Positive Thinking vs. Healthy Coping in chronic illness

What is the difference between positive thinking and healthy coping?

“Keep thinking positively!”

“Keep your chin up!”

“Stay strong!”

These are very common cliche responses we hear from society as individuals with ongoing health difficulties. They aren’t incorrect responses, but when those responding seem to believe this is truly how we handle the horrible pain/illness, terrifying future of further health concerns, and crushing regular losses which all come with long-term illness, then encouraging “positive thinking” alone can have quite a negative fallout.

For example, if one is in severe pain (meaning pain worse than a fracture or pain worse than childbirth, but constant, daily, and indefinite) after years, with treatments only failing, and close friends continue to say, “stay positive” as their only source of inspiration, will those words be uplifting over time? No, the attempt at encouragement over time will add to your feelings of isolation, making you feel increasingly deflated, rather than the intention of making you feel more positive, optimistic, and empowered.

Would you say, “suck it up” to a friend who is grieving over the loss of a parent? I certainly hope not. Essentially, this is the idea surrounding “positive thinking.” The concept that the more we “suck it up,” the better off we will be, and the stronger we are.

PS, Our bodies work exactly the opposite of this construct.

The more we avoid pain, the more we distract ourselves from our true emotions (not negative emotions, but real emotions), the more likely our bodies are to feel the stress fallout and rage against us. One with a chronic disease would do well to minimize stress; we know this from immense research (and I can tell you this from my own personal research on chronic pain and chronic illness!).

Minimizing stress is not equal to avoiding difficult emotions or distracting from pain. We have to face our pain and emotions, recognize them, meet them, and accompany them through our lives. They won’t allow us to abandon them, and we know that trying to do so only causes added difficulty down the road.

In Positive Thinking, saying “sure, I’m doing fine” may make others more comfortable temporarily, but it is not necessarily “healthy” for you or for the relationship. Positive Thinking encourages us to become more closed off, in turn others also allow more distance to grow until the relationship diminishes. They realize everything is far from “fine” but both take part in a ritual of pretending everything is wonderful because it’s far more comfortable than confronting the reality.

“Healthy coping… differs from the popular notion of “positive thinking.” It implies the capacity to tolerate and express concerns and emotions not just the ability to put anxieties aside. Being able to discuss the anxieties, uncertainties and fears, losses and sadness that usually accompany severe illness is generally helpful, despite the pressure commonly exerted by family and friends for the patient to always “keep a positive out-look.”25 “Positive thinking” may represent an attempt to avoid confronting the distress of chronic illness, and doctors who care for these patients and their families are not immune to such patterns of coping.”  Quote from a study in -Emotional Demensions of Chronic Disease

So often during the course of chronic disease, we have to make choices between the temporary comfort of others, and protecting our own welfare. Regularly, our bodies make that decision for us and force us to miss out. Especially then, healthy coping is paramount! It helps us re-gain some footing again. The openness in healthy coping encourages sharing, allowing others around you to understand where you are, what happened in the situation, how they might play a role in being there for you, and how you can be there for them. It lets others know you aren’t too fragile to listen to them and what they are going through, either. Most likely, those around you are feeling helpless, and would like to be there for you, but don’t know how- or how to ask. Being specific in our needs can help us find our own voice, and being more open also can help others who care about us join in on our “support team.”

Fair warning, most will not know how to respond appropriately, but you may be surprised who is game to see how they can be there for you in big or small ways. In being more open, you may also find that your example sets off a chain reaction in others to become more open with you in how they are doing as well. Healthy coping is so much more contagious than positive thinking, because it encourages support, connection, and community!

Isn’t positive thinking the same as optimism? No. Optimism has more to do with responsibility, letting go of guilt, and looking to the past, present and future without seeing yourself as a burden. I recommend reading the book, Learned Optimism by Martin Seligman.

Healthy Coping differs from Positive Thinking in that healthy coping requires us to lean into our feelings- both physically and mentally. Checking in with ourselves periodically, and then making minor adjustments to our lives to course correct for better balance. This may mean you need more rest, more exercise, more time with friends, another visit to a doctor, see a psychologist, open up to a good friend, eat differently, spend more time focused on your spiritual life, take better care of yourself, etc. Chronic illness requires us to make these adjustments frequently instead of thinking everything is going to work itself out until the ignored symptoms or stress build up. Healthy Coping may be the more deliberate, mindful path, but it is the path of self care instead of conveying a false smile.

To start making these adjustments, we can ask, “How are you?” instead of “Are you ok?” A yes or no question forces us to choose only negative or positive, however, healthy coping encourages others to share and touch base with one another and ourselves- this is how support and compassion are built. We don’t have to choose sides in healthy coping. Try not to think of your days as being good or bad, black or white, suffering or overcoming, but instead- working to find balance every day, always learning from your body and those around you, and doing the best you can now, in this moment.

 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070773/

 

 

 

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About abodyofhope

I do not know why it is that we must wade through tragic circumstances to find truth. We nearly drown! But under the water, there are pearls. I hope in writing this blog, more will come to the surface. Over the past 11 years living with chronic pain, patient advocacy has affected my life through so many remarkable young people, women and men: SURVIVORS. These individuals are HOPE personified. I wish to honor them in the same spirit they have encouraged me to press on. Four years ago, I became bed-bound from a variety of chronic illnesses after a procedure meant to help the pain condition I had been managing for several years- went bust #BIGTIME. In the last 4 years, my entire life has changed. I have changed, but I am still striving to live my best life possible. Along with sharing inspiring pieces, medical/holistic research, and awareness articles, this blog is also an attempt to put my own pieces back together. Welcome to A Body of Hope, and thank you for visiting. [Complex Regional Pain Syndrome/ RSD, Postural Orthostatic Tachycardia Syndrome (POTS), Dysautonomia, Chronic Intractable Migraine, Cluster headache, Trigeminal Neuralgia, Occipital Neuralgia, Hypersensitivity to Sound & Light, Fibromyalgia, Cerebrospinal Fluid Imbalance......blah, blah, blah] >>> P.S. My headgear is protective for pain. I just rock it hard.

Posted on July 1, 2016, in Chronic Illness, Chronic Pain, Medical Research/ Treatments, Uncategorized and tagged , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink. 8 Comments.

  1. That was just brilliant, Mary!

    Liked by 1 person

  2. Just Plain Ol' Vic

    I really like this perspective.

    Reminds me of advice my wife’s therapist gave (for me really) by asking “how was your day” instead of “how are you feeling.” There maybe times when you cannot explain why you are feeling a certain way but your can describe how your day has been.

    Slight perspective shift but important.

    Liked by 1 person

  3. I loved this! Sometimes I feel I have to choose between positive and negative responses. I know everyone is well meaning but it does get difficult.

    Liked by 1 person

  4. Hum…. nothing on ‘healthy coping’ in Google really. We need to start something 😀

    Liked by 1 person

  5. Mary,
    This post was wonderfully written. It is definitely something I needed to read during these next few weeks. Healthy coping is so much better than positive thinking about my chronic pain. I have always had a problem with “it could be worse” I got that a lot when I was first diagnosed with RSD. In my head I would respond, “yeah, but it still sucks!” while to the person I felt I had to respond, “yeah, you’re right.” So thank you for giving me this new phrase, I’m adding it next to inspirationalizing.:) Your posts help me so much and many others as we strive for the balance with healthy coping. Sending you a gentle hug, my sweet friend. ❤

    Liked by 1 person

    • Kathleen, Thank you so much for sharing that with me! Gosh, I can’t tell you how much I hate when people say that. It’s like automatic guilt that I’m hurting- quite the opposite of self compassion, right?? You can’t have self compassion, or compassion for others suffering, if we and everyone are always going to compare to someone worse. That mentality is just plain destructive, but we all have that internal fight, and it hurts, too. Thank you for letting me know that my posts are helping, that gives me great encouragement!
      I wanted to share a wonderful blog with you. She has moved on to doing new and awesome things, but I still love going back to gain great insights from her writing. This is just one piece I pulled up for you, but I think every post would be a blessing as well:
      https://findingoutfibro.wordpress.com/2015/04/08/wordless-wednesday-preview-of-may-awareness-campaigns-for-lupus-and-fibromyalgia/

      Have a sweet weekend, gentle hugs to you! ❤

      Like

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