More threads by Daniel E.

Daniel E.

daniel@psychlinks.ca
Administrator
Can Feeling Too Good Be Bad? Positive Emotion in Bipolar Disorder
Association for Psychological Science
July 21, 2011

Positive emotions like joy and compassion are good for your mental and physical health, and help foster creativity and friendship. But people with bipolar disorder seem to have too much of a good thing. In a new article to be published in the August issue of Current Directions in Psychological Science, a journal of the Association for Psychological Science, psychologist June Gruber of Yale University considers how positive emotion may become negative in bipolar disorder.

One of the characteristics of bipolar disorder is the extreme periods of positive mood, or mania. People in the grip of mania also have increased energy, sleep less, and experience extreme self-confidence. At first glance, this may sound good and even desirable. However, during these times of mania, people with bipolar disorder often take dangerous risks, run up their credit card debt, and wreak havoc in marriages. “The fact that positive emotion has gone awry is something unique about bipolar disorder, as almost all other emotional disorders are characterized by difficulties in negative emotions” Gruber says.

Gruber points out that positive emotions are problematic for people with bipolar disorder even when they’re not experiencing mania. Gruber has studied people whose bipolar disorder is in remission and found that they still experience more positive emotions than people who have never had bipolar disorder. More positive emotions may not sound like a bad thing, but there are times when these positive emotions aren’t appropriate. “In our work, those with bipolar disorder continue to report greater positive emotions whether it’s a positive film, very sad film clip of a child crying over his father’s death, and even disgusting films involving someone digging through feces” she says. In more recent work Gruber and her colleagues have found they still feel good even if a close romantic partner tells them something sad face to face, they still feel good. “It’s rose-colored glasses gone too far.”


Clinical psychologists may also be able to use this research to figure out who with bipolar disorder is likely to relapse; people who have a lot of positive emotions, even at inappropriate times, may provide a window into possible early warning signs, Gruber says. In a study of healthy college students who had never been diagnosed with bipolar disorder, Gruber found that those who showed these same high levels of positive emotions that persisted across positive, negative and neutral situations were at higher risk for bipolar disorder.


But not all emotions are alike in bipolar disorder; in fact, they seem to have particular kinds of positive emotions. They report feeling more achievement and self-focused emotions like pride and rewarding feelings like joy. They don’t differ social emotions that connect us with others, like love and compassion. “This mirrors early clinical observations and more recent scientific work,” Gruber says—that people with bipolar disorder set very high, ambitious goals, are sensitive to rewards, and in periods of mania, some believe they have special powers.


Psychologists should also consider that there are downsides of positive emotions even for people who don’t have bipolar disorder, Gruber says. “Although positive emotions are generally good for us, when they take extreme forms or when they’re experienced in the wrong context, the benefits of positive emotion begin to unravel,” she says. The goal: “experience it in moderation, in the right place and time.”
 

locrian

Member
Related to this is the problem of seeking out of positive emotions, or looking for the "high". As we know, this is one of the main motivations behind substance abuse.

Also, an experience that does give us the "high" may lead us to great expectations when we try to recreate it. This summer I made a special trip to Provincetown, a 2 1/2 hour drive from Boston, where I was about to attend a seminar. I had planned certain activities: visiting the Pilgrim Monument and spending time at the beach until sunset. I had done it before and was hoping to feel the same thrill at the top of the Pilgrim Monument, as I walked around and saw the view in every direction; I was hoping to feel the same connection to the ocean while walking along the beach. But it didn't happen. I was trying too hard to find what I had experienced before, rather than just relaxing and allowing it to be whatever it was.
 

Daniel E.

daniel@psychlinks.ca
Administrator
Hooked on a Feeling: Rumination About Positive and Negative Emotion in Inter-episode Bipolar Disorder :acrobat:

Rumination has been consistently implicated in the onset and maintenance of depression. Less work has examined rumination in the context of bipolar disorder, especially rumination about positive emotion. The present study examined rumination about negative and positive emotion in inter-episode bipolar disorder (BD; n = 39) and healthy controls (CTL; n = 34). Trait rumination (RPA and RRS), as well as experiential and physiological responses to a rumination induction, was measured. Illness course was also assessed for the BD group. Results indicated that the BD group reported greater trait positive and negative rumination compared to the CTL group, but no group differences emerged during the rumination induction. For the BD group, trait negative and positive rumination, as well as increased cardiovascular arousal (i.e., heart rate), were associated with greater lifetime depression frequency; and trait positive rumination was also associated with greater lifetime mania frequency. These findings suggest that inter-episode BD is associated with greater rumination about positive and negative emotion, which in turn is associated with illness course.
 
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