"What is it to die of love? To die of love inside. It is to run out of your light. It is to lose you in a moment," Miguel Bosé sang.
No matter how hard we try to rationalize it, few things hurt more in life than
when one's heart is broken.
So much so that the emotion can become a physical pang that goes through us to the depths of our being.
Movie exaggeration?
Not at all.
"Lovesickness is, in short, a rejection and, inevitably, it causes us pain. A pain that manifests itself physically - with that feeling of stabbing in the heart and even choking sometimes - and then mentally" , confirms
Rosa Molina, a psychiatrist specialized in clinical neuroscience and author of 'A mind with a lot of body' (Paidós)
.
If we think about it, continues this doctor, "since our most remote ancestors, we have always needed to
be accepted in the group,
it is a survival mechanism since it is part of our evolution as a species. Working 'as a team' is what has allowed us go further. For this reason, perceiving rejection in the other hurts and
that pain is not only psychic
, but, as several scientific studies have shown,
it is also bodily
".
For the human being, as a mammal, "being socially connected was, since the beginning of time, essential to receive care and, therefore, to survive."
This 'dependency' meant that, as they evolved, they created "a
link between social connection and physical discomfort
".
Molina alludes to the research carried out by the American psychologist and researcher Naomi Eisenberger in this regard.
"
He designed an experiment
, through a computer game called Cyberball, in which a series of volunteers participated, who underwent
magnetic resonance imaging and brain imaging tests.
In them it was possible to verify that,
when someone felt excluded of the group, the anterior cingulate cortex was activated,
that is, a region that is
involved in the suffering component of physical pain
. And, furthermore, that the level of activation was higher in those people who felt more rejected. This is very interesting because what it is showing us is that
there is a very important interconnection between the physical pain that I can feel from a blow and that emotional pain
, which would explain why we can really feel both.
Therefore, we can affirm that rejection generates a deep sense of loss and can endanger our health."
What's more, this psychiatrist warns us, "already in the most extreme cases, to tell an interesting anecdote, there is a heart disease called
'broken heart syndrome'
, which has been associated not only with situations of physical stress, but also with situations of severe emotional stress. This syndrome, which is very frequent -by the way-, occurs suddenly in the face of emotional trauma. For example, in the face of a breakup that we experience in such a dramatic way that it produces
symptoms similar to those of a infarction or a heart attack..
However, in these cases, a heart attack does not occur, but
a deformation of the left ventricle
which, due to the shape that the heart acquires -in the form of a vase-, was called the
Takotsubo or "broken heart" cardiomyopathy
, referring to a trap commonly used in Japan to catch octopuses.
I like to tell this because, many times, we describe heartbreak as if they had "broken our hearts" and that is, they can certainly break it, in quotes, when this syndrome that we have seen occurs.
Things don't look good, but can such pain make us sick?
"Well, we could say yes, because, in the end, we often say that
'I'm crazy with love'
. When we talk about madness, in mental health, we refer to psychosis or, in a perhaps more understandable term,
to break with the reality or to lift our feet off the ground
, which is precisely what happens to us, sometimes, when we fall madly in love.
Our mind appears biased, clouded, we lose reference;
we go a little beyond reality. overlook the defects of the other, we can even deny them in even extreme cases".
How can we detect that we are suffering more than 'normal' (without reaching abuse, obviously)?
"Well, here it is very fashionable to talk about
toxic love
. We mental health professionals usually correct and say that there are no toxic people, but
toxic behaviors
that some people have. Clarified this, what can give us a warning signal? Well, that we are
continually in tension, with that uncertainty, with feelings of ambivalence, with a sensation of emotional instability
: that, suddenly, we are very irritable, very happy, very euphoric or that we lose our appetite and sleep badly
. excessive time to think about that situation or that relationship
what we're having
Anyway, I think that, in the end, there are several symptoms that, maintained over time, can give us a warning signal."
And what can we do to stop that pain?
"Perhaps I would reformulate the question and, instead of saying stop, I would say live together, I would say accept, I would say regular or I would say manage, because, in the end, we can talk about many types of lovesick situations. If it is
a breakup that is definitive
or it seems like it, because sometimes it is hard for us to accept that it is, we have no choice but to
go through our mourning
".
In this sense, he clarifies that "when we talk about mourning, loss, mental health, people usually think that it is only experienced when someone dies. But a duel is also a sentimental breakup or a loss of a job. In the end, we have to go through that mourning,
we have to feel bad, feel sad
and go through that stage because it
falls within what would be normal emotional processing
No one can recover just by saying 'come on, I want to get better from my mourning in two days' 'give me a pill to feel better because I broke up with my partner'. Well, no. You have to digest it. And
those emotional processes are not like curing an infection
, which can be stopped with a pill, but you have to go through it.
Therefore, there I would invite people to think about what they are going to do with that duel and, perhaps, what steps they can take to mitigate the blow a little.
What would those steps be?
"The first,
realizing that we are suffering more than necessary
. If we have been
hooked
, we are continually thinking about that person, we cannot get it out of our minds (as if our heads were continuously ruminating), we must be aware that
this situation is excessive and disproportionate
."
Once we have managed to be aware of what is there, "we have to work a little on the motivation to change: we are going to try to reverse this situation. Not so much to get it out of the way and eliminate it, but it does have a lesser impact on us, allowing us to gradually reactivate ourselves little by little".
Defining that process of change would be the third step;
"I'm going to join a new activity or I'm going to meet more people or practice a new sport, a new hobby, whatever."
The fourth step, which would also go along with the third, is that “if we haven't been able to do it ourselves, we should
ask for help
”.
How can we help those who suffer from it?
"I usually say here that, in aid, the most important thing is two things. On the one hand,
to validate their suffering
, which, in the end, is to understand and empathize.
Without judging, or giving examples, or saying that there are people who are worse or suffering more
. Nor is it comforting to argue that it could have been worse or to try to convince with banal arguments that are not appropriate, because each person experiences things in a different way. "
Once their pain has been validated, the most effective help is to establish "what we call the
Socratic dialogue
, that is, through the reflective question: 'Hey, and how do you think all this is affecting you in your usual rhythm? Do you feel like this for a long time a day? Is it taking you away from doing other things? Is it affecting you at work? How do you think you could do to be better? Do you think you're okay like this?'. These questions, in which we are accompanying and doing
active listening
are very therapeutic per se The subject himself, when he is speaking,
realizes his own solutions
Once we have asked these questions, it is very useful to work on stopping thinking about 'why this happened and why and why' to start executing, to
take action
and look for a solution to the problem: 'What can we do to find you better? What do you think would be good for you?
What would you like to do?'., And, therefore, accompany in what we call
problem solving
".
"My heart is dry. And it's from having cried so much," said Bosé.
What he did not count is that, as Dr. Molina has explained to us (and all of us have experienced at some point) everything happens...
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Miguel Bose
Japan