Thomas Lewis Quotes

a mood is a state of enhanced readiness to experience a certain emotion. Where an emotion is a single note, clearly struck, hanging for a moment in the still air, a mood is the extended, nearly inaudible echo that follows. Consciousness registers a fading level of activation in the emotion circuits faintly or not at all. And so the provocative events of the day may leave us with emotional responsiveness waiting beneath our notice. If a man spills coffee on himself, his annoyance is relatively short-lived — on the order of minutes. After the conscious feeling is gone, residual activity in the anger circuits lingers. He will pass into an irritable mood — a quickness to anger, the only reflection of the waning activity in those circuits.

The limbic connectedness of a working psychotherapy requires uncommon courage. A patient asks to surrender the life he knows and to enter and emotional world he has never seen; he offers himself up to be changed in ways he can't possibly envision. As his assurance of successful transmutation he has only the gossamer of faith. At the journey's end, he will no longer be who he was, and his guide is someone he has every reason to mistrust...only human love keeps this from being the act of two madmen. (190)

Evolution is a wandering process wherein multiple simultaneous influences, including chance and circumstance, shape biological structures over eons. A more capricious designer than any committee, evolution is a story full of starts, setbacks, compromises, and blind alleys, as generations of organisms adapt to fluctuating conditions.

A person cannot direct his emotional life in the way he bids his motor system to reach for a cup. He cannot will himself to want the right thing or to love the right person or to be happy after a disappointment, or even to be happy in happy times. People lack this capacity not through a deficiency of discipline but because the jurisdiction of will is limited to the latest brain and to those functions within its purview. Emotional life can be influenced, but it cannot be commanded.

The person of the therapist is the converting catalyst, not his order or credo, not his spatial location in the room, not his exquisitely chosen words or denominational silences. So long as the rules of a therapeutic system do not hinder limbic transmission - a critical caveat - they remain inconsequential, neocortical distractions. The dispensable trappings of dogma may determine what a therapist thinks he is doing, what he talks about when he talks about therapy, but the agent of change is who he is. (187)

Like any other momentous shift in emotion, depression is not an occupation by a foreign army; it is civil insurrection, the subversion of identity's republic from within. A depressed person loses more than energy and appetite — he loses himself and the capacity to make the decisions his former, pre-coup self would have made.

The mind-body clash has disguised the truth that psychotherapy is physiology. When a person starts therapy, he isn't beginning a pale conversation; he is stepping into a somatic state of relatedness.

Knowing someone is the first goal of therapy. Modulating emotionality - whether by relatedness or psychopharmacology or both - is second. Therapy's last and most ambitious aim is revising the neural code that directs an emotional life. (176)

The first part of emotional healing is being limbically known - having someone with a keen ear catch your melodic essence. (170)

you might think that treatments like group therapy after breast cancer would now be standard. Guess again. Affiliation is not a drug or an operation, and that makes it nearly invisible to Western medicine. Our doctors are not uninformed; on the contrary, most have read these studies and grant them a grudging intellectual acceptance. But they don’t believe in them; they can’t bring themselves to base treatment decisions on a rumored phantom like attachment. The prevailing medical paradigm has no capacity to incorporate the concept that a relationship is a physiologic process, as real and as potent as any pill or surgical procedure.

The benefits of deep attachment are powerful - regulated people feel whole, centered, alive.

Mutuality has tumbled into undeserved obscurity by the primacy our society places on the art of the deal. The prevailing myth reaching most contemporary ears is this: relationships are 50-50. When one person does a nice thing for the other, he is entitled to an equally pleasing benefit – the sooner, the better, under the terms of this erroneous dictum. The physiology of love is no barter.

People rely on intelligence to solve problems, and they are naturally baffled when comprehension proves impotent to effect emotional change. To the neocortical brain, rich in the power of abstractions, understanding makes all the difference, but it doesn’t count for much in the neural systems that evolved before understanding existed. Ideas bounce like so many peas off the sturdy incomprehension of the limbic and reptilian brains. The dogged implicitness of emotional knowledge, its relentless unreasoning force, prevents logic from granting salvation just as it precludes self-help books from helping. The sheer volume and variety of self-help paraphernalia testify at once to the vastness of the appetite they address and their inability to satisfy it.

"A therapist who fears dependence will tell his patient, sometimes openly, that the urge to rely is pathologic. In doing so he denigrates a cardinal tool. A parent who rejects a child's desire to depend raises a fragile person. Those children, grown to adulthood, are frequently among those who come for help. Shall we tell them again that no one can find an art to lean on, that each alone must work to ease a private sorrow? Then we shall repeat and experiment already conducted; many know its result only too well. If patient and therapist are to proceed together down a curative path, they must allow limbic regulation and its companion moon, dependence, to make the revolutionary magic. Many therapists believe that reliance fosters a detrimental dependency. Instead, they say, patients should be directed to "do it for themselves" - as if they possess everything but the wit to throw that switch and get on with their lives. But people do not learn emotional modulation as they do geometry or the names of state capitals. They absorb the skill from living in the presence of an adept external modulator, and they learn it implicitly. Knowledge leaps the gap from one mind to the other, but the learner does not experience the transferred information as an explicit strategy. Instead, a spontaneous capacity germinates and becomes a natural part of the self, like knowing how to ride a bike or tie one's shoes. The effortful beginnings fade and disappear from memory. (171)"

The dogged implicitness of emotional knowledge, its relentless unreasoning force, prevents logic from granting salvation just as it precludes self-help books from helping. The sheer volume and variety of helf-help paraphernalia testify at once to the vastness of the appetite they address and their inability to satisfy it.