Review:
Richard Winter’s book on depression When Life Goes Dark is an excellent resource. Through his own clinical walk as a psychotherapist, he provides a comprehensive picture of the issues surrounding depression, stories of how those issues played out in real life, and insights in leading people to find light out of their dark places. The book provides hope and wholeness for a problem that affects an ever-increasing number of people around the world.
Excerpts:
“Psychological vulnerability to depression arises from the interaction from our innate temperament and our relationship with our parents and childhood peers. We are made to find security and significance in relationships, creativity and work. Anything that undermines this will leave us vulnerable. So parental expectations and criticism may set up patterns of negativity and perfectionism, which will open doors to depression,” (p. 73).
“Children are dependent on parental approval for their sense of achievement and self-worth. If love and approval are consistently given, there will be a growing inner sense of self-worth and significance that is less and less dependent on external events or relationships. If, however, the child grows up in an atmosphere where he is constantly undermined and criticized and accepted only when he performs well, he will probably become self-critical, frustrated, and easily prone to depression,” (p. 74).
“Secure attachments in childhood give children resilience, greater awareness of their own and others’ emotions, plus a great ability to cope with life’s challenges without being overwhelmed by anxiety or depression. Early relationships shape our brains and our subsequent relationships in profound ways. But when damage has been done, all is not lost. Even if parents have not loved well, there may be someone else in a child’s life – a sibling, a grandparent, an aunt or uncle who can give some security and love. And later in life a consistent friend, a spouse, a teacher, a counselor or a pastor can provide a relationship in which many of the emotional and relational challenges can lead a person to growth and resilience,” (pp.176-77).
“When [people] lack a deep sense of value and significance, they feel they always have to be earning other peoples’ approval. Early childhood experiences color our reactions to people we meet as we grow up. The child in us lives on and the memories and pain are hard to face . . .Some of the primary and assumptions and cognitive distortions that predispose people to depression [are] 1. To be happy I must be accepted by all people at all times. 2. If I make a mistake, that means I am inept. 3. If someone disagrees with me, that means he doesn’t like me. 4. My value as a person depends on what others think of me,” (pp. 79-80).
“Unhealthy perfectionists tend to be all-or-nothing thinkers.. . They tend to jump to the dogmatic conclusion that a negative event will be repeated endlessly. . .They tend to be ruled by an overly critical conscience with the tyranny of should and oughts inevitably leading to enormous guilt and shame. The unhealthy perfectionist’s whole sense of self-worth depends on achieving a perfect performance.. . .Because they see themselves as inefficient and are likely to fall short of their unreachable aims, they are plagued by a sense of helplessness to achieve desired goals and are thus more vulnerable to depression,” (pp. 80-81).
“Obsessions are repetitive thoughts, ideas, impulses and images. Compulsions and rigid activities that the person feels impelled to do. Approximately 1 in 50 people suffer with OCD and accompanying the disorder is often a problem with perfectionism when personal security depends on looking just right or doing things in just the right [perfect] way,” (pp.139-140).
“Forgiveness of deep and long-standing hurts is not easy. Often we feel that we are still in pain and cannot forgive. When that is the case, we can start by asking God to make us willing to begin the hard process that may have many layers and stages. Someone has said, ‘Refusal to forgive is a poison you take, hoping it will kill your enemy!’ And that poison often results in depression,” (p. 174).