{"id":401112,"date":"2026-01-31T19:34:07","date_gmt":"2026-01-31T19:34:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/401112\/"},"modified":"2026-01-31T19:34:07","modified_gmt":"2026-01-31T19:34:07","slug":"its-not-always-just-in-your-head","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/401112\/","title":{"rendered":"It&#8217;s Not Always Just in Your Head"},"content":{"rendered":"<p>The outbreak of Legionnaires&#8217; disease in New York City during the summer of 2025, which caused at least six deaths and more than 100 cases, reminded me of the time that I had gotten sick with the illness.<\/p>\n<p>I don\u2019t know how I contracted the disease. I hadn\u2019t been on a plane or in a hot tub, nor could I remember being anywhere near where I would have inhaled contaminated water droplets, the vector by which the bacteria spread. I felt lethargic and ran a fever. A test confirmed that I was sick with what was then a newly discovered form of pneumonia. My doctor immediately prescribed <a href=\"https:\/\/www.psychologytoday.com\/gb\/basics\/psychopharmacology\" title=\"Psychology Today looks at medication\" class=\"basics-link\" hreflang=\"en\" rel=\"nofollow noopener\" target=\"_blank\">medication<\/a> for me, as the disease, if untreated, can be fatal.<\/p>\n<p>Soon after taking the new antibiotic, I began to feel better, but it did nothing to lift my mood. My wife, Lyn, who is a source of good <a href=\"https:\/\/www.psychologytoday.com\/gb\/basics\/humor\" title=\"Psychology Today looks at humor\" class=\"basics-link\" hreflang=\"en\" rel=\"nofollow noopener\" target=\"_blank\">humor<\/a>, tried everything she could to lift my spirits\u2014jokes, comic movies, wisecracks. Pep talks didn\u2019t work, either. Words of encouragement fell on deaf ears.<\/p>\n<p>I was depressed in a way I had never experienced before. When she left for work, I would call her for reassurance. I didn\u2019t want to be left alone, I didn\u2019t want to get out of bed, and I cried. This went on for a couple of days.<\/p>\n<p>Then Lyn called my doctor and asked if my <a href=\"https:\/\/www.psychologytoday.com\/gb\/basics\/depression\" title=\"Psychology Today looks at depression\" class=\"basics-link\" hreflang=\"en\" rel=\"nofollow noopener\" target=\"_blank\">depression<\/a> could be caused by the medication. He said that he never had a patient with that reaction, but it was possible. He prescribed a different antibiotic, and by the end of the day, my outlook returned to normal.<\/p>\n<p>My bout with Legionnaires&#8217; disease made real for me something I had known intellectually: <a href=\"https:\/\/www.psychologytoday.com\/gb\/basics\/self-control\" title=\"Psychology Today looks at Willpower\" class=\"basics-link\" hreflang=\"en\" rel=\"nofollow noopener\" target=\"_blank\">Willpower<\/a> has limits. I now give pause when making judgments about others who can be difficult, irritating, mean, unethical, and even criminal. I question when to hold people accountable for their actions and when to acknowledge the limits imposed by internal and external factors.<\/p>\n<p>Judging others&#8217; behavior can easily slide into being judgmental, excluding compassion and mercy. Not judging, though, may excuse everything. As a French aphorism has it, &#8220;To know all is to excuse all.&#8221;<\/p>\n<p>Where to draw the line between caring and enabling has implications for personal relations, such as whether a child\u2019s inattentiveness is a &#8220;won\u2019t&#8221; or a &#8220;can\u2019t,&#8221; and whether a person\u2019s horrendous upbringing or psychological state renders the accused innocent. Not holding a person blameworthy is patronizing, but not taking extenuating circumstances into account can be brutal. As ethicist <a href=\"https:\/\/www.nytimes.com\/2025\/08\/02\/magazine\/brother-crash-forever-ethics.html\" rel=\"nofollow noopener\" target=\"_blank\">Kwame Anthony Appiah<\/a> has pointed out, \u201cthe line between care and enabling is often blurry.\u201d <\/p>\n<p>Mostly, people need to be held responsible for their choices, good or bad. For philosopher <a href=\"https:\/\/www.cambridge.org\/core\/books\/abs\/cambridge-handbook-of-human-dignity\/kantian-perspectives-on-the-rational-basis-of-human-dignity\/888A73505F167E52F149953CCFE74A20%20\" rel=\"nofollow noopener\" target=\"_blank\">Immanuel Kant<\/a>, this is the basis of human dignity. When my mood lifted because I was given a different medication, I didn\u2019t feel my dignity was undermined. It was being incapable of dealing with my depression that felt humiliating. A new pill allowed my old self to return.<\/p>\n<p>Not all behavior is a matter of choice, as I learned from personal experience. Each situation is unique, and only those intimately involved can decide between accountability and compassion. It\u2019s always a matter of judgment. Maybe I wasn\u2019t trying hard enough, or perhaps my wife didn\u2019t have the right jokes. All I know is that the first medication was stronger than any willpower I could summon up.<\/p>\n<p>The <a href=\"https:\/\/www.hazeldenbettyford.org\/articles\/the-serenity-prayer.%20\" rel=\"nofollow noopener\" target=\"_blank\">Serenity Prayer<\/a>, perhaps best known through its recitation at AA meetings, encourages accepting things that can\u2019t be changed, changing the things that can, and having the <a href=\"https:\/\/www.psychologytoday.com\/gb\/basics\/wisdom\" title=\"Psychology Today looks at wisdom\" class=\"basics-link\" hreflang=\"en\" rel=\"nofollow noopener\" target=\"_blank\">wisdom<\/a> to know the difference. <\/p>\n<p>The ethicist and therapist\/counselor in me tussle with one another, the former thinking that someone should be held answerable for their behavior and the latter knowing that for some, a &#8220;won\u2019t&#8221; really is a &#8220;can\u2019t.&#8221; I think back to my bout with Legionnaires&#8217; disease, hoping I can wisely distinguish between accountability and sympathy.<\/p>\n","protected":false},"excerpt":{"rendered":"The outbreak of Legionnaires&#8217; disease in New York City during the summer of 2025, which caused at least&hellip;\n","protected":false},"author":2,"featured_media":401113,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[59,57,58,50,56,54,55],"class_list":["post-401112","post","type-post","status-publish","format-standard","has-post-thumbnail","category-united-kingdom","tag-gb","tag-great-britain","tag-greatbritain","tag-news","tag-uk","tag-united-kingdom","tag-unitedkingdom"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/401112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=401112"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/401112\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/401113"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=401112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=401112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=401112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}