Tag: healing

Managing Grief through Storytelling

Dr. Annie Brewster, M.D. describes the power of storytelling for healing and recovery from illness, injury or loss in her book, The Healing Power of Storytelling: Using Personal Narrative to Navigate Illness, Trauma and Loss.   She stresses the need to develop a new “narrative identity” after receiving a life-changing medical diagnosis.  Annie provides an online avenue for people to share their stories of health challenges and recovery in her Health Story Collaborative which is dedicated to enabling people to heal through the therapeutic power of storytelling and a supportive social network.

In her book, Annie highlights the need to make the storytelling authentic – not just a recounting of events but also exposure of the nature and intensity of accompanying emotions.  This means being open about our feelings even those such as resentment that we might be embarrassed about.  It is in identifying and facing our difficult feelings that we can gain release from their hold on us.  Annie stresses that it is not the medium of storytelling that matters, any form will can have a healing effect – video, audio, song, poem, letter or blog post.

Storytelling can be a powerful process for managing grief  after the loss of a partner or child.  Bruce Feiler stresses the need to change our “story narrative” when encountering such “lifequakes” – we have to change our linear mindset about life’s progression and allow for regression that can occur at any time.  In his book, Life is in the Transitions: Mastering Change at any Age, he offers strategies, including storytelling, to reframe and reshape our lives in the event of personal loss.  To assist this process of rebuilding, Bruce offers an online resource in the form of the Life Story Online Interview.

Nick Cave’s Story of grief

In his book, Faith, Hope and Carnage, developed through intimate interviews with Sean O’Hagan, Nick discusses his inner life – his creativity, challenges, loss, grief and guilt.  His storytelling in the book and his music provides a catalyst for healing, growth and transformation.  Nick and his wife Susie were devastated by the death of their 15 year old son, Arthur, in 2015.  He described the initial grief reaction of Susie and himself as a “kind of zombification” – “a kind of morbid worshipping of an absence”.

Nick indicated that there was a real danger in such grief reflected in “a reluctance to move beyond the trauma” – because the lost person resides there and that is where meaning is initially found.  He indicated that he experienced simultaneously being caught up in the “commonality of human suffering” and experiencing a deep sense of aloneness – a maddening and “extreme paradox”.  Nick stressed the physicality of grief describing grief as “pounding through my body with an audible roar”, accompanied by “despair bursting through the tips of my fingers”.  He also felt this “violent electricity” in the hand of his wife.  He indicated that both he and Susie were “unreachable” at the time, despite the very best intentions of other people.

Nick indicated that on the advice of a friend, he undertook a form of somatic healing.  He started the session lying down in a “euphoric” state.  Before long, he was consumed by rage and his body bucked and vibrated from the intensity of the feeling.  He observed that “you never really know what you are carrying around in you”.   Bessel van der Kolk reminds us that The Body Keeps the Score in his landmark book on “the brain and the body in the transformation of trauma”.

Nick’s son died while he was recording a new album, Skeleton Tree, with his Bad Seeds band members. Nick found it extremely difficult to tour to promote the album but a friend, New Zealand-born director Andrew Dominik, offered to produce a documentary along with release of the album.  The documentary, One More Time with Feeling, enabled Nick to tell his story of the trauma and grief he experienced on the death of his son.  On release of the album, the Guardian described it as “a masterpiece of love and devastation” and it debuted at #1 on the Australian Aria charts.

Over time, “fragments of light” were experienced by Susie and Nick amongst the incredible darkness of grief.  They were gradually able to see that people cared and that in this care and kindness lay recovery.  The healing influence of social support was brought home to Nick when he undertook his Skeleton Tree Tour in January 2017.  Nick indicated that he was depleted, exhausted and depressed before the tour and some of his band members were experiencing personal challenges too.   Collectively, they started the tour with “trepidation” because of their lack of energy while consumed by sadness.  However, Nick found that performing his songs (and story) on stage was “restorative” because of the “force field of the audience’s concern and awareness and love”.  Storytelling through the power of his songs became a source of healing and a way to manage his grief.

Nick indicated that  the “lifequake” of his son’s death brought home to him that suffering is the gateway to deep personal change, transition and transformation.    Suffering, especially grief, forces you to redefine yourself and to seek out a new meaning for your life and adopt a new perspective on what is important.

Compassionate action through grief

Grief can energise individuals to take compassionate action, e.g. the legislative reform actions for backpackers initiated by Rosie Ayliffe on the murder of her 21 year old daughter – a story told in her book, Far From Home.  Likewise, Nick was motivated to establish a website, Red Hand Files in 2018 where his fans could ask questions and seek answers from him.  The website transformed from a “Q & A” type activity to what Nick describes as an “exercise in communal vulnerability and transparency” and a “life-changing, soul-enriching exercise in commonality and togetherness”.  People who write to Nick via the website are able to share their stories and seek his comments and reassurance.  He readily participates in this mutual story telling and story-sharing.

Grief can flow from many types of losses.  It may be that a child loses their way and their personality through illicit drug use or end up in prison as a result of some criminal activity.  It may be, too, that a son or daughter chooses to change gender roles.  A recent post on the Red Hand Files highlights the associated sense of loss and grief of a parent when this occurs.  Nick’s sensitive response to this story highlights his understanding of loss and grief.  He talks of a parent’s sense of a loss of control and ,even worse, “a profound understanding that we never had control of them [our children] in the first place”.   Nick suggested that the greatest sacrifice a parent can make is to “let go”.  He appreciated that the parent and their offspring were able to find a “common bond” in his songs and readily agreed to the request to play O Children in Minnesota, dedicated to “Claude” as the newly named offspring.

Reflection

Storytelling can take many forms and lead to healing from grief – sharing the story adds another dimension in that it enables others to heal also. Nick talks about his songs being “a force” that “can make people better” or help them in some other way.  Storytelling involves transparency, personal disclosure and risk but the returns are health, healing and recovery.

As we grow in mindfulness and self-awareness, we can embrace our new reality after a loss and restore our sense of beauty and goodness in the world. 

There are many resources to help us deal with grief and trauma.  One of these is Dr. Bonnie Badenoch’s online course, Trauma and the Embodied Brain.

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Image by un-perfekt 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 website and resources to support the blog.

Developing a Reciprocal Relationship with Nature – Nurture and Stewardship

In the recent Nature Summit, Roshi Joan Halifax –writer, teacher, artist and activist – stressed the need for a reciprocal relationship with nature.  She suggests that too often mindfulness practitioners focus only on the nurture that they can obtain from nature but overlook the “imperative to steward where we are’ – to look after, and care for, nature in our immediate environment.  Joan contends that this reciprocal relationship is critical in our current challenging times when we are confronted by the devastation of climate change simultaneously with the ongoing global erosion of mental health.

Experiencing nurture in nature

Joan mentioned that she is “restored in the natural world” but not in the “constructed world” of cities.  However, she counsels against despising or devaluing the constructed world.   Nature surrounds us wherever we are.  Joan mentioned seeing a hawk nesting on the edge of a building in New York and visiting Central Park.  While these experiences of nature in the built environment are part of restoring our spirit, the depth of nurture achieved through immersion in the natural environment is of a different order and more pervasive and lasting.

Joan explains that in nature we can recapture the silence that the busy world of today has taken from us – we can access the power of stillness and silence to cultivate our creativity and our resilience.  Joan describes her mindful practice in the mountains of “just sitting in choiceless awareness” and gaining the restorative benefits of nature through this goal-less approach.  She explains how she sees mountains as “places of meditation’ and has learned to value “solitude in nature”.

Joan discussed how her work through the Nomads Clinic (a form of socially engaged Buddhism she established in 1980) brought her into contact not only with the Himalayas but also the people of remote places such as Nepal and Tibet.  She describes the Himalayan mountains as “very raw, very tough, very dangerous” and the people of these remote communities as “fantastic people, very robust, with a wonderful sense of humour”.  She acknowledges that the mountains and the mountain people have taught her much about “humour and resilience”.

Many mindfulness authors such as Louie Schwartzberg highlight the power of nature to stimulate wonder and awe in us.  Louie, in his Wonder & Awe podcast, shares the recent research of Michelle Shiota, that demonstrates that we become “better thinkers when we are feeling awe”.  In his talks and films, Louie stresses that nature induces healing and helps us to develop a sense of gratitude and appreciation that lead to happiness, health and profound joy.

Pamela Anderson, in her memoir Love, Pamela, describes nature as her friend and teacher. She states that she is “always curious and wants to know what nature is trying to teach” because to her “everything is a clue or a sign”.  Nature had always been a part of her life growing up on Vancouver Island and for her birthday each year she asked her two boys to volunteer with her at the California Wildlife Center – which involved cleaning birdcages and feeding birds and squirrels.   In line with this work Pamela and her family cared for a possum as well as pelicans and seals, even undertaking a marine mammal rescue course together.  

At one stage in her performing career she was exhausted in “mind, body and soul” and decided to spend a month reconnecting with her adult sons in Malibu and with nature.  She found that connecting with nature (including during her five-mile daily walks), along with  Pilates, enabled her to reconnect with her body and detox both physically and emotionally.  When she was at Café Sénéquier at Port de Saint Tropez in France (where she went to recover from an abusive relationship), she watched the sunrises and yachts in the harbour, while “luxuriating in my own blossoming life” – nature again elicits gratitude and appreciation.

There are many ways to engage the nurturing power of nature, to understand and appreciate our interconnectedness with nature and deepen our relationship with nature.  Louie Schwartzberg reminds us that we are able to widen and deepen our perspective on nature beyond our unique childhood experience and understanding.  One way to do this is to adopt the mindset of stewardship of nature.

Stewardship of nature

Joan Halifax stressed the “moral responsibility” to undertake stewardship of our immediate natural environment – in her words, “to steward, protect and restore”.  She argues that it is important to plant diverse species because diversity is “essential for the health of any ecosystem or social system”.  Her interviewer and founder of the Nature Summit, Mark Coleman, stated that we are currently experiencing “a painful time of degradation, loss of species and places that we love”.

Stewardship can involve many different environmental caring actions such as:

  1. Composting
  2. Planting trees
  3. Caring for pot plans (both exterior and interior plants)
  4. Growing herbs
  5. Planting native trees that attract birds and bees
  6. Providing shelter for birds and possums
  7. Creating gardens of diverse species
  8. Trimming dead leaves or branches
  9. Enriching our soil
  10. Cultivating worm farms
  11. Conscious consumption.

Costa Georgiadis in his book, Costa’s World, suggests that we take up gardening “for the soil, the soul and the suburbs” – in his view, nurture through nature and stewardship of nature are not discrete activities, they occur together.  He encourages us to be mindful of our immediate environment and get to know our microenvironment.

Pamela Anderson stressed her sense of being responsible for stewardship of nature in her home environment.  She luxuriates in her garden developed when she returned to Vancouver Island in her latter years.  Her first garden involving “five thousand feet of roses and vegetables” (planted by seed by herself) grew impressively.  She developed solar energy, a sustainable water management system and set about “re-wilding” her property – a concept involving complementing the natural environment and protecting what already exists. She immersed herself in her “Garden of Eden” and the “salty, earthy fragrance” of the sea.  Pamela attests to Costa’s perspective that nurture and stewardship go hand in hand and complement and reinforce each other.

Reflection

In his book, Coming to Our Senses: Healing Ourselves and the World through Mindfulness, Jon Kabat-Zin urges us to develop mindfulness through our senses.  He talks of the immediacy of our external environment – the soundscape, the touchscape, the tastescape, the smellscape and the sightscape.  Joan Halifax reminds us that nature provides the whole sensory experience – we can hear birds, touch plants, smell aromas from trees, taste native fruits, see the beauty and wonders of nature and feel the strength of the wind and the pressure on our bodies.

By spending time in nature and stewarding our immediate natural environment, we can grow in mindfulness and experience happiness and joy, peace and tranquility, gratitude and resilience.  Nature has many gifts to offer but it needs to be visited and cared for.  Micah Mortali offers ways to connect with nature in his book, Rewilding: Meditations, Practices and Skills for Awakening in Nature.

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Image by AndreasAux 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:

  1. Nurturing – self-talk that recognises feelings (naming her feelings) and “turns to those feelings with attunement and loving kindness”, leading to acceptance
  2. Protection – establishing healthy boundaries and limits
  3. Play and creativity – accessing the things that bring pleasure
  4. 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.

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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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.

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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Image by Perez Vöcking 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.

Illness and the Impact of Our Psychological and Social Environment

Over the past couple of blog posts, I have focused on the manifestation of trauma and adverse childhood experiences in our negative self-thoughts and addictive behaviours.  Drawing on the work of Dr. Gabor Maté in the area of compassionate inquiry, I have also discussed how the compassionate approach to addiction is to look beneath the self-destructive behaviour to the person and pain that lies beneath.   In this post, I want to explore more of Gabor’s ideas about the negative impact of adverse psychological and social environments and how they lead to chronic disease.

Gabor suggests that a fundamental flaw of the traditional medical model is the separation of mind and body and viewing a person in isolation from their psychological and social environment.  This leads to a symptomatic perspective on illness and the use of medications to redress the symptoms.  He suggests that these deficiencies in the approach of traditional medical practice are no more highlighted than in the pursuit of the search for a cure for cancer.  He draws on the work of a holistic wellness expert who illustrates this flawed thinking by arguing that the research of individual cells for the source of cancer is like exploring the combustion engine as the cause of traffic jams.  

Gabor strongly maintains that his years of family medical practice and his role as Coordinator of palliative services (end-of-life care) for a hospital have convinced him that underlying all chronic disease, without exception, is a deficient psychological and social environment of the individual involved.  His assertion is based, in part, on the assumption that a defective social and psychological environment negatively impacts the immune system as well as other bodily systems (such as the respiratory and cardiovascular systems) that are inextricably interconnected.  He asserts in live with Buddhist philosophy that everything is connected to everything else and that “nothing exists on its own”.  He cites the Buddhist concept of life as the “interconnection of co-arising phenomena”.

He argues that in line with this perspective which reflects the reality of human existence, that a leaf and raindrop should be viewed not as isolated occurrences but as resulting from the interplay of soil, compost, sky, sun, rain and atmospheric conditions.  Louie Schwartzberg would add the role too of mycelium (mushrooms and their internet-like connected tentacles beneath the earth).  Gabor maintains that we have to take a “biocycle, social approach” to really address the causes of chronic illness.

The impacts of injurious psychological and social environments

Gabor in his YouTube© talk on “When the Body Says No”, draws on scientific studies to demonstrate the connection between stress and disease.  He maintains that an injurious psychological and social environment has major implications for the development of illness.  He illustrates this interconnection, for example, by discussing the impact of stressed parents on the physical welfare of a child.  Parents themselves can be stressed by their environments (economic and social systems, the presence or threat of war, racism) and/or their own lived experience of trauma or adverse childhood experiences.  The child, in consequence of this psychological/social environment, is stressed and scan suffer from asthma (which itself is treated with stress hormones to open the airways and reduce inflammation, resulting in the adrenal system becoming overcharged).

The parents’ stress is contagious – the child is aware of their own body and the impacts of parental stress on their bodily sensations.  The pain of the parent, mother and/or father, is experienced by the child but the real problem is that this pain “never gets discharged”.  Gabor cites Australian research that demonstrates that our bodies adapt to our psychological and social environment (as well as our physical environment).  He maintains that some of this adaption is helpful in the short term but in the longer term results in adverse bodily manifestations such as elevated blood pressure, heightened stroke risk, unhealthy sugar levels, arteriosclerosis and defective immune system.

Gabor also refers to research that shows that if a woman is both stressed (psychological environment) and isolated (social environment) her chances of a lump in her breast being diagnosed as malignant are increased immensely.  This research reinforces the interplay of illness and the psychological/social environment of an individual.  Other research shows that if one partner of an elderly couple dies, and the other partner is left bereaved and isolated, there are deleterious changes in the surviving partner’s immune, nervous, hormonal and cardiovascular systems, resulting in a “significant risk of dying”.

The development of illness through the suppression of challenging emotions and our own needs

Gabor demonstrates that suppression of challenging emotions such as anger negatively impacts the immune system and other connected bodily systems.  A person may suppress expressions of anger to gain and/or maintain parental affection and affiliation (because their absence is too painful).  The result of suppression of challenging emotions is “suppression of the immune system”. 

Gabor argues that a  key contributor to disease is a personal stance that is forever worrying about other people’s psychological needs while “ignoring your own needs”.  This can manifest as feeling responsible for the feelings of others and avoiding any words or actions that might disappoint them.  Gabor argues then that there are four significant risk factors that contribute to chronic illness and are life-threatening (18 minute mark of his talk):

  1. Ignoring your own emotional needs to cater for the perceived needs of others
  2. Identifying yourself with duty and responsibility in a way that is rigid (at the cost of your own authenticity, thus creating an external locus of control)
  3. Repressing challenging emotions such as anger or resentment
  4. Believing that you are responsible for how other people feel and, in consequence, trying assiduously not to disappoint them (and, as a result, never saying “no” when you should do so for your own health and welfare).

Gabor contends that “attachment” is the “most important dynamic in human life”.  Without it, we cannot survive as infants or adults.  We seek “closeness and proximity” with another so that we “are taken care of”.   He maintains that pathologies arise when our attachment needs are not met. This, in turn, leads to frustration of our other basic need, the need for “authenticity” – which he expresses in terms of our ability to be in touch with, and listen to, our “gut feelings”.  Gabor instances the  “please love me syndrome” of Robin Williams as an underlying cause of his depression and chronic illness,  leading to his death by suicide.

Reflection

We cannot ignore the impact of our psychological and social environment on our physical health.  At the same time, we have to recognise that we are contributing to the creation of a psychological and social environment that could be healing or harmful for others, especially if we are in a caring or managerial role.  Gabor explains his ideas about stress and illness in his book, When The Body Says No: The Cost Of Hidden Stress.  He also provides training and further resources on his website, The Wisdom of Trauma.

As we grow in mindfulness, we can become increasingly self-aware and aware of our impacts on the physical health and psychological welfare of others.  We can be more determined to take compassionate action, to look beneath self-destructive behaviours to find the person desirous of wellness and associated ease.

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Image by Pete Linforth 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.

Understanding the Pain Beneath Trauma and Addiction

Dr. Gabor Maté encourages us to look beyond trauma and addiction to the unfulfilled needs and pain that lie beneath.   He maintains that the traumatic events and adverse childhood experiences are not the trauma but the catalyst for the trauma that is created within an individual.  This traumatised inner landscape reflects the pain of unfulfilled needs experienced by the individual and manifested in addictive behaviours, that are often self-destructive.  The internal trauma involves disassociation from one’s true self and distortion of internal and external perception.

Gabor offers compassionate inquiry as a way to help a client access their inner pain and distorted self-beliefs.  His approach is confronting but compassionate, penetrating but respectful, persistent but with a healing intent.  He is intent on helping an individual come to his own truth and to understand the connection between their trauma experiences and their addictive behaviour.   He makes the point that addiction is not just about drugs but people can be addicted to anything – to work, sex, “the need to please”, money, food, shopping, or anything else that holds them captive in compulsive behaviour that is injurious to the individual physically, mentally or intellectually.

One way we can understand the pain that lies beneath other people’s addiction and our own is to hear Gabor talk about examples and/or see him work with someone in his compassionate way.  By observing him unravel the threads that link a traumatic event or developmental experience to the self-talk that underlies addictive behaviour is enlightening and a motivation for compassion for others and self-compassion.

The negative self-stories that lie beneath addictive behaviour

We are very impressionable in early childhood and are forever trying to make meaning out of events in our life and experiences that flow from these.  Gabor states that children are basically “narcissists in the developmental sense” – everything is personal to them.   When parents, for example, are unhappy, fearful or sad because bad things are happening, then the child thinks “it must be about me” and develops low self-belief and negative self-talk accordingly.

Gabor talks about his own addiction to his work as a family medical practitioner as a way of fulfilling an unmet need.  His adverse childhood experiences during the Holocaust led him to believe that he “was not wanted in the world”.  His workaholic behaviour, negatively impacting his family and his clients, was designed to enable him to feel as though he was wanted and needed.  However, the continuous positive reinforcement of his role led to entrenchment of his addiction to work.  Beneath the workaholic behavior was an attempt to address the self-talk that reflected the pain of an unfulfilled need – the need to be wanted and protected (a basic attachment need).

In his interview podcast with Joe Polish, Gabor explored what Joe described as his sex addiction earlier on his life.  He had been molested in childhood over two years and his parents, who themselves were traumatised at the time, did not protect him.  His negative self-talk then was  around “I am only valued for my body” – thus leading to addiction to sex to fulfill his unmet need to be wanted and needed.  Gabor stated that acknowledging and confronting this unmet need is painful but essential for healing.  Addiction is often an escape to avoid facing up to a deep pain that seems bottomless.

Developmental trauma and worldview

In the interview with Joe Polish, Gabor maintained that there is another form of trauma that is not derived from a specific traumatic event.  He described developmental trauma as a disconnection from self that arises through a defective developmental childhood, resulting in a distorted worldview.  He instanced the different developmental traumas that can arise with parents who fail (for whatever reason) to provide a balanced environment for a developing child.  If, for example, the father was highly competitive, aggressive, domineering and “raging” at times, the child learned that the world “is a horrible place” and the way to survive is to be aggressive, grandiose and defensive. 

If, on the other hand, a child experienced an early childhood environment where she was bullied by her peers and informed by her mother that she should get out there and face them for “there is no room for cowardice”.  In Gabor’s interpretation, the message would be “to suck it up” – put up with whatever is happening, even if it is abusive and bullying.  Gabor commented that this worldview would lead to passive behaviour, even where someone is abusive and aggressively invading your personal space.

So our early developmental experiences can lead to aggressivity or passivity, depending on the nature of these experiences.  In both the early childhood experiences described above, there was an unmet need for protection and warmth.  The pain of this deficit was hidden beneath the individual’s distorted worldviews and consequent “habituated behavioural patterns”.

Reflection

Gabor maintains that “recovery” from trauma and addiction involves “reconnection with yourself” – being in touch with your feelings, intuition and insight.  It also involves replacing distorted perceptions of the world and self with compassionate understanding of the fragility and complexity of the human condition.

When I think of my early childhood, I recall the 18 months I spent in an orphanage separated from my younger sister and parents when I was four years old, as well as the 12 months boarding 100 kilometres from home when I was seven years old.  My negative self-talk, in line with Gabor’s experience, would have been “I am not wanted by my mother” (even though she was suffering serious illness at the time and could not take care of me while my father was on army duty overseas).  These early adverse childhood experiences may have translated, after completing secondary school, to my pursuit of study for the priesthood  – a very strong desire of my mother.  Thus I could have been trying to fulfill that unmet need to be valued by my mother – and during the five years of my religious life I certainly gained reinforcement of how much my mother valued me in that role.  I left the religious life more than 50 years ago because I decided “it was not for me”.

On reflection, I can see that my distorted perspective of what I perceived as a lack of care and concern for me by my mother was derived from my narcissistic orientation as a child (in reality, my mother was incredibly thoughtful, kind, generous and courageous – at the time of my separation she was not only very seriously ill, but grieving for the death of my four month old brother that occurred just before I was sent to the orphanage).

As we grow in mindfulness through reflection and meditation, we can gain insight into the antecedents for our behaviours and come to understand the source of our negative self-talk.  We can also renew our sense of wonder and awe, not only about nature but human life as well.

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Image by Carina 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.

Compassionate Inquiry as a Healing Mode for Trauma and Addiction

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

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

Compassionate inquiry to heal addiction and trauma

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

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

Paying attention to the cues

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

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

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

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

Training in compassionate inquiry

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

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

Reflection

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

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

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Image by John Hain from Pixabay

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

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