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Saturday 29 January 2011

Loneliness


Another long lonely week-end starting here. I wrote a paper about loneliness for the website Iamexpat.nl. It will be published there in a few days. I tried my best to find in the literature what works to avoid the pain of the loneliness feeling. Do you also experience this feeling of oppression in the chest, and falling down as if there was no grond anymore? I used to feel that way very often. Sometimes it comes back. Like yesterday night.
But, ok, shake it up Catherine, there are some things we can do to avoid to be overwhelmed by this pain. I tried to summarize them in this short article. Challenging. I hope you find it useful.
This week-end I'll do some mediation and meet some friends (was invited to two parties!), have a coffee with a former colleague, and go to the market to buy some good stuff... I know the painful feeling will go away slowly... and what about you? Don't stay alone too often. It kills.  
Ooops, I forgot to say in the paper: Don't stay on the internet for too long :-)


Here is my article for Iamexpat.nl :
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Did you notice how, when you are unhappy, seeing others being cheerful gives you the impression that they are simply… fake? The lonelier we feel, the more irritable we get, and the less we enjoy good company. If loneliness was only painful it would be hard enough. But research indicates that it also impairs our ability to actually make friends. It is a vicious circle! Loneliness is one of the top issues faced by expats according to surveys.

Here you are. You are living in a new flat, in a foreign country, you did not find a job, you have still have billions of things to get done to feel settled in, you are starting to feel worthless and spiraling down… If only you had your good old friends to talk to right here and right now. All this time spent alone is getting on your nerves, and you're starting to suffer from loneliness. What comes next? 

Cacioppo is a researcher at the University of Chicago specialist of loneliness and social isolation. He has studied extensively its consequences on health and behaviors. Chronically lonely people (those who report feeling lonely more than two days a week) are more susceptible to viruses and to cardio-vascular diseases. In 2007, Cacioppo and colleagues demonstrated that lonely people have an increased activity of genes encoding molecules that promote inflammation and a decreased activity of genes encoding molecules that slow down inflammation. In other words, they demonstrated that chronic loneliness has a direct impact on the immune system. Lonely people also recover less easily: last year, a study showed that although lonely people sleep as much as others, they feel more fatigue during the day.

Cacciopo also observed the consequences of loneliness on people's behaviors. Lonely people judge their interactions with others less satisfying than non lonely people. In a scanner, their brains show less activation of the reward centers when they see smiling faces! They also produce worse impression to the people they meet _which is easy to imagine. It creates a vicious circle and it's difficult to get out of it!

Loneliness never goes away from our lives, but it can be made less common, less painful and less overwhelming. One way is to find ways to meet new people. It's a real challenge in a new country. The best is to try to join a group, like a sport lesson, a reading club, or volunteer for school. It's harder than back home: people are different, they come from other countries, other regions, or even simply from other social classes, and it makes the encounter more worrisome at first. It will take more courage, openness and tolerance than back home. But that's what makes the whole experience so worth it!

Joining a club will not fill in the days, but it will enable you to meet, not just one, but a group of new people. It will help you to develop a sense of belonging, feeling useful again, feelings appreciated by others for your contributions, and help to avoid seeing your self-esteem fading when you feel like the entire world seems to ignore your very existence!

Another remedy is to change your representations, by bringing back positive emotions when thinking about others and about ourselves. In fact, in sedentary people, loneliness is only moderately related to the number of acquaintances and friends: To a large extend, feeling lonely depends on mental representations and expectations. Cognitive therapy has proven benefits (see references below). Relaxation associated with visualization or meditation have generated a lot of encouraging results in the last decade. Relaxation relieves stress by decreasing heart rate and muscles tensions. It has a positive impact on the immune system. Meditation will help developing mindfulness and compassion by reducing fears that often prevents us from meeting new people. Studies suggest that 10 to 20 minutes mediation a day for a few weeks is already enough to see many positive effects.

References.
All you ever wanted to know about loneliness is in Cacioppo's 2008 book: Loneliness: Human Nature and the Need for Social Connection.
A number of stress reduction techniques (including cognitive therapy) are very helpful to manage loneliness feelings or prevent them. A good self-help book is: Stress reduction workbook, M. Davis & E. R. Eshelman, M. McKay.


7 comments:

Tatiana said...

Catherine, could you give a precise link to the passage of the immune system regulation in lonely people?
Regarding the cognitive therapy, it is based on fixation of automatic thoughts which by a perverted logical chain lead to the devastating conclusions, right?
This kind of thereapy in a foreign ( for both therapist AND patient) language or in a foreign to the patient language with a rather unprofessional interpreter , not specialized in this field, will it have any positive effect, is it still worth practicing? Costs a lot, but is it better than self- study and in which way?

Catherine T. said...

See the publication from Caccioppo which is available on line. There is more on health & social isolation is books like 'the balance within, the science connecting health and emotions" from Esther Sternberg: she talks a lot about immune system and has a couple of chapters on stress and social isolation. But for loneliness per say, definitely Cacioppo.
For you second question, there is not quick answer. IT really depends on the severity of the issue. You can use 'soft' versions of the cognitive therapy techniques for daily issues (anger for example) and it's available in books for example the stress reduction book that I recommand at the end of hte artible. But it's not enough if you face depression, suividal thoughts, or alcohol addiction or other chronic problems _ you'll need professional help. In the NL, the first 10 sessions, at least, are covered by most health insurances so you can consult your GP, he/she refers to a special diagnostic center who can further refer you to the most appropriate therapist. It doesn't cost a fortune. In some countries, psychotherapies can be expensive indeed. I hope this helps, C.

Tatiana said...

Thank you for comment. We are changing an international insurance to the local one, then i will ask for therapy and see how it works.The international one covers the loss of baggage but not this essential thing.BTW, expat's international health insurance really sucks.
Still I am not confident enough if the therapist and I manage the dialogue, a year ago we didnt.The interpreter translated "anger" as "angst" and spent time to find out the meaning of terms.
The friends, living here suggest to "give it 5 years" to settle

Catherine T. said...

I can only wish you good luck and hope you can find help. It's a tough issue.
There are some lists of internationals psychotherapists circulating or on website, but I won't recommend any because I haven't seen a list where the therapists credentials are systematically checked. In some countries anybody could claim being a psychotherapist - so it's important to know and ask to your GP/insurance what guarantees that the therapists is truly qualified.

Check the terminology carefully: to be a 'psychologist' or a 'psychiatrist' (medical trianing) requires years of university training. In this case, we are talking about real professionals.

Cheers,
Catherine.

Anonymous said...

Hi Catherine,

Your articles are very interesting and I fully understand your points of view.
Im a foreigner living in Holland for 13 years now. In the beginning I used to feel overwhelm with Holland and fascinated with things, places and people.
Then I've started to work. Year after year, job after job, this fascinating place became a common place, not much different from my own country.
This year Im turning 12,5 years of marriage and although we dont have kids, I have a great and supportive husband. This was the best part of moving here.
This year Im also working for myself and I've started my own business. Its been very difficult to kick it off, mainly due to discrimination and bullying from some dutch people.
Im a foreigner, Im different and Im a minority. I accept that.
In many cases loneliness comes with the package. I was the one choosing to move to Holland and to live away from my family and friends. In my country people say, better alone than in the presence of bad company.
With this, I just want to say that we are always lonely in our lives. Even when we have people around, many times we feel lonely. This is not a bad feeling, its just part of life and of our nature. We better accept it and learn how to make the most of it.
I hope that Im not sounding too negative, but I speak from my own experience and life in Holland.

Cheers,

Violet

Catherine T. said...

Thank you very much for your comment and for sharing your story and your feelings, Violet! I don't think that what you are saying is particularly sad. I have experienced myself and heard expats/internationals telling me about their mixed feelings about the entire experience. I like when you write "it's part of the package". Indeed! We also say in French "you don't make an omelet without breaking eggs" or "you can't keep the butter and the money for the butter" (meaning: you can't have it all and keep it all; everything has a price!). That's what I am trying to share in this blog, I think it's the key to success when we achieve to cope with the difficulties while enjoying the nice side of life abroad. Being alone can be a difficult experience but the counterpart is our new freedom (free time, or freedom from the family pressures etc). And you said you became an entrepreneur! It must be also what you experience, isn't it? Lots of freedom but also high stress as a cost :-)) Thanks a lot for sharing your thoughts!!

Timothy said...

Cool!