Vincent Deary describes himself as neurotic. He's also professor of applied health psychology at Northumbria University researching fresh interventions for, amongst others, cancer survivors and fear of falling in older adults. He also works as a clinician at UK's first trans-diagnostic Fatigue Clinic. Well credentialled then to draw from his own experiences as well as multiple other sources for his compassionate and insightful book 'How We Break' which offers an illustrative account of how many of us 'tremble and break'. And goes on to explore how we can be alert to our unique signs of trembling so we don't break, as well as how to emerge if we do.
Deary makes the point that it's not always the big trauma stuff in life (a cancer diagnosis, a marriage breakdown, the death of a close friend) that causes us to falter but often a series of little t's that pile on top of each other until, to mix metaphors, there's a final straw breaking the camel's back.
Of course, he admits, there are some who ride the ups and downs of life with seeming ease but there are others - capable, driven, dedicated - who seem to have life sorted until suddenly - and unexpectedly to themselves and others - they break. And then there are life's worriers.....and Deary is one.
Comfortingly (for many readers) Deary argues that some of us are 'inscribed' very early on with a tendency to be anxious, stressed, even fearful worriers: perhaps due to pre-partum conditions we might be 'born trembling', then there's the family 'weather' or feeling and being different and attracting the attention of bullies and having a sense of not belonging. Such folk, like Deary himself, are more likely to build up and carry what he terms an allostatic load ('when the wear and tear of of navigating life' becomes too much) and a tendency to break more easily than others. As illustration, Deary describes his own uneasy childhood (About the misfit group he belonged to as a schoolboy: 'I remember either entertaining them, charming them, or making them feel ok. This was a set of skills I had learned to use to survive home'). And more recently in an interview with Radio NZ National's fellow-Scot Susie Ferguson, Deary also tells of being diagnosed with a post-Covid viral condition resulting in a year of breakdown and recovery (fortunately it was his sabbatical year). Seeing the irony and humour, he ruefully quoted, 'Physician, heal thyself'.
A different example is the case of Anne (actually a composite of several of his patients as is Sami), a driven, hard working, resourceful, empathetic worker. Always ON. Things started to go badly when a new boss instituted a regime of 'continuous improvement', unsurprisingly with a cut back on support staff. Anne was experiencing what Deary terms 'the ambient hum of menace'. The final straw was the insulting offer of resiliency training when, as she came to realise, it was the system that was broke not her. It's an example that NZ (and probably elsewhere) readers are all too familiar with - continual underfunding in all key essential areas, the expectation to work 'smarter' (do more for less). Cue: an almost biblical exodus of nurses for the promise of a better life in Australia.
Rather than being a complete disaster for 'Anne' Deary details how she was encouraged compassionately to reflect on her life and values and the disconnect between those and the expectations of the job. Deary shows how, with empathetic counseling, a new person or new sense of self can emerge from the ashes of a breakdown, how a person can learn compassion for themselves, create a new story about themselves without relinquishing their core self and values.
The notion of ON ness and OFF ness is key to recognising what's fuelling an individual's allostatic load and the importance of pressing the off button, identifying the things that define a person's off ness in order to revitalise, refill the batteries in order to find a renewed stability/calm.
In 'How We Break' (a sequel to 'How We Live' but can be read separately and a third book is planned) Deary calls upon both his own research and that of others together with a rich and a refreshingly eclectic range of knowledge and wisdom - ancient and modern - for the formulation of his ideas and thinking: from a line from 'Dune' ('There was no mercy where there could be no stopping') to biblical text ('He feeds on ashes; a deluded mind has led him astray, and he cannot save himself or say, "is not this thing in my right hand a fraud?"), from Buddhist and Taoist traditions to Hilary Mantel ('Beneath every history, another history') from Terry Pratchett ('People think that stories are shaped by people. In fact, it's the other way around') to Tarot cards.... you get the idea. It makes for lively reading and sheds further light into the writer and his interests.
Structurally 'How We Break' is divided into 2 parts; Trembling and Breaking (and rebuilding). Each part is bookended by a summary of points to be discussed and then questions for the reader to ponder on their own life, a sort of self-therapy check-in. There's no index (why not?) and it doesn't fall into the easy-to-read self help book category nor is it steeped in too much academia- talk but it does require a certain amount of worthwhile attention and application.
'How We Break' reflects its author: it is a compassionate and generally hopeful book (though he does concede that a few individuals become so mired in their angst that recovery isn't viewed as a possibility). Deary's book gives us permission to be who we are (neurotic, anxious or high functioning but unconsciously overloaded), stresses the need to be kind to ourselves, to recognise what makes us tremble and being aware of what triggers, for us, our allostatic load so we can catch ourselves before we fall. And a fall/break isn't necessarily the end but can promise new beginning, a tweaked, more intact, easeful personal story. 5 stars