Skin Deep: A Mind Body Program for Healthy Skin by Dr. Ted A. Grossbart - HTML preview

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Preface

Depression, anxiety, and feelings of isolation are epidemic. One minute we are driven

by boredom into a restless search for "the action" but in the next minute, when we

find it, the stress triggers a headache or a rash.

Feelings are not the problem, though. They may be uncomfortable – even

painful – but they are never pathological. The problem is all the things we do to

protect ourselves from painful feelings. We exhaust ourselves running around so the

sadness won't catch us or we try to dissolve our sense of powerlessness in alcohol or

pills. We frantically search for the right car or dress that will distract us from never

having felt fully loved or cared for.

Boredom and restlessness are not feelings at all but the smudge left behind

when painful feelings are erased: push anger away and what's left is the empty

sensation that nothing's happening – or that nobody is there. As for the stress that

causes, triggers, or heightens medical problems: this too is not a matter of simple

aggravation, sadness, or frustration but the anger, sadness, or frustration you're

trying desperately not to feel.

You know the Law of Conservation of Matter and Energy: they can be neither

created nor destroyed, only shifted from form to form. Emotion – a kind of psychic

energy – obeys the same law. Shut anger or sadness or frustration out the door and it

comes in through the window or, often enough, through the body. Your heart

"attacks." Your asthma "gasps." Your eczema "weeps."

By the Law of Conservation of Emotional Energy, you cannot erase the fact that

a key person in your life didn't love you (or only loved who they thought you were; or

the reflection of themselves they saw in your eyes; or a "you" that agreed not to love

someone else).

All you can do is con yourself: keep on struggling to do what it seemed would get

them to love you; or attempt to rewrite history: find a person or dilemma just like the

one that hurt you way back when and convince yourself that this time the story will

have a happy ending. When it doesn't, try again. And again. And again.

Try as you might to come up with new plays that will win the game, the season

is long over and nothing is going to change the score. Switch jobs. Move to California.

Retire. Get married. Get divorced. Get a horse. You still won't be recloned as your

ideal self. Your past is nonnegotiable.

My advice: Give up. There is no place to go and there's nothing to do that will

change things on that level. Pessimistic? Think of it as liberating. Now you can just do

things because you enjoy them or because they catch your fancy. Now you can be nice

to someone just to be nice to someone – not to get rid of the ache that lies buried

inaccessibly like the phantom pain in a limb that was amputated long ago.

Give up the fight; accept and feel the feelings. Get off the merry-go-round that is

taking you nowhere. One day – through psychotherapy, perhaps, or through a

particularly sobering personal experience – it gets through that the universe will not

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be declared a misdeal, so you begin to play the hand you've been dealt. The painful

slowness of life speeds up or its frantic, exhausting pace slows down. You become

more present and more playful. Relationships go more smoothly. Work is more

rewarding. Externally, your life is identical – but incredibly much richer.

When you start to make sense of the past, you stop repeating it; when you stop

pretending your wounds aren't there, they start to heal. When you stop repeating

battles that have been history for decades, then you're left with … what? Real life; no

more, no less. Maybe it's not the four-scoop, three-topping whipped cream special

with the cherry on top, but there will be some magically tasty moments.

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Acknowledgments

First Edition, 1986

Most of what I'll be sharing with you comes from a timeless pool of wisdom. These

methods for promoting health and growth have been developed independently by

different traditions. Each has its own labels and notions of who deserves the credit:

from the gods to the human fond of that approach.

My debt to the pool is enormous. I will treat it largely as public domain.

Specific credit is due to some key teachers, supervisors, and advisers who

helped me first put a toe in the waters: Drs. Fred Frankel, Robert Misch, Theodore

Nadelson, Norman Neiberg, Murray Cohen, and Louis Chase directly; and Sigmund

Freud, Ram Dass, Sheldon Kopp, and Milton Erickson secondhand, top the list.

Three key people opened the doors to my work with skin problems. Dr. Fred

Frankel, the acting chief of psychiatry at Boston's Beth Israel Hospital, provided a

thoughtful entree into the world of hypnosis. Dr. Kenneth Arndt, Chief of the

Dermatology Department, and Carla Burton, R.N., also at Beth Israel Hospital, offered

their support with continuing encouragement. The collaboration of these three

provided a fine example of the kind of interdepartmental innovation that has made

the Beth Israel Hospital an international center for both research and outstanding

patient care.

The late Selma Freiberg helped in so many ways, including providing a model

for turning research into a lively and utterly practical tool for human betterment.

Of course, the real experts are the people with the problems. Their creativity

and "test flying" of the techniques were the ultimate sources of knowledge. The

members of the Boston HELP group deserve credit.

Richard Liebmann-Smith, author and editor, was not the first to say, ''You ought

to write a book about this," but he followed my, ''Who me?" reply with incisive advice

and guidance. He introduced me to Gloria Stern, who became my literary agent and

staunch supporter. Her matchmaking brought my coauthor, Carl Sherman, and me

together and then brought the two of us to Maria Guarnaschelli, a senior editor at

William Morrow and Company. Maria made it all happen from there.

Kathryn Nesbit of the Reference Department of the Countway Medical Library of

the Harvard Medical School did the computer bibliographies and Dottie Moon the

remainder of the library research. Karen Lemieux prepared the manuscript with

amazing precision under pressure.

My colleague Dr. Richard Pomerance was a constant source of support and

intriguing suggestions. Psychology Today's Virginia Adams and Christopher Cory

shaped and published my first article. The warm response it produced was a major

boost to this project.

Finally, my wife, Dr. Rosely Traube, and sons, Zachary and Matthew, provided a

bedrock of love and encouragement.

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I spend much of my professional life convincing people that they can live their

dreams. The right people helping and an enormous amount of work are all it takes.

My deepest thanks to all those who helped me take my own advice.

Revised and Expanded Edition, 1992

I gratefully acknowledge Health Press for extending the life of this book. While the

basic theory of the material presented in the revised edition remains constant, this

new edition allowed me to clarify my thoughts in areas that were previously cloudy

and to bring to the reader my findings, both in clinical work and in research.

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