Toxic Self-talk Cloaked in Objectivity

When I was 13 years old, Jack, the brother of my band’s bass player, told me about a book, “How To Be Your Own Best Friend.” Since then, I’ve known the importance of avoiding negative self-talk.

But knowing and doing are vastly different. I went ahead and indulged in “analytical” negative self-talk without realizing what I was doing. Now it’s an ingrained habit, and here’s how it all happened to me.

I pride myself in being objective and value it beyond almost everything else. This ingrained mindset came from my blessed atheist Dad and his constant intellectual influence. He was a medical doctor with Boards in 3 specialties, including pathology, the field I wound up in and finally quit, thank God.

Of course, objectivity is the only way to overcome your blind spots as you search for truth.

And while it may be humanly impossible to be truly objective, it’s a worthy goal, sort of like getting the perfect truth onto a patient’s surgical pathology report despite the fact that human error in the laboratory is known to be beyond eradication.

So with Dad’s influence on top of the influence of the fundamentalist Christian religion I joined at age 14, with all its “infallible” messages that I zealously devoured, learning how despicable and abhorrent it is to take any credit for the talents that God has given me, I did two things that, in retrospect, were psychologically, socially and professionally stupid.

  1. I developed a blind spot to my own negative self-talk by accidentally hiding my self-criticism behind a veil of false objectivity.
  2. I swallowed the evil notion that it’s uniquely displeasing to God if I should ever credit myself for anything good I’ve done or will ever do. Along with this came the concept that it’s pleasing to God if, at the end of each day, I searched for my “sins” and felt maximally guilty while begging in a pathetic inner voice for forgiveness for anything negative I had done that day. The perverted logic was: “the closer you get to God, the worse you’ll look in your own eyes.” Which meant that the guiltier I felt, the more God liked me. Sort of like the publican and the Pharisee in the temple? (Luke 18:10)

I swallowed the Guilt Cool Aid almost every night of my life for years, probably decades before I was able to see the absurdity of an intelligent, loving God wanting this kind of self-destructive prayer.

To be fair, it’s pretty obvious to me that the Christian fundamentalists I’ve known over the years have done a million times more good in the world than harm. Unfortunately, that’s the “baby” and most of the sacred doctrine that seems to produce the good deeds is the “bathwater,” at least as far as I can tell now.

So in a perfect world, we would look up to the glowing example of all the fundamentalist Christians that I’ve known, rather than despising them for their odd narrow-mindedness and essential hypocrisy that being human brings. And I think the often-mentioned crusades, used to put down Christianity historically, should instead remind us of the hundreds of millions more who were killed in the name of fundamentalist Marxism.

I guess rational thinking is required, no matter what belief system you choose.

And I’ll admit, there are arrogant people out there who have pathologically unrealistic self-confidence, a dogmatic, controlling attitude towards others, and an unshakable belief that they are always right about everything they think, say and do.

Such people would probably benefit from a dose of the fundamentalist Christian self-talk poison that I swallowed. It would be medicine to them and maybe bring some relief to the “little people” they steal from, abuse and kill.

But few of us (besides politicians and world bankers) are arrogant and dangerous to such a degree.

Most of us are more attuned to reality, more vulnerable to guilt, and could probably benefit by improving our self-talk or at least learning to recognize when it’s destroying us from the inside out.

If you’re half blind to this venom the way I am, the challenge is worth accepting. There’s much to be gained.

For instance, just this morning I heard my inner voice, the person I assume is me, saying that I’m lazy. It flew past me at first. I didn’t flinch or even notice it. But in a few moments, its echo caught my attention and I finally recognized it as negative rather than objective. I stopped my train of thought, backed up and ask myself if I would say such a thing to someone I loved and cared for, someone like my son or daughter.

Hell no, I wouldn’t! I love my suddenly adult kids unconditionally!

So I literally talked to my subconscious mind.

This is a little off the beaten path, but here’s an accurate and helpful glimpse of the human inner landscape as I see it…

The subconscious mind needs to be treated like a beloved dog or perhaps a domesticated dolphin. It needs simple logical explanations spoken in easy words with clear messages delivered with honest supportive emotion.

I apologized to my inner Labrador Retriever.

My subconscious mind is not an inner child, by the way. It’s been around the block with me, rejected by its peers at every job I’ve had, considered a failure by loved ones despite objective success, considered a weak pathologist by surgeons despite the fact that the opposite was objectively true, at least to the few pathologists who worked closely with me and could judge the quality of my work intelligently.

This morning I told my dog-like subconscious mind that it had done plenty of hard work all of its life.

I reviewed the evidence.

I pointed out several of the many people we’d helped together over the years when nobody else was willing to do the extra tedious work – the extra hours it takes to find one or two pre-malignant cells on a pap test where thousands of normal cells hide the rare villains and dozens of normal pap slides hide the few abnormal cases. The extra hours it takes to review other pathologists’ surgical slides for them, slowly and thoroughly, to search the literature to find better diagnostic accuracy, to search and find the missed positive lymph node or the focus of residual cancer that the faster pathologists tend to overlook again and again.

When you do this for pathologists who are also your bosses (as they’ve always been for me), they don’t necessarily appreciate your help or take a liking to you for saving their cookies. At an emotional level, they often seem to resent you. And they virtually never thank you for finding their mistakes.

It’s human. But diligence helps cancer patients survive, and it takes a non-lazy pathologist to stay at the scope and do this work when there’s no extra external compensation, only lonely hours away from home and a reputation for being slow.

After this unusual inner monologue, I felt better. A little stronger and more open to sharing the whole story with you.

I hope it helps you recognize the inappropriateness of “objective” inner criticism when it’s not really objective at all. And I hope that next time you catch yourself being cruel to your inner best friend, you’ll apologize in detail and really mean it.

Morrill Talmage Moorehead, MD

 

 


I Bailed On My Medical Practice

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Honestly, I was never cut out to be a pathologist.

It’s true that I have a strong eye for pattern recognition of rare tumors. And I’ve got enough OCD-ishness to avoid most of the million tiny and galactic mistakes that haunt pathologists without OCD traits.

But I lack the bluster for the job.

It turns out that bluster, the gift of feeling and sounding 100% certain when you’re only 99, is the key to tolerating a profession where people’s lives are in your hands.

And that gift of pseudo-certainty makes surgeons and colleagues think you’re good, even if you’re not.

The people who thought I was an outstanding general pathologist were the few pathologists who consulted with me on most of their own tough cases. Plus maybe every cytotechnologist I ever worked with.

And my wife and kids who are completely unbiased.

When the stress from outside work escalated and combined with on-the-job stress, I reached critical mass inside. I was done. Cooked.

It was a Thursday night.

On Friday I walked into work and told them this would be my last day as a pathologist.

That was June 27, 2014, about a month ago. Since then, I’ve learned a few things.

When I’m not smothered by life-and-death stress, the world shines for me.

Sitcoms are funny. I’m still shocked.

Nobody dies if I’m an imperfect human.

The scowl wasn’t permanent. My daughter said my eyes look younger now.

The other day I caught myself smiling at a tree in our backyard. Do normal people do that?

I no longer have to open fresh colons, remove the feces by hand and hunt for invisible lymph nodes for an hour breathing toxic fumes.

The last 26 years of practice are over. The 13 years of prep and training are history.

My goal is to become an indie writer before the neurons fly south.

I didn’t quit pathology so I could write full-time. I’m not that brave.

I quit because I couldn’t go on.

But I love to write. More than anything.

And like you, my human flaws qualify me for this job.

M. Talmage Moorehead

If you’re interested in intelligent design, weird artifacts, genetics and psychology from the perspective of a nineteen-year-old “Hapa Girl,” my in-progress novel may be a fun read. The protagonist, Johanna, is a genius geneticist with a younger brother who struggles with depression. Her evolving story starts here.

It’s an experiment called, Hapa Girl DNA, a tightrope of fiction and nonfiction. “Hapa” is the Hawaiian term for “half.” Johanna is half Japanese and half Jewish. In “writing” her own novel as she lives it, she ignores some big fiction rules, partly because she’s allergic to dogma and partly because she’d rather enjoy the “writing” experience than worry about material success.

But the “rules” are essential knowledge to anyone crazy enough to break them.

If you’re a fiction writer or just curious, you could download my free e-book on fiction writing, the second to last chapter of which gives my specific take on many of the dogmatic rules of fiction writing. Downloading that 19,000 word pdf file will place you on my list of interested people who will be politely notified when my traditional version of this novel is done – possibly before the next ice age. (No spam or sharing of your email address. I haven’t written to my list yet and it’s been over a year.)

Next time you’re writing emails, if you think of it, please send my blog address (www.storiform.com) to an open-minded, highly intelligent and beautiful friend of yours. Thanks. I appreciate it. They might not, but you never know. 🙂

Talmage