Awesome website
Found this awesome website, with all sorts of articles and discussions on the different Enneagram types. one VERY interesting subject was the Clinical Pharmacists View of each type....here is the one for Type 7 (myself)
A Clinical Pharmacist's View of the Enneagram Seven
Dr. Paul Boroff
This essay will describe my interactions with the overly optimistic and enthusiastic style Sevens. Some Sevens are so active they are almost hypomanic. I find them to be above average in general health. They have a positive orientation towards life and positive emotions correlate with a strong T-cell immune system. Negative emotions (loneliness and depression) correlate with a much weaker T-cell immune system.
Sevens are characterized by an extremely optimistic and uninhibited attitude towards life. They are busy, energetic and "up." They tend to be extroverted and on the go. Sevens can be confused with threes, but their motivation is different. They are constantly trying to get as much enjoyment out of life as possible, while Threes are trying to produce as much as possible.
Sevens are enjoyable to be around. They are fun-loving, enthusiastic and imaginative. Their intelligence is keen and they're often multi-talented. For instance a seven might be able to speak several languages or to play several instruments. I remember a technician I worked with. She spoke Spanish, knew some German and could use sign language. We always turned to Yvonne to communicate with our hearing-impaired patients.
Sevens are the most optimistic number on the enneagram. Their glasses are never half-empty, always half-full. A lemon is not a sour fruit, but a potential lemonade. They are also quite oral and tend to be constant talkers. They can tell entertaining stories as they describe the incidents that make up their lives. They thoroughly enjoy good food and wine and are often connoisseurs. You can find a good literary description of a seven in the character Noel Airman in Herman Wouk's novel, Marjorie Morningstar.
Sevens are often relatively materialistic. They enjoy the finer things in life. Fine cars, jewelry and expensive vacations appeal strongly to them. But they are not stingy, they are spenders, not savers. Often they are impulsive and will act on the spur of the moment. They often have a hard time making commitments as they like unlimited options. The saying "Don't put all your eggs in one basket" could have originated with them. They are the Peter Pans of the world and some of them have a hard time growing up to assume adult responsibilities. Some even look younger than their years, retaining a youthful appearance well into middle age.
In Palmer's Enneagram, she observes that "Sevens say they are addicted to their own Adrenaline. They love the rush of physical energy, the excitement of adventure and mental stimulation."
I want to emphasize the word Adrenaline. I'll develop this later technically when I explore the possible biochemical mechanics that may help explain some behavioral characteristics.
Sevens tend to be "sensation seekers." They may take physical risks in things like skydiving or bungee jumping. A specific psychological test measures this tendency. It's aptly named the Zuckerman Sensation Seeking Scale. It is likely that a high percentage of sevens would score high on this scale. High scores on this test have been linked with a definitive biological parameter.
A Seven under stress will take on some of the negative characteristics of style One. Their demeanor changes almost instantaneously from upbeat and fun-loving to angry and critical. Their eyes may narrow in an irritated expression. Stressed Sevens may vocally explode with anger, but they quickly forget their irritation and hold no grudges (unlike Fours, for example).
Once I was in a plane next to a woman, an obvious Seven. She was cheerful, upbeat and a non-stop talker. I was trying to read, but she won out and I wearily put down my book. Then she rang for the stewardess. Some kind of mechanical malfunction kept her call unanswered. Her attitude changed immediately from upbeat to angry and critical. She told me she was going to complain to the airline about the poor service as soon as the plane landed. She was going to leave no stone unturned and this situation was going to be rectified. The seven to one mood swing was immediate, complete and somewhat amazing.
A relaxed Seven takes on Five qualities. They become quiet and introspective, they may explore a subject in depth and become quite knowledgeable. Sometimes meditation becomes attractive to Sevens at Five.
Some clinical interactions:
Joshua M. was a patient who visited my pharmacy for several years. He had a seizure disorder which was well controlled with the medication, Carbamazepine at a dosage of 400mg (two tablets) three times a day. He was only 21. I identified him immediately as a Seven. I showed him Don Riso's description of a Seven. He laughed and said, "That's me, all right." I gave him the Myers Briggs test and he came out as ENFP, strongly. Seven is one of the points that correlate with ENFP (as do two, four and some nines).
Like many Sevens, Joshua tended to live in the moment and wasn't much for regimentation. This would correlated with the high "P" score on his test. I imagine that most Sevens would score as P, rather than J.
He would constantly run into the pharmacy and tell me he was out of his anti-seizure medication and that he wasn't going to be paid for another week. Could I give him a week's worth of medication until he received his check? I would always say "yes," because if a patient with a seizure disorder suddenly stops taking medication, he can be thrown into violent seizures and can even go into status epilepticus, a state of continuous seizure.
I tried to impress this on him and spoke to him like a father to a son. I would tell him to plan ahead and make sure he never let himself run out of his medication. I warned him I would be closing down the pharmacy pretty soon and that the chain store pharmacies might not be willing to advance him the medication. They tend to be impersonal and operate entirely on dollar and cents.
Joshua would give me a charming smile, agree with everything I said and come back the next month, asking me to give him a week's medication in advance. I always gave it to him. Sevens tend to be anti-authoritarian but they don't directly confront, as would an Eight or a Counterphobic Six. They disarm you with charm. He was a genuinely decent fellow and I sometimes wonder if he ever took on the responsibility in terms of his anti-seizure medication.
Avoiding boredom is a major Seven motivation. It can be seen than an unhealthy seven might be more prone to drug abuse than other enneagram points. I saw some instances of this in the eight years I owned my own pharmacy.
Peter G. came into my pharmacy with a prescription for Pimozide: 2mg tablets. The doctor's instructions were to take one table in the morning and one in late afternoon. After talking to him for an hour, I could tell he was a Seven. Pimozide is not commonly used medication. Its main indication is in the treatment of Tourrette's Syndrome, a complex neurological disorder. Peter didn't have this. I asked why he needed this prescription and he was quite candid.
It surfaced that he was methamphetamine abuser. He would work long enough to get the needed money to buy his "fix," then quit his job. He was intelligent, charming and a good salesman when he was working. Unfortunately, he had a tremendous problem staying off the Methamphetamine, as he loved the euphoric rush the drug provided. This is an example Helen Palmer may have alluded to when she described a Seven as hooked on his own adrenaline, although this is an unhealthy example. Methamphetamine is a close chemical cousin of adrenaline and has the same stimulant effect on the brain.
Pimozide has been used to decrease the euphoriant action of Methamphetamine. Amphetamines cause the release in the brain of a chemical called Copamine (another chemical cousin of Adrenaline) and it is primarily responsible for the euphoria that Amphetamines produce. The same holds true for Cocaine and to some extent, Nicotine. Pimozide acts pharmacologically to inhibit the action of Dopamine on the pleasure center of the brain and blocks the Methamphetamine induced euphoria. This is the exact reason Peter's doctor prescribed the Pimozide.
I saw Peter about a month after he started taking the medicine. His personality was quite different. I imagine the Pimozide was working, because Peter was no longer talkative and upbeat. In fact, he was angry and surly. He answered my questions about possible side effects from the Pimozide in monosyllables. I imagine the Pimozide was working too well at blocking the Methamphetamine euphoria. I wish I could this story had a happy ending and that Peter remained compliant with his Pimozide, but I lost him to follow-up. I guess he discontinued the medicine to get the Methamphetamine high.
John B. was another enneagram Seven patient who had a substance abuse problem. This time it was for a legal drug, Nicotine. John was a heavy smoker - about three packs a day. He spent a small fortune on Nicorette gum to no avail. Then he spent another small fortune on Nicoderm patches. In addition, John's doctor put him in Wellbutrin, 100 mg three times daily. Wellbutrin increases the brain's concentration of Dopamine and to some extent, will mimic the Nicotine. Eventually, John did quit.
Karen M. came into my pharmacy with a prescription for Clomid, 50 mg per day for 5 days around her period. It is a pro-fertility drug. In fact, patients on Clomid who become pregnant, not infrequently, have twins or even triplets. Karen had been on the drug for two years but had not conceived. She was ready to give up and stop taking the medication, but her husband, a clear Seven, would not let her. He was optimistic that eventually they would be successful. He was right! Two years later Karen had a beautiful little girl. Her husband demonstrated the typical Seven optimism. He was sure if Karen persisted with the Clomid, she would become pregnant. Talk about the power of positive thinking!
I mentioned I was going to propose a biological explanation that may help to explain some Seven traits. Mono-Amine-Oxidase , or MAO for short, is an important enzyme in the body. It is very active in the brain and is also found in many organs. MAO breaks down Mono-Amine chemicals such as Adrenaline, Dopamine and Nor-Adrenaline. These chemicals are important to the nervous system. Dopamine is a chemical of euphoria and extreme optimism. A researcher can measure the bodily activity of MAO by drawing a blood sample and incubating the platelets which are rich in MAO, with Mono-Amines such as Tyramine or Phenethylamine and measure the rate of their chemical breakdown. Phenethylamine is the chemical of romantic infatuation. People who have fallen in love have high levels of brain Phenethylamine. All of the before-mentioned are also chemical cousins of Amphetamine and Adrenaline. In fact, falling in love is a phenomenon not unlike taking an Amphetamine as the "lovers can not sleep and lose their appetite." This may be due to the close chemical similarity between Phenethylamine (the chemical of romantic love) and Amphetamine.
Some members of the population will have very active MAO in their systems, while others have a less active enzyme system. The lower the MAO activity, the greater the action of monoamines such as Dopamines on the brain. Such people should demonstrate stimulant, optimistic, even hypomanic behavior.
This is exactly the case. The physiological fact of low platelet (and indirectly, brain) MAO activity is strongly correlated with high scores on the Zuckerman Sensation Scale 1 There seems to be a relationship between the activities measured on this scale and what we call enneagram Seven behavior. The low platelet (and therefore low brain) MAO activity would result in increased Dopamine activity on the pleasure centers in the brain, possibly resulting in the somewhat manic, optimistic, euphoric behavior. If this turns out to be the case, we could say without reservation that Sevens are indeed hooked on their own adrenaline and Dopamine. It would be interesting to measure the platelet MAO activity of identified Sevens and compare these values with the activity of the population as a whole and/or with the activity of other known enneagram types.
Interestingly, Dextroamphetanine (and thus indirectly Dopamine) induced arousal in human subjects has been used as a model of manic (or extreme enneagram 7) behavior. 2
Wow.
Link here
http://www.enneagramcentral.com/archives.htm