come unto God by him, seeing he ever liveth to make intercession for them.”
Self absorption is one of the traps that we can become ensnared. Many sociologists and psychiatrists are united at this point. Mental health is improved by thinking about others, instead of yourself. We are healthiest when we put others first.
My biggest issues are a result of my preoccupation with myself.
The times when I focus on the Lord, and on others are a blast of cool relief to my overheated soul. Healthy thinking can be evidence of what our gaze is set upon.
Healthy periods of self-examination are necessary, to a point. But prolonged focus can only be injurious.
My own flirtations with suicide have caused me to reflect on how I arrived at such a point. Suicide is the inability to construct a future and feel loved. I get ensnared by all of my ponderous issues and can see no light and have no hope. I become hopeless; despair is all I can see and feel.
But we must never trust the seemingly “certainties of despair”. The promises of God and the steady witness of the Holy Spirit are to be our very life. Especially in this matter. Miring yourself in your problems will only damage your heart and mind. You may have a mental illness, but we can reduce the tension that life is giving us.
I have both bipolar disorder and epilepsy. I have experienced the “mega-ton” kind of depression. I know that I stay healthy when my attention is not on me, but on my family, my church, and my community; and my God. I gain nothing when my soul is mesmerized by my issues. (This isn’t humility– it’s the opposite.)
For the disciple of Jesus Christ what is called for is self-denial. A committed self-forgetfulness that energizes the “basin-and-towel” service to all those around us. Healing comes when we give ourselves completely (Isaiah 58). Our mental illness doesn’t nullify our discipleship. If anything at all, it enhances it.
I realized there is a fine line here. But I believe that my despair is “anti-God.” When I feel like giving up that should become my finest hour. God is closest to those who need Him most.
“For thus says the high and exalted One Who lives forever, whose name is Holy, “I dwell on a high and holy place, And also with the contrite and lowly of spirit In order to revive the spirit of the lowly And to revive the heart of the contrite.”
I remember as a boy seeing a prehistoric bug caught in amber. It struck me as a bit macabre. This poor insect frozen for all to see.
Broken Believers 