The realization of how relative happiness is became very apparent to me some years ago when I was in the burn department.

One day a new patient came to the burn department — Miri, a teenage girl.  Miri was 17 and her boyfriend just informed her that he was leaving her for someone else.  As passionate as only teenagers can be, she went to the bathroom, slashed her wrists and poured bleach on them.  As luck had it, when she was brought into the emergency room, Dr. Batya Yafe was there, an amazing woman and specialist in both plastic surgery and microsurgery who was able to reconstruct Miri’s blood vessels and take care of the damaged skin on her wrists.

A few weeks later Miri was a functional teenager again, but with second degree burns on her wrists.  Relative to the rest of us, this was a relatively minor injury, but I am sure it was still very painful.  The first few weeks were a serious adjustment for her – switching from being an active teenager in love to a patient in the burn department surrounded by these awful smells and many people in tremendous agony is not easy for anyone and particularly not for an idealistic teenager.  The amazing thing was to see her a few weeks later and in the months to follow when she would come back to visit us.  She seemed like a new and altogether person.  She was happy, energetic, and with an appetite for life.

The scars that Miri carried on her wrists must have made her feel immensely different in the world outside the burn department, a constant reminder of her time spent in the burn department and the events that brought her there.  I also suspect that these scars acted as a permanent reminder of what could have been, and her relative fortune in life.  Was her newfound happiness related to the negative experience in the burn department?  I imagine that Miri’s injury and her weeks in the burn department adjusted her perspective on life.  Both the struggle she had with her burns, and the comparison to the other people in the burn department must have dwarfed her perceptions of her romantic trouble in comparison.

The burns on her wrists really helped Miri, and more generally I think that injuries that “work best” in giving people a new perspective on life are those that continuously act as a reminder of their relative happiness — even once the initial injury is over.  Miri’s wrists, or losing a leg, for example, are promising on these grounds because the loss can act as a permanent reminder. And so are deep burns (the superficial ones are not as good because they can disappear with time).  Lets be clear — I am not advocating burning people who are not very happy with their lives and letting them struggle with the pain and agony of burns, the slow recovery, and the comparison to other less fortunate individuals — but I do think that ironically such negative experiences can actually improve the outlook people have on life and their motivation for living.

So, as we plan for 2011 maybe we can find ways to be happy without any serious injuries.

Happy new year

Dan

In Chapter 6 of “The Upside of Irrationality” I wrote about the the process of adaptation, which is the process by which we get used to stuff — like pain, romantic partners, and new cars.

Some of the personal experiences and experiments I described were about how experiencing pain when I was hospitalized caused me (and others) to view pain differently and with a lower intensity.

A new study on back pain, showed the basic same results:

“This study of 396 adults with chronic back pain found that those with some lifetime adversity reported less physical impairment, disability, and heavy utilization of health care than those who had experienced either no adversity or a high level of adversity…… The data suggest that adversity-exposure also may protect against psychiatric disturbances that occur with chronic back pain…”

I am not suggesting that everyone goes and get some more experience in adversity — just to prepare ourselves in case something bad will take place in the future.  But, it is interesting to realize that negative experiences influence our adaptation, and this way also on our ability to deal more positively with new negative circumstances.

Dan