Ready for Grading

Stress Management Mechanisms for Law School

-- By SylvieRampal - 21 Feb 2008

Law School: Part-time job or Extreme Situation?

I view law school as an extreme situation. Professor Moglen has said that law school is really a part-time job. This is probably the healthiest and least traumatic way to view law school. Still, time and again the commentary of other educational and legal professionals have painted a darker picture:

• A managing partner at a top NY law firm advised students to break-up with on-again, off-again love-interests; undergo medical and dental procedures before law school; to forget about television, magazines and news media.

• Upperclassmen advise 1Ls to leave outgoing voice mail messages that told family and friends not to call except in case of emergency.

• Educational personnel have stated that 1L is not too great a time to put life on hold.

Although, I try to maintain calm in the face of anxiety, silencing the less healthful views is an uneasy task. So, I will focus on the scientific evidence as to the efficacy and validity of a few mechanisms that may afford students improved management of stress-inducing performance expectations.

Shifting the focus from cause to coping strategies

Law school is a microcosm of a society which demands people be smarter, faster, better, and do more in less time. Which may be the cause of the increased incidence of psychological pathology throughout society. Still, decrying the state of affairs does not equip me to cope with the realities of the circumstances.

My perception of what this situation requires is more reactive than prospective, focusing more on functioning within the construct than changing it. Nonetheless, for me, now is not the time to press my abilities against the institutional machineries which reinforce anxiety and fear. Changing them is a valid aim, but not one which suits my immediate purposes. Once the perceived necessity dissipates, I can re-shift my focus to attacking stressful environmental factors.

Managing the Stress of Performance Expectations

Stress-relieving mechanisms like social support groups (e.g. religious fellowship), hypnosis, meditation, and acupuncture offer effective and drug-free stress management options. Stress, depression, and anxiety can take a toll on the body and bodily ills can affect the way we think and feel, so it is vital that people develop behaviors that improve their emotional and physical health.

American Psychological Association discussing Psychoneuroimmunology

Justified belief or Unreasoning hope

New-age or holistic treatments are oft viewed as hokey, false, counter-productive. But new scientific evidence validates the healthful potential of holistic practices like hypnosis, meditation and acupuncture.

Social Support Groups

Scientific study of linkages between the brain, behavior, and immune response and health implications of the relationship, indicate that religious fellowship/ social support groups have better coping strategies to manage stress, anxiety and depression, and faster recovery times from illness and injury. Gerontological studies of the relationship between social support groups and health note a correlation between the lack of social support and elderly mortality.

Read more from the Brain, Behavior, and Immunity Journal.

Hypnosis and Meditation

In Mayo Clinic Proceedings, several modern studies were reviewed to evaluate whether hypnosis had a place in modern medicine. The verdict: Yes.

The article suggests that meditation is a type of self-hypnosis:

“Hypnosis is also described as an ‘attentive, receptive focal concentration,’ with the trance state being a ‘normal activity of a normal mind,’ which occurs regularly, as when reading an absorbing book, watching an engrossing movie, daydreaming, or performing monotonous activity. . . . If suggestions are given to achieve a desired effect, meditation [which is often self-directed] may qualify as hypnosis depending on the state achieved, particularly because hypnosis can occur naturally (ie, without formal induction).”

• Meditation or mindfulness is effective against anxiety and depression.

• “[S]ubjects who meditated for a short time showed increased alpha waves (the relaxed brain waves) and decreased anxiety and depression.” Psychology Today Magazine article.

• Regular meditation may change brain function.

• Prayerful meditation linked to feelings of general well-being.

Acupuncture

Extensive studies and experiments on the merits, efficacy and medical applications of acupuncture have determined that acupuncture works. Acupuncture is helpful in management of persistent pain.

• General information and examples of patients using acupuncture for pain management

• Gerontological Nursing guideline on use of meditation (and other non-pharmacological treatments) for pain management.

• Physicians who are in favor of medical acupuncture.

• National Health Institute’s Center for Complementary and Alternative Medicine

Knowledge Gaps and the Uncertainty of New Science

Knowledge gaps surrounding the mechanism of action of these treatments do not invalidate the import or efficacy of these options.

Faith-like conviction despite knowledge gaps has spurred innovation. For example, before harmful microorganisms were definitively proven to exist, Pasteur was harangued by the medical establishment for his fantastical claims. Today, scientific understanding of the microorganism has led to the creation of life-saving vaccines. Merely because something has yet to be wholly proven does not mean it is false or ineffective.

The uncertainty of the mechanism of action is not an unknown circumstance in science. Such uncertainty is present in evolution; while scientists have observed that adaptations occur, they are still uncertain of the mechanism by which adaptation occurs. Moreover, such uncertainty is typical of medical study concentrating on the connection between brain mechanisms and conditions or behaviors like depression or narcolepsy. For instance, piracetam which is used to fight Alzheimer’s (in Europe) is an effective drug with an unestablished mechanism of action.

Conclusion

The perception that we have some measure of control over our mental, emotional, and physical welfare is a reality determining tool which substantially affects our cognitive and physical health. Healthful tools like hypnosis, visual imagery, acupuncture, meditation, exercise and dietary planning can help manage stress in challenging situations.

Warnings and Disclaimers

It is important to note that there can be adverse effects.

Hypnosis/ Meditation

While generally safe, there are risks of paradoxic increase in depression and anxiety, increased suggestibility, difficulty in distinguishing the “real world” from the trance state, and in some cases addiction to the trance state. Still, the Mayo article (supra) suggests addiction to hypnotic or meditative trance can be likened to television addiction so I remain skeptical about the dangers of this “addiction”.

Acupuncture

Needle point acupuncture is generally safe but carries some risk of injury and non-sterile needles. In rare cases, a traveling needle can damage the heart.

Lessening the risks

The FDA requires that sterile, nontoxic needles be used and that they be labeled for single use by qualified practitioners only. The single use standard has encouraged cancer patientsand sufferers of macular degeneration to seek acupuncture.

The risk of needle point damage and non-sterile needles can be avoided by using one of the alternatives to needle focused treatment such as acupressure, acupuncture via the application of heat or electrical impulse, magnets, or suction.

Pharmacology

To dispel the impression that I endorse self-medication as a recourse: The long-term effects of these drugs are unknown. While piracetam is thought to have minimal side-effects, the same was thought of estrogen therapy until the adverse effects (cardiovascular disease, diabetes, kidney malfunction) of prolonged treatment were discovered.

It would be ill-advised for any person to risk their brain health. Related compounds have been known to cause death, organ malfunction, addiction or to reduce victims to vegetative states. Also, certain compounds act on areas of the brain which build a dependence on the drug and make the brain more vulnerable to dependence or addiction in the future to compounds or dosages that would otherwise not be health-harming.