Mental Health – Page 4 – Grow Mindfulness

Healing through Storytelling

A challenging medical diagnosis can turn your life upside down, make you question your self-image and increase feelings of isolation, particularly if it prevents you from actively engaging with your social or sporting network. Dr. Annie Brewster M.D., who experienced these challenges when she was diagnosed with multiple sclerosis in 2001, found that medical practitioners lacked understanding and compassion for her situation – they were ill-equipped to help her deal with the internal fallout that accompanies a chronic illness diagnosis. Annie is now Assistant Professor of Medicine at Harvard Medical School while actively engaged as a practicing physician in Boston at the Massachusetts General Hospital.

Annie, who had been quite athletic, found that her sense of identity was challenged by her diagnosis. She discovered that by storytelling – writing her own story addressing her identity confusion, accompanying anxiety and resultant trauma – she was able to move towards recovery reframing her identity, restoring her own power in the healing process and building resilience to handle uncertainty and fear. She recounts her story, and offers storytelling techniques with co-storyteller and journalist Rachel Zimmerman, in their book, The Healing Power of Storytelling: Using Personal Narrative to Navigate Illness, Trauma and Loss.

Healing through storytelling

Through her book, Annie helps chronic sufferers to process their challenging emotions, create their own healing story, reframe their identity narrative and reconnect with people close to them as well as the wider supportive community. She encourages us to utilise whatever medium we are comfortable with – whether art, music audio, video or writing – to share our healing journey and accompanying story. The techniques she and Rachel offer can help us in that process.

Inspired by her own positive experience of healing through storytelling, Annie created the Health Story Collaborative which acts as a platform for people to share their stories of health challenges and recovery. The Collaborative offers a medium for overcoming the isolation of chronic illness and is “patient-centered and research based”, drawing on the research providing evidence of the therapeutic power of storytelling. The Health Story Collaborative enables people to share their stories of illness and healing and offers multiple modes for doing so. There are videotaped Healing Stories Sessions (accessible to anyone), as well as Audio Stories (available for public consumption). You are encouraged to share your story of illness and recovery and the options also include music, art, poems, written stories or alternative media. Some of the more helpful stories are featured on the collaborative blog.

Storytelling about my own diagnosis of a chronic disability

I have recently started writing my memoir, inspired by Jeff Brown’s online course, Writing Your Way Home. One of my motivations has been the opportunity provided by storytelling to work through my personal experience of trauma. Almost simultaneously, I have received a diagnosis of spinal degeneration resulting from “wear and tear” over my 76+ years. A contributing factor was a serious car accident when I was 12 years old, with the undiagnosed injury aggravated by playing competitive and social tennis over 65 years.

I am now confronted by the challenge of rehabilitation and the loss of my capacity to play tennis, cutting me off from the game I love and my social tennis network (one of my few social activities). I can relate especially to what Annie calls the need to “integrate a traumatic health event into a new and evolving identity”. I have to reframe my identity from my self-image of a fit, competent tennis player, which has been an integral part of my life to date.

Reflection

Ash Barty has provided me with inspiration and encouragement through her own life story. She has also made me realise again why I loved the game of tennis. I’ve been reading Ash’s memoir, My Dream Time – A Memoir of Tennis and Teamwork, which could alternatively be called Developing Resilience through Adversity (as she documents her multiple injuries, mental health challenges and recovery strategies). Ash, the smiling assassin, who achieved World Number 1 WTA singles ranking for 114 weeks, shares openly her battle with negative self-messages, including the inexplicable negative self-talk about “not being good enough”.

I can relate deeply to what Ash describes as the pleasure she developed in playing tennis – enjoying the game for its own sake and finding “love in the marriage of movement and timing and speed and strength and guile and nerve” (the willingness “to go for your shots”). I found sheer enjoyment in my competence at tennis and my ability, even in my seventies, to surprise my opponents with unpredictable shots (such as a backhand half volley drop shot, a shot down the line or a half volley backhand lob). I would often mentally record the competent shots that I played and still to this day can replay some of them mentally as if on videotape. I undertook this process of recall and replay of my best tennis shots to build my sense of self-efficacy in playing tennis.

It is interesting that Ash talks about her slice backhand as her competitive advantage. In her words, the slice backhand produces “ an unpredictable low bounce” and is created by hitting the ball “with enough angle and speed to generate a fade”. Ash, through her slice, changed women’s tennis game at the elite level. In the mid 1970’s, I used to employ a slice backhand as my main attacking shot when playing competitive tennis … and I would follow it in to the net to complete an attacking volley as my opponent would have to hit the ball up to clear the net. However, over time while playing social tennis, after my competitive tennis days were over, I stopped using my slice backhand – for unknown reasons at the time. On reflection, I discovered that what had got in the way of my using this particular shot was a form of cognitive blind spot – I had unconsciously begun to view it as “not a real shot”. Ash’s resurrection of the slice in women’s tennis made me realise that I had unwittingly discontinued a shot that gave me a competitive advantage.

Ash at one stage in her book talks about “acceptance” – everyone is imperfect and “we’re all unique, all fallible and all with our own foibles”. It is the nature of being human that we are prone to making mistakes and subject to life-changing mental and physical challenges. We need to acknowledge the fragility of the human condition, accept what we can’t control, and act on what we can change for the better. Mindfulness can help us to develop resilience in personally challenging times.

As I grow in mindfulness through reflection, meditation, writing and storytelling, I hope to develop a new narrative about my evolving identity, grow in self-awareness, and strengthen my courage to undertake the necessary, ongoing rehabilitation. Life’s challenges can “make or break us” – mindfulness can help us to remain grounded, develop resilience and explore creative options.

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Image by Chen 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.

Trauma Recovery: A Program for Resetting Your Nervous System

Alex Howard recently provided a five-part series titled Decode Your Trauma which is designed as an introduction to his groundbreaking online coaching approach incorporated in the RESET Program. He also provides a free three-part video series to help people to reset their nervous system after the experience of trauma.

Alex is a world-renowned health specialist noted for his work in integrative medicine, his therapeutic work and his entrepreneurial projects. He has created a real life YouTube Series, In Therapy with Alex Howard, where your are able to join him as he works with patients in therapy sessions. Alex is also the Founder and Creator of The Optimum Health Clinic (OHC) – an integrative medicine clinic providing support to patients in more than fifty countries, especially those suffering from “fatigue-related conditions”.

The principles and practices of the Optimum Health Clinic – incorporating approaches such as mindfulness, developmental psychology and NLP – have been encapsulated in a Therapeutic Coaching Program led by Alex. It draws on the extensive experience and research of the OHC practitioners who have worked with thousands of patients.

Alex has also established Conscious Life – an online video platform designed to help people unlock their potential through courses, workshops and interviews with the world’s leading health and wellness experts. Through Conscious Life, Alex has hosted two of the world’s leading online conferences, the Fatigue Super Conference and the Trauma & Mind Body Super Conference.

The ECHO Model of Trauma

In his video presentations Alex describes his ECHO model of trauma which has four components (the name reflects the fact that experienced trauma has its echo in our day-to-day lives):

Events – these are the significant life events that created a trauma response in our mind and body. They can be quite overt such as the categories of Adverse Childhood Experiences (ACE) – “abuse, neglect, and household dysfunction”. Alternatively, the traumatising events can be more covert and subtle such as disrespect of your heritage or where significant others disown your lineage (a situation that Ash Barty describes in her memoir, My Dream Time – A Memoir of Tennis & Teamwork). Bruce Perry and Oprah Winfrey put the spotlight on the traumatic events in our life when they ask, “What Happened to You?”
Context – Alex described “context” in terms of whether our three core emotional needs were met or went unmet. He describes these as a need for boundaries, safety and love. In the absence of boundaries in our early childhood we can suffer from the “need to please” – where we can’t say “yes” or “no” appropriately and where we make our own needs subservient to the needs of others. Where a sense of safety was missing owing to a violent or turbulent/unpredictable home environment, we can find that we have difficulty in self-regulating. Where love was missing – reflected in aspects of our early home life such as the lack of presence, interest, nurturing, respect and/or care – we can feel we need to overcompensate to earn love (to always achieve or accomplish something visible and significant). Bruce and Oprah explore these emotionally deficient contexts by asking, “What didn’t happen for you?”.
Homeostatic Shift – “homeostasis” in this context refers to the human capacity to maintain equilibrium in the face of an external, fluctuating environment. Alex highlights the fact that both the physical body and emotional body are constantly seeking to maintain a “stable internal environment”. However, trauma can upset our internal balance and lead to emotional dysregulation. This can be reflected in maladaptive stress responses or what Bruce Perry describes as a “sensitised stress response”. Alex draws on the Polyvagal Theory of Dr. Stephen Porges to highlight potential maladaptive responses in the form of “fight/flight” or “freeze” responses. He indicates that “to switch off the maladaptive stress response we have to get the nervous system back to safe and social” – described by Stephen Porges as the “ventral vagal” state involving social connection, openness, and groundedness. Bessel Van Der Kolk describes the “homeostatic shift” in terms of the “visceral imprint” resulting from traumatic experiences.
Outcome – the outcomes from traumatic events and the resulting disequilibrium can take many forms – dysfunctional communication and relationships, anxiety and depression, addiction, sleep deprivation, mood swings and various physical health issues. Negative self-stories and a distorted worldview can underlie addictive behaviour and other maladaptive stress responses.

The RESET Program

Alex developed the RESET Program after more than 20 years of therapeutic experience working with traumatised people. The Reset Model involves recognising our mind-body disequilibrium, exploring how this is being created, stopping thoughts that are harmful and replacing them with positive energising thoughts, facing up to challenging emotions to heal from them, and transforming our relationship to ourselves (both mind and body). The program employs multiple healing modalities including mindfulness, EFT (Emotional Freedom Technique), somatic experiencing and the S.T.O.P. process. In the final analysis, the Reset Program is a pathway to achieving what Stephen Porges described as the “safe and social” stress response.

Reflection

I can relate strongly to Alex’s ECHO Model of trauma, having experienced multiple traumatic events in my early childhood and adult life. My early childhood context involved “household dysfunction” as well as separation anxiety. I feel that at times I have over-compensated for the absence of love in periods of my early life and engaged in other maladaptive stress responses. I discussed some aspects of my early childhood trauma in an earlier blog post, Reflections on Personal Trauma.

I have progressively drawn on mindfulness practices such as meditation and Tai Chi to regain my equilibrium and build emotional resilience. As I grow in mindfulness, I am increasing my self-awareness, understanding my habituated responses, improving my emotional regulation and learning to deepen my relationships.

I found Alex’s five-part Decode Your Trauma series enlightening, thought-provoking and energising. He draws on his personal experience of trauma as well therapeutic experience of helping numerous people heal from trauma. His sincerity and keenness to help are manifested through his presentation style and his sustained efforts to explain complex concepts in simple terms. The free, three-part video presentation on his website is well worth viewing as an aid to self-reflection.

Alex is also the author of the recent book, Decode Your Fatigue: A Clinically Proven 12-Step Plan to Increase Your Energy, Heal Your Body and Transform Your Life.

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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.

Mindfulness: A Pathway to Long Covid Recovery

Gez Medinger, creator of more than 90 video interview podcasts on Long Covid, strongly recommends visiting your medical practitioner if you have symptoms related to this emerging illness. He also suggests that any medication should be supplemented by whatever way you find useful to calm your autonomous nervous system. He argues that there is no recovery from Long Covid without calming the mind and body because the illness is a form of inflammation affecting multiple parts of our human makeup (as reflected in the more than 200 systems identified as being associated with Long Covid). The illness creates pain because of over-activation of nerves in multiple parts of the body (the body goes into a fight/flight response). Dr. Deepak Ravindran, pain management expert and Head of a Long Covid Clinic, encourages the use of gentle mind/body practices such as Tai Chi to aid the management of pain and overall recovery.

After interviewing yoga teacher Suzy Bolt in one of his podcast interviews, Gez strongly advocates her course, Rest, Repair, Recover Programme, as a pathway to recovery from Long Covid. Suzy’s Programme incorporates yoga, breath techniques, meditation and other mindfulness practices. She also provides a community of people who are currently experiencing Long Covid or have recovered from it and who readily provide supportive relationships by sharing their own experience of what works for them and offering encouragement and inspiration. The three different levels within the Programme cater for everyone, irrespective of their physical limitations or mobility issues.

Evidence of the effectiveness of the Rest, Relax, Recover Programme (incorporating mindfulness)

Of particular note, is Suzy’s interview with a course participant Joe Iddison and world famous cardiologist, Dr. Boon Lim. In the video interview, Joe talks about his recovery journey from Long Covid with the aid of Suzy’s Programme and Boon’s medical advice. Joe had experienced multiple Long Covid symptoms including PoTS, brain fog, fatigue and insomnia. Boon recommended Suzy’s Programme because of the many reports he had been receiving from his patients who had recovered from Long Covid with the aid of medication and the Programme. He indicated that he meditated a number of times each day in his busy cardiac practice.

Suzy herself had recovered from extreme symptoms of Long Covid and her capacity to launch and manage her Programmes with the aid of other professionals, bears witness to the power of her approach. She stressed the value of her Programme in helping people deal not only with the physical side of the condition but also the mental and emotional side. Long Covid can negatively impact your role, self-identity, work and home activities (including caring for children) – some people, for example, are so ill that they cannot get out of bed (and you can see them participating in Suzy’s Programme from their bed). People, too, experience fear and anxiety as a result of the uncertainty and lack of understanding of the illness (from doctors, family, bosses, colleagues and friends). Mindfulness has been shown to help people manage their anxiety.

While participating in the Programme in real time is desirable for the community connection, the Programme’s effectiveness can also be realised through accessing the resources provided after the activities have been completed live. Suzy offers an on-demand version of the Programme, at a reduced rate, for people who cannot attend live because of family or work commitments or time differences (the Programme is offered according to the UK time zone). Joe attests to the effectiveness of the on-demand Programme because that is the version he used for his recovery from extreme Long Covid symptoms. He indicated in the interview mentioned above that he undertook one activity per day drawing on the Programme’s resources (e.g., yoga, breathing techniques, meditation or listening to the group discussion).

Developing a positive mindset

A key element in the Suzy’s Rest, Relax, Recover Programme is the power to create hope in participants. This is generated through Suzy’s positivity, the community support and the video testimonials and education provided by participants and medical practitioners. A key element in recovery from Long Covid is a positive mindset because this determines whether or not you will make the necessary adjustments to your lifestyle to aid recovery. Debbie Geraghty, for example, shares her recovery story and emphasises the importance of being positive and tapping into something that you love such as dance, creativity, and/or connection.

Deepak Ravindran, Long Covid and pain management expert mentioned earlier, has written a book, The Pain-Free Mindset: 7 Steps to Taking Control and Overcoming Chronic Pain, which is available in Paperback or as an e-book. Deepak also mentioned in the interview with Suzy that he has obtained funding to support his patients to be able to do seated Tai Chi.

Reflection

The inability of many doctors to understand the nature and complexity of Long Covid has left their patients confused and uncertain. Gez Medinger commented during the Long Haul & CFS Summit that the specialization of medicine has contributed to this. He stated that many medical practitioners are “inadequately equipped” to take on Long Covid because it is a “multi-system, multi-factorial, multi-organ” condition. Too often, a medical practitioner will focus on a particular symptom that they know how to address but fail to identify the root cause of the overall debilitating condition. There are clearly exceptions to this, including Dr. Deepak Ravindran and Dr. Boon Lim.

It is important, however, to establish whether other factors (such as nutrient deficiency, undiagnosed cardiac illness or structural problems) are causing and/or contributing to our emerging symptoms. Leading neurologist, Dr. Shanna Patterson, in a video interview podcast for the Foundation for Peripheral Neuropathy, emphasised that scientists are reluctant to attribute peripheral neuropathy to Long Covid without supportive scientific evidence (because there are many possible causes of this condition).

However, individuals who are suffering from other identified Long Covid symptoms report experiencing peripheral neuropathy in the form of numbness, pain or tingling in their arms, legs or feet. Shanna encourages people to explore different forms of diagnosis with their doctor to determine the type of neuropathy involved and to identify appropriate treatment options. She indicated that blood tests, for example, can highlight whether diabetes, thyroid problems or vitamin deficiency is contributing to the neuropathy.

As I have experienced peripheral neuropathy and a mild form of post-exertion malaise, I have recently approached a medical practitioner who is very experienced and qualified both as a General Practitioner and an Occupational and Environmental Physician. I have undergone a series of tests for my current condition under his guidance. I have simultaneously registered for the on-demand version of Suzy’s Rest, Relax, Recover Programme (the timing of the live sessions does not suit people living in Brisbane, Australia).

I have a firm belief that as I grow in mindfulness – through breathwork, meditation, Tai Chi and other mindfulness practices – I will be able to calm my autonomous nervous system, develop confidence and hope and facilitate my body’s self-healing properties. I look forward to engaging with the training provided by Suzy and her professional colleagues and learning from the experience (and success) of others who have suffered from Long Covid. Suzy reinforces the view that breath is “the bridge between mind and body” and that we can slow both our mind and body by consciously slowing our breath. Suzy’s YouTube Channel, with free resources such as podcast interviews with leading experts and sample classes, is located here.

Alexia Chellun’s Healing Song is very apt at this point as it incorporates the mantra:

“My body, mind and spirit are healthy”.

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Image by Zhu Bing 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.

Moving from Trauma in a Relationship to Trust

Dr. Aimie Apigian recently offered a Trauma to Trust Masterclass in which she discussed the body’s response to trauma, ways to recognise if a relationship is causing trauma and ways to move from trauma in a relationship to trust. Aimie is a Preventative Medicine physician with Masters in Public Health and Biochemistry. She specialises as an addiction, trauma and attachment physician – a career that resulted from her desire to heal from own traumatic life experiences and attachment issues and to help other people to achieve healing and recovery. She shares her career story and her work with Guy Macpherson on the Trauma Therapist Project podcast. Her experience with foster-parenting led to her consuming interest in helping children experiencing pain and suffering from trauma.

On her YouTube© channel, Aimie provides videos where she discusses topics like addiction, trauma, nervous system, negative thinking, inflammation and emotional regulation. She draws heavily on her personal experience of adopting a son from her foster care – a child who was traumatised by his insecurity, constant mobility and uncertain future. She found that love and nurture and time together by themselves did not help to heal him – the manifestations of love themselves became a trigger for his trauma response.

The day Aimie’s six-year old adopted son told her that he would kill her the following day was the catalyst for a lifetime of study, research and specialisation in helping children and adults recover from trauma. To help her son, she researched multiple modalities including nutrition, somatic experiencing (developed by Dr. Peter Levine), and Neuro-Affective Touch. For other parents in a similar situation with a traumatised child, she created the not-for-profit organisation, Family Challenge Camps, that are designed to help families deal with trauma and attachment issues.

3 steps to the trauma response

Aimie drew on her training in the Instinctual Trauma Response Model to explain how the body responds to trauma. Initially when the body experiences a perceived threat (including a “trigger”), it goes into a startle response (envisage a deer in the wild hearing or smelling the presence of a lion). This is followed by the stress response which energises the fight/flight response.

When the stressor(s) are perceived as overwhelm (we sense we are unable to cope), the body adopts the freeze response which constitutes the “lowest energy state” (in comparison to the “high energy state” of the fight/flight response).

Recognising trauma created in a relationship

Aimie provides three ways to recognise if a relationship (that we are part of) is a source of trauma for us. At the foundational level, the early indicators relate to a lack of energy. So the first step is to check our bodily sensations – is the relationship energising or depleting us? This can be an early indicator of trauma in an emerging Controlling Relationship.

On the second level, is exploration of our thoughts about our relationship. Do we perceive that being in the relationship is too much and beyond us? Do we feel safe and supported? Are we wondering why we have built up a dependency in the relationship to make up for some personal deficiency?

The third indicator is how we feel health wise – are we constantly feeling sick in the relationship? Does the relationship “make us sick” (with worry, anxiety or fear, for example). Aimie reminds us that sometimes we can delude ourselves when our mind says “I love them” but our body gives us away through constant sickness.

3 step approach to releasing stored trauma

Aimie has developed a 3 step approach to assist people to release stored trauma. She argues that the release process requires certain actions completed in the right order. In fact, from her own experience and research, she has found that the order of the required steps is the reverse of the trauma creation process described in the previous section (startle, fight/flight/, freeze).

Aimie argues that the trauma release process involves (1) developing a personal sense of safety, (2) building a sense of support and (3) expansion where we begin to lead “the life we’ve always wanted”. She provides an explanation of the 3 step process in her publication, The Essential Sequence Guide: How to release stored trauma, that is available as a free e-book from her website, Trauma Healing Accelerated™.

Aimie offers specialised training for individuals who want to deal with trauma in a relationship in the form of a 21 Day Journey that provides a somatically-based process of addressing stored trauma in the body. Each of the three steps of trauma release are addressed by providing seven somatic exercises for each step (safety, support, expansion). Aimie and an online community provide the supportive relationships necessary to enable people to heal and recover. During the Trauma to Trust Masterclass, Aimie provided an experience of one of the somatic exercises designed to develop a sense of safety. It involved linking the stomach to the heart by placing one hand on each body part and exploring the nature of the felt connection (e.g., rejection, resistance, warmth, welcoming, disrupted, undulating).

Aimie provides other experiential and educational workshops, a certification program for practitioners and one-on-one coaching by a certified trauma-informed health coach. She is also the Creator and Host of the Biology of Trauma Summit.

Reflection

Each of us have had our own experience of personal trauma from challenging life events – whether a car accident; death of a child, spouse or parent; a relationship breakdown/breakup and/or divorce; loss of work through redundancy; chronic illness or cancer; loss of a home through fire or flood; adverse childhood experiences or a combination of these (or any other traumatising event).

Aimie and her colleagues provide a clear pathway for trauma release by focusing on the body and providing somatic healing. Her dedication to releasing trauma in others (whether parents, children or professionals) is a lifetime and whole-hearted commitment. She offers insights from her own traumatic life journey and in-depth study and research.

As we grow in mindfulness through somatic experiencing, meditation, connecting with nature and other mindfulness practices, we can develop greater self-awareness, a stronger sense of safety and support and build the confidence and creativity to explore our potential and life purpose.

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Image by Gerd Altmann 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.

Trauma Resilience

David Treleaven presented on the topic, Resilience to Trauma, at the recent Embodiment Festival 2023. He made the point that while meditation and mindfulness practices can help some people recover from trauma, meditation may not work in individual cases. He argued that suggesting “more” meditation is not the answer – we have to recognise the complexity of trauma and how it plays out in different people’s lives. Individual’s hypervigilance as a result of trauma may impede their capacity to be still and reflect and they may find themselves continuously oscillating between a trauma response and temporary wellness – impeding their capacity to develop resilience.

David commented that trauma can create a level of rigidity in our response to stressors. He noted that in some cultures such as Australia, Ireland, and South Africa, humour plays an important role in helping people to develop resilience. Mark Walsh, Festival organiser and interviewer, commented that after undertaking trauma recovery work in Ukraine, he realised that humour is an integral part of the resilience of the Ukrainian people. It was noted, too, that the current President, Zelenskyy, was previously a comedian and actor.

When Mark asked David what advice he would give to young people in these present challenging times, David suggested that it is important to undertake a regular practice that builds personal resilience. He maintained that this is very much a personal choice but whatever practice you choose, to do so purposefully and “don’t be afraid to make a mistake”. This wide-ranging discussion increased my interest in the relationship between trauma and resilience. I decided to explore David’s podcast series, Trauma-Sensitive Mindfulness, where he interviews trauma experts to explore the intersection of mindfulness, meditation and traumatic stress.

Trauma and Resilience

I was immediately attracted to David’s podcast interview with Anjuli Sherin on the topic, Resilience, Mindfulness and Trauma Recovery. Anjuli is a Pakistani American who specialises in trauma recovery with families, especially members of immigrant families. She is a highly qualified and experienced therapist who offers individual therapy sessions, healing groups, guided meditations, training and her Joy Blog. Anjuli is the author of Joyous Resilience – A Path to Individual Healing and Collective Thriving in an Inequitable World. The interview is very rich in its discussion of resilience and Anjuli’s book, because she shares insights from her own life experience and the resilience journey of her therapy clients. David, himself an expert in trauma and trauma recovery, acknowledged that he learnt some new things as a result of the interview.

Anjuli begins with recounting her own trauma recovery journey, highlighting the trauma she experienced as an 18 year old, female immigrant to America. Not only did she feel totally disconnected from her new cultural environment, she was also carrying the scars of intergenerational trauma resulting from living with her family in the “systems of oppression” present in Pakistan as she was growing up. She found herself alone in America with no “compass”, family or community, while still in her early 20’s.

Anjuli experienced what Bruce Perry describes as a “sensitised stress response” which led to overreactivity and maladaptive behaviour. She describes her trauma as translating into “anger, fear and violence”. She found that she did not cope with the stressors in intimate relationships, partly because she could not access, and express, her feelings and needs. She was experiencing “emotional dysregulation” where she lacked control over her emotional responses. Her reactivity in her relationships led to more stress and feelings of shame. Anjuli describes this trauma experience as the ”cycle of trauma” – the “vulnerable self” experiences stressors that lead to reactivity which, in turn, increases a sense of vulnerability, fear and helplessness that, again, heightens reactivity and maladaptation. The trauma cycle results in negative self-evaluation, avoidance, and questioning “what’s wrong with me?” – creating a further “cycle of suffering”. An alternative mindset explores “what happened to you?” and seeks to understand trauma, its complexity and impacts.

The “circle of resilience”

Anjuli describes the trauma recovery journey experienced by herself and her clients as a journey towards, and into, the “circle of resilience”. This is a process, not a set state, that involves developing or accessing “four aspects of self” that enable the development of resilience and facilitate trauma recovery. These aspects of self replace self-criticism, self-neglect and denial of feelings. Anjuli maintains that people who have experienced trauma are often not able to use the “tools of resilience” (such as mindfulness, yoga, Tai Chi or exercise) in a sustainable way because of their “vulnerable self’ and being stuck in their reactivity and sense of helplessness.

Anjuli noted that in her early stages of arrival in America she ignored advice to seek a therapist to help her with her trauma recovery. It was only after the stressors she was experiencing increased (e.g. graduation and relationship stress) that she heeded advice to seek therapeutic assistance. She had been mired in her negative self-evaluation and her maladaptive behaviour up until that time.

The “four aspects of self” for the resilience journey

Through her own therapy and consulting with her clients, Anjuli identified what she calls the “four aspects of self” that enable anyone who has experienced trauma to undertake the resilience journey. She found that her own therapy “changed everything” and helped her to develop resilience by providing “foundational teaching” to shift from emotional dysregulation to emotional regulation, to move from stress and shame to self-care, and to develop “healthy control and agency over actions, emotions and relationships”. Her reactivity diminished and she was able to understand her own needs and ask for what she needed.

During therapy she developed the “four aspects of self” that enabled her to enter the path, and move along the journey, to healing and resilience, thus enabling her to utilise the tools of resilience, such as mindfulness and exercise, in a sustainable way. The four aspects described in depth by Anjuli in her book are:

Nurturing – self-talk that recognises feelings (naming her feelings) and “turns to those feelings with attunement and loving kindness”, leading to acceptance
Protection – establishing healthy boundaries and limits
Play and creativity – accessing the things that bring pleasure
Awe and Gratitude – through the experience of beauty and “interdependence with the larger world”.

Anjuli explained that these four aspects of self, enabled her to let go of her “vulnerable self” and to acknowledge that she is able to deal with challenging emotions such as grief and fear. She stated that these four states “are not built outside of relationship”. She reinforced the critical role of supportive relationships in the journey to recovery and resilience. Brooke Blurton in her memoir, Big Love: Reclaiming myself, my people, my country, highlighted the relationship orientation of her Aboriginal culture and its role in helping her through multiple sources of trauma to heal and develop resilience. She experienced intergenerational trauma, poverty, homelessness, sexual abuse and racism, yet throughout she was sustained by the “constant love” of her addicted mother and the love of her family (especially her Nan and siblings), the extended family of “Aunties” and “Uncles” and what she calls “the mob”. Anjuli reinforced supportive relationships as a “source of resilience” in that they provide protection, nurturing and a readiness to listen and positively affirm a person’s experience and emotions and offer reassurance that they “are not alone”.

Reflection

Supportive relationships appear consistently as a key element for trauma recovery and the development of resilience. When I reflect on my own experience of recovery from personal trauma, I am able to acknowledge the central role played by nurturing, protective relationships. Anjuli’s book promotes personal and collective healing and recovery, and offers supportive practices and insightful case studies that facilitate the development of resilience and encourage joyful thriving.

Resources that can help us achieve trauma resilience, and the ability to cope with life’s challenges, include the Healing Trauma Program offered by Sounds True which involves 13 key trauma recovery experts such as David Treleaven. Sounds True also offer a shorter course, Trauma and the Embodied Brain, facilitated by Bonnie Badenoch, PhD. Bonnie is the author of the book, The Heart of Trauma: Healing the Embodied Brain in the Context of Relationships.

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Image by Alex Hu 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.

What Happened to You?

I have been listening to the CD-audio version of What Happened to You? – Conversations on Trauma, Resilience, and Healing. In the audio, the creators Bruce Perry and Oprah Winfrey, share their experiences and insights – Bruce from a neuroscience and clinical perspective and Oprah from the stories she has gleaned from thousands of interviews of traumatised people. The audio represents the crystallisation of ideas resulting from an ongoing conversation between the two creators over more than thirty years. It highlights the complexity of trauma and the multi-faceted nature of effective healing from trauma.

In listening to the audio, you automatically explore, “what happened to you?” in your own early childhood. The prevalence of trauma and its impacts suggests that most of us in some way experienced one of more adverse childhood experiences (ACE). Every day you hear of traumatic events globally as well as locally – such as the Sea World helicopter collision on the Gold Coast. Survivors and witnesses, as well as grieving relatives and friends, would have been traumatised by the accident. Some of the survivors have to experience the trauma of multiple surgeries as well.

We are frequently exposed to the traumatic experiences of others, including prominent people who describe their upbringing and provide insights into trauma and its impacts by way of their memoirs. For example, Bertie Blackman, singer and artist, writes in her memoir, Bohemian Negligence, that she was sexually abused at a young age by a “friend of the family”. Tove Ditlevsen, famous Danish poet and author, explained in her memoir, Childhood, Youth and Dependency, that she had a violent mother who beat her indiscriminately and was unpredictable, inflexible and critical. Tove’s dream of becoming a poet was a source of belittlement by others, and disbelief and denigration from her parents and beloved brother. She was also ostracized at school because she was seen to be “different”.

What happened to you or did not happen for you?

Bruce and Oprah explain that the more we understand the nature of trauma and its many forms and manifestations, we are better able to be compassionate towards others and ourselves when we observe aberrant behaviour on their part or our own. This can lead to forgiveness of others and ourselves, as well as healing from the impacts of trauma which are pervasive and influence our relationships and communication.

Oprah and Bruce explain that trauma shapes “our brains, our biases, our systems” – it influences our worldview and the way we perceive ourselves. A teenager, for example, who experiences roughness and brutality by a policeman when innocent or engaged in some trivial misdemeanour, will view police as “fearful”, not trustworthy and cruel. This traumatic experience builds an implicit bias on the teenager’s part in respect of all police. Our experience (or lack of direct experience) of people of a different race or nationality to our own can shape our biases. These biases can be confirmed by observing non-conformist behaviour or seeing images of adverse events involving people of that race or nationality.

Our own trauma is unique in that traumatic experiences and their impact vary from individual to individual in terms of their nature, intensity, diversity and duration. We each bring to the table of life imprinting from our early life experiences that shape who we are and how we respond under stress. People with unresolved trauma have “sensitised stress responses” which can be manifested in overreaction, aggression, physical withdrawal, anxiety or dissociation.

Bruce and Oprah make the point that our modern day living conflicts with what is necessary to achieve healing from trauma. They highlight the emphasis today on superficial relations and communications (e.g. selfies, likes, texts) at the expense of reciprocal relationships involving conversation, sharing, storytelling and empathy. They discuss the “sensory cacophony of the modern world” – creating discordant sounds, confronting images and information overload. Oprah and Bruce maintain too, like Johann Hari, that the disconnection and isolation of modern living contribute substantially to the growth of depression, anxiety and suicide.

In contrast, Bruce recounts his experience of Māori culture through an intensive immersion over two days – experiencing firsthand their holistic healing approach and the centrality of relationships characterised by “rich relational density [versus superficiality] and developmental density [involving ages ranging from babies to the aged]”. Given the nature of trauma, Bruce argues for the development of “stable, supportive, patient and consistent” relationships to offset the impact of developmental relationships that were unpredictable, inconsistent, hurtful, demeaning or neglectful

Reflection

If we reflect on our actions and reactions to daily events and interactions with other people, we can begin to see patterns in our behaviour, e.g., avoidance of conflict, the need to please, or implicit bias in relation to particular groups of people. Gaining an understanding of trauma, its impacts and conditioned behavioural responses, will enable us to establish causal links between what has happened to us (or “not happened for us”) and how we behave in specific situations, e.g., when criticised, threatened or praised. Memoirs can be instructive in this regard.

If we consciously grow in mindfulness through reflection, meditation and other mindfulness practices, we can gain the self-awareness necessary to understand ourselves and to develop loving kindness towards ourselves and others. If we also consciously try to build and sustain supportive, enduring relationships we can move along the path to self-regulation and healing from trauma. These healing relationships can extend beyond our immediate family to colleagues, friends, our extended family and interest groups (such as hobby, book, faith or aged-based groups).

Bruce and Oprah reinforce the importance of the mind/body connection and highlight the value of movement such as dance, Tai Chi, movement meditation, exercise and reconnection with nature for healing from trauma. They also advocate bodily-oriented approaches such as massage, somatic meditation, and resting in your body/breath. There are many resources available to help us heal from trauma and develop resilience to face life’s challenges. Sounds True, for example, offers a Healing Trauma Program involving some of the world’s top trauma recovery experts. They also provide a Trauma and the Embodied Brain course led by Bonnie Badenoch, author of The Heart of Trauma: Healing the Embodied Brain in the Context of Relationships.

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Image by Ben Kerckx 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.

Healing from Trauma

Oprah Winfrey and Bruce Perry address the issue of healing from trauma in their book, What Happened to You? In a chapter on Coping and Healing, they explore the impact of relational deficit in the early years of a child’s life; what neglect and parental conflict does to a child’s development, their worldview and their stress response; and the importance of an understanding, nurturing and patient carer/parent/therapist for healing to occur. In the process, they discuss, in depth, the nature of neglect, differences in the way individuals are impacted by trauma, behavioural manifestations of adverse childhood experiences, and the road to healing, including creating a new worldview.

This chapter of their book is very rich with stories, insights, principles and personal disclosure by Oprah – disclosures that are enriched by observations by Bruce on her life experiences. Oprah, herself, and the vast work that she does in the area of trauma healing, is an exemplar for coping with, and healing from, trauma. What she has learned through her own life experience and ongoing discussions with Bruce over many years, has led to her establishing the Oprah Winfrey Leadership Academy for Girls (OWLAG) in South Africa.

The emotional environment in early childhood

Bruce maintains that the quality of the emotional climate in early childhood impacts our worldview and our stress response. If there is stability, nurturing and predictability, our brains and our behaviour can develop. If the opposite exists, this has an adverse impact on our childhood development and our capacity as an adult to deal with challenges and stress. We can develop the mindset that we are not lovable or not worthy of people’s attention. Dr. Gabor Maté utilises a process he calls “compassionate inquiry” to unearth these negative self-stories – vestiges of an early life lived in an environment of neglect.

Bruce highlights the fact that different, deficit emotional environments can result in very different traumatic effects. He illustrates this point by an in-depth comparison of two boys who manifested their traumatic upbring in contrasting ways. His explanation shows clearly why one boy became fearful and aggressive while the other “had no feeling at all” and engaged in threats and thefts. His description of their respective adverse childhood experiences and their differentiated impacts brings into sharp focus the key role that quality relationships play in early childhood.

This discussion of the differences in personal development of the two boys led Bruce to assert that an important consideration is not only “what happened to you?” but also “what didn’t happen for you?” – in terms of the behaviour of a parent/carer who provides undivided attention (in lieu of distracted attention), gentle touch (rather than physical abuse), consistent nurturing (instead of an on/off approach) and regular reassurance (instead of a belittling attitude). Not only does the quality of relationships in early childhood impact brain development but also the development of social and motor skills. Bruce contends that “relationships are the key to healing from trauma” because trauma often results from deficient relationships.

An environment of conflict

Bruce notes that if you are a young child and you are in an environment of parental conflict, you have limited options. You are too young to flee and unable to fight as you are easily overpowered and may draw physical attacks from either or both parents. Often in this situation, a child will dissociate – retreat to their inner world. Dissociation becomes a problem when it is prolonged or becomes a habituated response to everyday challenges – this can lead to what is termed a dissociative disorder. I can relate to dissociation as a stress response as my parents had frequent verbal and physical conflicts over my father’s alcoholism and gambling – my mother would berate him over his misuse of our family income. This would sometimes escalate into a physical attack on my mother, on a number of occasions this put her in hospital.

When I was young, my natural response would be to dissociate from the traumatic experience, as flight or fight was not an option – fight was out of the questions as my father was a very successful professional boxer. However, as I reached the age of 12, I used to get on my pushbike and ride into the night as fast as I could (flight response), hoping that when I returned the conflict would be over. The physical exertion of bike riding at speed served to release some of my pent-up tension and fear from the conflict.

Both Bruce and Oprah make the point that there is a positive side to dissociation in that it could be a life-saving response in some situations but is also part and parcel of what each of us do every day – e.g., day dream. Bruce contends that the “capacity to control dissociation behaviour is very powerful” – it underpins our capacity for reflection and focus and to achieve a “flow state”. I experienced a number of personal traumas in my early childhood and adulthood, including a serious care accident in the family car when our car was hit on the side by another car, rolled a number of times, went over a 10 foot embankment, and came to rest on its hood. I have learned to control my dissociative behaviour and, as a result, developed high levels of reflective cognition and focused behaviour – reflected in my PhD, Professorship and this blog (this is my 700^th published blog post for my Grow Mindfulness blog).

Reflection

“What Happened to You” by Bruce and Oprah stimulated a lot of reflection for me and in some instances, “flashbacks” as well. I began to appreciate more how my five years spent as a contemplative monk (from ages 18 to 22) served to provide me with a highly structured, stable, reflective and meditative environment with high quality relationships that together enabled me to self-regulate after a traumatic upbringing in a conflicted parental environment. In my upbringing, my mother’s unconditional love and support offset to some degree my father’s (PTSD-induced) behaviour.

I am sure my period of development in an environment of daily silence, meditation, prayer and study helped me to achieve a degree of peace and tranquility (sometimes punctuated by moments of panic over my deteriorating home situation). As I grew in mindfulness, I was able to develop resilience, a positive mindset and the ability to find refuge in meditation.

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Image by Luisella Planeta LOVE PEACE ?? 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.

The Wounds of Trauma and Their Impact on Relationships and Communication

In their book, What Happened to You?, Oprah Winfrey and Dr. Bruce Perry, provide a chapter where they bring together an understanding of the wounds of trauma and their impact on relationships, communication between people and physical illness. Throughout, they stress the mind-body connection and how the brain processes experiences. Bruce’s explanations are lucid and, together with Oprah, he illuminates the ideas and concepts with stories and examples. Oprah draws on her own traumatic upbringing and thousands of interviews with traumatised individuals of all ages; Bruce draws on his research and clinical practice, especially with traumatised children. The book reflects decades of experience and the ongoing conversations between the authors.

The book is incredibly rich in ideas, insights and stories and I found that I was better able to absorb its content by listening to the CD-Audio version which is narrated by the authors as an everyday conversation. The interchange of ideas and experiences adds to the clarity of their explanations of the wounds of trauma and the elucidation of their impact in individual cases. With the audio version of the book, Bruce also provides a series of diagrams that illustrate the conceptual framework behind the book and the shared understandings.

Understanding the wounds of trauma

Bruce contends that trauma-related symptoms are often overlooked – they are assumed to result from a functional breakdown or represent psychosomatic illness. He maintains that the symptoms of the wounds are often “dismissed, missed and misunderstood” by doctors. He illustrates this by sharing the heart-rending story of Chiara who suffered from Diabetes and at age 16 was admitted to hospital in an unconscious state resulting from “diabetic coma”. His explanation of how doctors tried unsuccessfully to treat her highlighted the doctors’ blindspot in relation to the wounds of trauma. Bruce explains how he achieved an effective diagnosis of Chiara’s condition by identifying the trigger for her traumatic response and using his understanding of neuroscience to develop a treatment protocol implemented by the doctors.

Bruce explains that different physical symptoms – such as chest pains, headaches, abdominal pain and fainting – are all potentially related to a “sensitised stress response” resulting from trauma. When I heard him explain “fainting” as one potential impact of trauma memory, I recalled how often I used to faint in Church in my childhood – simultaneously, I was experiencing the trauma of a violent, alcoholic father suffering from PTSD as a result of war service and imprisonment in Changi. My doctor had no explanation for these fainting spells. However, at the time, my home environment was heavily charged with parental conflict – unfortunately, none of us understood trauma, PTSD and the full extent of the wounds and impact of trauma, including addiction.

The impact of trauma on communication and relationships

Bruce draws on the concept of “sequential processing” of the brain to explain the impact of trauma on communication and relationships. Basically, the concept involves recognising that all sensory experience is firstly processed by the “lower brain”. Part of this processing involves matching the new input with “the catalogues of stored memories of the past”. The degree of matching with a traumatic experience determines whether or not a maladaptive stress response occurs. The smart part of our brain, the Cortex, can be shut down when the perception of risk (as a result of current or prior trauma) is very high – so the “thinking brain” is drowned out by the “survival brain”.

Bruce illustrates this by sharing the story of 3 year old Joseph who witnessed the abduction of his 11 year old sister, which resulted in her murder. At the time, Bruce was working with the FBI Child Abduction and Serial Killer Taskforce. He discovered that the FBI officers were unable to get any useful explanation from Joseph and he was asked to work with the child to try to find out information necessary to find the perpetrator and enable a conviction. Bruce provides a very detailed explanation of how he went about winning the boy’s trust and gaining the necessary information for conviction of the murderer.

As part of Bruce’s explanation of his process with Joseph, he discusses the impact of the “power differential” between the FBI Officers/himself as a stranger and the 3 year old traumatised child. He explained that when you are the person with all the power, you can be unaware of it or its potential impact. This fact has been brought home to me many times in co-facilitating the Confident People Management Program over 15 years (involving 2,000 managers in multiple programs and locations). What we have found is that the majority managers on the program (mainly drawn from the public sector) are totally unaware of their power to shape the team culture. At the outset of the program we say to them, “What you say, how you say it, what you do, how you do it and what you omit to do, shapes team culture hour in and hour out every day” – we add “whether you are conscious of it or not”.

Bruce’s discussion of the impact of trauma on communication in relationships highlights the wisdom of this advice that we have been giving to managers. He explains that the goal of communication is to achieve a “Cortex to Cortex” transmission. However, on both sides of the communication (giver and receiver), rational thoughts are first processed through “the emotional filters of the lower brain”. Hence, the message can be distorted in its transmission and reception. He explains lucidly that “our facial expression, tone of voice and words are turned into neural activity by the other person’s senses” – they can trigger a traumatised response or build the relationship with staff through developing trust, mutual respect and safety. A by-product of this approach is the development of a sense of agency in the manager themselves. One of the participants on our program provided concrete evidence of the wounds of trauma and their impact when she explained that her current highly nervous state resulted from a manager shouting at her in front of other staff – this experience was traumatic for her, the impact being compounded by the power differential (and possibly stored memories of like, past adverse experiences).

Reflection

Many researchers and therapists talk about the wounds of trauma and their impact on relationships and communication. However, Bruce and Oprah in What Happened to You, “join the dots” and “pull it all together” from their decades of experience and ongoing conversations and collaboration. They enrich the meaning of the neuroscience concepts and insights with relatable stories that clearly illustrate the points they are making.

At one stage when talking about the power differential, Bruce mentioned that it may take 10 or more sessions before a client will feel safe and be prepared to “share some of their most emotionally difficult experiences” or acknowledge their contribution to those experiences. This discussion reminded me of my experience mentoring a manager who was traumatised on a daily basis by a narcissistic Director who continuously belittled him by publicly calling out his “mistakes” in front of his staff (sometimes the “mistakes were not his, but the Director’s). It took me 7 coaching sessions of 90 minutes each over a few months before he admitted that he was defensive in his communication. He said he experienced the insight as a “blow to his stomach” – an expression which showed the embodiment of his resistance resulting from the wounds of ongoing trauma and their impact on his feelings of safety while working with me (the “power differential” was at play in a major way as I had been engaged as a consultant by the Director to coach the “inefficient” manager). I have come to realise that in this interaction, I was an external consultant with a high degree of expert, personal and referent power – I was the one that was in a position of power, what Bruce describes as “at the top of the power differential”.

There is so much that plays out in our daily interactions that we are unaware of, especially if we are in a power position. We can grow in mindfulness and self-awareness through personal study, reflection and mindfulness practices such as meditation.

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Image by Wilfried Thünker 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.

Perspectives on Recovering from Trauma

Trauma is a complex area and the process of recovery is rarely linear. It often involves progress/regress over an extended period, sometimes a lifetime. Various experts have studied trauma and its impacts from multiple perspectives, drawing on research, clinical practice and reflection on their personal experience. They have adopted different approaches to facilitating recovery from trauma, recognising that the experience of a traumatic event and its subsequent impacts vary from individual to individual. Health Means bring many of these conceptual and practical perspectives together in their Biology of Trauma 2.0 Summit.

Recovering from trauma and its impacts

There can be differential impacts for people witnessing the same traumatising event, such as a mass shooting, sudden death of a close relative or a car accident. The depth of trauma response, according to Bruce Perry, is influenced by the timing, pattern and intensity of the initiating event as well as the degree of mitigating factors, especially “relational health” – the quality of connectedness and of supportive relationships. In his view, “connectedness can counterbalance adversity”. Improving relational health with a therapist as well as supportive others is a key element in recovering from trauma. Dr. Elena Villanueva provides a pathway to relational health by offering a group-based recovery process, incorporating facilitation by health experts and a personal care plan. Her holistic process is offered in the form of a Mind/Body/Energy Program. Bruce Perry is a co-author with Oprah Winfrey of the book, What Happened to You: Conversations on Trauma, Resilience and Healing.

Bessel van der Kolk places considerable emphasis on the “visceral impact” of trauma – the generation of deep inner feelings. He argues that recovery processes should focus on the “emotional brain”, rather than the “rational brain’. He maintains that the mind-body influence is bi-directional and that a person can experience “visceral overload” when exposed to a traumatic event. He suggests employing healing modalities that recognise the mind-body-emotion connection, such as movement (e.g., Tai Chi), singing or chanting, and a wide range of mindfulness practices. Bessel is the author of The Body Keeps the Score: brain and body in the transformation of trauma.

Dr. Arielle Schwartz draws on neuropsychotherapy when treating traumatised people. This integrated mind-body approach incorporates psychotherapy practices along with neuroscience findings. She contends that it is possible to develop resilience through trauma recovery. Her approach is multi-modal, incorporating practices as diverse as exploration of family history, Eye Movement Desensitization and Reprocessing (EMDR), somatic therapy and mindfulness. Relationship building, positive psychology, reflection, reprocessing and resilience development are integral to her approach. Arielle is the author of The Post-Traumatic Growth Guidebook: Practical Mind-Body Tools to Heal Trauma, Foster Resilience and Awaken Your Potential.

Gabor Maté agrees with the approach of exploring what happened to a traumatised person, rather than trying to find out “what’s wrong with them”. He also adopts a non-judgmental approach to addiction, asserting that many people who suffer from addiction have experienced trauma in their life. In line with this thinking, he adopts and teaches an approach he calls “compassionate inquiry” which among other things helps a person to discover their “negative self-messaging” resulting from the experience of trauma. He aims to help the traumatised person to confront and name the underlying pain resulting from an identified trauma. He also employs a holistic approach incorporating “body-work”, mindfulness, connection with nature and self-care approaches such as proper nutrition and stress management. Gabor is the author of In the Realm of Hungry Ghosts: Close Encounters with Addiction.

Trauma-Sensitive Mindfulness

David Treleaven, creator of the Trauma-Sensitive Mindfulness Podcast, discusses the importance of understanding the window of tolerance when working with people who have experienced trauma. The window of tolerance is the level of arousal that an individual can tolerate in a productive way – they are able to share, process, and receive information when they are within this personally tolerable zone. Trauma, such as that suffered by some people during the pandemic, reduces the window of tolerance. David stresses the need to offer people who have been traumatised a choice of meditation anchors to avoid unconsciously triggering a trauma response. He is also acutely aware of the need to ensure that mindfulness practices are accessible for people with disabilities, especially physical disabilities. David is the author of Trauma-Sensitive Mindfulness: Practices for Safe and Transformative Healing.

There is widespread recognition that various forms of mindfulness can assist in trauma recovery. However, researchers and clinical practitioners such as Sam Himelstein, who has dedicated many years to working with traumatised teenagers, highlight the need to tread cautiously and sensitively when dealing with people who have experienced trauma. Sam offers insightful principles and guidelines for trauma-informed mindfulness. He found too that in some situations a conventional approach to mindfulness would not work as it would take a traumatised teenager outside their window of tolerance. He found, for example, that listening to music together built a connection and a trusting relationship so that the impacted teenager felt free to begin sharing both their trauma experience and what was happening for them. Sam is the author of Trauma-Informed Mindfulness with Teens: A Guide for Mental Health Professionals.

Reflection

Recovery from trauma frequently involves some form of somatic therapy such as somatic meditation, resting in your body or resting in your breath. This is often supplemented by other therapies that address the visceral impact of trauma, negative self-thoughts, supportive relationships and the flow of energy in the body. Overall, the complexity of trauma suggests the need for a holistic approach, as adopted by most of the practitioners discussed in this post. Health practitioners are becoming increasingly creative as they develop a deepened understanding of trauma and its impacts.

Underpinning many of the approaches discussed is mindfulness practice in one form or another. It is acknowledged that as we grow in mindfulness, we can identify our own traumas and their impacts, strengthen our connectedness and relationships, build resilience and adopt a positive mindset. Dr. Edith Eger, Auschwitz survivor and author of The Choice: A True Story of Hope, encourages us to explore our “inner landscape” and move from a victim mindset to true freedom.

Sounds True offers a Healing Trauma Program conducted by 13 of the world’s top trauma recovery experts including Gabor Maté, Jeffrey Rutstein, Peter Levine and Arielle Schwartz. The program offers practices, skills and tools that have proven effectiveness. The time frame for the program allows you to lean new behaviours and put them into practice, as well as offering Q & A sessions to explore what worked for you and any blockages to your progress.

Sounds True also offers a shorter 8 week course, Trauma and the Embodied Brain, conducted by Bonnie Badenoch, PhD – therapist, consultant, trainer and author of The Heart of Trauma: Healing the Embodied Brain in the Context of Relationships.

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Image by Gerd Altmann 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.

Reflections on Personal Trauma

In their book, What Happened to You?, Dr. Bruce Perry and Oprah Winfrey discuss sources of trauma and their impact on people’s lives. Bruce draws on extensive research as a neuroscientist and years of clinical practice as a child psychologist. Oprah explains that her insights are drawn from more than 50,000 interviews conducted over a lifetime of discussing trauma with people of all ages.

I’ve been listening to the CD-Audio version of the book and it is quite fascinating to hear the interaction between the authors – Oprah and a world-famous brain and trauma expert – as they share personal stories and understanding about patterns in human behaviour catalysed by trauma. The focus is not on “what’s wrong with you” but “what happened” for you. After listening to the first few chapters focused on the biological, psychological and behavioural impacts of trauma, I thought it appropriate to share reflections on my own life stimulated by hearing the conversations between Bruce and Oprah.

The conversations are very rich with personal stories, case studies and scientific insights (illustrated through very clear and cogently explained diagrams provided in PDF format). They spontaneously stimulate personal recall and reflections and I have attempted to capture some of my insights about my personal experience in the following:

Striving for balance

Bruce and Oprah highlight the impact of trauma in creating a “distorted worldview” and throwing our overall stress response system “out of balance”. This loss of balance results in “emotional dysregulation” and dysfunctional behaviour. The stress response of a previously traumatised individual is “sensitive” to cues that are perceived as threatening and can lead to maladaptive behaviour because of distorted perception of the cue, e.g., a sound, sight, smell.

I spent 18 months in an orphanage owing to my mother’s serious illness and my father’s posting overseas. I was about four years old at the time and I recall that when I first left the orphanage I used to be terrified of the moon and adopted evasive behaviour – having not seen the moon before as a toddler. My younger sister ran away from school in Year One because she was traumatised by the period that we spent in the orphanage separated from each other (boys and girls were kept apart).

Oprah and Bruce make the point that we are continuously trying to seek balance in our life – we attempt to offset the pain of loneliness or the pain of fear by seeking “rewards”. These rewards can take many forms but often lead to addiction – to drugs, alcohol, food, or aberrant behaviour. The need-to-please is but one example of this ineffectual “seeking rewards” and I can identify that set of behaviours in my early twenties.

Bruce points out that the real rewards lie in realising our personal “rhythm” and achieving connectedness (and associated sense of belonging). He maintains that each of us has a personal rhythm that is different for different individuals. He mentions the response of a young child to behaviour designed to achieve a relaxing rhythm – we can relate to the child that needs to be hugged to “settle”, another that needs to be pushed in a pram, while a third child has to go for a drive in a car before they will settle (or alternatively, as I found with one of my young daughters, avoiding car trips and walking instead).

Bruce suggests that each of us can increase our sense of calm and reduce agitation if we engage in activities that align with our personal rhythm – for me, that means engaging in the reflective activity of writing or walking, the smooth motion of Tai Chi or adopting a mindful approach to playing social tennis (through conscious breathing, visualisation, recall of personal competence in other settings and adopting an intentional mindset informed by reflection on my mistakes and behaviour during a game of tennis).

Both Bruce and Oprah assert that we need a “healthy combination of rewards”, and that “personal connectedness” is the real reward that can offset the “pull of addictive behaviour”. For both, connectedness in the form of “positive interaction with people” is not only rewarding but also assists with the development of emotional regulation (offsetting dysregulation). I’ve found connectedness on a personal and professional level that has helped me to achieve a sense of balance and self-worth. My current marriage (of 37 years) is especially affirming, and my professional relationships developed through my work in the action learning arena have countered any sense of isolation or negative thoughts of not contributing.

Experience of being loved

Both Oprah and Bruce argue that the way we were loved as children influences our capacity for love and the way we go about giving and receiving love. A critical parent will beget a child who is sensitive to being criticised and yet be highly critical as a parent. In their view, “safe and stable nurturing” is an essential environment for developing the capacity to love – the absence of such an environment can negatively impact our “regulatory network”, our neural development and biology, and lead to dysfunctional behaviour. Oprah maintains that “dysfunction shows up in direct proportion to how you were or were not loved”. Bruce argues that a pattern of love that is attentive, responsive and attuned creates predictability and develops resilience.

My experience of being loved as I was growing up is very mixed. I experienced unconditional love from my mother, while from my father my experience was one of disconnection and for the most part, disinterest. While Oprah and Bruce discuss situations where an individual experiences genuine carer’s love in their early years and discuss, in-depth, the impacts of a lack of love, I have not yet encountered in their conversations a situation where the childhood experience of love is very mixed.

My mother worked most of her life to keep the five of us fed and educated – at a time when the stay-at-home wife was the dominant role of women. Her efforts were supported by food packages dropped off by volunteers of the St. Vincent de Paul Society. She desired the best for each of us and was warm and loving, always putting our needs before her own. Oprah and Bruce highlight the positive impact of attentiveness to the needs of a child as a key to balanced personal development.

In contrast, my father was absent for five years in my early childhood and when he returned (after fighting in World War 11 and being a member of the Occupation Forces in Japan), he became a violent alcoholic who frequently hurt my mother and made our life hell. We often lived in fear as he was not only very strong but had been a very successful professional boxer. He created a fearful and unpredictable environment that left us all in a high state of arousal and anxiety. His love was uncertain, punctuated as it was by periods of disinterest and angry outbursts. I only understood years later that his “emotional dysregulation” was a result of his own traumas and PTSD (having been injured in the war by a bomb, captured and confined for three years in Changi prison in Singapore). It is difficult to conceive of the horrors that he must have experienced and the flashbacks that tortured him.

Bruce maintains that where a young child experiences unpredictable behaviour on the part of the caregiver, they can live in fear. Besides the freeze/fight/flight pattern this can lead to dissociation – where we disengage from the external environment to focus on our inner world. Bruce states that we each engage in dissociation when we allow our mind to wander or daydream. It becomes a problem when this is a frequent behaviour or leads to an ever-deeper withdrawal. My teachers used to write on my report card that I daydreamed excessively. I can also recall times when I dissociated because the events that I was encountering were too fearful and/or conflicting for me to bear.

Reflection

I have experienced multiple traumas in my life and continuously seek to understand their impacts on my behaviour. For instance, I find that I talk to women more easily than men (a residual effect of my ambiguous and unpredictable relationship with my father). I also dislike elevators, preferring to walk up stairs – a result of being confined in an orphanage in my early years and being boarded in a convent in Grade 2, 100 kilometers from home and my parents. Oprah and Bruce provide a very digestible way for each of us to explore the impact of trauma in our lives – and gain an understanding that can lead to behavioural change and genuine self-acceptance.

I have found that as I grow in mindfulness through my research of trauma and practice of meditation and reflection, I have gained increasing self-awareness and emotional regulation. It has helped me to experience calmness and develop resilience in my life.

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Image by Jaesub Kim 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.