Fran and I find analogies helpful when discussing mental and physical health. This is especially true when one person has little or no experience of what the other is attempting to convey. In this post I want to share a few models and analogies we find useful, and introduce a new one we’ve only recently taken up. I’ve described a few of these previously in The Stress Bucket and Other Models That Help Me Talk about Mental Health.
Spoon Theory
Perhaps the most well-known analogy for chronic illness is the spoon theory created by Christine Miserandino. The idea is that people living with energy-limiting conditions such as MS (multiple sclerosis) and fibromyalgia begin each day with a limited number of energy units, represented by spoons. If you’ve ever come across the terms spoons or spoonies online in a health context, that’s what they’re talking about.
Waves
Although Fran and I reference spoon theory on occasion, we’re more likely to employ our home-grown models. I’ve always loved the sine wave analogy Fran employed on a TV interview to describe her symptoms.
My chronic fatigue syndrome operates like this ... [Fran draws an up and down sine wave in the air.] My bipolar depression operates like this ... [She draws a second wave.] And sometimes they go like this ... [She draws two synchronised waves.] And sometimes they go like this ... [Fran draws two waves out of phase, so that one peaks while the other bottoms out.] It’s really quite a bizarre experience.
In those few sentences Fran captured for me the essence of a life lived with distinct but overlapping health conditions. As we describe in our book, waves also feature in the model a friend of ours uses to explore her relationship with depression.
My analogy is a sunny beach. The sea represents my depression. If I’m in the water out of my depth I’m not feeling so good. If I’m knee deep I am getting better. If I’m walking on the beach with waves lapping at my feet it’s much better. If I’m on the dunes looking back at the sea view at sunset I am happy and content, at peace for a while.
No one can hold back the tide of illness by willpower alone, but the clarity of our friend’s model acknowledges a degree of personal responsibility.
Flatness
Analogies also serve as a form of verbal shorthand for thoughts and feelings that might be difficult to express in detail. In Flatness and Disinclination I described how I use “flat” as shorthand for a sense of feeling low. “Not actively low or depressed; it’s more like the absence of any specific emotion than the presence of a negative one.” I can use the term with Fran or other friends to let them know how I’m feeling without having to go into details. This is especially helpful to me because I find it extremely difficult to label my feelings and emotions, a key indicator of alexithymia.
The Box on the Shelf / Waterfalls
Other analogies of ours include The Box on the Shelf for handling difficult issues or situations, and the analogy of a waterfall which relates to holding space for other people.
I thought for a moment about the term holding space. We use it a lot, but I’d never really considered what it means. “The idea,” I continued, “is to hold a space open for everything that’s being shared to flow into.”
I offered an analogy. “Imagine you’re standing beside a waterfall. If it’s a small waterfall with a small pool, you can stand close by. If it’s a big waterfall it will have a bigger pool and more spray and splashing. You would stand further back so you can appreciate it without getting wet.”
The waterfall analogy is about maintaining healthy boundaries, and is one we reference on a regular basis.
Air Traffic Control
I recently shared a blog post about air traffic control (ATC) as an analogy for aspects of a supportive friendship. As I wrote in Squawk 7700 “The radar analogy is a useful addition [to my toolbox]. Like an air traffic controller, I scan my collection of friends to see how everyone is doing, and to make sure no one gets left out or forgotten about.”
Plate Spinning / Mayday and Pan Pan
For a long time, Fran has been advocating for her elderly parents. This can be both mentally and physically draining, not least because things seem to transition from one crisis to another with little intervening respite. It can be difficult for Fran to prioritise the different items that need addressing or following up. During a recent conversation I reminded her of the plate spinning analogy I’ve found helpful when similarly overwhelmed. I’ve described this previously in How I Keep My Plates Spinning (Mostly).
I’ve focused on how I keep my plates spinning, but sometimes there’s just too much crockery up there! It’s more graceful to catch a few pieces before they fall and set them safely aside, but it’s okay if one or more end up on the floor. Maybe we took on too many tasks at once, either because we overestimated our capabilities or because we were given little opportunity to say no. Maybe we tried to handle just a little too much drama, our own or other people’s. Maybe life simply threw more at us than we could ever hope to keep going at the same time.
I also offered a new analogy rooted in my fascination with aviation. Mayday and Pan Pan are internationally recognised distress calls used by aviators to alert air traffic control to issues they’re dealing with. Mayday is used where there’s an imminent and serious threat to life or the aircraft. Pan Pan is a lower level alert. It’s used for situations which are urgent but not immediately life-threatening. In each case there are defined procedures for both aviators and ATC so that the situation can be resolved as safely as possible. In the case of a Mayday call, the aircraft will be afforded immediate and full attention of all relevant emergency and support services, with other aircraft and airport movements being adjusted or suspended as necessary until the crisis is over.
I asked Fran what kind of alert she’d issue for how she was feeling. She said she’s been living in a pan pan scenario for a long time, “with occasional spikes of mayday.” It’s not that I was unaware of how things had been for her. We talk every day about whatever’s going on for both of us. But those few words — using an analogy which I’d offered her because it resonates for me — conveyed the reality of her situation in a way I could immediately appreciate and understand. It was a great example of the power of analogy in helping us understand what’s going on for someone else, and in sharing how things are for us.
Over to You
In this blog post I’ve described a number of models and analogies which Fran and I find helpful when we’re discussing aspects of mental and physical health. Do any of them resonate for you? Do you use analogies to help you describe your symptoms to friends and loved ones? Do friends and loved ones use any when describing their situation to you? Which do you find most useful? Are there any you feel are unhelpful because they trivialise or gloss over the details? We’d love to hear your thoughts, either in the comments below or via our contact page.
Photo by Camilo Jimenez at Unsplash.
