Harvard Medical School’s Department of Continuing Ed provides unrivalled 2-day courses on a variety of conditions and treatment approaches. November 3 - 4, 2006, I attended, "Bipolar Disorder: From Childhood to Adulthood." Serious and celebrated researchers, clinicians, and academics presented. Then there was former Today Show co-host, Jane Pauley. She was there to explain how you could still be "successful," even if bipolar.
Pauley started, "Mental illness has opened many doors for me…like being invited to speak at Harvard." She continued, "My comfort level rises with the size of the audience." Her implication was that this related to her mental state—a sense of fearlessness and grandiosity while manically inclined. For most sufferers with more prolonged and less easily treatable symptoms, obviously, opportunities and outcomes are different.
Pauley also discussed her dismay over how the doctors in the hospital where she’d had an epic 3-week stay, five years ago (after an adverse reaction to steroids), hadn’t recognized her celebrity status. At a time when she didn’t know who she was herself, and had been admitted under an alias, this proved disconcerting for her. Not being from the US, and not having grown up with the Today Show (though a regular follower of Meredith Viera, right now), I was struck by Pauley’s lack of humility.
Maybe this was her way to add humor and draw attenion. Her focus on Ted Turner as her bi-polar "role model" was interesting, and she did touch on sad personal moments (possible triggers for her illness), like her father being off at war for her birth. But, for the most part, she dwelled on her good fortune and satisfaction. Her rapid rise to stardom had been freaky, one day weekend news anchor in Indianapolis, next day Today Show co-host (at 25), Next, she was the "most visible pregnant woman in America"—mother of twins and a third child, with supportive husband.
Undoubtedly, Pauley’s book, Skywriting: A Life Out of the Blue is an interesting celebrity autobiography. However, for a more inspiring no-frills account of life as a manic depressive, the now classic An Unquiet Mind by Kay Redfield Jameson is a must-read. Not only is this Ph.D. psychologist/author a long-term survivor, but she’s guided countless others in similar situations, as well as their family and friends, through how things actually feel and what can be done to help, very realistically.
Other course presenters’ academic and clinical findings provided information overload. The only points at which they seemed to disappoint was when they alluded to their relationships with drug companies, past and present. Bruce Cohen, M.D., Ph.D., (author of 300 publications) quipped, "I stopped drug company relationships three years ago, because my salary is secure." He’s the Director of the Stanley Research Center at McLean Hospital and Professor of Psychiatry at Harvard Medical School!
Jean A Frazier, M.D. declared, right away, that she does have relationships with many drug companies, the manufacturers of atypical antipsychotics. However, she added, "I hope by having relationships with so many, it proves I don’t have a bias… Also, I don’t have relationships with companies that make mood stabilizers." She also announced that evidence based drug trials have such poor outcomes, not only because of patient dropout rates, but because "they’re skewed towards newer drugs." And speaking of drug trials, she highlighted an irony: "56% of bipolar patients have substance abuse issues, but this makes them ineligible for being included in trials." Therefore, it would seem, most new drugs ignore the needs of the majority! As Director of the Child Psychopharmacology and Child and Neuropsychiatric Research at the Cambridge Health Alliance, Dr. Frazier clearly understands drug industry foibles better than most!
Gabrielle A. Carlson, M.D. was the opening speaker, who insisted "we treat people not diagnoses." However, when she discussed her difficulties with her own son, it was hard to imagine her working with others as she did. Apparently, when he got into a rage, she’d "throw him in his room" where he did "a lot of damage." "At two-years old, that was one thing, but when he got to six feet tall, that was another," she lamented. If the Director of Child and Adolescent Psychiatry, and Professor of Psychiatry at Stony Brook University School of Medicine admits how she couldn’t handle her own child, what hope is there for regular parents?
Perhaps, the more popular speakers weren’t the M.D.s., but Judith S. Beck., Ph.D. and Barent Walsh, MSW, Ph.D. They offered very practical and consistent approaches, personally and professionally. Beck is the Director of the Beck Institute for Cognitive Therapy and Research and Clinical Associate Professor of Psychology in Psychiatry at University of Pennsylvania. She’s also the editor of the Oxford Textbook of Psychotherapy.
Barent Walsh, M.S.W., Ph.D. is the Executive Director of The Bridge of Central Massachusetts, and the author of Treating Self-Injury: A Practical Guide. Both speakers’ case studies and personal anecdotes were cleverly inserted into presentations jammed with references and reasons.
Another "crowd pleaser," was J. Stuart Ablon, Ph.D., Associate Director of the Collaborative Problem Solving Institute, Department of Psychiatry, at Massachusetts General Hospital. He wasn’t afraid to advocate against a Dr. Phil-style approach to treatment, which had listeners grinning in agreement. Ablon and his colleagues favor therapeutic rather than "correctional" interventions. Audience attention captured, a few knitting and embroidery needles were put down for notes to be taken.
Knitting and embroidery needles, you wonder. Yes, there were many, a lot more than I remember at other Harvard courses attended in years gone by. I, myself, had a crochet hook, and made a belt on the first day. The attendee sitting next to me was sewing a seat cover for a bench. I won’t comment here about the benefits of multitasking with craft activities at meetings like these. Try it, you might like it!
At the end of the second day of the course, I rode the T to my favorite wool store, A Good Yarn in Brookline Village. Apart from superlative cultural and academic opportunities, the Boston area caters to crafters of all types. Saturday morning, Harvard. Sunday afternoon, Brookline Booksmiths—where the basement is given over to its Knitsmiths.