Mindwandering (Moshe Bar, 2022)
“Indeed, rumination is the hallmark not only of clinical depression but also of other psychiatric disorders that involve mood, such as anxiety, addiction, post-traumatic stress disorder, and more. (…)
One standard questionnaire is called the Ruminative Responses Scale, developed by the late pioneer Susan Nolen-Hoeksema and her colleagues.
Here it is in full:
Please read each of the items below and indicate whether you almost never, sometimes, often, or almost always think or do each one when you feel down, sad, or depressed.
Please indicate what you generally do, not what you think you should do.
1 almost never 2 sometimes 3 often 4 almost always
think about how alone you feel
think “I won’t be able to do my job if I don’t snap out of this”
think about your feelings of fatigue and achiness
think about how hard it is to concentrate
think “What am I doing to deserve this?”
think about how passive and unmotivated you feel
analyze recent events to try to understand why you are depressed
think about how you don’t seem to feel anything anymore
think “Why can’t I get going?”
think “Why do I always react this way?”
go away by yourself and think about why you feel this way
write down what you are thinking about and analyze it
think about a recent situation, wishing it had gone better
think “I won’t be able to concentrate if I keep feeling this way”
think “Why do I have problems other people don’t have?”
think “Why can’t I handle things better?”
think about how sad you feel
think about all your shortcomings, failings, faults, mistakes
think about how you don’t feel up to doing anything
analyze your personality to try to understand why you are depressed
go someplace alone to think about your feelings
think about how angry you are with yourself
(…)In normal levels of inhibition, our mind is still given the mental space to be sufficiently associative.
In negative mood and in depression, however, there is excessive inhibition, and as a result the extent of associative activation is severely constrained.
In other words, overinhibition diminishes our ability to disengage from cyclical thinking and debilitating rumination.
Underinhibition, on the other hand, can cause hallucinations in its extreme because of activation of superfluous associations, as in schizophrenia.
Inhibition has to be just right.”










