Compassionate Inquiry as a Healing Mode for Trauma and Addiction

Compassionate Inquiry is a psychotherapy method developed by Dr. Gabor Maté to help people suffering from the effects of trauma and addiction to experience “deep healing and transformation”.   Gabor is a world authority on trauma and addiction and has developed his method after many years in family medical practice, covering the whole range of human experience from obstetrics to palliative care.  He found through his counselling sessions conducted each day after his clinic hours that trauma underlay many of the numerous physical and mental illnesses he encountered in his medical consultations.  Gabor intensified his research in related fields and explored his own addictive behaviour and its trauma-induced origins.

Gabor acknowledges that his early efforts at therapy were inadequate because he had not been trained in the area.  However, he persisted because there were very few people offering a psychotherapy approach to addiction and trauma – even psychologists, in the main, trained in the medical model, adopted a symptomatic approach and related medication treatment.  They did not explore the root cause of the addictive behaviour or the distorting impacts of various traumas experienced by people, especially in early childhood.

Compassionate inquiry to heal addiction and trauma

Gabor learned through his early experience that healing lay in enabling the client “to experience the truth of themselves within themselves”.   So what he attempts to achieve is not just an intellectual exercise – it involves engaging the whole person, their distorted perceptions, thoughts, and feelings.  He maintains that his approach is compassionate even though he interrupts people, challenges assumptions, and explores aspects that are painful for the client.  He believes that it is not his role to make the person feel good but to help them to genuinely face their pain and the truth about themselves. 

Gabor stated that often therapists are dealing with their own trauma and addiction issues (as he was in his early stages) and are not able to be totally present to the client nor able to control their responses to what the person is saying or doing – their help is not offered unconditionally.  He suggests that therapists need to work on themselves to ensure that they do not contaminate their interaction with their client/patient because of their own unresolved issues.  He stated that therapists who display anger or other challenging emotions undermine the healing process for the other person.

Paying attention to the cues

There is one very important aspect to paying attention to the cues provided by the client’s words, actions and non-verbals – and that is the issue of consent.  Gabor seeks consent to explore behaviour in-depth with the person he is working with but he also checks that he has consent to continue when the going becomes challenging.  He argues that the person will give some cues if they are too uncomfortable and these should be used to confirm ongoing consent.  In a podcast conversation for Banyen Books, Gabor said that he exceeded the consent boundaries in his earlier days as a therapist when he would drop into therapy mode with his family members – who outright rejected his approach given that they had not given consent. He soon realised that they wanted him as a spouse, parent, friend or supporter – not as their therapist.

The other key aspect of paying attention to cues is that they give the therapist insight into what is really going on for the client.  Gabor illustrates how “unconscious metaphors” (such as the sun revolving around the moon) can indicate that the balance of dependence and inter-dependence is distorted in a relationship between daughter and mother.  The daughter might be “carrying” the mother, thus creating a traumatic experience of missing out on maternal support in the early stages of development.   Gabor maintains that metaphors a person uses are instructive, even if employed unconsciously.  He uses this cue to explore the meaning of the metaphor for the client and the underlying thought processes and emotional component. 

His compassionate inquiry approach is designed to get at the “basic human need” that lies unfulfilled in the person he is working with.  He argues that no matter what the words or behaviour of the individual (e.g. aggressive or obnoxious) there is a ‘real human being underneath”.  He uses the words of Marshall Rosenberg when he describes addiction as “the tragic communication of a need”.   The challenge is to enable the client/patient to go inside themselves and confront the uncomfortable and painful truth that they are futilely pursuing an unmet, and unacknowledged, need deriving from adverse childhood experiences or adult traumatic events.   Gabor spontaneously illustrates his compassionate inquiry approach in a podcast interview with Tim Ferriss.

Gabor makes the point that his approach does not involve having people tell detailed stories about their traumatic events or adverse childhood experiences, he consciously chooses to focus instead on the impacts of these events/experiences in terms of the person’s distorted perceptions, false self-beliefs and/or addictive behaviour.  He sees his task as staying present to the person and their “here and now” experience so that he can “mirror back to them their true selves”.  Gabor’s compassionate inquiry approach is supported by Bessel van der Kolk, a global authority on trauma, who has used attachment research and neuroscience to develop innovative treatments for adults and children who have suffered from traumatic events.  Bessel contends that his research demonstrates that to change the way we feel we need “to become aware of our inner experience” and then learn to “befriend what is going on inside ourselves”.

Training in compassionate inquiry

Gabor maintains that compassionate inquiry requires an “unconditional determination to understand a person”.   He offers several training courses for people who want to develop the requisite skills and personal wholeness to be able to offer compassionate inquiry in their therapeutic/consulting practice.  He indicated that experience with these courses shows that participants gain insight into themselves as much as learning about the compassionate inquiry method.  Gabor often uses inquiry into the experiences of individual participants themselves to illustrate his perspective and process.  He offers a one year, online course in compassionate inquiry over 12 months, as well as an add-on certification process for those who want more advanced training.

An alternative to the online training is paid access over a 1-year period to Gabor’s recorded seminars based on a weekend workshop conducted in Vancouver in 2018.  The four videos involved cover more than 9 hours of training by Gabor.  Free access to Gabor’s perspective and methodology can also be gained by exploring his YouTube Channel, which includes his interviews and his TED Talk.  Gabor’s website also provides additional resources.

Reflection

With his compassionate inquiry approach, Gabor provides a methodology that a skilled facilitator with adequate training and immersion in his approach, could employ to help people who seek assistance with addiction and/or the effects of trauma.  Compassionate inquiry practitioners are available in multiple locations around the world.  Gabor also offers CI Circles facilitated by a certified CI practitioner for anyone who wants to learn more about CI concepts and practices and to engage in self-inquiry.  The Circles involve self-reflective journalling and a willingness to  share insights and disclose present moment experiences, somatic and otherwise.

As we grow in mindfulness and associated self-awareness through reflection, meditation and guided inquiry methods, we are better placed to help ourselves deal with the impact of traumatic events from our past life and to assist others with similar needs.

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Image by John Hain from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

How Trauma Impacts Our Behaviour

Dr. Gabor Maté, world authority on trauma and addiction, has produced a film titled The Wisdom of Trauma.  In the film, he draws on his research, his own experience of trauma as a child of the Holocaust and the addiction and trauma stories of others.  Through this wealth of evidence, he challenges several prevailing myths about the nature of trauma and addiction.  For instance, he maintains that addiction is not just an inherited illness nor is it a basis for blaming an individual.  He takes a more compassionate approach and suggests that we need to understand the true nature of trauma and addiction.

In essence, Gabor maintains that trauma is not external catalytic events such as adverse childhood experiences or adult traumatic events.  In his view, trauma is what happens internally, not externally.  Fundamentally, trauma is the “resultant dissociation from self” that occurs for the individual.  Gabor describes this as a “loss of authenticity” in that the traumatised individual can no longer access their intuition or gut feeling and as a consequence tend to engage in self-destructive behaviours such as addictions in different forms including alcoholism, drug addiction, workaholic behaviour, or addiction to sex or shopping.  These injurious behaviours are a form of escape designed to avoid personal feelings that are too painful to face.

The traumatised person loses the capacity to deal with their emotions and seeks diversions that they hope will bring freedom, a renewed self-esteem, a sense of completion or aliveness – which are all legitimate pursuits of healthy humans.  So the addiction is a way of solving their fundamental problem – a basic disconnection from their real feelings.  The addictions do not bring freedom or wholeness but serve as an imprisonment and deepen the feelings of hollowness and meaninglessness.

Gabor contends that for the traumatised person, their healthy orientation has never been expressed in life through meaningful relationships.  He argues that we have to see addiction as a response to trauma and look beyond its external manifestations and “see the wound that is right inside that person”.   Gabor encourages us to look beyond “what is wrong with a person” to what has happened to them in their life, including their early childhood.  His compassionate approach is spellbindingly expressed in his book, In the Realm of Ghosts: Close Encounters with Addiction

Recovery from trauma and addiction

Gabor illustrates through his film and books, amazing stories of recovery from addiction. He shows that the wisdom that lies in trauma is awareness of how our response to everyday interactions throws light on our fundamental traumatised thinking such as “I am not worthy of respect” or “I am not lovable”.  Gabor asserts that recovery from trauma and addiction requires “compassionate inquiry” that enables a person to face their fear, let the truth inside themselves out into the light of day, and gain insight into the drivers of their behaviour, including their distorted worldview.

He illustrates how addiction and healing were manifested in his own life.  His trauma experience as a child during the Holocaust, hiding with his mother and being passed over to others for safe keeping, led to his belief that “the world doesn’t want me”.  He realised with the help of the compassionate assistance of his wife, that his workaholic behaviour as a specialist medical doctor was designed to “to make himself needed”.  The continuous affirmation of his contribution to peoples’ health and wellness served as personal validation and cemented his addictive behaviour.

Reflection

Gabor demonstrates that if we do not address the fundamental problem of dissociation from our feelings, we will not be able to achieve recovery from our trauma and associated addiction.  Trauma has a way of surfacing in distorted perceptions and inappropriate, sometimes high risk-taking, behaviours.

Gabor suggests that each of us examine situations where our response to some stimulus leads to an over=reaction on our part,  e.g. when a waitress tells us we cannot change a menu item or a tradesperson does not turn up when they promised.  He encourages us to look beyond our reaction to the personal belief that is being played out, e.g. “I am not good enough for people to pay attention to my needs”.  He would encourage us then to explore what traumatic event(s) led to this fundamental self-belief.  In the film, he illustrates this process by sharing part of his podcast interview with Tim Ferriss where he explores Tim’s self-belief (“I am not worthy of respect”) deriving from adverse childhood experiences.

 As we reflect on our life and our responses to everyday events, we can grow in mindfulness and develop increased self-awareness, insight and self-compassion.  We can also enhance our empathy for others who are addicted and develop the courage to take compassionate action, inspired by the work of people like Gabor, who with Vicky Dulai, founded the Compassion for Addiction group.

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Image by Jubair Bin Hasan from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Using Meditation to Let the Light In

Lynne Goldberg presented at the 2020 Mindfulness & Compassion Global Summit on the theme of Leonard Cohen’s words, The Crack is Where the Light Gets In.  Lynne spoke of her life experience where meditation enabled her to find joy, happiness and holistic success after a dark period of pain, grief, and anxiety.  The “crack” was the fracture of her external, projected veneer as the perfect wife, mother and businesswoman (Vice-President of a retail store).  Lynne epitomised what Harriet Braiker called The Type E Woman who had to be “everything to everybody”.

Lynne’s world fell apart when she lost her mother through cancer, her marriage through divorce and her twin daughters who died two days after their birth (after she had tried to conceive for six years).  Despite the turmoil in her life, Lynne tried to keep it together and be the perfect executive but lost her position.  Lynne numbed herself to the physical, emotional and mental pain she was experiencing.  It was only through meditation and improved nutrition that she was able to restore her equilibrium and find peace and happiness.  Up until then, she was full of self-loathing and self-recrimination.  She had to acknowledge to herself that “position and possessions” do not guarantee happiness – they were only the external trappings of “success”.  Meditation enabled Lynne to loosen the hold of false beliefs and let in the light of self-belief and self-esteem. 

Meditation to let the light in

Through meditation and nutrition Lynne found her balance and love for life and others.  She became a certified meditation teacher and described her odyssey in her book, Get Balanced, Get Blessed: Nourishment for Body, Mind, and Soul – a life journey that shares strategies and tools to overcome the stress of trying to be perfect and “control the uncontrollable”. Lynne is also a co-creator of the Breethe app.

In a recent interview with Beau Henderson discussing meditation’s role in challenging times, Lynne offered five steps to help us overcome fear and anxiety and achieve mindfulness and serenity:

  1. Set your intention – be very clear about why you want to develop a meditation practice and find ways to remind yourself of this intention.  Clarity of intention energises the discipline to maintain practice.
  2. Stay present – avoid wandering into the past and the uncertain future and practise restoring your focus to the present.  Some simple mindfulness practices such as mindful walking, focusing on the sensation of your fingers joined together or deep listening, can be helpful here.  You can also monitor your own words, e.g. when you say, “I can’t wait till the weekend!” or “I wish it was Friday”.
  3. Practice non-judgment – be with what is happening rather than judging it to be good or bad, e.g. the weather. 
  4. Let go of control – give up on trying to “manage the unmanageable” but do what you can to the best of your ability, given limited resources, time and understanding. 
  5. Go from “me” to “we” – help other and in the process help yourself to overcome fear and self-absorption. Compassionate listening in times of anxiety and uncertainty is a bridge to self-compassion and compassionate action towards others.

Lynne offers a 5-minute meditation that can be used at any time during your day to let the light in and bring peace and tranquillity to your life.

Reflection

There are many simple meditation practices that can help us to become grounded and to rest in equanimity.  The starting point is a clear intention to undertake a core meditation practice on a daily basis. Starting small enables us to build the discipline of consistency.  The core practice, even five minutes a day, can be supplemented by other mindfulness practices to build and sustain the momentum. 

Revisiting the benefits of our meditation and mindfulness practices helps to reinforce our intention and reward our discipline.  As we grow in mindfulness through meditation and mindfulness practice, we can overcome false beliefs, experience serenity, access our creativity and achieve holistic success.

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Image by Mabel Amber from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Be Brave, Be Creative

In the previous blog post I discussed the need for boldness to take action on a creative idea – to be willing to break with tradition and act on a different way of conceiving something, e.g. Karen Quinlan’s innovations based on a new conception of an art gallery.  I also explained how mindfulness can help us to be bold enough to initiate action on a creative idea – by helping us to build calm, clarity, focus and self-belief.

To sustain creative activity, however, also requires bravery.  It takes courage to explore new terrain, persevere despite setbacks and maintain your energy and enthusiasm when the going gets rough.

Creativity and bravery

Bravery can be defined as “having or showing mental or moral strength to face danger, fear, or difficulty”.   Invariably, there will be setbacks when you set out on a creative endeavour.  For instance, Karen Quinlan found that some gallery directors she approached refused to loan her artwork for her gallery.  However, she was able to persist with her creative ideas and enlist the help of others who supported her ground-breaking ideas.

While Karen was prepared to take risks, like many successful entrepreneurs, she took only calculated risks.  This required considerable research and planning.   Amanda Sinclair explained that Karen, for example, knew that women make up 80-90% of visitors to art galleries in Australia and that very few of the male-dominated, art gallery directors made any effort to satisfy the interests and needs of this demographic group.  So, she was able to draw on her own interests, training and experience to identify these needs and develop creative ways to meet them.

When you encounter a setback, you often cannot see the way forward but you are able to persevere because of your strong belief in the creative idea, its potential contribution and your capacity to see it through to completion.  Mindfulness builds the persistence and resilience required to overcome difficulties and fears along the way even when the way ahead is becoming increasingly unclear.

As you progress your creative ideas and implement your new approach, you will encounter increased resistance from those who have a vested interest in maintaining the status quo.  Reg Revans, the father of action learning, who met considerable opposition to his creative approach throughout his life, quoted the German philosopher Nietzsche to explain how new ideas are opposed:

If you think you have a new idea, see what happens.  Unless it is opposed by the stupid and ridiculed by the clever, it can have nothing new in it.

In the face of this kind of irrational and emotive opposition, you need support to sustain yourself and your energy.  Karen was able to gather a creative team to support the development and implementation of her ideas.  This collaboration helped her to maintain motivation, develop creative solutions to problems encountered and build external support.  Karen found, as often is the case, that local businesses came on board with her ideas with cross-promotions when they started to see the increase in tourist traffic and international acceptance and accolades for the Bendigo Art Gallery being developed by Karen.

Bravery and mindfulness

Mindfulness helps you to be more conscious of, and grateful for, the internal and external support you receive and to develop the relationships involved through awareness, empathetic listening and loving kindness.

Mindfulness develops calm and clarity in the face of stressors that would undermine confidence or cloud your vision.  It helps you to strengthen the courage of your convictions, overlook sustained opposition of fearful people, build resilience and develop new ways around roadblocks and impediments to the way forward.  As you grow in mindfulness, you become braver in the pursuit of creative ideas and less fearful of the risks, dangers and difficulties involved.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of johnhain on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.