And distorted motives warp human interactions, which in turn degrade individual psychology.

There is no way around it—the ways almost all people communicate are much cruder than their brains are capable of.

And that is the cause of most of what we now call (non-biological) “mental health” problems.

Here is an example: I want to say something very complex to my primary care doctor. I can give her the gist in a minute or two but I do not want to have that go on my medical record.

So I ask her if I can start a discussion that she will promise to keep off my record.

She says, “I’ll think about it.”

A week later I get a letter from her nurse saying she is not willing to do what I asked.

No reason why was given. Do rules prevent her from doing that? I have heard of doctors allowing patients to keep some concerns off the record, but who knows what the reality is? Do you?

If I insist, will that go on my record? Did what I asked in the first place go on my record? My doctor is trapped within or is voluntarily following some guideline that is most decidedly not in my best interests.

This same sort of thing can happen interpersonally. If I raise a topic that is psychologically important to me with even a close friend, I have to wonder will they understand? Will they allow me to expand the subject over a few weeks or months or longer? Will my initial statements change our friendship?

The basic problem is how do you discuss complex psychological subjects with others?

One of my friends works in alternative health care. She knows what I want to bring up with my doctor and admits that even in her professional setting where patients have an hour to open up, there is not enough time.

Back to my primary care doctor. I saw her again a year later and she asked if I remembered her. I said, “Of course I remember you.” She said no more and neither of us raised the off-the-record topic. An intern was with her.

I wonder what she thinks of me. Did she interpret my slightly nervous behavior when I first asked as a “sign” of something? Does she think I am volatile or bipolar or just nuts? (I am not.)

I am 100% sure that she cannot possibly know what I wanted to bring up with her. In this case, I have all of the information and I want to give it to her but she cannot or will not allow that unless my initial fumblings toward a complex subject are made public.

Even a  close friend could find themselves in a similar position. And I wonder if I have done that myself to someone. Most people most of the time are not able to scale those walls that divide us.

On either side of the wall is a complex person capable of complex understanding, but one or both persons cannot scale the wall. My doctor is smart enough to have become an MD and yet I cannot tell her about a complex medical condition that is of great importance to me.

I know that I do not want to open the subject and risk a shallow public label (a common hindrance to many potential communications). I honestly do not know what my doctor is thinking. Maybe I will try again the next time I see her.

EDIT 12/16/2020: I didn’t try again. After much thought, I decided to switch doctors. And I will not bring this subject up with my new doctor. It’s a sad reality that trying at all ruined (in my mind) my relationship with my first doctor and convinced me that the topic is not one I can discuss with any medical professional in a professional setting and maybe in any setting.

_______________

first posted OCTOBER 10, 2017