The academic life and mental illness

The academic life for staff and students defies common perceptions and is one of the most stressful jobs around. It contains many triggers for depression and anxiety.

My mother thought that being an academic was one of the cushiest jobs she could imagine – a couple of lectures a week and holidays for six months of the year. She thought students had it even easier having to go to those few lectures, take an exam or two a year, and spend the rest of the time travelling the world. She also thought they were out partying every night, finishing drinking at 3 a.m. and then trashing the town. I suspect she was not alone in her prejudices. How wrong these common perceptions are. I think being an academic, and being a student, is one of the worst careers for aggravating, even causing, mental illness. The job has the following triggers.

  1. The work is open ended. How I used to envy people with 9-5 jobs. Academics and students are never finished because there is always just one more job to do, whether it’s another paper to read or write or a textbook to go through again. When I was Dean it amused me that HR had a workload model for academics of 40 hours a week. I don’t know anyone who worked less than 50, and many did much more. What is there to stop us? We don’t leave the building and down keypads just because the clock moves on to 5, or because it’s the weekend. And if you should finish one job, there’s always another to do. There’s nothing to stop us doing more. Few things are more stressful than knowing you have an uncompleted task to do, and that you could be doing it, and that you have the time to dot it.
  2. What is work anyway? The same analysis is true of holidays as is true of the working week. I know of several academics who have booked annual leave in order to carry out research. When I go on “holiday” I read psychology articles and books, as do most people I know. When I was a student I would spend the vacation working in a factory in order to earn money as well as studying while travelling and in the evenings and weekends. Those maths worksheets seemed never ending. Christmas will find us reading and writing. For us there’s no such thing as a proper holiday.
  3. The work contains contradictory elements. We’re expected to carry out world-leading research as well as teach to the highest standard, and you get evaluated on both. I know there is some carryover between teaching and research, but time you spend teaching is time you can’t spend doing research, and vice versa. Contradiction is stressful.
  4. Giving a lecture or presentation or tutorial is stressful. Fear of public talking is one of the most common fears, being strong enough to count as a phobia for many people. Yet we have to do it all the time. Training is often inadequate. Some students find they’re not really prepared and although they might be taught how to organise their material and how to use Powerpoint I don’t know of anywhere that teaches them about the fear of speaking and how to overcome it. I’ve known of several students being physically sick before having to give a seminar. Speaking feeds fears.
  5. Deadlines. The life of the teacher and student are very similar in they they’re both full of deadlines. You have to give that lecture tomorrow or hand in that essay by 4 p.m. You can’t decide you’re going to take the day off instead. You need to be really, really sick before you call in. Deadlines are often too close together or even on the same day. Deadlines are exceptionally stressful.
  6. You have to organise your own time. One day you think you’re settling down to finish writing your 4 p.m. lecture, or finish your essay, when something happens. Your manager or supervisor wants to see you urgently (and it’s nearly always urgently). Your car won’t start. Your child or dog is unwell. There are suddenly 15 new pressing emails. Someone wants to see you and just won’t stop talking about their problem. And worse than deadlines are jobs with no deadlines because unless you’re very careful they never get done. You live from one deadline to another, one essay or lab report handed in to the next. So just when do you do that background reading, or write that important paper that could help you get promoted? When there’s no deadline and you’re tired and fed up it’s easy just to stop. And many deadlines aren’t real, anyway: do a a journal review by the end of the month? Sure, I’ll agree tot hat. Get to the 31st, and no problem, because everyone knows that if you send the review on the 1st it won’t matter, and what’s the difference between the 2nd and the 1st? When I was Dean I was always giving deadlines for jobs that I needed to follow up on, and less than half the staff would do the job before my deadline. What was I to do? Fire someone for being two days late with a document? In any case they were probably just busy with the last thing I asked them to do. The problem is that delays cascade. No-deadlines are often worse than deadlines.
  7. There is far much more rejection than praise. Journal acceptance rates are very low and grant rejection rates are very high. I’ve known people to send off an excellent grant proposal ten times before it gets accepted, and much outstanding research never gets funded. How demoralising it that? Feedback for students is mainly a long list of things you’ve done wrong. Of course that’s good in a way because you want to learn and improve, but persistent negative feedback gets to you. After a while people develop learned helplessness. Continual negative feedback is stressful and causes depression.
  8. It’s an exceptionally competitive environment for staff and students. Not everyone can get promoted every year. Not everyone can get a grant. The top journal can’t publish everything. Not every student can get an A every time. Perpetual competition is stressful.
  9. Some people are stars (but you’re not). But if you don’t succeed you sure will be aware of someone who has. You have to congratulate them through gritted teeth. Although you are struggling just to manage, you will know at least one person who seems to sail though. In every field or every department or ever class there is at least one Einstein. We admire them, we have to praise them, but really they just make us feel worse. Comparison makes us feel sick.
  10. EMAIL is evil. When I was Dean for every email I had to send I would get at least three back. It would be easy to spend all day doing nothing other than email. I am not alone: everyone I know is dreaming in a sea of email. And then there’s social media which some find compulsive. Often when lecturing you suspect every student is checking their messages or Facebook status. How demoralising is that? How do we cope when we’re striving in a sea of email that gets deeper every day? Smash up every computer or phone you see.

These triggers are more numerous than in many jobs. You might say other careers are bad too, but often they are better paid, and students aren’t paid at all – in fact they have to pay to have all this fun. And staff and students are often the sort of people who are least able to cope, having been brought up learning to expect to succeed.

I have no solutions. If you decide you’re going to take a real holiday for a month, you know that the departmental Einstein won’t, and they’ll have a stronger case for promotion than you at the end of the year. Off sick for a week and dare not to do that marking? When you come back that marking will still be there, but with another pile to join it, now with the same deadline. Oh, and whatever you do there will be two hundred emails in your inbox.

One thing we can do is face our weakness and admit we’re struggling, that we’re feeling anxious, that our agoraphobia has been triggered and we’re scared to go out, that we’re too depressed to talk, that our OCD has come back and is making us check every mark ten times (actually for me it has to be a multiple of three). To return to where I started, my mother thought mental illness, unlike physical illness, was a weakness. She was very, very wrong. Mental illness is nothing to be ashamed of, and talking about it is better than getting so bad that all you can think about is suicide.

 

Getting things done when you can’t do anything at all

The world is awash with books and articles by people out who are depressed and yet who have done so much. I wonder if they are so depressed, how can they do so much? Yet they hold down careers, raise children, write books and talk on radio and TV about their experience of depression, and maintain an amazing social media profile.

You might think I get by OK, being a professor of psychology and having written a few books, so I assume most of these people do the same as me: periods of miserable inactivity punctuated by spells of being able to get something done. And of course there is always the possibility that these people are now no longer ill.

When I look back over my life I’m amazed I’ve ever achieved anything. I have always felt a fraud, fearing that I’m soon likely to be caught out. Reading about academic impostor syndrome over Christmas I realised I am not alone: many academics seem to feel that they’ve cheated their way to the top (or at least somewhere near the top). I can never decide if I have overachieved or underachieved: I think on balance I have failed to deliver my schoolboy potential. I was at my best when I was 17, when I was anxious and obsessional but not too depressed. I wonder what things would have been like if I had had a full life, rather than half or even a quarter of a life, the rest stolen by depression. I envy people who can get up every morning knowing they have a clear mind and will be able to work for as long as they like. If you’re one of these fortunate people, cherish it: you don’t know how lucky you are.

It’s been some time since I’ve written, and it hasn’t been because I’ve been very depressed. First writing about psychology and the weather, and then about the science of consciousness, has taken priority, with other book projects have been piling up behind it. Being owned by Beau, a poodle, has taken up a lot of slack in my life. Perhaps more on how being with a dog changes your life later. So perhaps I have answered my own question: most of us scrape by.

Depressed people who get anything done deserved to be lauded. But I think if you’re ill and don’t feel successful, the last thing you should do is feel worried about it. You have enough problems already. Hopefully one day you will feel better enough to find some peace.

Mental illness at work

The news that people with mental health problems suffer at work will not come as a surprise to anyone with those problems. In my experience it isn’t down to malice on any one’s part, but clearly something isn’t right if so much talent and money is wasted. Remember that people with mental health problems include some of the most creative people around.

One major problem at work is that mental illness …

“Mental health sees 300,000 people leave their jobs each year”

And I was one.

I should immediately qualify this statement by making clear that I was in no way forced to leave. I was one of the lucky ones: I just didn’t feel strong enough to do that job properly any more, and I had many other things I wanted to do instead. Like writing this blog, and producing the best book ever on consciousness. I was tired and worn out and lucky enough to have alternatives. But if I had been mentally stronger I might have carried on for longer.

The news that people with mental health problems suffer at work will not come as a surprise to anyone with those problems. In my experience it isn’t down to malice on any one’s part, but clearly something isn’t right if so much talent and money is wasted. Remember that people with mental health problems include some of the most creative people around.

One major problem at work is that mental illness is often not considered to be a “real” illness or disability. I know of many people with problems (including myself) who have never been asked what reasonable adjustments could be made to their work environment, and indeed whose requests for relatively minor changes have been met with something between pained resignation and aggressive exasperation. This aspect of things could be improved by better training of managers.

But the power of institutions and employers is limited: institutions and businesses are made up out of people. Generally instititions in the UK at least now have very good rules, and often there’s not much more they can do apart from making sure that they implement those rules, and to help change the attitudes of their employees.

It’s that final bit that’s difficult. How do you change centuries of stigma and ignorance? On the bright side things have changed for the better very quickly, but there is still a long way to go.

We can learn by looking at three areas where there have been enormous strides over the last fifty years: women’s rights, LGBT issues, and race. Again, I am not saying that everything is now perfect – clearly it isn’t, and there are still massive changes in attitudes to be made. They have all though made progress because those discriminated against have formed strong movements and taken direct action. We lunatics are hardly among the strongest people in society, but perhaps we have a duty to stand up and say we are ill, we are disabled, we need help at work. You wouldn’t treat someone with cancer or in a wheelchair this way, so don’t treat me like it.

I’ve lost track of how many mental health support groups and societies there are; there are too many. We need to unite, and we also need to mobilise. It’s difficult when you’re too depressed to move, and difficult when you’re worried everyone is going to mock you, but if you have the strength, it’s time to come out and be counted, and not let yourself be pushed around. Sing if you’re proud to be mad.

 

 

 

Just do it

“There may be some writers who contemplate a day’s work without dread, but I don’t know them. … It’s a bad business, this writing.” (Mary Gordon, American writer)

 

I am suffering (again) from what is usually called “writer’s block”. I have things I have to write and I just can’t settle to doing them.

Writer’s block is notorious; it’s a favourite subject for novelists, in a rather incestuous way. It’s a specific example of procrastination – putting off until later what you should be doing now. There are whole shop-loads of books on writer’s block specifically (which I find rather paradoxical) and procrastination generally. I have read them all very carefully and learned nothing whatsoever useful from them. Examples of the advice can be found here, here, and here. Enjoy.

Essentially they all come down to the advice “stop messing around and just do it; just make a start, no matter how small”. Well, if I could do that I wouldn’t be procrastinating. They are also keen on eliminating distractions, but when you’re severely proscratinating, after you have eliminated all the obvious ones, you will create new ones.

Now at this point I know what some of you are thinking. The kinder among you will say we know about procrastination; the only solution is indeed to make a start and just get on with it. He’s said he knows that, so why can’t he do it? Surely he could bring himself to write a word, even a little rubbish one? The less kind will say what is he talking about – he can write this blog, so why can’t he write his book? Shut up moaning. You will have no sympathy with me, you say, while you get on with writing your thirty-six volume autobiography.

On the other hand I have discovered in writing this blog that there are many people out there who are a little like me, but are too frightened to say so. Some of you, sadly for you, are even a lot like me, and are terrified to say so. Procrastination is very common. After many years teaching I know countless students who have left things to the last minute – they only start that essay or report the night before the deadline; sometimes well into the night. They know their behaviour is bad, just as I do, so I really do share their pain. They know that at best it will be a bit rushed and that they won’t have time to put it aside and think about it and check it, that they will make mistakes and miss sources, thereby most likely losing precious marks, and at worst they’ll miss the deadline altogether and get zero. So why do they do it? It’s not helpful to say that it’s because of bad planning and laziness when it happens so often; it’s not helpful to say we should just have done it.

As I have said before, we should also be wary of pathologising everything. Am I being slow because I’m ill, or is it something less sinister? Am I just very, very lazy, or is something more complicated going on? A very few people really just don’t care about what they’re doing, but most of us do, so I think when something happens repeatedly it is at least worthwhile considering possible deeper causes. Looking deep into myself I see:

 

Fear of a deadline. After twelve years of being head of the psychology department at Dundee and then dean, I am exhausted. I still have nightmares about writing reviews and reports and plans and strategies and completing financial spreadsheets, and being sent emails at 5.01 p.m. Friday asking for something FIRST THING Monday, before the 8.30 meeting. Burnout need not be restricted to middle-aged executives: the average undergraduate will now have undergone years of assessment, even before the GCSEs and GCES (or Higher equivalents in Scotland). It’s assessment after assessment – one damned thing after another, for years. Until you can’t take it more.

Milder versions of exhaustion abound. Many studies show that many of us are on the edge of exhaustion, or simply don’t get enough sleep. A period of prolonged rest might be best but not many can take it easy for more than a weekend. So I don’t know what the best way is to cope with deadline fear, and welcome suggestions. However I have resolved to try to deal with the exhaustion and the following might help. I hope that with more energy the fear will recede.

Sleep – I have vowed to sleep whenever possible. I have long thought too much sleep to be a waste of time (we know that some sleep is essential), but what is “too much”? What is the point of forcing yourself to get up 30 minutes earlier if you then only function at 75% efficiency?

Multi-tasking – doing two or more things at once is not effective. I found myself making tea this morning while trying to pack a bag. Not good. I need more mindfulness in my life.

Saying no – partly I commit to annoying little jobs that then have to be done, and which I like to get out of the way before the big jobs. I find it quite difficult to say no when I see the hurt on a person’s face, but I must learn to get over it.

Stop rushing around – leave plenty of time for things. The possibility of saving three minutes by leaving just a bit later for the gym is outweighed by the damage perpetrated by the additional stress of the journey.

Relaxation – I can distinguish between physical and mental exhaustion, although I find they are correlated. The brain uses a lot of energy, and many argue that glucose levels in the brain can be rapidly depleted – so that we have limited willpower, although controversy rages about this subject (see here and here, for example).

Doing if for myself – My fear of a deadline goes hand in hand with being evaluated afterwards. If you don’t hand something in, you can’t get a poor mark, or unpleasant feedback, can you? It’s bizarre reasoning I know but I am falling foul of it. I find that I become lost in things that I enjoy and that aren’t going to be evaluated, so one strategy is to try to turn evaluated things into things we’re really doing for ourselves. We’re doing it to learn, or to write our great life’s work (in my case), and the deadlines and feedback are things on the side – things that might even help us, by ensuring progress and making it a better work. We call this type of approach recasting our thinking. I don’t find it easy: to make it work we have to make ourselves believe it, deep down.

What else is there?

The job is too difficult. I missed this out of the “first edition” of the post, but I don’t know why: the more I think about it, the more important it is. It’s easy to get going on small jobs where you know what you have to do, but much of good writing isn’t like that. Writing a whole book on the science of consciousness, in my case, isn’t easy; the material is complex, difficult to understand in places, and even more difficult to synthesise and evaluate for a reader who hasn’t spent more than thirty years in the area. Sometimes I start work, look at my screen, and I don’t know what to say. Students might start writing a lab report and realise they don’t have a clue about the statistic used or the design of the experiment. No wonder we put our laptops aside and make a nice cup of tea.

Somehow we have to make difficult tasks easier. It’s difficult to do the research and thinking while looking at the screen trying to write the final document, I find, so that means it has to be done before. That means reading multiple sources about a topic, and perhaps making notes, drawing diagrans, even mind maps if that’s your thing; and thinking and organising. All that takes time. I can write a thousand words in an hour, easily, if I know exactly what I’m talking about, am enjoying myself, and have a modicum of focus. If I don’t know (as is usually the case), or have to remind myself, that rate plummets. If you leave your writing to the last minute, so you’re up against the deadline, there often just isn’t enough time. No wonder we procrastinate when facing the impossible!

If you’re doing something difficult and you’re up against a real deadline, you’re a bit screwed. You just have to learn the lesson and resolve to leave research time for the next deadline – plenty of it. Fortunately (although it might be a curse) many writing deadlines are in fact a bit flexible, so if you’re a little late it’s not the end of the world. It’s not good form though so again lessons have to be learned.

Doing research with plenty of time left seems less intimidating to me; all I have to do is convince myself that the pleasant reading in the conservatory really is work. You do though need to be clear about you’re researching and why, which means planning what you have to do and finding out what you don’t know first. You need to read for a purpose, trying to answer a question, and to do that you need to be clear about what the question is first.

The job is unpleasant. Then one has to ask why are you doing it? Let’s think about what “unpleasant” really means. You might be doing a psychology agree, and enjoy it all apart from statistics. In that case if you think the overall aim is worthwhile you have to contextualise the problem – relate the subtask to the whole. You can’t understand behaviour without understanding how we should study behaviour. I think mostly though we confound the unpleasantess of jobs with their difficulty – I don’t really think that writing a book on consciousness is an unpleasant task, I’m just finding passages of it difficult at the moment. Students would enjoy statistics if they found it relatively easy. In which case see above.

Perfectionism. I can’t bear the thought of seeing something with my name on it that isn’t perfect. But the first draft doesn’t have to be perfect; in fact unless you are peculiarly gifted the first draft will be far from perfect. You are more likely to produce something imperfect by leaving it late and little time for checking and revision. And the first draft might be rubbish, but it’s easier to turn a thousand words of rubbish into something better than start with no words at all.

Too big a task. This is an important factor in my fear, and of course is easily solved by splitting it up into smaller tasks – as small as it takes to stop being daunting. Splitting large jobs up and listing the components takes time, and there’s always a concern that you’re wasting useful time carrying out useless tasks – that you’re just engaging in just another distraction activity. But spending time working out how you’re going to do a big unpleasant job and then doing these small chunks is much better than doing nothing at all related to your most important job.

Something immediately at hand is more immediately satisfying. Note I’ve said immediately twice: it has to be instant and easy gratification relative to the big job. If you’ve split a big job into lots of little jobs then you can have the instant gratification of ticking them off your list as you complete them. Some people suggest turning off your internet connection, using special software and apps to cut off temporary access to distraction, or smashing your router on the floor, but I will still manage to find something else to do. That washing is piling up, or perhaps needs sorting. Better to deal with the root cause than use gimmicks. (Believe me, I’ve tried them all.)

 

I will try my own medicine and report back. Meanwhile I hope this help ssomeone else. Please feel free to comment or contact me.

 

(Note to readers: I’ve revised this blog a few times as things occur to me. No more. This version is final.)

 

UPDATE

Emptying the mind

It’s been a while since my last blog. Who would have thought that being self-employed would mean being so busy? I have been trying to focus on what’s important: my goals in taking early “retirement” from the full-time job have always been to increase my reading, thinking, and writing time.

But we live in a world of distraction. Distraction makes procrastination very easy. I even know of academics who have been encouraged by their “line managers” (what a repellent phrase) to “multi-task” their administration and research. I’m not sure at what level they’re supposed to multi-task – reading a paper while giving a lecture perhaps? – but we know that multi-tasking reduces efficiency: it just doesn’t work. Doing two things at once has a cost (which is why even speaking on the phone while driving increases the chance of an accident, let alone texting and driving). It also increases stress. And we know that doing important, creative work requires focus – you can’t carry out great research while students back their essays. I even have my doubts about one of those great sacrosanct beliefs in academic life that great teaching and research must go together: good teaching requires time, and research requires time, and you can’t be doing two things at once (see above).

I have tried to simplify my life, for peace of mind both for being mentally ill, and in order to be able to think more clearly. I have just been reading Timothy Ferriss’s excellent (if lengthy) Tools for Titans, and it is obvious that I am not alone in pursuing this strategy. Physical clutter is distracting – some of us even find it distressing. Mental clutter is just as bad, perhaps worse.

And how much mental clutter we all must have! How can you live in the moment when you are worrying about what you did wrong this morning and what you have to do this evening? How can you write well when your mind is on the telephone bill?

So here are some of the things that I’ve done to reduce mental clutter.

  1. Write down as much as possible. First I carried out a brain dump of everything I had to do, everything I was worried about, and everything on my mind. This task took a while, and I kept adding to the dump over a few days.
  2. Make structured lists. Over the years I have experimented with several types of list and time management systems. Now someone with an obsessional personality has to be careful of lists – they can easily take over and become an obsession and a distraction in themselves. I recently tried a complex system of email folders with tasks for doing today, tomorrow, the day after tomorrow, this week, waiting for, and so on … (I am familiar with Dave Allen’s Getting Things Done system and implement a simplified version of it. I have tried dedicated software but am aiming for a simple solution.)
  3. To do. Currently I am using Apple’s Reminders, with several types of list organised by location and time. I am trying to keep it simple. I have tried complicated systems and apps and remain to be convinced that a to do list can be bettered. The important thing is that nothing gets lost, and that I know everything will be dealt with by the deadline. I don’t want to have to think about peripheral things.
  4. Removing distractions. Social media distracts us and increases mental clutter. I can’t go as far as some and remove myself completely from Facebook and Twitter, and I don’t want to delete all my email accounts (and I don’t think it would be a good idea for future employment possibilities). But I don’t need to check my email every hour. Emails generate emails. I have reached the fabled “Inbox zero”, partly by moving things I can’t do now to an appropriate folder. (Actually as I write it is Inbox 1.) There are some emails I can’t do anything about just now, either because they refer to future events or because I need to do something to be able to answer them – they are moved to a “Waiting” folder. I do feel bad about several emails in my “Weather” folder that I plan to get round to when I have time. These are questions about or suggestions for or things to add to my British weather pages (http://www.trevorharley.com/trevorharley/weather_web_pages/britweather.htm). I do feel a bit bad that people have gone to the trouble of writing to me, and I always thank them, but it’s not my day job, and my time is very limited, so I can’t process them all at once. Recognising that we have limited time is a big part of the fight. WE CAN’T DO EVERYTHING. And that means MAKING CHOICES. (Apologies for shouting these statements.)
  5. Meditation. Everyone says meditation is good for clearing the mind and improving mental focus and clarity. I though with my monkey mind find the process very difficult, and probably as a result find the benefits – so far – limited. I will persevere though. I am using Andy Puddicombe’s Headspace site; I like the structure it provides and the implicit coercion. My jury is still out on meditation.
  6. Mindfulness. At all other times I am trying to be mindful of what I am doing now. If a distracting thought arises I try to push it away or if it is something I need to pay attention to add it to my list. It is easy though for obsessive people to get obsessed with clearing our minds, so we are for ever writing down minor thoughts. We all also occasionally at least need to plan what we’re going to do: living in the present doesn’t imply drifting.

Interestingly, as I was half way through writing this blog, the following landed in my inbox and caught my eye (I know, I know):

http://calnewport.com/blog/2016/12/18/on-digital-minimalism/

Finally, we should think about whether it’s even a good idea to strive for an empty mind. Life isn’t that simple. Things are always cropping up, and surprises are always happening. Rather than avoiding shit we must learn to respond to shit in the right way. The more I think about it, the more important I think this point is: we will never achieve a perfectly empty mind. It’s our responses we need to change.

Have a good Christmas and New Year everyone. It’s a difficult time of year for people with mental health problems – if nothing else it’s so dark in the northern northern hemisphere. So just hang on in there.