Posts tagged mania
Striving towards meaningful goals is good for your well-being; even just having goals by themselves are indicative of well-being. This is an established dogma of positive psychology, so how can one argue that goals may be at the root of the experience called depression.
A framework that aims to throw some light on this is the dual-process Tenacious Goal Pursuit (TGP) and Flexible Goal Adjustment (FGA) theory as proposed by Brandstatdter and colleagues.
As per this framework, we all strive towards goals, but only goals that are meaningful (say goals which align with our self-identity) and attainable (we have self-efficacy beliefs and can figure out strategies to achieve the goals) lead to well-being. A goal that we find meaningful and are highly committed to, but which becomes unattainable due to either external circumstances or our internal capacities, may lead to depression.The depression, and the helplessness and rumination that accompany it, may paradoxically have the function of decreasing our commitment to the goal and releasing ourselves from that unattainable goal.
And here is where the TGP and FGA theory comes to the rescue. In view of internal or external obstacles, that is when you are not able to make progress towards meaningful goals, you may either try to change the situations or your actions to ensure that they are congruent to the goals and would thus be demonstrating an adaptive process of assimilation (not to be confused with Piaget’s use of assimilation) also known as Tenacious Goal Pursuit (TGP), or you may adjust your goals and ambitions to reflect the situations / your capacities using the process of accommodation also known as Flexible Goal Adjustment (FGA).
Now, lets backtrack a little and reflect on the many routes to happiness: some say its all in your head- that you just need to change your mindset/ perception of events and you can be happier; others say that happiness is dependent on your situations and the actions that you take- you can and should cultivate happiness by activities and by changing your circumstances. Like all debates, like Nature-Nurture, the answer probably lies in the interaction and in-between. Haidt has famously claimed that happiness lies in-between, and I concur.
Similarly, sadness or depression may lie in your flexibility and tenacity of goal pursuits – while showing rigidity to a goal and not giving up may lead to sadness and depression, giving up too early or not being tenacious when circumstances could have been changed, may also lead to regret and sadness.
Its important to note that changing circumstances/ TGP etc are active processes; meanwhile changing mindset/ FGA are relatively passive processes, in that they happen in the background and not so much consciously.
That brings me to my major thesis: Depression is a disorder characterized by inability to use the adaptive process of FGA optimally. To me, Depression is a disorder of Behavior related to the Passive polarity of the ABCD Behavioral dimension. When one has a goal, to which one is committed, but is no longer attainable (and this may include an irreparable loss like bereavement ) then most people will use Flexible Goal Adjustment to come out of that state. However, the people with depression may be less able to use FGA and may remain committed to unattainable goals.
One of the evidence that comes to mind is, and for this you have to refer to my previous post about personality disorders and emotions, that the passive pole of Behavior dimension in ABCD model is also associated with Dysthemic and borderline personalities and hypothesized to be associated with the Conscentiousness trait. Now, It does seem that there is some evidence that highly conscientious people who have high commitment to goals, also are more likely to get depressed following setbacks or adverse life events. This makes immense theoretical sense too.
One can also examine the Active pole of the Behavior dimension in ABCD model to gain equivalent insights. As I had mentioned in my last post, that is associated with personality disorders of Histroinic and Hypomanic personality disorders and likely associated with the trait Impulsive Sensation Seeking. Extending this joy/ happiness related dimension, all these are also likely to be associated with the active process of Tenacious Goal Pursuit; here it is instructive to note that a high score on Impulsive Sensation Seeking may prevent TGP from happening as the person may keep moving from one activity to the other; and extremes of this may lead to manic behavior. The high scores on Impulsive Sensation seeking leading to less TGP leading to full-blown mania, is similar in nature to high scores on Conscientiousness leading to less FGA leading to full-blown depression.
To me, this seems a novel and fruitful approach to think about and conceptualize depression- as an inability to give up goals that are no loner feasible. If we focus more on this aspect, perhaps we need to augment our talking therapies of CBT etc that focus on negative self-talk and also introduce safe spaces and experiences whereby people can indulge in Flexible Goal Adjustment and give up on goals that are no longer feasible and replace them with other more meaningful and attainable goals.
Regular readers of The Mouse Trap will be familiar with my obsession with knowing how nature is carved at its joints or in other words what are the natural categories or basic kinds.
This translates into thinking a lot about what are the fundamental drives, basic emotions and personalty traits and what taxonomic system of mental illness is most reflective of underlying fundamental nosological differences.
While synthesizing the work of others, has great value, and one derives many valuable theoretical insights based on such musings; there is nothing better than finding empirical studies that shed some light on such matters.
For example, I have argued that one set of disorders that arise form emotional polarity of fear/interest is Anxiety disorders and Obsession disorders. When fear is disproportional/ inappropriate to circumstances, it leads to anxiety; when interest is disproportional/ inappropriate it leads to Obsession. Fear and interest though opposed are two separate constructs as per the first tenet of positive psychology that good is not the absence of bad.
Similarly, the set of disorders that arise form sadness/ Joy polarity is depressive disorders and manic disorders. I am deliberately using plural form while defining depressive/ manic disorders as they contain sub-types – as we will soon see in the case of depression.
Now while depression is characterized by excessive low affect (sadness), one way to conceive Mania is as having excessive energy; the opposite of manic symptoms thus might be conceived of as fatigue or anergia. Anxiety is of course marked by excess anxiety while Obsession is too much interest; a possible opposite of obsession may be anhedonia– a sort of disinterest or apathy.
Now, its common to find depression and anxiety disorders comorbid with each other and just like treating bipolar as well as schizophrenia under one umbrella of psychosis, one may conceivably treat depression/ anxiety / anergia and anhedonia under a common nomenclature- in this case that of depression.
But we are perhaps getting ahead of ourselves. Lets backtrack a bit and go straight to this new study that found four neural subtypes of depression.
Basically, Liston and colleagues, used resting state fMRI to look at the functional connectivity of depressed patients and developed an algorithm to predict who has depression and who does not have in a sample consisting of both depressed patients and healthy controls. They found abnormal functional connectivity in frontostraital and limbic systems in teh depressive patients.
They also used clustering techniques to find that their depressive subset of patients clustered around two dimensions- one of which they called anxiety dimension and the other anhedonia. When one takes into account that there could be 2×2 = 4 combinations of anxiety and anhedoinia they found that their patients neatly clustered in those four quadrants.
If you note in the figure 1f accompanying the article,
- cluster 1 subjects have low scores on anhedonia and high scores on anxiety
- cluster 2 subjects have neither anxiety nor anhedonia
- cluster 3 have high anhedonia but low anxiety
- cluster 4 have both high anxiety and high anhedonia
The authors note that all subjects had low mood (sadness, hoplessness, helplessness) and that is why they were classified as depressed patients in the first place. The core depressive signature was also associetd with anergia and anhedonia with majority of patients showing these symptoms across all subtypes.
They also found slightly different neural signatures for all the four subtypes. For eg. cluster 1 & 4 characterized by high anxiety had reduced frontoamygdalar connectivity, linking it with fear circuit. Cluster 3 & 4 were associated with hyper connectivity between thalamic and frontostriatal networks and had high anhedonia and psychomotor retardation associated with them. And cluster 1 & 2 had reduced connectivity between anterior cingulate and orbitofrontal coretx involved in reward and incentive salience and guess what they showed anergia or fatigue.
To me it seems apparent that what we are seeing here are different effects of low mood, anxiety, anhedonia and anergia playing out as four clusters.
Cluster 3 I would classify as primarily anehdoina related; cluster 4 as primarily anxiety related; cluster 1 may be thought of as anergia related and clusetr 2 as pure depression or low mood related.
If my hunches are true we should find similar subdivisions in diagnosed anxiety disorders, obsessive disorders , manic disorders too. Of course that is an empirical fact to be proved.
S. Nassir Ghaemi, in his book, A First Rate Madness: Uncovering the links between Leadership and Mental Illness, makes a case for the fact that while ‘normal’ leaders are good in times of stability and peace; in times of crisis, mentally ill or mentally abnormal people make for better leaders.
He does this via historical analysis of leaders like Gandhi, Martin Luther King jr, Franklin D. Roosevelt, Winston Churchill, Abraham Lincoln etc. Some of these leaders he classifies as being predominantly depressive, others as manic while the rest as being of bipolar proclivity. In the book he writes:
The depressed person is mired in the past; the manic person is obsessed with the future. Both destroy the present in the process.
He lists four traits that distinguish a manic/depressive leader from other normal leaders: Empathy, Resilience, Creativity and Realism! I can easily map these to the ABCD dimensions: empathy is an Affective trait (the ability to feel emotions), resilience is more about Behaviors (bouncing back from failures), creativity is related to Cognition (ability to think in a divergent manner) while realism can be linked to Desire/Dynamism (do we do realistic assessments).
He claims, and I find that claim very attractive and true, that depressive people typically are better at empathy and realism, that is, they have heightened empathy and realism as compared to the normal population; in a similar vein, manic people are typically better at creativity and resilience than the normal population.
If one views depression and mania as somewhat opposed to each other. at least on on some dimensions, it goes without saying that depressive people may be less creative (they are typically stuck in ruts)/resilient (they often cant cope and sometime stake the extreme step of suicide); similarly, in a manic phase, people may be less realistic (may even become psychotic losing touch with reality)/ empathetic (may not be able to get inside the head of others).
While a depressive or manic phase may be debilitating, the relatively ‘normal’/symptom free period may confer advantages on depressives, manics or bipolars by making them leverage their resilience, creativity, realism and empathy, especially to tide over crisis.
Why should it be the case that in normal periods a ‘normal’ leader may help, but in a crisis only an ‘abnormal’ leader may be able to rise to the occasion? The answer lies in evolution and genetic diversity. Consider moths that are generally gray in color, but some are darker (closer to black) while some others lighter (white in color) . The majority gray moths are the ‘normal’ moths, while the minority black and white are abnormal ones. Now these moths are exquisitely adapted to their environments, and typically gray moths will flourish. However if the area has suddenly become polluted such that darker color moths are now less easier to detect than the gray moths by the predators, then dark moths will thrive at the cost of light moths.
A similar analogy can be applied to humans. Normal leaders are adapted to stable conditions; while in times of crisis, more atypical brains may suffer greater advantage.
So next time you select a leader, be mindful of whether its a change/crisis situation or a stable situation; if a crisis/ change situation, you may do well to do some reverse discrimination and select a mentally ill/ abnormal person as a leader!!
No, I am not speaking metaphorically. Quite literally,there has been accumulating evidence that sense are sharpened and have great acuity in mania while they are dulled in depression and the effects can be seen within the same individual over time as he/she suffers from manic/depressive episodes.
The latest study to add to this literature is by Bubl et al that found that depressive people’s brain registered lesser contrast than that registered by normal control brains when presented with same black and white images. They used pattern electroretinogram (PERG) to find whether the contrast gains registered by depressive retinas (those suffering from MDD) were different from those of controls and they found a strong and significant association with the severity of the depression.
I have covered earlier studies that found that sense of taste was compromised in depression (and enhanced in mania) and similarly that the sense of smell showed similar effects. Some snippets from the earlier posts:
What this means is that if you increase the amount of serotonin in the brain, then the capacity to detect sweet and bitter tastes is increased; if you increase noradrenaline levels those of detecting salty and bitter tastes is augmented; while a general increase in anxiety leads to better bitter taste detection. This also means that an anxiety state produces more bitter taste perception whereas a depressive state (characterized by low serotonin) is marked by bland sense of taste with marked inability to detect sweet and bitter tastes. A stressed state , marked by abundance of noradrenaline, would however lead to more salty and bitter taste perception.
In one of my earlier post on depression, I had commented on the fact that those suffering from depression have less sensitivity to sweet and bitter tastes and as such may compensate by eating more sugar thus leading to the well documented diabetes – depression linkage.
In a new study it has just been discovered that not only depressives have bland sense of taste, their sense of smell is also diminished and they may make compensations by using greater amounts of perfume. Overall it seems that those suffering from depression will have bland subjective experience of flavor(which is a combination of both smell and taste) and thus may even not really find what they eat to be tasty.
Further on, I speculate prophetically that blander vision will also be found:
To me, this is an important finding. To my knowledge no research has been done in other sense modalities (like vision), but there is every reason to think that we may discover a bland sense of vision in depression. Why do I surmise so? this is because there is extensive literature available regarding the manic state and how things seem ‘vivid’ during that state including visual vividness. If depression is the converse of Mania, it follows that a corresponding blandness of vision should also be observed in those who are clinically depressed.
We also know that in extreme or psychotic forms of Mania, auditory hallucinations may arise. I am not suggesting that hallucinations are equal to vividness, but I would definitely love to see studies determining whether the auditory sense is heightened in Mania (maybe more absolute pitch perception in Mania) and a corresponding loss of auditory absolute pitch perception in depression. If so found, it may happen that music literally becomes subdued for people with depression and they sort of do not hear the music present in everyday life!
Whether other sense like touch, vestibular/ kinesthetic , proprioception (a heightened sense of which may give rise to eerie out-pf-body experiences in Mania) are also diminished in depression is another area where research may be fruitful.
Of course I have also speculated about the others senses and would love to hear studies supporting/contradicting this thesis. But given that senses are attenuated in depression and exaggerated in mania the question remains why? Which brings me to the topic of this post- why is the world bleak /bland to a depressive and vivid for a manic?
This was also the question asked by Mark Changizi (@Mark_Changizi) on twitter with respect to this new study uncovered today and I replied that this may be due to broaden-and-build theory being applied to sensory domain or sensory gating phenomenon differentially acting in manic/ depressive states, while Mark was of the opinion that it might be the result of physiological arousal with arousal being the variable of interest controlling whether the sense remain acute or dull?
I do not see the two views necessarily contradictory and it may be that chronic affect per se activates arousal and that is the mediating variable involved in its effect on senses; and we can design experiments to resolve this by measuring the effect of state sadness/ happiness/arousal on visual acuity (if the effects of state manipulations are big enough); howsoever, I woudl like to elaborate on my broaden and build theory.
In the cognitive, psychological and psychosocial domains the broaden and build theory of positive affect is more or less clearly elaborated and delineated. I wish to extend this to the sensory domain. I propose that chronic positive affect signals to our bodies/brains that we can afford to make our attention more diffuse, let senses be perceived more vividly as we have more resources available to process incoming data; conversely in a chronic low affect state we might like to conserve resources by narrowing focus/ literally narrowing the range of sensory inputs/reducing the sensitivity of sense organs and pool those resources elsewhere.
I know this is just a hypothesis , but I am pretty convinced and would love to hear the results of experiments anyone conducts around this theory.
Bubl, E., Kern, E., Ebert, D., Bach, M., & Tebartz van Elst, L. (2010). Seeing Gray When Feeling Blue? Depression Can Be Measured in the Eye of the Diseased Biological Psychiatry, 68 (2), 205-208 DOI: 10.1016/j.biopsych.2010.02.009
Attention can be focused or it can be diffused. Attentional focus has been shown to be affected by mood or affect; with positive affect leading to a broadening of attentional focus; and negative affect, in general been shown to be associated with a narrowing of focus.
However, Gable and Harmon-Jones argue that emotion or affect is not a uni-dimensional construct, but has at least two dimensions: affective valence- i.e. whether it is felt as pleasurable or dis-pleasurable; and motivational direction- i.e. the action tendency to approach or avoid in pursuit of a preventive/promotional goal.
Much work on emotions has emphasized that they have a number of underlying dimensions. Two dimensions that have received considerable attention are affective valence, the felt pleasure or displeasure, and motivational direction, the action tendency associated with a particular emotional state—approach or withdrawal. Approach motivation refers to an urge or action tendency to go toward an object, whereas withdrawal motivation refers to an urge or action tendency to move away from an object.
They also argue that much of the extant literature on emotion-attention linkage has focused on emotional valence alone, with just one type of motivational direction, and thus has not clarified the (in)dependent role of valence and motivational direction as regards to attention.
Thus, for e.g., the finding that positive emotions lead to broadening of attention is focused on such research as emotions of joy, contentment etc that are low in approach motivation and are emotions felt after the goal has been reached.
Similarly, the research that has found that negative emotions lead to narrowing of focus have relied on emotions such as fear, anger etc that are high in withdrawal motivation and are pre-goal.
I believe, it is important to step back a little here and go back to our conception of happiness-ennui (mental well-being) continuum and sadness-mania (mental illness) continuum. Another way to conceptualize them is to see sadness having negative valence and low withdrawal motivation – it is passive; mania as having positive valence and high approach motivation- mania is characterized by immense desire for a goal and is pre -goal. Happiness is post goal emotion and is characterized by positive valence and low approach motivation- you have already reached the goal and do not need to exert much efforts in goal directed activity; ennui/boredom/listlessness is negative in valence and has high withdrawal motivation- it is pre-goal- a search for a worthwhile goal.
Another way to make the difference stark is employ the terminology of Berridge et al: happiness is related to liking and the opioid system; while mania is related to wanting and the dopamine system. Depression/sadness is related to disliking /feeling pain while ennui/boredom is related to dreading the outcome/feeling anxious (nothing to do and hence life is useless/meaningless!..anxiety but existential anxiety). Berridghe et al have shown that wanting/liking and dreading/disliking differ and have different neural and neurochemichal correlates.
To become a little philosophical, the wanting/disliking mental illness continuum leading to mania or depression in extremes is to be avoided (thus the dictum of all religions to shun desire/ be stoic) while the happiness-ennui/boredom/existential anxiety system is more preferable where you focus on liking positive outcomes and dreading negative/neutral ones. While the former, to paraphrase Freud, is the hysterical misery at worst, the latter is common unhappiness at worst.
But anyway that was long detour. Lets get back to the studies by Gable et al.
In the first study, the authors showed that motivational direction was relevant and was the reason behind the positivity-broadening of attentional focus effect. they showed that positive emotions lead to broadening of attention only in low approach motivation condition; but when the positive emotion had high approach motivation (emotions like desire. engagement etc), the positive affect lead to narrowing of focus.
Now a brief detour into methodology: the attentional focus is usually measured using local-global tasks whereby it is determined whether one is paying attention to global features or local features of an ambiguous/mixed stimuli. For eg, the most popular of these consists of a global big H made up of smaller (say 5 in number) F’s and then determining whether the subject notices the global H or the local F. Details can be seen in the Gable papers which are open access.
Now the authors found robust support for their hypothesis that it is the motivational direction and not affective valence that determines the attentional focus. They also relate it to adaptivity.
Positive affects, particularly those low in approach motivation, suggest a comfortable, stable environment and allow for a broadening of attention and cognition, which may serve adaptive functions (Carver, 2003; Fredrickson, 2001). However, broadening does not occur when positive affects are high in approach motivation. Such positive affects often encourage specific action tendencies, such as tenacious goal pursuit, and an associated reduction in attentional breadth. This reduced attentional breadth may prove adaptive, as it assists in obtaining goals.
They also extend these finding to negative affects and depression etc and I can easily relate them to earlier work I have covered regarding the danger or safety of environment and promotional/ preventive focus:
Together with past research, the present research supports the idea that low- and high-approach-motivated positive affect produce opposite effects on attentional breadth. It is possible that the intensity of withdrawal motivation exerts similar attentional effects; that is, low-withdrawal-motivated negative affect may cause broadening, whereas high-withdrawal-motivated negative affect may cause reduction in breadth. Indeed, such an interpretation would fit with past research. For example, individuals with depression, a low-intensity motivation, are more creative than nondepressed individuals (Andreasen, 1987) and show broadening of attention and memory (von Hecker & Meiser, 2005). In the case of low-motivated negative affects such as sadness and depression, “a more open, unfocused, unselective, low-effort mode of attention would prove not deficient but, on the contrary, beneficial” (von Hecker & Meiser, 2005, p. 456), as one disengages from a terminally blocked goal and becomes open to new possibilities (Klinger, 1975). The past research that found negative affect caused decreased attentional breadth may have evoked negative affective states that were high in withdrawal motivation (e.g., fear; Gasper & Clore, 2002).
This brings me to their current paper , aptly titled , The Blues Broaden, but the Nasty Narrows, that found exactly the effect hypothesized above that sadness/depressive mood was related to broadening of attention, while disgust, a negative emotion with high withdrawal motivation was related to narrowing of focus. they also found that the effect of negative emotion was mediated by arousal which could stand as a proxy for motivational direction.
These two experiments revealed that the relationship between negative affect and attentional precedence is more complex than commonly thought. In line with past theory and evidence, Experiment 2 demonstrated that negative affect caused a narrowing of attention. However, this narrowing occurred only when negative affect was high in motivational intensity. When negative affect was low in motivational intensity, in Experiment 1, it caused a broadening of attention. These results are consistent with the idea that the effect of emotion on local/global precedence is not due to negative versus positive affect, but is instead due to motivational intensity. Positive and negative affects of low motivational intensity broaden attention, whereas positive and negative affects of high motivational intensity narrow attention.
To me this is sufficient, clinching and converging proof of the theories I have been trying to develop with regards to emotions (specifically mania, depression, happiness and despair) and make clear that there are at least two dimensions to happiness/sadness and mental well being/illness constructs. Perhaps if we start liking what we have and stop coveting or wanting more, we have a philosophical, religious, as well as now a psychological, blueprint for how to lead the good life and how to avoid a living hell.
Gable, P., & Harmon-Jones, E. (2010). The Blues Broaden, but the Nasty Narrows: Attentional Consequences of Negative Affects Low and High in Motivational Intensity Psychological Science, 21 (2), 211-215 DOI: 10.1177/0956797609359622
Gable, P., & Harmon-Jones, E. (2008). Approach-Motivated Positive Affect Reduces Breadth of Attention Psychological Science, 19 (5), 476-482 DOI: 10.1111/j.1467-9280.2008.02112.x