Tag: addiction

A Journey Into Sobriety

Seana Smith in her memoir, Going Under, graphically describes her journey into sobriety – a state achieved for four years at the time of publishing her book.  Her memoir tracks her early childhood, addiction to alcohol and multiple attempts to escape both physically and mentally.  For each step forward, there was always a backward step until she found the solution to her addiction.  Her insightful, inspiring and humorous account traces the ups and downs of a life burdened by alcohol addiction.

Early childhood

Seana had adverse childhood experiences as a result of her father being a violent alcoholic and the inability of her mother to cope with his addiction and the physical and mental abuse against her. The verbal abuse by her father extended to Seana and her siblings, especially to Callum who had a serious mental health issue.  Seana’s home environment lacked consistency and warmth and was constantly unpredictable, despite some happy childhood moments with her parents individually or together.

Year of sobriety

Seana was able to achieve a year of sobriety when her twins were seven years old. The catalyst was a period of heavy drinking that resulted in her trying to pick a fight with her husband, Paul.  She was mean to him but fortunately he did not react to her” sarcasm and barbs”.  The twins had started school and Seana had a strong sense that her drinking was undermining “her urge to feel healthy and bright and well”.  She joined AA and took up ocean swimming which gave her challenge , excitement and a modicum of fear.

Despite this outstanding sobriety effort, Seana dropped back into her old ways, moving from drinking once a week to drinking a bottle a day.  Alcohol provided an escape from the mind-numbing routine of motherhood and the associated domesticity.  This led her to her endless cycle of “thinking and thinking and thinking about drinking”.  She described herself as “white knuckling” as she fought to regain control and overcome the very real physical and mental urge to drink…and drink to excess. 

The ever-present opportunity for free drinks from social events added to her pain and temptation, and ultimately resulted in her submission to the impulse to lose control over her drinking habit.  While Seana did not consider herself to be an alcoholic, she acknowledged that she engaged in “gray area” drinking, leading to morning hangovers and severe headaches impacting her ability to function fully.  She often alternated between moderate drinking and risky drinking.

Trauma and addiction

Gabor Maté contends that addictions, in multiple cases, originate from the pain of adverse childhood events.  The addiction, in whatever form it takes, is often an ineffective attempt to remove the trauma-induced pain.  The experience of trauma evokes negative self-stories and Seana’s book is replete with continuous self-deprecation.  Seana was in the grip of the “need to please” and believed that if she did not drink with others in social settings, she would not be “accepted”.  She also acknowledged that in her twenties, she was addicted to sex – another form of failed attempt to escape from trauma pain.

As part of her journey to sobriety, Seana discovered that her father’s “drinking story” continued through her. It impacted her need to “keep moving and moving”. She sought help from a therapist to assist her in “letting go of old trauma”.  The therapist employed EMDR therapy to great effect.  Seana was able to progressively move beyond the past, focus on the present, express gratitude for the “positive gifts my family and upbringing have given me” and to remember “all the good parts of Dad and Mum” and the adventures they took her and her siblings on.

The journey to sobriety

There are many perspectives on, and paths for, recovering from trauma and its muti-dimensional impacts.  The road to sobriety is complicated by trauma-induced beliefs and behaviour.  Seana like many others who have achieved sobriety found that it was a very long journey with many setbacks to recovery.  She also recognised that recovering from alcohol addiction required multiple pathways which served to positively reinforce each other.

She took up pool swimming that, along with the social encounters and new friends, provided her with release from the physical tension of trying to overcome her alcohol addiction. She also bought a dog, “a wee black poodle called Maisie” – which reduced her urges to escape and travel.

A key to her recovery was listening to sobriety podcasts constantly.  From Janey Lee Grace’s podcast, Alcohol Free Life, Seana discovered a solution, “keep the ritual – change the ingredients”, that she was able to implement by substituting “alcohol-free wines, cocktails spirits and mixers” for alcoholic drinks whenever she had a ritual of drinking, e.g. at 5pm.  She listened to multiple sobriety podcasts including Annie Grace’s podcast, This Naked Mind.   Seana also devoured Annie’s book, This Naked Mind: Find Freedom, Discover Happiness and Change Your Life.

A key factor for Seana in her journey to sobriety and freedom was the use of the affirmation, “My life will be better if I never drink again”.  This mindset shift refocused her belief and energy because she had always valued health, fitness and happiness but had pursued these goals in the wrong areas such as social drinking.

Reflection

Going Under is a courageous memoir recording a history of childhood trauma and the constant physical and mental battle to overcome alcohol addiction.  It makes you realise what is happening “on the inside” when someone is struggling with such addiction. Seana approaches her story with incredible insight and resilience.  Her humour adds character to her insightful tale.

As I read her book, I found that some parts triggered the memory of my father who was an aggressive alcoholic, physically abusing my mother and creating fear for myself and my siblings.  Seana’s book helped me to appreciate his internal struggle and the inability of my mother to cope with his alcoholism, sometimes aggravating the situation by berating him when he was drunk.  Seana recounts how her own mother learnt a little too late how to relate to an alcoholic partner.

There are multiple social support groups such as The Sober Club  developed by Janey Lee Grace which Seana refers to.  I have found that the Creative Meetup group hosted by the Health Story Collaborative is a strong support for me while I experience chronic illness and deal with my adverse early childhood experiences as a result of my alcoholic father.

Following one such Creative Meetup on Zoom, I reflected on my father’s war experience and resultant PTSD.  It helped me to better understand what he was going through and his daily challenge of just coping with life and family.  I wrote a blog post and a reflective poem titled, Paternal Forgiveness, to express my thoughts and feelings at the time.

I found that meditation and prayer helped me immensely to deal with my adverse childhood experiences and gave me the strength to overcome the tendency to addiction.  As we grow in mindfulness, we can unearth our negative self-stories, express gratitude for the positive aspects of our life and progressively build courage and resilience.

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Image by Alicia 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.

Awakening to Collective Trauma

In the previous post I discussed healing collective trauma in the light of presentations during the Collective Trauma Summit 2023.  The discussion identified a wide range of trauma healing modalities that can be employed in helping individuals heal from trauma – whether individual, intergenerational or cultural trauma.  One of the key themes was the need to normalise collective trauma so that a global healing movement can develop and thrive.   A number of recent novels throw light on the manifestation of collective trauma in different communities. 

Novels describing collective trauma

Alli Parker, descendent of an Australian soldier and his Japanese wife, vividly describes life within Japan during the time of the British Commonwealth Occupation Forces (BCOF) and within Australia at the time of the White Australia Policy (induced by fear of Asians).  In her book, At the Foot of the Cherry Tree, Alli describes the stresses on the relationship of her grandparents, Gordon and Cherry Parker, and their extended, exhausting efforts to have Cherry successfully settled in Australia.  The married couple experienced trenchant opposition at both ends – Japan and Australia.  In Japan, Gordon was punished by the MPs for breaking the anti-fraternisation policy of the Australian Army and was viewed as an “enemy stranger” by the Japanese community.  In Australia, Gordon and Cherry were bullied and harassed by people inheriting hatred and anger from traumatic events experienced at the hands of the Japanese during the war.

Elise Esther Hearst, author of One Day We’re All Going To Die, describes in vivid detail the life of Naomi who works at a Museum of Jewish Heritage and whose turbulent life is lived in the pervasive shadow of “the unspoken grief” of her Grandmother , a Holocaust survivor.  The impact of Naomi’s intergenerational trauma is reflected in her maladaptive behaviour, e.g.,  toxic sexual relationships, and “need to please” and not disappoint.   Naomi is enmeshed in community expectations, including the expectation that she would marry a good Jewish man (because non-Jews did not understand the trauma of the Holocaust and what Jewish families had to experience). Throughout her life, Naomi is surrounded by the “echoes of the dead and dying” as they are “in objects, in story, in her grandmother’s firm grasp”.  This leaves her wondering what is “normal” and how to behave as a “normal person”.  The novel highlights the identity crisis that can occur with intergenerational trauma.

Normalising collective trauma

During the Summit, Laura Calderon de la Barca highlighted the need to mainstream and normalise the experience of trauma and recovery and pointed to Alanis Morissette (A Summit presenter) as an example of this normalisation process.  Alanis has spoken about her “tool kit” that has assisted her in her “trauma recovery journey” and enabled her to deal with her negative inner dialogue.  Her toolkit included movement through stage performances, exposure to nature (sun and water), mindfulness practices, and writing songs.  Her personal way forward included pursuing relationships which, in turn, required her to manage the associated vulnerability. 

Awareness of collective trauma can also be developed through prominent journalists such as Helen Pick telling their story.  Helen, a British-Australian journalist who was UN Correspondent for the Guardian newspaper, shares her story of being one of the children involved in Kindertransport, removal of children from Nazi Germany to London by trains.  In her recollection, published in a Guardian article titled, My Family and Other Enemy Agents, she recounts how disorientating the experience was.  She found that the transfer to a foreign land “muddled her sense of identity” and she was externally identified, even as a child, as a “foreign alien”.  Despite being effectively “anglicised”, Helen indicated that at some level she feels “rootless”, having lost all memory of her childhood in Austria (possibly a form of dissociative amnesia).  She pointed to the documentary, Into The Arms of Strangers, as a recounting of their Kindertransport experience by a number of refugees and noted that she could relate to some aspects of their experience especially the felt need “to meld into the social fabric of their new homeland”.  Producer of the film, Deborah Oppenheimer, provides insights into tone of the film, the lessons learned and the impacts of the Kindertransport experience on the lives of the children involved.  Deborah received the Academy Award for the Best Documentary (Feature) in 2001.

Reflection

Alli Parker provided me with an insight into what life was like for Australian soldiers engaged in the British Commonwealth Occupation Forces in Japan.  My father was stationed in Japan as part of this occupation force and I had no idea how traumatic that would have been after having survived 4 years in Changi as a prisoner-of-war of the Japanese.

I am finding that as I grow in mindfulness through a range of mindfulness practices that I am better able to understand and emphasize with my father despite his alcohol addiction as a result of PTSD.

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Image by chulmin park 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 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.

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. 

Building Tolerance through Understanding

We have each experienced situations where someone seems to overact to what appears to be a minor stimulus – a sound, a sight, something said, or a gentle touch on the arm.   For example, I have seen people become hysterical while just observing a one-on-one facilitation process or hearing a very loud note sung close to them.  More than likely, we have each observed a disruptive person in a team meeting or training course, someone who is withdrawn and refuses to engage in conversation or someone who is overly aggressive.  Bruce D. Perry and Oprah Winfrey in their book, What Happened to You? maintain that understanding the impact of trauma on others helps us to build tolerance for what seems initially to be aberrant behaviour.  They argue that the foundation for that understanding is learning about how our brains operate.

Understanding how our brains work

Bruce illustrates the processes of the brain by showing an inverted triangle with the cortex at the top and the “lower brain” or reptilian brain at the bottom.  While the cortex enables us to think, create and plan and is conscious of time (past, present and future), the lower part of the brain has no sense of time but serves to regulate bodily functions.   The fundamental problem with our emotional and behavioural response to stimuli is that all sensory input (perceptions) are first processed in the lower part of the brain and interpreted there after matching with prior experiences (which are stored along with the emotional content).  This is why someone who shares a disturbing event with others can become quite emotional even when the event occurred many years before.

The associated problem is that sensory input (sight, sound, taste, touch and smell) can stimulate recall of a traumatic experience – “a powerful, frightening or isolating sensory experience”.  Bruce discusses a case study of a veteran of the Korean war experiencing Post-Traumatic Stress Disorder (PTSD).  The sound of a motorcycle backfiring would generate an “extreme survival response” such as immediately lying prone on the ground behind some form of shelter.  Bruce comments that what was originally an “adaptive protective memory” (for surviving in the trenches “where you had to keep your head down”), had become a maladaptive behavioural response.  The veteran’s life became “miserable” because he was frequently startled, always on the alert (scanning a room or the environment continuously) and often “jumpy”.

Maladaptive responses

Oprah pointed out that people like the veteran who have maladaptive responses to stimuli, often ask “What’s wrong with me?”  The book she has produced with Bruce, changes the focus to “What happened to you”.  Understanding what people have experienced and the depth of the impact on their lives helps to build tolerance and empathy, and ideally, compassionate action.  Bruce explained that for each of us “every moment builds upon all other moments that come before”.  The net result of our personal history shaping our brain’s development is that “each of our brains are unique” – our experiences, traumatic and otherwise, shape our perceptions of the world, what we feel and how we respond.

Oprah describes in detail her own traumatic experiences and maintains from her numerous interviews with people who have experienced trauma, that the result is often self-sabotage in the form of addiction, abuse, promiscuity or “the need-to-please”.  She argues that there is considerable work to be done by the individual and their therapist to identify the trauma-inducing event, the “evocative cues”,  and the related emotional and behavioral responses. 

Reflection

We can become more tolerant of other people if we acknowledge Bruce’s findings (developed through neuroscience and clinical practice) that “each of us sees and understands the world in a unique way” – and this conclusion applies to us also!  Our view of the world is not the only view nor is it necessarily complete, accurate or uncontaminated by our life experiences.  We are challenged to recognise our own fallibility, especially if we too have had traumatic experiences that will have shaped our perceptions and responses.  We can build our tolerance of others too if we work to understand what trauma does to the brain and its impact on behavioural responses.  Bruce suggests that we approach others with a degree of “curiosity”, wanting to understand what happened to them (not what’s wrong with them).  Frank Ostaseski, author of The Five Invitations,  encourages us to cultivate openness and curiosity – to replace criticism with understanding.

As we grow in mindfulness through reflection, journalling, research on trauma and meditation, we can develop greater openness and curiosity, increase our self-awareness (including of the impacts of trauma on our own emotional and behavioural responses) and cultivate understanding, empathy and compassion.

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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.

Healing from Trauma in a Sustainable Way

Healing from trauma in a sustainable way requires three main conditions, (1) understanding the complexity of trauma, (2) adopting a holistic healing perspective and (3) providing social support.  Unfortunately, as trauma expert Dr. Jeffrey Rutstein points out, when we observe poor behaviours on the part of people who have experienced trauma, we assume they are thoughtlessness, ungrateful or carelessness and fail to see the person involved as a “profoundly wounded person”.  He maintains that people who have been traumatised need “tenderness or caring or empathy”(especially socially ostracized drug addicts).  Dr. Gabor Maté often adopts a process of “compassionate inquiry” which encapsulates these understanding and empathetic attitudes.  Jeffrey and Gabor are two of the presenters in The Healing Trauma Program provided by Sounds True.

Understanding the complexity of trauma

Dr. Elena Villanueva, drawing on neuroscience research, her work with hundreds of trauma sufferers and her own deep and prolonged trauma experience, asserts that when we are unable to process traumatic or heightened emotional experiences, “they get stuck in our cells, tissues and organs” and lead to debilitating conditions in our bodies.  Elena herself had a history of trauma extending from early childhood through adolescence to adulthood.  She was raped at ages 15 and 38, frequently isolated, kidnapped by her separated mother, constantly on the move in different houses and schools, and experienced financial stress and divorce.  Her resultant symptoms and conditions included loss of memory, panic attacks, inability to speak, and high blood pressure. She was depressed and extremely anxious resulting in suicide attempts on three occasions. 

Elena highlights the pervasive influence of trauma in terms of its distortion of our bioenergetic field.  She spoke of her own experience of being dissociated from her body until three years ago.  Elena found it exhilarating to “pop back into her body” and once again feel her muscles, the sun on her body and face and the in-out flow of her breath.

Jeffrey, a clinical psychologist, maintains that people experiencing trauma lose their sense of agency over their own body and their life – they feel at the mercy of their emotions, other people and their external environment.  Gabor states that emotional deregulation, that he himself still experiences, occurs when he recalls traumatic memories and related emotions.  He becomes another person who is perceived as “frightening” and “scary” – ironically, at a time when he feels “the weakest internally”.  Trauma-induced emotions take over and he loses both a sense of agency and emotional regulation.   Gabor argues that underpinning inappropriate behaviour is shame because “shame is the most dominant impact of trauma” and this leads people to try to deal with this unbearable burden by compensating through their divergent behaviour.  The related pain and unfulfilled needs often lead to addiction fuelled by negative self-talk.

The negative self-talk associated with trauma distorts our thoughts, emotions and biology as a result of the hijacking of our amygdala.  The lower level of our brain takes over control of how we respond to triggers – leading to fight/flight/freeze responses.  In the book, What Happened to You, Dr. Bruce D. Perry makes the point that the body stores emotional memories that can be activated by a song, the sound of a voice, the smell of food, or any other sensory experience or precipitating event.  He explains that these strong associations are “stored in neural networks” and even when the specific experience cannot be recalled, the negative association can impact any aspect of our life, including our capacity to achieve intimacy.   

Adopting a holistic healing perspective

If we understand the complexity of trauma, we can readily appreciate that a single modality will be inadequate to help people heal from trauma in a sustainable way.  For example, if the symptoms of physical ailments are removed but negative self-talk persists, recovery will not be sustained and traumatic memory will find another way to impact our physiology and bioenergetic field.  What is required is a holistic healing perspective and this realisation underpins the approach adopted by Dr. Villanueva in her Modern Holistic Health orientation and the recovery solutions incorporated in her Mind/Body/Energy Healing Program.

Numerous modalities have emerged for healing from trauma and aiding trauma recovery.  The following are some of the modalities that have been adopted around the world, often in different combinations:

Trauma is complex and its impacts are far-reaching and vary with each individual.  While individual variations occur in the pervasiveness, depth and intensity of trauma impacts, group activity (supported by individualised testing) can help people progress in terms of diagnosis and healing.

Providing social support

Social support has been shown to develop resilience in individuals in post-traumatic recovery.  This perceived support extends not only to their own social networks and frequency of supportive interactions but also to peer support, coaching and technical guidance through counselling and provision of resources.  Dr. V’s Mind/Body/Energy Healing Program  mentioned above employs multiple healing modalities in concert with group-based activities such as monthly healing sessions with qualified coaches supported by resources such as breath meditations, the 5-part Trauma Masterclass video recordings & transcripts and monthly Bioenergetic Tests.

Social support helps people to appreciate that they are not alone in experiencing trauma and its multifaceted impacts, provides encouragement to persist with the healing process, engenders vicarious learning and offers positive reinforcement of the possibility of recovery.  Social support generates a sense of belonging and connectedness so essential for positive mental health.

The GROW organisation is an example of mutual social support for the process of recovery from all forms of mental ill-health.  The peer to peer support process enables participants (Growers) to overcome mental ill-health issues and achieve personal development.  eGrow groups have emerged as an alternative to face-to-face meetings.  Testimonials of recovery by participants, in both face-to-face and online programs, provide the impetus for the sustainability of recovery for other participants.

Reflection

It is difficult to understand what impact trauma has had on our mind, body and emotions.  Trauma practitioners through their various modalities and group support help us gain insight into how trauma is affecting us, even late in life.  Mindfulness is consistently advocated by trauma experts as a way to help deal with the ongoing effects of trauma.  As we grow in mindfulness through meditations and other mindfulness practices including spending time in nature, we can gain self-awareness, build resilience, and access calmness and composure in difficult situations or when triggered by a sensation or an event.

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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.

Recovering from the Impacts of Trauma

Dr. Elena Villanueva, health influencer and international speaker and podcaster, provides a comprehensive insight into trauma and its health impacts in a 5-part Trauma Masterclass.  Elena adopts a unique approach to trauma recovery and healing by engaging a specialist team, adopting a holistic health perspective and employing multiple modalities (in excess of 24 tools/techniques).  She is the founder of Modern Holistic Health which adopts an evidence-based approach to holistic health, drawing on the latest scientific research.

In her Trauma Masterclass, Elena explains that trauma results not from an overwhelming event itself but our perception and interpretation of it, leading to “undesired responses” on the physical or mental level and the associated mistaken beliefs and thoughts and emotions that result from viewing the event as “dangerous, frightening, harmful, life threatening” or in any way negative.

Elena provides detailed illustrations of how trauma affects our physical and mental health, drawing on the latest neuroscience research and information.  She discusses the symptoms of trauma, including chronic pain, the impact of negative thoughts and the power of language to shape personal reality and physical/mental health.  Elena explains the potential impact of challenging emotions in hijacking the amygdala and resulting, over time,  in “atrophy of the frontal lobe”.

Of particular note, is the way Elena identifies the biogenetic changes that can be wrought by challenging thoughts and emotions resulting from trauma.  She states that one of the core issues is that trauma is experienced in the body and is easily triggered.  As Bessel Van Der Kolk illustrates in his book, The Body Keeps the Score, the impact of trauma extends to the mind, brain and body.  Elena elucidates the multiple impacts of trauma including distortion of energy, negative effects on heart health, biological changes and the lingering perception of powerlessness.  

Recovering from the impacts of trauma

Elena points to the power of neuroplasticity to aid the process of recovering from trauma – how the brain can adapt its structure, connections and functions to deal with various stimuli.  During the Masterclass she provided case studies of her patients who had made a considerable recovery from trauma in a relatively short period.  Elena explained that people who take out a monthly service subscription with Modern Holistic Health have ongoing access to the Masterclass videos and to members of her team who offer a wide range of healing modalities.

In the Masterclass, different team members offered diverse modalities that illustrated the effectiveness of Elena’s team approach.  For example, Rosita Alvarez led a process that involved “layered healing modalities” including sound and eye movement.  Karla Rodriguez facilitated a powerful process that involved an ever deepening identification of emotions underlying bodily pain such as grief, anger or resentment.  This mind-body-spirit process was identified as incredibly effective by many people in the online audience.

Karla also led a process called “resonance repatterning” which involved making affirmations that expressed positive intent and resonated strongly with the individual involved, e.g. “I reclaim the power to say, ‘yes’ and ‘no’, & to be heard”.  The exercise illustrated the power of language to shape our future and manifest our desired reality.  To this end, Elena suggested that statements such as “I want a loving relationship” should be replaced with “I desire a loving relationship”.  She emphasised that we have to unlearn bad habits that reduce our sense of what is possible.  Dr. V. offers a podcast series to assist people with understanding trauma and moving towards unlearning and recovery.

In the book, What Happened to You?, Oprah Winfrey describes her own adverse childhood experiences which occurred even when she was  as young as three years old.  In particular, she discusses receiving continuous “whuppings” from her grandmother which were administered as severe forms of punishment for even the slightest mistakes – often resulting in welts and, occasionally, bleeding.  The “switch” chosen was a branch (or a number of branches “braided together”).  Her grandmother had the mistaken belief in the philosophy of “don’t spare the rod” – today, her actions would be viewed as criminal. 

Oprah, like Elena, maintains that learning how the brain and body react to trauma helps us to understand “how what happened to us in the past shapes who we are, how we behave, and why we do the things that we do”.  Oprah is a firm believer in the “unique adaptability of our miraculous brain” – and she is living proof of this.  Because of her own early life experiences, she has dedicated herself to helping people of all ages, especially young  children, overcome trauma and its impacts. Her tireless work in this area was reflected in the drafting of the National Child Protection Act that, when it became law, was known as the “Oprah Bill”.

The book represents a series of conversations between Oprah and Dr. Bruce D. Perry on the topic of “trauma, resilience, and healing” – conversations carried out over more than thirty years.  Bruce explains in the book that the title, “What Happened to You”, reflects a conscious choice to take the focus away from “What’s Wrong with You” in order to change the narrative and facilitate the process of recovery from trauma.  As Dr. Gabor Maté explains, we need to understand the pain lying beneath trauma and its precipitation of addictive behaviour. 

Reflection

There are many modalities that can be employed in healing trauma such as “compassionate inquiry” used by Dr. Gabor Maté.  Dr. Elena Villanueva and her team offer diverse modalities that are used at different stages of healing from the multiple impacts of trauma.  The team approach of Modern Holistic Health adds a special dimension as patients can move between coaches to utilise different modalities as part of their overall case management. People can work with Dr. Elena Villanueva and her Modern Health team by joining the Mind/Body/Energy Program.

Trauma is a complex area with often hidden impacts on mind, body and spirit resulting in lingering mental and physical health problems.   Many of us have had “adverse childhood experiences” resulting in trauma.  As we grow in mindfulness through mantra meditations, other mindfulness practices and related healing modalities, we can achieve peace and calm and improved health outcomes.

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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 Trauma – Dealing with the Visceral Imprint

In a previous post I discussed the complexity of trauma and the need to adopt treatment practices that recognise and respect this complexity.  Bessel van der Kolk in his book, The Body Keeps the Score: Mind, brain and body in the transformation of trauma, expresses serious concern with the overreliance on medication to treat trauma, especially for returning veterans suffering from PTSD.  He contends that “drugs cannot cure trauma” but only serve to “dampen down” manifestations of a “disturbed physiology” such as violence, overwhelm and uncontrolled anger.  He argues that the side effects of reliance on drug therapy include addiction, lessening the capacity for self-regulation and blocking the senses that otherwise would be the source of pleasure and motivation, emotion and pain. In his view, the treatment aim is not to “blunt emotional sensitivity” but to achieve integration of the traumatic experience into a person’s “arc of life”.

Bessel argues that a traumatised person’s basic challenge in recovery is to re-establish ownership of themselves – the whole person, mind, body and soul.  He contends that this plays out as a fourfold challenge – (1) developing ways to become focused and calm, (2) sustaining calmness when confronted with stimuli such as noise, images and smells that otherwise would trigger a traumatised response,  (3) becoming fully engaged with life and relationships and (4) being open to one’s real self without hiding behind “secrets” that are designed as self-protection (e.g. against shame and self-loathing).  Bessel suggests that the effectiveness of each of the four approaches can vary with the individual and the stage of the healing process.  He illustrates through case studies that the healing journey can be a life-long process with occasional or frequent relapses.

Bessel maintains that, in the long run, confronting the traumatic event(s) in all their horror  is necessary for healing.  However, he cautions about rushing this process without first building a person’s capacity to cope with the fullness of the “visceral imprint” and its related sensitivities (e.g. to specific sounds, smells, thoughts).  Confronting the harsh reality of the precipitating event(s) too soon, when the person is ill-equipped, can lead to an individual being re-traumatised.

Bessel contends that the focus of recovery has to switch from the “rational brain” to the “emotional brain” which manifests trauma in the form of physical sensations impacting the heart, breathing, voice, gut and movement of the body (e.g. resulting in bodily movements “that signify collapse, rigidity, rage or defensiveness”.)  The overall aim is to restore the “the balance between the rational brain and the emotional brain”, because in a traumatised person the rational brain is often overwhelmed by the emotional brain that can “see” danger where it does not exist and inappropriately activates a fight, flight or freeze response

Healing modalities for trauma that recognise the mind-body-emotion connection

Throughout his book, Bessel discusses a range of trauma healing modalities that he has researched and practiced with his clients. His approach is quite eclectic, drawing on both Western and Eastern healing traditions.  He demonstrates through case histories that one modality more than another, or a particular mix of modalities, may prove effective in individual cases.   He appears to adopt a trial-and-error approach to achieve the best fit for a traumatised individual, informed in part by their life skills and the precipitating trauma event.  Some of the healing modalities he adopts are identified below:

  • Controlled breathing – here he encourages slow, deep breathing that that tap into the parasympathetic nervous system and its capacity to reduce arousal and induce calm.  Breathing also serves to enhance oxygen flow to energise the body.
  • Movement modalities – these can include Tai Chi, yoga, martial arts and the rhythmic movement associated with African drumming.  Bessel notes that each of these modalities simultaneously involve not only movement but also breathing and meditation.
  • Mindfulness practices – Bessel points out that traumatised people often avoid their challenging feelings and related bodily sensations.  Mindfulness which generates self-awareness enables the traumatised person to notice their feelings and sensations and the precipitating triggers.  This can lead to emotional regulation, rather than emotional overwhelm which can occur when people try to ignore or hide their real feelings and sensations.  Peter Levine’s “somatic experiencing” approach is an example of a related mindfulness practice that can contribute to healing trauma.
  • Singing – can engage the whole person (body, mind, soul and emotions).  Effective singing requires appropriate posture and breath control, opening up the airways and, at the same time, releasing emotions.  In group sessions with singing teacher, Chris James, I have often observed the spontaneous flow of emotions as people, both men and women, become more engaged and absorbed in the process, learn to let themselves go and find their “natural voice”.  Chris maintains that singing enhances “vibrational awareness”, engenders “self-discovery” and builds “conscious presence”.
  • Chanting and mantra meditations – chanting can reduce depression, increase positivity and heighten relaxation.  It has been proven to be effective in helping veterans suffering from PTSD.  Tina Turner found Buddhist chanting to be very effective in overcoming her trauma and re-building her singing career.  Likewise, mantra meditations (that typically incorporate chants) can lead to calm, peace and energy and enable reintegration of body, mind, emotion and spirit.

Reflection

Bessel encourages the use of multiple healing modalities when working with traumatised individuals.  He suggests too that the modalities described above can help anyone deal with life’s challenges, restore balance and build energy.  As we grow in mindfulness through meditation and related mindfulness practices, we can gain self-awareness, develop self-management and heal from trauma and the scars of adverse experiences, whether in childhood or adulthood.

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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 Treatment: Understanding the Complexity of Trauma

The complexity of trauma is explained both scientifically and by case histories by Bessel Van Der Kolk in his book, The Body Keeps the Score: Mind, brain and body in the transformation of trauma.  As I mentioned in an earlier post, psychologists agree that trauma is not the “life-threatening”, precipitating event but the ongoing impact on a person’s mind, brain and body.  In his book, Bessel discusses the evolution of trauma treatment methodologies (and his roles in this evolution), the complex impact of trauma on individuals, the differential behavioural responses to trauma by individuals and the common responses that lead to addiction.

Evolution of trauma treatments

Bessel explains that in his early training and working days, he experienced different treatment modes for trauma such as “talk therapy” and the pharmacological approach.  He explained that talk therapy involved having an individual recount the trauma event in detail so that they had to confront the reality of the event.  Unfortunately, this often lead to the person experiencing a traumatic episode as a result of the stimulus of recall.  In the pharmacological approach, reliance was placed on drugs to treat the trauma patient.  Unfortunately, these were often administered in isolation without the support of therapy and contributed to ongoing psychological problems such as prescription drug addiction and depression.

The most heartless approach that Bessel describes is electrical shock treatment designed to desensitise individuals to precipitating stimuli.  Sometimes the treatment itself created a trauma response because of the effect of the stimulus (e.g. touch) and the inhuman nature of the treatment, e.g. for someone who had been sexually abused.  Bessel highlighted the lack of understanding of trauma and the absence of an adequate framework for treatment modalities illustrated in these early methodologies. The pursuit of a more holistic and scientific approach to trauma treatment underpinned his life’s work in helping trauma sufferers, especially those suffering from P.T.S.D. (post-traumatic stress disorder).

Result of visceral overload of precipitating event

Bessel was at pains to explain the complexity of trauma and its impact on individuals.  In his book, he explains the different regions of the brain, how they interact normally and the dysfunctionality caused by trauma.  He stated, for example, that a traumatic event can leave a “visceral imprint” on the lower region of the brain, the amygdala (the source of our fight/flight/freeze response). Thus a particular sensation (a smell, sound, sight, touch or taste) can create a “flashback” and trigger a trauma response in an individual.  This traumatic experience of discrete sensations illustrates the ever-present challenge for a traumatised person of “misreading signals” and seeing danger where it does not exist.  This inability to control the stress response is in part due to what Bessel describes as the ”visceral overload” at the time of the trauma-precipitating event.  He also makes the point that therapists are often misguided by their own belief systems, including the belief that the interaction of the mind and body is top-down only.  However, his own experience of trauma patients and recent neuroscience research shows clearly that the body/brain influence is bidirectional.

Same event – different behavioural responses

Different people respond differently to the sensory overload precipitated by a traumatic event.  Bessel tells the story of Stan and Ute who were involved in a major pile-up on a Canadian motorway in 1999 involving 87 cars.  They were travelling in the same car and met a wall of fog and were part of the continuous crashing of cars and trucks.  They feared for their lives and witnessed people being killed by the intensity of the crash and associated fires.  Stan’s reaction to subsequent stimuli was one of aggression and anger (fight response) whereas Ute was numb, a condition involving “massive dissociation” (the freeze response).  Bessel suggested that Ute’s freeze response was a learned behaviour precipitated by her upbringing by a mother who continuously “yelled” at her.  Through Bessel’s caring therapy, they were able to progressively restore their lives, regaining emotional control.  Ute benefited from the bottom-up approach of the Trauma Center where the focus was on physiological monitoring to enable the patient on change their “relationship to bodily sensations”.  Bessel subsequently established the Trauma Research Foundation after he had been unfairly dismissed from the Center, experiencing trauma in his own professional life.

Common responses to trauma

Trauma and its incessant re-activation through discrete sensory stimulation along with flashbacks and nightmares, create a life situation of continuous pain.  Many people attempt to numb the pain by resorting to drugs or excessive alcohol to block out the painful memories. This can eventually lead to addiction, associated mental illnesses and censorious misunderstanding by family and friends.

Reflection

Trauma is a very complex phenomenon precipitated by a great variety of events, experienced in differential ways by individuals and leading to individualised responses.  Added to these diverse events, impacts and responses are the variety of initiating stimuli that can trigger a seemingly unrelated trauma response in everyday life.

Bessel argues that one of the problems for traumatised individuals is that they spend so much time and energy in the past.  They become unaware of, and insensitive to, the present.  He maintains that mindfulness practices can help to restore top-down, emotional regulation and that bottom-up approaches such as “breath, movement, touch” can help to restore physical equilibrium and calmness.  The widespread use of somatic meditation for trauma management  is consistent with his view.

As we grow in mindfulness, we gain increased insight into our “inner landscape”, our behavioural responses and the options we have to behave differently.  We come to understand better the impact of past events on our present-day triggers and responses.  This can help us to achieve clarity, calmness and compassion towards others experiencing their own physical and emotional challenges.

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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 to Overcome being Imprisoned by Self-Neglect

Edith Eger in her book The Gift: 12 Lessons to Save Your Life, discusses the “the prison of self-neglect”.   Habituated behaviours that underlie self-neglect can arise through adverse childhood experiences, an abusive relationship or a deficient developmental environment.  Edith suggests that self-neglect often arises because of unmet childhood needs – specifically the need for “attention, affection and approval”.   Our own needs are neglected in order to fill the gap left by unfulfilled childhood needs.  So we pursue the “A’s” (mentioned above) at the expense of our present needs.  An aspect of self-neglect is the avoidance of expressing strong emotions for fear of causing  discomfort to others.

Factors leading to self-neglect

We might have had parents who offered conditional love – on condition that we met their high standards in sport, academic or other achievements.  Their expectations about our performance can create a dependency whereby we are forever seeking approval or acceptance.  We might have suffered neglect as a child through the conscious choice of parents or their own adverse circumstances.  This can lead to our continuously seeking attention.  In one of my workshops, one participant proved to be continually disruptive through constant challenge to anything other participants said.  It turned out she was seeking attention and approval because she was denied this as a very young child – being expected to contribute meaningfully to adult conversation when still very young.

Sometimes self-neglect can arise as a result of the role we played as a child or young adult.  Family circumstances may have led to our being the “responsible one”, “the carer” or “the earner”.  These roles may have been necessary at the time but the unspoken expectation that comes with the role can continue into adulthood.  Edith recounts the story of a client who was imprisoned by the self-expectations that arose as a result of a childhood role as the “reliable one”.  This led to continual self-neglect in pursuit of other people’s needs – often unexpressed but assumed.  The result was personal burnout as well as depriving others of the opportunity to develop independence.  Sometimes creating dependence on ourselves fulfills our desire to be needed.  This was something that Gabor Maté discussed as contributing to his need to be a workaholic medical practitioner.

Gabor maintains that underlying many addictions is an unmet need arising from early childhood.  The addiction, whatever form it takes, is an ineffectual way to address the pain arising from parental neglect, abuse or inattention.  His “compassionate inquiry” approach is designed to unearth the early triggering event(s), the resultant negative self-message and the reward sought through the addictive behaviour.

Overcoming the imprisonment of self-neglect

The fundamental rule to freeing ourselves from the prison of self-neglect, is to begin to put ourselves back into the picture, to have self and our needs as part of the equation when trying to decide how to spend our energy and time.  Edith suggests that there are a number of ways to do this:

  1. Savour the things and people in our life that bring us joy.  We can start small with a few minutes each morning spent appreciating the little things in our life –  noticing a new leaf or flower on an indoor plant, reflecting on a picture or painting that generates positive feelings, or valuing a person who has shown us kindness, thoughtfulness or generosity.  Savouring what is good in our life can extend to appreciating the development of our children, accomplishments and rewards, the wonders of our subconscious mind, the capacity to think and create and our relationships (even our relatives).  We can actively seek to let joy into our lives.
  2. Appreciating nature – nature has a healing power and enables us to cultivate all our senses and develop our sense of wonder and awe.   In nature, we can be lost in the beauty, the sounds, the textures and the smells that surround us.   We can actually find ourselves in this process of being lost in something immense and awe-inspiring that is beyond ourselves.
  3. Edith herself adopted an affirmation that expresses something of her uniqueness and what she has been able to contribute to the world.  We can all find the words to reflect the positive things we have contributed to others and what makes us a truly unique person.  In the process, we can value the people who helped make us who we are – our parents and their positive traits, our mentors and their wisdom, and our teachers who willingly shared their knowledge and insights.
  4. Reflect on an occasion where you were asked for something or to do something.  Ask yourself what were your thoughts and feelings at the time.  What was driving your choices?  How much of looking after yourself was reflected in your response.  How could you have responded in a way that did not involve self-neglect, e.g. expressing your true feelings.  Are there habituated behaviours that you engage in that continually overlook your own needs?
  5. Explore the balance in your life.  Edith suggests that we keep a record (for a short period) of how we spend our day in terms of how we allocate time to work, play and love.  Does work absorb all our time and energy at the expense of our needs for nurturing, relaxation and time to ourselves.  How often do we allow ourselves to become absorbed in a hobby, creation or charitable activities or just enjoy social activities with friends or family.

Reflection

With the busyness of life, it is so easy to lose ourselves through self-neglect. There are often hidden forces underpinning this neglect, so self-exploration is important to unearth what drives our behaviour.  As we grow in mindfulness through observation and reflection, we can gain the necessary self-awareness and insight to understand ourselves and develop the courage to make changes to the way we live our life. 

Edith maintains that we do not change until we are ready to make the change and often this is driven by a need to change habits that no longer serve us in a positive way.  Any changes we make to our behaviour, no matter how small, need to be reinforced by savouring our achievement.   From Edith’s perspective, change involves the process of “finding the real you”. 

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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.