Internal Conflict

When a bunch of friends and I described ourselves as a pantheon a few years back, I was War. Part of the reason was that in Hindu Mythology Karthik is the God of War, but more importantly, I was War because I was always at war with myself. With three others being conveniently called Disease, Hunger and Madness, and another being Death, we formed a formidable force indeed.

True to the name that these guys gave me all those years ago, for the last six months or so, I’ve been absolutely consumed by internal conflict. It mostly has to do with my professional career, which hasn’t particularly taken off the way I imagined it would when I graduated from IIMB some 5 years ago. For the first time ever, I’ve completed two years in a job, and things don’t particularly look rosy, especially if I evaluate myself based on where I could have been had I not made those big blunders.

A part of me wants to go easy upon myself, and not be too harsh. Everyone goes through tough phases, that part tells me, and that mine has been a wee bit longer than most people’s. This part tells me to not worry about peer pressure, and to concentrate on keeping myself peaceful and enjoying the good things in life. This part further asks me to not worry too much about the future and that things will get into a flow. And that despite my corporate career not exactly taking off, life isn’t all that bad.

The other part, on the other hand, holds me responsible for all my troubles. It tells me that it’s because of my mistakes in the past that I’m where I am, and that I need to work really hard to rectify them. This part takes me to LinkedIn, and shows me the wonderfully sculpted oh-so-successful careers some of my old associates seem to be having, just to prove the point that I’ve messed up. This part wants me to conform, and be a good employee, and climb the stairs in the same way others have, and follow the well-trodden path into successful corporate whoredom. And this path is also supported by those pesky relatives who ask you uncomfortable questions about your career every time you are unfortunate enough to bump into them.

The first part is quite worried about my health, both mental and physical, and believes that messing up one’s health is too high a price to pay for corporate success and the associate perks that it brings. The second says I need to learn to adapt, and somehow reduce the impact of my health, while still being a good corporate whore.

And like in that old Coffy Bite ad, the argument continues. Except that these two parts of myself have completely ravaged my head over the last few months. I’m reminded of the story of the Bherunda bird (the “state bird” of Karnataka) which has two heads and one body. The two heads get into a quarrel. One of them gets so upset that he drinks some poison, thus killing “both of them”. These two parts of me, by means of their continued conflict have ended up completely consuming me, and my head.

And here I am, trying to figure out once again what it means to chill.

The Trouble with Mental Illness

  • The “patient” has an incentive to overestimate the extent of his illness, since he can “get away” with certain things by claiming to be more sick than he is
  • People around the patient have an incentive to underestimate the extent of illness. They think the person is claiming illness only to extract sympathy and get away with things that would be otherwise not permissible
  • The second point here leads to internal conflict in the patient, as he can’t express himself fully (since others tend to underestimate). Feelings of self-doubt begin to creep in, and only make the problem worse
  • There are no laboratory tests in order to detect most kinds of “mental illness”. Diagnosis is “clinical” (eg. if 8 out of following 10 check boxes are ticked, patient suffers from XYZ). This leads to errors in diagnosis
  • The method of diagnosis also leads to a lot of people in believing that psychiatry is unscientific and some reduce it to quackery. So there is little the medical profession can do to help either the patient or people around him
  • That diagnosis is subjective means patients have incentive to claim they’re under-diagnosed and people around are incentivized to say they’re over-diagnosed
  • I don’t think the effect of a lot of medicines to cure mental illness have been studied very rigorously. There are various side effects (some cause you to sleep more, others cause you to sleep less, some cause impotence, others increase your mojo, and so on ), and these medicines are slow to act making it tough to figure out their efficacy.
  • There is a sort of stigma associated with admitting to mental illness. Even if one were to “come out” to people close to him/her, those people might dissuade the patient from “coming out” to a larger section of people
  • If you were to be brave and admit to mental illness, people are likely to regard you as a loser, and someone who gives up too soon. That’s the last thing you need! And again, the underestimate-overestimate bias kicks in.
  • Some recent studies, though, show a positive correlation between mental illness and leadership and being able to see the big picture. So there is some hope, at least.