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The Coddling of the American Mind

Page 5

by Greg Lukianoff


  Typically, the rider does his job without objection, but the rider has some ability to talk back to the elephant, particularly if he can learn to speak the elephant’s language, which is a language of intuition rather than logic. If the rider can reframe a situation so that the elephant sees it in a new way, then the elephant will feel new feelings, too, which will then motivate the elephant to move in a new direction. Boethius illustrated this “talking back” process by creating “Lady Philosophy” and having her ask the sorts of questions one learns to ask oneself in CBT. As he answers her questions, Boethius sees his life in new ways. He feels flashes of love for his family, and gratitude that they are safe. He changes the ways in which he interprets things, which causes his emotions to change, which then causes his thinking to change even further.

  If you engage in this “talking back” process on a regular basis, it becomes easier and easier to do. Over time, the rider becomes a more skillful trainer, and the elephant becomes better trained. The two work together in harmony. That is the power and promise of CBT.

  What Is CBT?

  Cognitive behavioral therapy was developed in the 1960s by Aaron Beck, a psychiatrist at the University of Pennsylvania. At the time, Freudian ideas dominated psychiatry. Clinicians assumed that depression and the distorted thinking it produces were just the surface manifestation of deeper problems, usually stretching back to unresolved childhood conflict. To treat depression, you had to fix the underlying problem, and that could take many years of therapy. But Beck saw a close connection between the thoughts a person had and the feelings that came with them. He noticed that his patients tended to get themselves caught in a feedback loop in which irrational negative beliefs caused powerful negative feelings, which in turn seemed to drive patients’ reasoning, motivating them to find evidence to support their negative beliefs. Beck noticed a common pattern of beliefs, which he called the “cognitive triad” of depression: “I’m no good,” “My world is bleak,” and “My future is hopeless.”

  Many people experience one or two of these thoughts fleetingly, but depressed people tend to hold all three beliefs in a stable and enduring psychological structure. Psychologists call such structures schemas. Schemas refer to the patterns of thoughts and behaviors, built up over time, that people use to process information quickly and effortlessly as they interact with the world. Schemas are deep down in the elephant; they are one of the ways in which the elephant guides the rider. Depressed people have schemas about themselves and their paths through life that are thoroughly disempowering.

  Beck’s great discovery was that it is possible to break the disempowering feedback cycle between negative beliefs and negative emotions. If you can get people to examine these beliefs and consider counterevidence, it gives them at least some moments of relief from negative emotions, and if you release them from negative emotions, they become more open to questioning their negative beliefs. It takes some skill to do this—depressed people are very good at finding evidence for the beliefs in the triad. And it takes time—a disempowering schema can’t be disassembled in a single moment of great insight (which is why insights gained from moments of enlightenment often fade quickly). But it is possible to train people to learn Beck’s method so they can question their automatic thoughts on their own, every day. With repetition, over a period of weeks or months, people can change their schemas and create different, more helpful habitual beliefs (such as “I can handle most challenges” or “I have friends I can trust”). With CBT, there is no need to spend years talking about one’s childhood.

  The evidence that CBT works is overwhelming.7 A common finding is that CBT works about as well as Prozac and similar drugs for relieving the symptoms of anxiety disorders and mild to moderate depression,8 and it does so with longer-lasting benefits and without any negative side effects. But CBT is effective for more than anxiety and depression, including anorexia, bulimia, obsessive compulsive disorder, anger, marital discord, and stress-related disorders.9 CBT is easy to do, has been widely used, has been demonstrated to be effective, and is the best-studied form of psychotherapy.10 It is therefore the therapy with the strongest evidence that it is both safe and effective.

  The list below shows nine of the most common cognitive distortions that people learn to recognize in CBT. It is these distorted thought patterns that Greg began to notice on campus, which led him to invite Jon out to lunch, which led us to write our Atlantic article and, eventually, this book. (Different CBT experts and practitioners use different lists of cognitive distortions. The nine in our list are based on a longer list in Robert Leahy, Stephen Holland, and Lata McGinn’s book, Treatment Plans and Interventions for Depression and Anxiety Disorders. For more on CBT—how it works, and how to practice it—please see Appendix 1.)

  EMOTIONAL REASONING: Letting your feelings guide your interpretation of reality. “I feel depressed; therefore, my marriage is not working out.”

  CATASTROPHIZING: Focusing on the worst possible outcome and seeing it as most likely. “It would be terrible if I failed.”

  OVERGENERALIZING: Perceiving a global pattern of negatives on the basis of a single incident. “This generally happens to me. I seem to fail at a lot of things.”

  DICHOTOMOUS THINKING (also known variously as “black-and-white thinking,” “all-or-nothing thinking,” and “binary thinking”): Viewing events or people in all-or-nothing terms. “I get rejected by everyone,” or “It was a complete waste of time.”

  MIND READING: Assuming that you know what people think without having sufficient evidence of their thoughts. “He thinks I’m a loser.”

  LABELING: Assigning global negative traits to yourself or others (often in the service of dichotomous thinking). “I’m undesirable,” or “He’s a rotten person.”

  NEGATIVE FILTERING: You focus almost exclusively on the negatives and seldom notice the positives. “Look at all of the people who don’t like me.”

  DISCOUNTING POSITIVES: Claiming that the positive things you or others do are trivial, so that you can maintain a negative judgment. “That’s what wives are supposed to do—so it doesn’t count when she’s nice to me,” or “Those successes were easy, so they don’t matter.”

  BLAMING: Focusing on the other person as the source of your negative feelings; you refuse to take responsibility for changing yourself. “She’s to blame for the way I feel now,” or “My parents caused all my problems.”11

  As you read through that list of distortions, it’s easy to see how somebody who habitually thinks in such ways would develop schemas that revolve around maladaptive core beliefs, which interfere with realistic and adaptive interpretations of social situations.

  Everyone engages in these distortions from time to time, so CBT is useful for everyone. Wouldn’t our relationships be better if we all did a little less blaming and dichotomous thinking, and recognized that we usually share responsibility for conflicts? Wouldn’t our political debates be more productive if we all did less overgeneralizing and labeling, both of which make it harder to compromise? We are not suggesting that everybody needs to find a therapist and start treatment with CBT. Greg’s original realization about cognitive distortions was that just learning how to recognize them and rein them in is a good intellectual habit for all of us to cultivate.

  Learning about cognitive distortions is especially important on a college campus. Imagine being in a seminar class in which several of the students habitually engage in emotional reasoning, overgeneralization, dichotomous thinking, and simplistic labeling. The task of the professor in this situation is to gently correct such distortions, all of which interfere with learning—both for the students engaging in the distortions and for the other students in the class. For example, if a student is offended by a passage in a novel and makes a sweeping generalization about the bad motives of authors who share the demographic characteristics of the offending author, other students might disagree but be reluctant to say so pub
licly. In such a case, the professor could ask a series of questions encouraging the student to ground assertions in textual evidence and consider alternative interpretations. Over time, a good college education should improve the critical thinking skills of all students.

  There is no universally accepted definition of “critical thinking,” but most treatments of the concept12 include a commitment to connect one’s claims to reliable evidence in a proper way—which is the basis of scholarship and is also the essence of CBT. (Critical thinking is also needed to recognize and defeat “fake news.”) It is not acceptable for a scholar to say, “You have shown me convincing evidence that my claim is wrong, but I still feel that my claim is right, so I’m sticking with it.” When scholars cannot rebut or reconcile disconfirming evidence, they must drop their claims or else lose the respect of their colleagues. As scholars challenge one another within a community that shares norms of evidence and argumentation and that holds one another accountable for good reasoning, claims get refined, theories gain nuance, and our understanding of truth advances.

  But what would happen if some professors encouraged students to use the distortions in our list above?

  Microaggressions: The Triumph of Impact Over Intent

  A prime example of how some professors (and some administrators) encourage mental habits similar to the cognitive distortions is their promotion of the concept of “microaggressions,” popularized in a 2007 article13 by Derald Wing Sue, a professor at Columbia University’s Teachers College. Sue and several colleagues defined microaggressions as “brief and commonplace daily verbal, behavioral, or environmental indignities, whether intentional or unintentional, that communicate hostile, derogatory, or negative racial slights and insults toward people of color.” (The term was first applied to people of color but is now applied much more broadly.)

  Many people from historically marginalized groups continue to face frequent acts of bias and prejudice. Sometimes people make thinly veiled bigoted remarks, and in cases where the speaker is expressing hostility or contempt, it seems appropriate to call it aggression. If the aggressive act is minor or subtle, then the term “microaggression” seems well suited for the situation. But aggression is not unintentional or accidental. If you bump into someone by accident and never meant them any harm, it is not an act of aggression, although the other person may misperceive it as one.

  Unfortunately, when Sue included “unintentional” slights, and when he defined the slights entirely in terms of the listener’s interpretation, he encouraged people to make such misperceptions. He encouraged them to engage in emotional reasoning—to start with their feelings and then justify those feelings by drawing the conclusion that someone has committed an act of aggression against them. Those feelings do sometimes point to a correct inference, and it is important to find out whether an acquaintance feels hostility or contempt toward you. But it is not a good idea to start by assuming the worst about people and reading their actions as uncharitably as possible. This is the distortion known as mind reading; if done habitually and negatively, it is likely to lead to despair, anxiety, and a network of damaged relationships.

  Sue’s original essay included a number of examples of microaggressions, some of which imply that a person holds negative stereotypes toward various groups—for example, a white woman clutching her purse when a black person passes by; a taxi driver passing by a person of color to pick up a white passenger; a white person praising a black person for being “articulate.” A person who has experienced these things repeatedly might be justified in suspecting that bigotry or negative stereotypes motivated the behaviors.14

  However, many of the examples offered by Sue do not necessarily suggest that the speaker feels hostility or holds negative stereotypes toward any group. His list of microaggressions includes a white person asking an Asian American to teach her words in the Asian American’s “native language,” a white person saying that “America is a melting pot,” and a white person saying, “I believe the most qualified person should get the job.” These all hinge on the fact that listeners could choose to interpret the statement or question in a way that makes them feel insulted or marginalized. Sue explains that an Asian American could take the language question as an assertion that “you are a foreigner”; a Latino student could take the “melting pot” comment as an injunction to “assimilate/acculturate to the dominant culture”; a black student could interpret the “most qualified person” comment as an implicit statement that “people of color are given extra unfair advantages because of their race.”

  Yes, one certainly could interpret these everyday questions and comments in this way, as tiny acts of aggression, rebuke, or exclusion—and sometimes that is exactly what they are. But there are other ways to interpret these statements, too. More to the point, should we teach students to interpret these kinds of things as acts of aggression? If a student feels a flash of offense as the recipient of such statements, is he better off embracing that feeling and labeling himself a victim of a microaggression, or is he better off asking himself if a more charitable interpretation might be warranted by the facts? A charitable interpretation does not mean that the recipient of the comment must do nothing; rather, it opens up a range of constructive responses. A charitable approach might be to say, “I’m guessing you didn’t mean any harm when you said that, but you should know that some people might interpret that to mean . . .” This approach would make it easier for students to respond when they feel hurt, it would transform a victimization story into a story about one’s own agency, and it would make it far more likely that the interpersonal exchange would have a positive outcome. We all can be more thoughtful about our own speech, but it is unjust to treat people as if they are bigots when they harbor no ill will. Doing so can discourage them from being receptive to valuable feedback. It may also make them less interested in engaging with people across lines of difference.15

  By Sue’s logic, however, CBT itself can be a microaggression, because it requires questioning the premises and assumptions that give rise to feelings. Sue gives the example of a therapist asking a client, “Do you really think your problem stems from racism?” Depending on the therapist’s intention, such a question could indeed be improperly dismissive. But if the intention of the therapist is to help the client talk back to his emotions, search for evidence to justify interpretations, and find the realistic appraisal of events that will lead to the most effective functioning in a world full of ambiguities, then the question may very well be appropriate and constructive. Teaching people to see more aggression in ambiguous interactions, take more offense, feel more negative emotions, and avoid questioning their initial interpretations strikes us as unwise, to say the least. It is also contrary to the usual goals of good psychotherapy.

  Shadi Hamid, a scholar at The Brookings Institution, describes his approach to dealing with potential microaggressions in an article in The Atlantic: “As an Arab and a Muslim, I get the questions ‘Where are you from?’—by which people usually mean ‘Where are you really from?’—and ‘Were you born here?’ quite often. It doesn’t usually occur to me to get offended.”16 As Hamid notes, “In our identitarian age, the bar for offense has been lowered considerably, which makes democratic debate more difficult—citizens are more likely to withhold their true opinions if they fear being labeled as bigoted or insensitive.”

  Hamid’s point has important implications for the challenge of building a community on a college campus, where we want students to freely engage with one another rather than keeping their thoughts hidden. Imagine that you are in charge of new-student orientation at an American university that is very diverse—there are students from a wide variety of racial groups, ethnic groups, religions, and socioeconomic backgrounds. There are international students from Asia, Africa, Europe, and Latin America, some of whom don’t speak English well; many don’t understand the nuances of English words and American customs, and as a result, they often choose the wrong
word to express themselves. There are also students on the autism spectrum who have difficulty picking up on subtle social cues.17

  With all this diversity, there will be hundreds of misunderstandings on your campus each day. The potential for offense-taking is almost unlimited. How should you prepare these students to engage with one another in the most productive and beneficial way? Would you give them a day of microaggression training and encourage them to report microaggressions whenever they see them? To go along with that training, would you set up a Bias Response Team—a group of administrators charged with investigating reports of bias, including microaggressions?18 Or would you rather give all students advice on how to be polite and avoid giving accidental or thoughtless offense in a diverse community, along with a day of training in giving one another the benefit of the doubt and interpreting everyone’s actions in ways that elicit the least amount of emotional reactivity?

  More generally, the microaggression concept19 reveals a crucial moral change on campus: the shift from “intent” to “impact.” In moral judgment as it has long been studied by psychologists, intent is essential for assessing guilt.20 We generally hold people morally responsible for acts that they intended to commit. If Bob tries to poison Maria and he fails, he has committed a very serious crime, even though he has made no impact on Maria. (Bob is still guilty of attempted murder.) Conversely, if Maria accidentally kills Bob by (consensually) kissing him after eating a peanut butter sandwich, she has committed no offense if she had no idea he was deathly allergic to peanuts.

 

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