Kate asks: I love listening to your podcasts and am currently reading my way through your book, Feeling Good. I appreciate that you have written and spoken about relationship problems at length, but in what I have read and heard so far I do not see how this can apply to the current climate of casual dating and hook up culture which is fueled by apps such as Tinder.
I don’t know how it’s possible to build relationships when the dominant mentality is that people are disposable. It feels like no matter how much I find truth in what my date says, stroke them and empathize with them, that they will disappear (‘ghost’) at the drop of a hat.
I think this may be a significant problem for many of your listeners, and would greatly appreciate your thoughts, as well as any practical steps on how to date in today’s world.
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Eli asks: Your work has helped me tremendously over the past 2 years. However, recently I’ve discovered something about myself that I don’t know how to change. I’d be really curious to hear your thoughts.
For some reason, when it comes to sex, it seems that I have a lot of self-worth wrapped up in my sex drive. I’m realizing when my wife and I have sex I feel like I’m on top of the world afterwards. I feel so positive the following few days and I feel mentally and emotionally healthy. But it’s devastatingly real that the reverse is true as well… when we don’t have sex (and particularly when I reach out and she’s not in the mood) and when a week or so passes that we don’t have sex, I find myself feeling very insecure. I feel ugly, unlovable and generally less valuable as a person.
Is there an exercise you would recommend for me to discover possible hidden thoughts/emotions that could be causing this? Is it possible to change this about myself?
I want to have a close, intimate relationship with my wife (sexually and non-sexually) but I also want to feel valuable and positive whether or not we’re sexually active.
PS – If, by chance, you address this on the podcast, could you refer to me as “Eli” or something else anonymous as you usually do.
Thank you for all you have do!
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Susan asks: You seem like a good person to ask this question partly because you are a man. Someone I know, I won’t say whom, told me he felt emasculated when I asked him to take my car to the gas station to get the wipers replaced.
He said that he should be able to replace them himself but doesn’t actually know how, so he would prefer if I took the car to the service station. I said that was stupid, granted not very diplomatic, and he said that’s what he gets for expressing his feelings, which I frequently complain he does not do.
To me “emasculated“ is more of a concept or a thought. I will not get into toxic masculinity and the patriarchy, but I am curious what you think. By the way, this person and I have benefited a lot from your relationship journal exercise, thankfully we did not need it this time 🙂
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Knaidu asks: Here’s a specific example which occurred whilst I was trying to use the disarming technique. It is one where I failed to use the technique.
Anyway, I was meeting a friend of mine, and was a running a few min late for our lunch appointment. I couldn’t send her text to let her know as I was driving. I arrived at least 5 min late. When I arrived she immediately said
“I knew it all along, you really don’t want to meet with me or actually have lunch with me!”
I tried to explain that I was stuck in a traffic jam and couldn’t text, but it didn’t work. Here’s what I said:
“Please Mrs. X, I was stuck in a traffic jam and that’s why I am late. Have I ever said I don’t want to meet with you? And if I didn’t why have I bothered to arrive at all, I mean I could have just not arrived if I didn’t want to meet you!”
After I said that she stormed off.
I am afraid I could agree with her idea that I didn’t really want to meet with her, because the truth was I did want to meet but couldn’t help being late. I could agree with something that was not real to me and if I did try to agree, I would be lying to her.
Please help me, David and Rhonda!
Thanks for tuning in, and keep the great questions coming!
David and Rhonda
You can reach Dr. Burns at firstname.lastname@example.org. Dr. Rhonda Barovsky practices in Walnut Creek, California, and can be reached at email@example.com. She is a Certified TEAM-CBT therapist and specializes in the treatment of trauma, anxiety, depression, and relationship problems. She also does forensic work in family court, but finds TEAM-CBT to be way more rewarding!
If you like our jingle music and would like to support the composer Brett Van Donsel, you may download it here.
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You may have missed the Calgary and South San Francisco intensives, but there will be two more awesome workshops for you this fall.
High-Speed Treatment of Depression and Anxiety Disorders
A Four-Day TEAM-CBT Advanced Intensive
November 4 – 7, 2019 The Atlanta, Georgia Intensive
I also have a tremendous one-day workshop scheduled with my colleague, Dr. Jill Levitt, that will be potentially life- and career-changing (really!) You will learn powerful skills that will boost your clinical effectiveness and improve your relationships with friends, colleagues, and loved ones.
Advanced Empathy Tools for Connecting with Challenging Patients, Colleagues, Friends, and Loved Ones
With Drs. David Burns and Jill Levitt
Oct 6, 2019 | 7 CE hours, $135
Do you have a patient, colleague, friend or loved one who:
Complains endlessly but doesn’t listen to any of your good advice?
Appears irate, but insists s/he isn’t upset?
Refuses to express his / her feelings?
Argues, and always has to be right?
Always has to be in control?
Is relentlessly critical?
“Yes-but’s” when you try to make a point?
Insists you don’t really care—or understand—when you think you do?
Then you’re going to LOVE this workshop with David and Jill. You’ll learn about–
The Powerful “Law of Opposites”
How to find out how your patients really feel about you–if you dare!
How to transform therapeutic failure into success
How to talk to people who refuse to talk to you
You’ll also learn–
Why your worst therapeutic failure is actually your greatest success in disguise
The fine points of the Five Secrets of Effective Communication
Three Advanced Empathy Techniques: Multiple Choice Empathy, Changing the Focus, and Positive Reframing
There will be lots of small group practice with expert feedback and mentoring to help you refine your skills!
Attend in person or from your home via Live Streaming
Sign up early because we always sell-out for the in-person seats. Of course, there will be lots of skilled trainers to help the online participants with the small group exercises, so you’ll have a great experience either way.
My one-day workshops with Dr. Levitt are usually pretty awesome! It is always an honor to teach with Jill!
I am attaching eight photos from this week’s Sunday hike, which included two hail storms. I hope you like the photos! One of our newest Tuesday group members, Maryam, took them.
As you can see, spring is in full swing here already. There is so much beauty and majesty in these photos, taken with a cell phone. You will see that some of the trees are already covered with white or pink blossoms. The tree with white blossoms is a really old plum tree. If we have enough bees, it may produce a large volume of fabulous plums. But it is a race with the birds and squirrels as to who gets them first! Usually we lose that one.
Danny, the other man in the photos, drove something like two or three hours to hike with us on Sunday. That’s real commitment! The house in the photo is one we passed on the hike.
We had to avoid most of the trails which were excessively muddy due to all the rain we’ve had, but it was a terrific hike in spite of having to be on roads part of the time. The main hiking adventure is internal, at any rate, so the weather and trails are not overly important.
There were only three of us, due to the rain, and we were working, as usual, on personal relationship issues, which seems to be a popular topic among therapists who come to the Sunday hikes. The hikes provide an opportunity for therapists to work on their own issues, and also to learn and practice psychotherapy techniques, so we can improve the work we do for our patients / clients. It was an interesting and productive hike, I think.
We focused on questions like how do you get to know someone? What’s the best approach when you are meeting someone who may interest you? Web visitors also ask these kinds of questions. In fact, one of them is a man who has asked for tips on flirting. I may devote a blog on that, if folks are interested, and encourage all of you to post their your tips and suggestions, as their are so many radically different theories about this!
Hope you have time for another question. Maybe you can post this on your site.
In your Intimate Connections book you say that many people believe that they need a romantic partner to be happy (which you think is a false belief). Doesn’t this imply that people are either happy or unhappy, which is, or course, all or nothing thinking? Doesn’t happiness exist on a spectrum, from say 1 to 10?
Shouldn’t the question be, “Do people need a romantic relationship to achieve a certain level of happiness?”
To achieve a happiness level of 10, do people need a partner? If they could achieve a 10 without one, why would they bother attempting to then obtain one. Why bother trying to find a girlfriend if you’re not going to be any happier? How happy can one be without one?
Shouldn’t you change your statement to: people assume they can only achieve a happiness level of about a 2 without a partner when in actuality they can achieve a level of about a 7?
What are your thoughts?
Happiness, like all emotions, exists on a continuum, and you could measure it on a scale of 0 to 100, for example. So sometimes we are not happy at all, and other times we may be extraordinarily happy. The same is true of sadness, anxiety, anger, discouragement, shame, and so forth. Emotions do not exist in an All-or-Nothing way.
Our culture definitely teaches us that we need love to feel happy and fulfilled. In one of her famous songs, Barbara Streisand’s sings that “people who need people are the luckiest people in the world!” So most people naturally assume that we “need” love to feel a high level of happiness and fulfillment.
When I first heard Dr. Aaron Beck assert that love is not an adult human need in one of the weekly seminars I was attending during my research fellowship at the Penn Medical School, I had the thought, “My gosh, he must be a sociopath to say such a thing!”
But I decided to test what he was saying, spending more and more time alone, just to see what would happen. I did it as a series of experiments, using my Pleasure Predicting Sheet. It consists of several columns, and in the first column you schedule a variety of activities with the potential for pleasure, satisfaction, learning, personal growth, and so forth. In the second column, you record who you plan to do each activity with. Make sure you schedule some activities that you will do on your own, as well as activities you will do with others. In the third column, you predict how satisfying or enjoyable each activity will be, from 0 to 100.
Now you are ready for your experiment. Go ahead and do each activity, and after you’re done, write down how satisfying it turned out to be, between 0 and 100, in the fourth column.
When I did this, I was shocked to discover that I could be maximally happy when doing things by myself. This was a revelation to me, and at first it was hard to accept. These experiences definitely changed my thinking. But the conclusion was absolutely consistent with the basic premise of cognitive therapy, that our thoughts, and not external events, create all of our feelings, positive and negative. I have treated large numbers of people who were extremely depressed, even suicidal, who were very loved; but their minds were loaded with negative and distorted thoughts about themselves and their lives.
I am only touching on this topic in a superficial way here. You can read more about this notion in the first section of Intimate Connections, which is all about learning that you can be happy when you are alone. You can also read more about this in the chapter on “The Love Addiction” in my first book, Feeling Good: The New Mood Therapy. And you might want to watch the reality TV show, “Alone,” which just completed its third season. It’s all about being stranded in the wilderness alone for prolonged periods of time, to see how long you can survive. The winner receives $500,000.
The topic is extremely controversial, like so many topics in mental health / psychology. And everyone is pretty sure they are an expert who knows “the truth.” So the post might fire up some controversy.
At any rate, you asked why anyone would want to have a boyfriend or girlfriend, or friends at all, if you can be completely happy when you are alone. Well, there is a difference between “needing” something and “wanting” something. For example, I might want a fancy new sports car, but I don’t “need” one to be completely happy.
From a practical point of view, I have treated large numbers of single men and women who were having a terrible time in the dating world, and usually they were telling themselves that they “needed” love to feel happy. This made them come across as “needy,” and their neediness forced people to reject them. That’s because of the “Burns Rule,” which states that “people only want what they can’t get, and never want what they can get.” So if you need someone, you become what they can get, and they won’t want you.
So I always encouraged these single individuals to overcome their fears of being alone before I would teach them how to get people chasing after them. And this was nearly always effective. Once they no longer “needed” people, but had learned how to love themselves first, then they were far more successful in the dating world.
So that’s why all the chapters on flirting and such in Intimate Connections follow the initial section on learning to be happy when you’re lone.
Personally, I love to be alone! And many of the happiest moments in my life where moments when I was lone.
And I also love to hang out with others, and I love to give and receive love from those I’m close to as well. And that includes my family, students, friends, and even, or especially, our beloved cats!
Well, there my answer, Richard, but I’m sure we’ll get a ton of comments from folks who, like yourself, are hooked on the idea that we “need” love to feel maximally happy! I have created dozens of techniques to help folks overcome the fear of being alone, but that is perhaps for another day.
Oh, one last thing. If you have a firm belief that you cannot be happy when you are alone, it may function as a self-fulfilling prophecy. For example, I once treated a woman who’d been rejected by her husband, who was having an affair with his secretary. She told me she had proof she couldn’t be happy when she was alone, because she was alone and constantly miserable, for example when eating dinner.
I asked her what she had for dinner the night before. She said she sat in a chair facing the wall and ate a peanut butter sandwich.
I said, “Well, maybe that’s why you were feelings miserable. What would you have for dinner if you had invited your favorite person in the world for dinner? For example, some celebrity you intensely admire?”
She said she’s buy the best food at the grocery store and prepare a gourmet meal, with candles, music, etc. I suggested she might try doing that for herself, as an experiment, using the Pleasure Predicting Sheet. She predicted that shopping, cooking, eating would be 0% to 5%, a scale from 0% to 100%, because she’d be alone.
She also had a luncheon scheduled with her husband later in the week, and had predicted it would be 95%, since she wouldn’t be alone. She fantasized they’d talk about getting back together.
But she was shocked by the results of her experiments. Shopping and cooking a gourmet meal for herself were 95% satisfying. And then she sat down with herself, with music and candles, and ate the dinner, and it was 100%. She said she got so high—no drugs or alcohol, mind you—that she took herself out dancing (in the living room), and just loved being with herself. This blew her mind.
The luncheon with her husband was also mind-bending. He spent the entire lunch talking about what a wonderful lover his secretary was, and how they’d divide up their belongings for the divorce. And of course, he was an attorney, and his suggestions involved pretty much everything for him and nothing for her.
In the Outcome column of her Pleasure Predicting Sheet she recorded 0%. The data were simply not consistent with her belief that she “needed” her husband’s love to feel happy and fulfilled.
Then she asked me what she should do next. I told her that now that she no longer “needed” love, it would be pretty easy for her to do some flirting with attractive men she met, and I told her that as soon as she found someone she really liked, and she no longer even wanted her husband back, I promised her that her husband would then come crawling back to her.
And that’s exactly what happened. She met a handsome hunk of a guy who was also recently divorced, and they fell madly in love. That very day her Ex called and said he’d changed his mind, and begged for her to accept him back. But she didn’t. She told him she was far happier without him, and wanted the divorce to be accelerate.
Her husband called me in a rage. He’d referred his wife to me initially, because he was afraid she was suicidal, and he’d asked me take care of her. He shouted in the phone, “I told you to take care of her!”
I replied, “I did, I did!”
If you’re interested, you can read more about the story in Feeling Good. She was one of the first people I treated with cognitive therapy, way back in the early days! But I’ll never forget!
Hi Dr. Burns,
Thanks for your response. Here is mine.
You keep drawing a distinction between needing and wanting.
I don’t see the importance of that. You say you don’t need a sport car to be completely happy, but you may still want one. If you could be completely happy without one, why would you want one?
Also, in order to be completely happy (long-term, not just for a few seconds) what does one need? Do you agree with many psychologists that to live the happiest life you need four basic things:
1. enjoyable work
2. good friends
3. good hobbies
4. good romantic relationship
Excellent response! Can I post your response, and my email on my website, as part of the post, with or without your name? Beyond this exchange, that would be the end of the posting of exchanges, however, as it gets too long, perhaps.
Personally, my answer to your excellent question is no, but that’s just my take on it, and not some absolute truth. I don’t see these as “needs.” But you can set it up like that if you want, and think of these things like enjoyable work, hobbies, love, and friends as basic human “needs,” and this might not be a problem for you. As a “shrink,” I don’t try to teach people about some “right” or “wrong” way to believe or think about things. I simply try to help individuals with problems they are having.
Lots of people do not have enjoyable work, and yet they are quite happy. They see their work as a way to earn money, and they do things that are more interesting to them when they are not at work. There is no rule that says everyone “must” find enjoyable work.
When I was in college, I did construction labor in Phoenix for two summers. It was pretty demanding work, with pick and shovel, and also lots of sweeping with a big broom, and it was hot that summer, with little no shade on the construction sites. The temperature in the shade was usually 105 degrees, and the temperature in the sun where we were working was typically 135 degrees. One of the laborers I worked with was named Carmen, and he was constantly telling me I did not use the shovel or broom correctly, and he would show me better ways to dig or sweep.
I would not say that the work was “enjoyable,” but I was very grateful to have a job and the chance to earn some money. The hourly wage, due to the union, was $3.10 per hour (Local 383 of the AFL), which seemed like a fortune to me, since we did not have much money. Another summer I had a job filing checks in a bank, which was boring, but tolerable, but definitely not “enjoyable.” I did try to make it interesting, however. For example, I tried to learn about the lives of the other construction laborers I worked with, since in my upbringing I did not have the chance to meet lots of people who were doing construction labor for a living. I felt a bit intimidated, but they were all really kind to me, and I worked as hard as I could.
Many people, and perhaps most, do not have jobs that are especially enjoyable. Now, if they tell themselves, “Oh, an enjoyable job is a ‘need,’” then they might feel unhappy and pressure themselves a great deal, thinking they have somehow fallen short of some basic human need.” If they wanted help with their negative feelings, and only if they wanted help, we could use a great many of the TEAM-CBT skills to help them, and this would likely be a really easy problem to solve. But if they were not asking for help, then I would simply “Sit with Open Hands,” since I have no special expertise in what people in general “should” or “shouldn’t” think or believe. My task is to help individuals who are struggling with depression, anxiety disorders, relationship problems, or habit and addictions, assuming they want help.
The most fundamental error in psychotherapy, in my opinion, is trying to help someone who is not asking for help, as this nearly always triggers resistance and a kind of log jam between the patient and therapist may develop. Of course, if someone is ambivalent, and wants to dialogue about that, it can be very productive, and there are tons of TEAM-CBT tools we could use—Empathy, Paradoxical Agenda Setting, and Methods. For example, we could do a Cost-Benefit Analysis (CBA) and balance the Advantages against the Disadvantages of viewing an enjoyable job as a “need.” Then we could balance the advantages against the disadvantages on a hundred point scale. For example, is it 50-50? 60-40? 35-65?
Then we could do a second CBA, balancing the advantages against the disadvantages of thinking of an enjoyable job as a “want,” and balance the advantages against the disadvantages on a hundred point scale.
The way you use language is a personal decision. It is not so much the idea that one approach is inherently more “correct.”
Similarly, when you goof up at something, the way your think and use language will impact your feelings. For example, you can beat up on your “self,” telling yourself “I am a bad teacher,” or a “failure as a father,” or some such thing. These kinds of thoughts contain multiple cognitive distortions, such as All-or-Nothing Thinking, Overgeneralization, Labeling, Self-Blame, Emotional Reasoning, Mental Filtering, and Discounting the Positive, and they are hidden Should Statements as well. These distortions will probably trigger feelings of depression, shame, anxiety, inadequacy, loneliness, and hopelessness, because the negative thoughts sound so absolute and permanent.
Or instead, you can focus on the specific error you made as a teacher, or as a father, or whatever, and make a plan to correct it. These two approaches are a matter of personal choice, but they can have massive implications in terms of how we feel.
The idea that our thoughts create our feelings is also a spiritual notion, embedded in Buddhism and nearly all religious traditions. Buddha emphasized the importance of focusing on specifics, rather than thinking about our errors and shortcomings in global terms. He was one of the first to teach that our thoughts, and not our external circumstance or the events in our lives, cause all of our feelings, positive and negative. We are creating our own emotional reality at every moment of every day. This notion is some basic, obvious, and fundamental, that many people simply cannot “see” it, or grasp it. Understanding this notion is one form of enlightenment.
Many people with enjoyable work, good friends, wonderful hobbies, and great romantic relationships are depressed and suicidal—I have treated many of them in my career—and many people who lack these things are very happy. But again, it is a matter of choice how you want to think about your life. If you ruminate about things you don’t have, and you tell yourself that these are “needs,” how will you feel?
I go on Sunday hikes with members of my training groups at Stanford. The hikes are not a basic human “need.” I spent most of my life not going on Sunday hikes. So if the hikes are not a “need,” why do I go on them? That is the type of question you are asking. I go on the Sunday hikes because they are a lot of fun. It gives me the chance to do personal work with students and colleagues, and to get to know people on a deeper level. In addition, it is a nice way to get some exercise.
To me, wants and needs are very different. Why do we do anything? For me, I do things because I am alive, and grateful that life offers so many opportunities and experiences. We have a new kitten—sadly, my beloved Obie disappeared two months ago. He was my best friend and likely killed by a predator in the middle of the night, in the woods behind our house. I will grieve his loss for a long time. I still shout out his name when I am out jogging, thinking he might hear me and suddenly appear, even though I know he is gone. A neighbor kindly gifted my wife and me an adorable kitten they found abandoned by the side of Moody Road, near a trail I hike on. She was three weeks old and it was a rain storm. They took her home and gave her a loving home for several months. But they traveled a lot, and did not like to leave her alone, so they gave us this beloved kitten, Miss Misty, who is now 4 ½ months old. And what a joy she is! So cute and full of life, and love. But I do not think of Miss Misty as a “need,” but rather as a gift, or as a little miracle of sorts.
Dr. Beck once told an interesting story in our weekly training group when I was first learning cognitive therapy. He said he and his wife went to a night club to hear some jazz performance, and the man sitting alone at the table next to them seemed like he was having an extraordinarily good time, even though he was alone, Dr. Beck asked the man why he was so happy. The fellow said he was incredibly happy because he’d just gotten an extremely important promotion at work. Dr. Beck asked him what work he did, and what promotion he’d received. The man said he’d been working in a local bakery for 25 years, and he had the job of making the donuts in the kitchen in the back area of the bakery. But he said that earlier in the day, the manager said that he could actually arrange the donuts in the display area, and gave him a 10% raise, and thanked him for the excellent work he’d been doing for so many years. The man was beside himself with happiness! Dr. Beck talked to him a bit more and learned that the man was living alone and could not read or write, and had not graduated from fifth grade.
I guess the point Dr. Beck was making is that our thoughts, and not the facts of our lives, create our feelings. You can be miserable in the midst of abundance—like many of the depressed individuals I treated—or joyous in the midst of very little. It all depends on how you think about things.
Still, none of this is meant as persuasion, just examples to illustrate my own very different way of thinking about wants vs, needs. In my opinion, we “need” oxygen, food, and water to survive. The new reality TV show, “Alone,” illustrates this very well! But I do not believe that we “need” enjoyable work, love, hobbies, or friends, although all of these can be sources of pleasure and joy.
But that’s just my way of looking at things. Ultimately, we are all free to think about things in whatever way we want. And lots of therapists do like to emphasize the “needs” we have as human beings. And I would say this line of thinking is “politically correct,” too. Your point of view, Richard, is quite popular, and if it is working for you, then there is no real need to change!
Hi Dr. Burns,
Yes you can use my first name if you publish our emails. We could go on forever so i will respond briefly.
As far as four things people need for happiness, maybe we could add a fifth which would be good health (depression being bad health).
Also, there are people who are happy who have bad jobs but are they really a 10 on the happiness scale or more like an 8?
Thanks for your thorough response.
You are most welcome! And thanks for the good dialogue which will likely interest a few people. However, this blog may make some people mad (at me, not you), since my thinking is somewhat politically incorrect.
But once again, my answer is no. Good health is wonderful, but not a requirement for happiness, and certainly not a guarantee for happiness, either.
In addition, my hunch is that there is no “cap” on happiness one way or the other. I have had many patients test this theory with the Pleasure Predicting Sheet that I described earlier in the blog. An experiment can be a nice way to check these beliefs out, sometimes.
I’ve treated or known many people with severe illnesses who were tremendously happy and content with their lives. And I’ve treated many, of course, who were in great health, but miserably unhappy.
I had a pretty severe problem with my right hand years ago (reflex sympathetic dystrophy), and had to do hand exercises 18 hours a day for 6 months to get my hand back to normal, or close to normal. I also had to go for hand therapy several times a week in a gym designed for people with serious hand injuries.
I was always amazed at the cheerfulness and friendliness of many patients in that gym who had the most grotesque and horrible hand injuries you can imagine. One was a woman with extremely advanced arthritis in both hands, and her profession was restoring rare paintings. She could barely move her fingers! And I can remember a professional skier whose hand had been crushed by a truck, and it was as flat as a pancake, making it nearly impossible to hold onto those things that skiers hold while skiing. But they weren’t complaining, and had the most positive outlook on life.
And I can remember an African America high school student who was doing some kind of exercise on one of the hand machines next to me, so I struck up a conversation and asked him what he planned to do with his life when he finished his schooling. He said he was hoping to become a professional basketball player. Then I asked him about his hand injury—what had happened?
He explained that he was injured when using a saw in his shop class at his high school, and that both of his hands had been cut off. He explained that they tossed his hands into a bucket of ice water and rushed him to the University of Pennsylvania Hospital Emergency room, and that Dr. Osterman (who was also my doctor) had sewn his hands back on. And he told me he wasn’t giving up on his dream!
But there were usually one or two patients in the hand gym who were miserable complainers, nasty, demanding, and hard to be around—and usually their hand injuries were mild. So once again, it is our thoughts, and not the external circumstances, that create our emotions, positive and negative. But that’s just my mind-set, and others will have different ideas for sure!
I remember diagnosing terminal lung cancer in a woman I treated in our hospital in Philadelphia before I moved back to California years ago. I had been making rounds with the residents to prepare for my medical board examination when we moved to California, since I had let me medical license in that state run out and was pretty rusty on my memory of medicine.
The woman was very cheerful, and the residents who I made rounds with kept telling me that she “should” be more upset, as if her reaction to her diagnosis was somehow wrong, or involved denial, or some such thinking. But she told me that she was a deeply religious woman, and that she was extremely grateful that she’d had a good life, with two daughters who she loved and who loved her a great deal. She told me that she had nothing to worry about, and nothing to be upset about, because if it was God’s time to take her home to heaven, then she was ready to make the trip!