reflection

On the Frontline During COVID – Self Caring for the Carers

Professor Cynda Hylton Rushton and Rheanna Hoffmann recently engaged in a moving video podcast conversation that highlighted the scars and distress of what it means to be a frontline nurse during the COVID pandemic. They covered not only the impact on nurses physical and mental health but also explored strategies that could be adopted by nurses to manage their distress. Cynda will be a key presenter at the free, online Healing Healthcare Summit in early February 2022.

Cynda is incredibly well-informed about nurses experiences during the pandemic, being a nurse herself and working with nurses to develop what she calls “moral resilience” – the ability of an individual to “restore or sustain” integrity in the face of the onslaught of challenges to their inner harmony and capacity to align their words and actions with their values and deep commitments.

Cynda, whose focus includes clinical ethics and contemplative practice, brings to the conversation penetrating insight and deep caring and compassion – characteristics that are manifested in her faculty work with the clinicians training program, Being with Dying. Cynda is the author of Moral Resilience: Transforming Moral Suffering in Healthcare.

Rheanna is an emergency nurse who is also a meditation practitioner and teacher with extensive experience in mindfulness and its benefits. During the worst of the pandemic in the US, she volunteered to work in New York City. Her personal recollections of this experience can be found in an interview where she shares an intimate insight into what happened for herself and others during the overwhelming crisis. Her presentation is part of the Mindful Healthcare Speaker Series which is readily available as a “resource for challenging times”.

In her discussion with Cynda, Rheanna provided an expose of her emergency nursing experience during COVID that is raw and vulnerable but manifests her openness and courage. I have previously reported on Rheanna’s interview about death and the dying process with Frank Ostaseski, Founder of the Zen Hospice Project. Rheanna herself is the Founder of The Whole Practitioner designed to help nurses “to rediscover health, balance and their core values” after experiencing burnout, exhaustion and deeply personal frustration.

The distress of frontline COVID nurses

Rheanna recounted in telling detail the nature and extent of distress experienced by COVID nurses, especially those who were engaged in emergency wards. She spoke emotively about the following experiences and sensations:

Reaching the limit of effectiveness of personal resources – whether that be yoga, friends or colleagues
Experiencing isolation and loneliness – tendency to withdraw physically and mentally to deal with the overwhelm
Feeling incredibly bare and vulnerable – the challenge of people dying and grief (that of relatives/friends and your own grief)
Physical exhaustion – tired beyond belief and suffering from lack of sleep, resulting from replaying adverse incidences
Feeling chronic hopelessness and helplessness – the challenges were beyond the capacity of individuals and the health system itself; exposure to personal limitations in the face of so much death and suffering. Associated with this sense of helplessness are nightmares, flashbacks, randomly crying and insomnia.
Separation from self – the natural consequence of traumatic experiences.
Loss of a sense of balance – impacting how time, health and relationships are valued or devalued (because of lack of time allocated to them)
Burnout – on physical, psychological and moral levels. Rheanna described this as “acute burnout” reducing the energy for self-care and potentially leading to thoughts of suicide.

Rheanna pointed out that nurses, including herself, were normally able to “compartmentalise” their adverse experiences and do so in a way that was healthy, However, the adverse experiences from the pandemic were “unrelenting”, leading to chronic distress. Part of the frustration was the inability of frontline nurses to help others at times when they were feeling so “fragile”.

Self-caring strategies for frontline COVID nurses

Cynda offered several self-care strategies for COVID nurses during her conversation with Rheanna. Some covered ways of addressing negative self-talk while others focused on adopting a changed perspective and mindset or instituting a mindfulness practice:

Mindfulness practice: Cynda offered a mindfulness practice that could be used by COVID nurses experiencing distress and burnout. This focused initially on the breath with the out-breath being viewed as a release of stress. In the exercise, the exhale stage was lengthened to accentuate and support release. Participants were encouraged to rest in the gap between the in-breath and out-breath and, where possible, extend this gap between breaths. A slow body scan was the next step with emphasis on identifying and releasing points of tension. Participants were encouraged to focus on an anchor of choice to stop their minds addressing their extended to-do list or diverting into worrying. Cynda suggested that nurse participants become conscious of how many miles their feet have travelled in pursuit of their daily caring and the level of support that their feet have provided. Lastly, she encouraged the nurses to employ statements such as:
- May I trust the wisdom of this moment consciously and fully.
- May I have the courage, honesty and openness to see things clearly and without judgment.
- May I be willing to let go of what impedes me rather than helps me.
- May I encounter a wise mentor to assist me to deal with these challenges.
Confronting your own limitations: Rheanna pointed out the sense of guilt and shame that she experienced that were driven , in part, by her self-talk – “you could have done more”, “if only you had acted faster”, “if you had paid attention more fully you could have saved more people”, “if only you had been able to convince people to make different decisions”, etc. Our minds are very creative when it comes to self-denigration and negative self-evaluations. It is important to acknowledge that no one could have handled the challenges for nursing presented by the pandemic and not experience their debilitating effects. Cynda suggests that nurses need to “turn towards their limitations” and do so “with as much compassion “ as they extend to others. There is scope here for loving-kindness meditation for oneself.
Changing your perspective: Cynda stated that the tendency in these crisis situations is to think that you are carrying the load by yourself because there is a natural tendency to turn inwards to cope with what is happening. She argues that what is required is a change in perspective. For example, she asked Rheanna to think about “Who else is carrying the load of the pandemic? “Who has your back? (e.g. friends, family, colleagues local and abroad & mentors).
Separate effort from outcomes: Cynda maintained that a form of self-care is to acknowledge that the health outcomes are often beyond the control of a nurse. She stated that In her own work she does the best she can in the circumstances to meet an identified need but recognises that the specific outcomes are not in her control – there are too many intervening aspects impacting the final outcome. Cynda maintains that freeing yourself from expectations and outcomes is crucial for a nurses’ welfare. In the pandemic, COVID nurses such as Rheanna attempted to “fix unsolvable problems”. Nurses’ health outcomes were not the result of lack of effort or smarts but because the pandemic situation exceeded the capacity of individuals and the health system itself.
Savour achievements – Cynda reinforces the view that the brain has a natural negative bias and is more likely to “mull over” what did not go well rather than “honour what we are able to do in the moment”, given the circumstances thrust upon us. She stated that nurses need to focus on how they made a difference in people’s lives, e.g., holding someone’s hands as they were dying, gasping for breath or having a tube inserted to enable them to breathe. This thought expressed kindly by Cynda precipitated a chain reaction from Rheanna who began to identify numerous moments when she “deeply showed up with people” and , in the process, rediscovered “what it means to be a nurse” and gained insight into the very core of her being and who she was. The other aspect that Rheanna savoured was her deep connection with people who were suffering – in spite of what was happening around her independently of her best efforts.

Much of what Cynda proposed as strategies to help nurses deal with the extraordinary level of stress of frontline work during the pandemic can be incredibly useful for all of us to manage stress and resultant distress in our daily lives. As we grow in mindfulness through meditation, reflection and other mindfulness practices we can reshape our perspective and expectations, savour the positive in our lives (including being alive), confront our grief and limitations and achieve the freedom of separating outcomes from effort in our chosen endeavours.

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Image by Gerd Altmann from Pixabay

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

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

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)

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

How Trauma Impacts Our Behaviour

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

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

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

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

Recovery from trauma and addiction

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

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

Reflection

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

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

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

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Image by Jubair Bin Hasan from Pixabay

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

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

Life After Grief

In a previous post, I discussed how Rosie Ayliffe converted her grief and anger after the murder of her daughter to the reform of the Australian visa system that was contributing to manipulation and abuse of overseas backpackers. Evonne Madden, in her book Life After: A Testament to Human Resilience, recounts the stories of 60 Australians who have experienced grief after the loss of a loved one. Their stories illustrate that grief is very individual and plays out in distinctive ways over time. It also confirms the view that in most cases grief is not a straight-line experience – there are ebbs and flows often occasioned by trigger experiences, words or actions that lead to flashbacks and emotional pain.

The stories in Evonne’s book reaffirm the resilience of the human spirit and confirm how many people who experience grief find healing by going outside themselves – their anger and pain – to help others in need through compassionate action. Their grief becomes the driver of their energy to ensure that others do not experience their level of pain. As Katherine Woodward notes, trauma can be a trigger for self-awareness and self-realisation.

Exemplars of compassionate action through grief

Evonne details the heart-breaking loss experienced by the people in her stories. Their sadness and grief is palpable but relieved by their strength of character and resilience and by how they have managed their grief by turning to the needs of others. There are too many stories to recount here, but the following exemplars give you some sense of the resilience and courage of the people involved and serves as a teaser to encourage you to explore Evonne’s book yourself.

Lushani Hewage (age 26) lost her parents and one of her sisters in the 2004 Boxing Day tsunami. Her account of the day the tsunami dramatically changed her life, when the wall of water hit the bus they were travelling in, is very traumatic and heart-wrenching. Lushani and her two surviving sisters were initially cared for by relatives in her local area in Sri Lanka. However, she was subsequently sent with one of her sisters to live with an aunt in Melbourne. So there was not only the loss of her parents and a sister whom she had a special relationship with, but also the subsequent separation from another sister and having to adapt to life in a totally different part of the world. Lushani now lives in Melbourne with her partner Sankini and they are both social workers. She makes the point that “getting over” the trauma is not really an option but life does get easier, although people become impatient with your grief and ongoing sadness. Lushani was determined to do something good after her experience and is very committed to the idea of doing social work in the child protection area.
Ajak Kwai (age 51) experienced the loss of her ill mother when she was a child and as a young adult experienced the loss of many relatives who were murdered in Southern Sudan by militia. The civil war also took her father, siblings and fiancé. She finally moved to Australia as a refugee and is now a singer and musician and her soulful music is available on Spotify and YouTube. She stresses the need for modern society to learn from the practice in Africa where everyone drops everything and visits the bereaved family to provide emotional support…and they don’t stop visiting. She maintains that what the world needs today is for us to “go back to the basics of caring for one another”. She argues that forgiveness is important because hatred and revenge not only harms other people but also yourself so that you pay a “double price”. Ajak believes “life is incredible” and “life is a mystery” and she gives expression to these beliefs in her songs. She is a supporter of many organisations catering for women’s rights and refugees.
Gavin Blue (age 52) and his wife Kel experienced the pain and grief of losing a child to stillbirth at 33 weeks. While the hospital staff were very caring and concerned, the photographer seemed to be going through the motions and produced photographs of the Gavin, Kel and their stillborn baby that were “very graphic and forensic” and added to the trauma of the loss of the baby, Alexandra. Kel was not coping at all afterwards so Gavin threw himself into protecting her and getting everything done, including a video of Alexandra’s life. Despite people unwittingly making hurtful comments, Gavin and Kel decided that they had to look beyond the words and “listen to people’s intentions” which were designed to be helpful. Gavin found that the photos he took himself of Alexandra helped him and Kel and made people comfortable talking about the situation “which helps immensely in grief”. This experience inspired him to start Heartfelt which involves volunteer photographers providing free photos for people who have lost a child through stillbirth or have children with very serious or life-threatening illness.

Reflection

I listened to Ajak’s soulful music while I wrote this blog. It reminded me of the healing power of music. So many people have expressed their pain and grief through song and instrumental music, including the great composers and modern day songwriters like Lindsey Stirling. Gratitude journalling too plays a major role in the healing process and is a pathway to resilience and happiness as demonstrated by Lindsey’s daily journalling process.

Grief is a complex mix of emotions fluctuating constantly and expressed in very individual ways. The depth of pain and sorrow described by Evonne can at times feel numbing but the resilience and hope demonstrated by her generous interviewees shines brightly and is overwhelmingly inspiring.

Ajak’s song Love Not Bitterness illustrates the depth of character of these people and their commitment to life and peace. Olivia Gilewski, who lost her mother in a train accident when she was 12 years old, advises us to choose our words and actions wisely because they will be always with us especially after a loved one dies. Her advice is that “You’ve just got to make the best of every day.” As we grow in mindfulness though music, meditation and reflection, we can experience healing, health and happiness and learn to appreciate the beauty of life and nature.

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Image by riyan hidayat 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.

Ways to Engage with Nature

In a previous post I explored the benefits of solitude and silence in nature. Cultivating the practice of being alone in nature can help us to develop self-awareness, patience and self-regulation. It can be useful for gaining insight into the limitations of our perspective on issues such as personal conflict and can provide clarity and insight by enabling us to access our “inner voice”. With increased engagement with nature, we can better understand our life purpose and find creative ways to employ our skills and experience for the benefit of others. But how do you engage effectively with nature to access these benefits?

Ways to engage with nature mindfully

Ruth Allen, in her book How Connection with Nature Can Improve our Mental and Physical Wellbeing, offers multiple suggestions on what we can do to increase the frequency and intensity of our engagement such as:

Mindful photography – this had immediate appeal for me because I love taking photos of sunrises and sunsets, rainforests, beaches, and birds that inhabit waterways, such as ducks, pelicans and water wrens. Adopting a purposeful approach to photographing nature enables us to be fully in the present moment, to notice the detail and attractiveness of what we are trying to capture and to clear the noise and clutter in our head. Ruth suggests too that we can employ the photographic images as a way to represent our emotions and, in the process, increase our self-awareness. Ruth’s book is full of illustrations of mindful photography as well as her wisdom about nature and its connectedness that she has developed through personal practice, experience as an adventurer and her professional endeavours as a geologist and eco-psychotherapist.
Gardening – whether you are pottering around in a garden or cultivating plants in pots, you can gain the experience of the smell of the earth, the sight of the different plant species and the touch and texture of both soil and plants. Developing a herb garden gives an even wider range of aromas, textures and taste. Gardening gives us access to intense sensual experience covering not only sight, taste, touch, and smell but also the potentiality of listening to birds as they traverse our space or reside in our bird-attracting trees and plants. Consciously cultivating plants, shrubs and trees that attract birds, bees and butterflies increases our sensory experience of nature in our own yard. Often nature is literally at our doorstep and we fail to engage effectively with it, just taking it for granted as a backdrop to our busy, noisy lives.
Notice the small things in nature – often the large aspects of nature such as clouds, mountains, sky and oceans capture our focus at the expense of observing the small things in nature. While the macro aspects of nature are indeed awe-inspiring and give us a sense of expansiveness, the micro level provides its own fascination through its diversity, intricacy and connectedness. We can observe at the micro level by close observation or by what Ruth calls, “soft fascination”. Close observation entails focused attention on something micro like a leaf, insect or stone and closely observing its features and marvelling at its distinctiveness whether that be its colours, patterns,, textures, shape or some other feature. Soft fascination, on the other hand, involves letting our eyes “float” across a section of landscape while allowing our mind “to drift into a state of reflection and introspection”.

Reflection

Engagement with nature brings countless benefits and Ruth draws on the scientific evidence of these in her book, including the work of Stephen and Rachel Kaplan. There are many ways we can practice this engagement extending from close physical observation to mindful photography. We just need to form the intention to maximise our engagement with nature to harness these benefits. We can meditate on nature and as we grow in mindfulness, we can enhance the benefits that accrue. Through mindfulness cultivated by mindful observation of nature and nature meditation, we can develop stillness and silence, attention and concentration, awareness and insight and a deep sense of connectedness and interconnection.

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Image by Hai Nguyen 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.

Solitude and Silence in Nature – A Pathway to Self-Awareness and Resilience

We can have an approach-avoidance attitude to solitude in nature – being alone in silence away from other people. It can at first generate fear and tap into all our negative associations with “being alone”. Solitude is different to loneliness because it involves choice – choosing to be by ourselves or to make the most of being “forced” to be alone. It involves developing a positive perspective on being alone – seeing it as an opportunity for increased self-awareness and empowerment rather than a deprivation of company.

Ruth Allen, author of Grounded: How Connection with Nature Can Improve our Mental and Physical Wellbeing, maintains that when we are in nature we are never really alone – we are always in the presence of other living things that are around us that we often do not see. Our natural environment is teeming with life. When we choose solitude in nature, time away from other people, we can become more connected with nature and every living thing. We can be more open to the vibrancy and beauty that surrounds us.

Often, we can be fearful of being alone with ourselves – facing up to who we really are (rather than who we project to others). It means confronting those parts of ourselves that we may not like – it might be our character flaws or personal weaknesses, our past history of unkindness or thoughtlessness or our self-indulgence. Many of these traits can be hidden away from consciousness because they appear too painful to confront. The power of solitude in nature is the gift of silence and quiet reflection – time away from the distracting influence of noise and the pollution of expectations (our own and those of other people).

Gaining self-awareness and clarity

Solitude in nature offers us the opportunity to become increasingly self-aware – to understand who we really are and what we are truly capable of. In his TED Talk, photographer Benjamin Powell argues that solitude in nature gives “our inner voice the opportunity to speak” and reveals our life purpose to us because it unearths our “latent gifts and talents” and cultivates unselfishness. We can move from being self-absorbed to being absorbed in everything around us.

Often when we are experiencing challenges we say, “I need to go for a walk to clear my head”. Solitude in nature gives us the opportunity to develop clarity, restore perspective and find creative solutions to issues that are causing us stress. We can gain insight into our own way of perceiving the issues as well as develop an understanding from other people’s perspective. Reflection through solitude in nature can help us, for example, to understand residual resentment that we may carry after an interaction (even if that was a long time ago). It enables us to step back from the noise and clutter of a busy life and self-indulgence in hurt feelings and to find the insight to balance our perspective on the interaction, including understanding how our own sensitivity has contributed to our hurt feelings and appreciating the influences that contributed to the other person’s behaviour.

Strengthening relationships

When we return from solitude in nature, we are in a better place to engage with others, whether partners, family, friends, or colleague. We can be more self-aware (particularly of our sensitivities and our habituated behavioural patterns), more patient through absorption in the quietness and stillness of nature, more in control of our own emotions and more ready to appreciate others in our life through experiencing gratitude for nature and its freely-given gifts.

Building resilience and self-reliance

When we spend time alone in nature, in stillness and silence, we have to fall back on our resources and resourcefulness. We have to tap into our inner strength as we explore our “inner landscape” with openness and curiosity. Meeting this challenge head on builds our capacity to meet the challenges of everyday life and to learn the depth and breadth of our inner strength. Solitude in nature can provide us with an experience of bliss that flows over into our daily lives and strengthens us when we are confronted by adversity. We know, too, from experience of solitude that we can seek refuge in nature to restore our groundedness and self-belief.

Reflection

If we have an aversion for solitude in nature, we can explore the feelings we are experiencing to better understand the source of our fear. It might be that such solitude is a trigger for a traumatic reaction because of prior adverse experiences. It could be that we are very reluctant to look too closely at our lives and what we have done in the past. Sometimes, we may need professional support to engage with the challenge of solitude.

Ruth contends that we can train ourselves for solitude in nature and offers activities that we can undertake when alone in nature and ten strategies to employ when planning solitude in nature. She also cautions against trying to move too fast or too far when we are not used to spending time alone. Ruth points out, too, that we can progress from a short period to longer periods in solitude as we expand our comfort zone. She also recommends that we reflect on our solitude experience and learn what natural places are more conducive to wellness for us as well as what is an ideal amount of time for us to spend in nature alone.

As we grow in mindfulness through solitude in nature and the resultant self-reflection, we can grow in self-awareness, self-reliance, and resilience to face the challenges of life. We can also gain clarity about our life purpose and what we can contribute to helping others achieve wellness.

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Image by Antonio López 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 and Appreciating the Interconnectedness of Nature

Mark Coleman in one of his nature meditation podcasts highlights the role of rain and its interconnectedness with other elements of nature and human life. He was recording the meditation while standing on a mountainside with mist, coldness and dampness resulting from recent rains. His meditation focused on rain and its beneficial effects for nature and humans.

He spoke of rains reducing the risk of fire, energising the earth and filling rivers inviting the annual migration of salmon from the sea to the rivers in California. He described the rain as “drops of interconnectedness” and explained how clouds evaporate and produce rain, hail and snow which feeds the creeks, rivers and ponds and brings new life to many living creatures. Mark spoke of the “gift of water” that we take so much for granted and he described the earthy smell after the rain has fallen and left its moisture on an otherwise parched earth.

Mark drew on Mary Oliver’s Poem, Last Night the Rain Spoke to Me, to highlight the interconnectedness of rain and the sky, trees, plant life and ourselves as humans living in nature under the stars. We see the life-giving nature of rain after it falls on dry and browning grass. It always amazes me how a seemingly dead stretch of grass can come to life and appear beautifully green after overnight rain. We can see indoor plants that are wilting with leaves that are browning or yellowing on the edges suddenly come to life and thrive when placed in the rain.

Rain, in Marks’ words, are part of the “fabric of connection” that is foundational to the natural world and our human existence. He reminds us that plants breathe out what we breathe in and breathe in what we breathe out – they are like our external, earthy lungs, enabling a vital relationship between humans and trees.

The Earth Law Center discusses other areas of interconnectedness that impact our human existence, e.g., the role of Krill in the marine ecosystem and fungi in the forest ecosystem. They highlight that a growing awareness of the interconnectedness of ecosystems and human life has helped people modify their behaviour and contribute to protecting the environment – they describe the new environmentally aware behaviours as “nature connectedness behavior” and list consumption of organic products and a vegan diet as elements of this enlightened behaviour.

Reflection

We pursue our busy lives so often without an awareness of our interconnection with nature and each other. As we stop, listen, and learn, we can become more conscious of this interconnectedness and its many dimensions. As we grow in mindfulness through nature meditation and experiencing silence in nature, we can begin to understand, appreciate, and value this interconnectedness. Otherwise, we can continue blindly damaging our life-giving ecosystems that we rely on for our very breath and continued existence.

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Image by Steve Buissinne 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.

Self-Care for Mental Health Professionals

In his book, Trauma Informed-Mindfulness With Teens, Sam Himelstein stresses the need for self-care for mental health professionals dealing with traumatised teens. His final chapter is devoted to self-care and professional practice. Dr. Cirecie West-Olatunji, counsellor educator, also stresses the need for self-care for professionals working with people experiencing traumatic stress. Her video presentation is available as part of the courses provided by the Mental Health Academy. Both experts in the area of counselling for trauma highlight the impact of vicarious trauma, especially the risk of mental health professionals experiencing compassion fatigue.

Mindfulness for self-care

Sam himself experienced trauma in his early 20s when he lost his sister through suicide. He makes the point that most health professionals will have experienced trauma of some kind and that this experience leaves them open to triggering their own traumatic response through exposure to the trauma stories of other people. Cirecie highlights the fact that the trauma stimulus can be exacerbated where the professional has previously experienced combined or cumulative trauma.

Sam emphasises the role of mindfulness in helping the professional to deal with their own re-traumatisation as a result of interaction with others and their emotionally draining stories. He stresses the role of a personal mindfulness practice in helping him deal with the trauma of his sister’s suicide.

Sam suggests that a personal approach to mindfulness as a protective mechanism could involve the following:

Silent retreat(s): Sam found these exceedingly helpful because they enable you to fully experience your emotions, gain a deep insight into your inner landscape and develop strategies to maintain or regain your equilibrium.
Formal practice: this entails inculcating a regular mindfulness practice (either sitting, standing, or walking) where you engage in some form of formal meditation. This helps to build your concentration to enable deep listening, empathetic response, and the ability to promote wise action. It also assists you to deal with your own difficult emotions (such as anger, resentment, or frustration), challenge self-defeating narratives and develop resilience in the face of challenging interactions.
Beyond meditation: Sam suggests that bringing mindfulness into your everyday life (in daily activities such as walking, washing clothes, eating, shopping), is effectively “mindfulness-in-action”. It is particularly relevant to your relationships and interactions with others, especially in times of conflict. One way to develop the necessary calmness and equanimity in the face of emotional challenges is to practice reflection-on-action to eventually cultivate the capacity to reflect-in-action, in the course of something adverse happening to you (whether that adversity is real or imagined). Sam stresses the importance of daily mindfulness practices in controlling the “ego” which can get out of hand when it perceives a threat (physical, emotional, or intellectual).

Professional development

Both Sam and Cirecie stress the importance of professional development to build competence and confidence to enable you to operate effectively within your chosen arena of professional practice. For Sam this is the arena of traumatised youth, especially those who have been incarcerated. He offers specialised training for health professionals through his Center for Adolescent Studies. Cirecie’s professional arena includes trauma stress service delivery and training professionals who provide counselling in different countries following disasters such as earthquakes and pandemics. She conducts research and training through her Xula Center for Traumatic Stress Research.

Cirecie stresses the need to gain control over your workload and, where necessary, seek to negotiate a lighter load (for your psychological welfare and that of your clients). She maintains that every mental health professional, irrespective of their level of experience and training, has their window of tolerance beyond which they are unable to function effectively. She gave an example of how a racist client triggered her and how her experience in working in South Africa with a community where people were consistently dying from AIDS took her outside her window of tolerance and led to a severe illness. In both cases, she sought professional counselling and recommends this form of professional development for other mental health professionals.

Cirecie highlights the importance of self-knowledge and self-awareness as critical factors in professional counselling, particularly understanding your own negative triggers. She encourages too the development of your own professional support network that you can draw on for knowledge, experience, resources, and emotional support.

In Cirecie’s view, personal and professional development extends to conscious awareness of the physical and psychological health risks inherent in the role of a mental health professional. She urges appropriate preparation for the role through education which will provide motivation for health self-care (e.g., exercise, stretching (to release physical tension), diet, and drinking water).

Reflection

There are many reasons why mental health professionals do not undertake adequate self-care. When working with clients who have suffered trauma or are currently experiencing trauma, it is critical that the health professional takes time for self-care to enable them to function at their best for the sake of their clients, as well as for their own welfare. Mindfulness practice is recognised as a key component of this necessary self-care. As mental health professionals grow in mindfulness, they are better able to identify personal triggers, develop resilience for their challenging work and build the capacity to engage in deep listening. However, mindfulness practice needs to be supported by an appropriate lifestyle.

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Image by Vanessa Kenah 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.

Mind Your Brain

In the previous post, I discussed the ravages of Alzheimer’s disease on the mental. emotional and physical capacities of the affected person. I particularly emphasised the importance of self-care for the carer whose life is increasingly disrupted and made more stressful because of the cognitive, emotional and financial drain on their personal resources.

Alzheimer’s disease and the associated disorder of dementia are becoming increasingly prevalent in society as our populations age. The Alzheimer’s Association maintains that there are 342,000 people in Australia living with dementia and 44 million worldwide. The Harvard Medical School notes that Alzheimer’s disease is the major cause of dementia.

When you come into close contact with someone who is suffering from Alzheimer’s disease or other forms of dementia, you begin to realise the need to savour your brain as a source of wonder in everyday life. As you see the progressive loss of key faculties by another person, you begin to realise how much we rely on our brains to live effectively and happily in our day-to-day existence.

It is often only when we lose something, or see others lose something that we value, that we begin to really appreciate what we have. The same is true of our brains. And yet, as Andy Puddicombe points out in a YouTube video, we spend more time looking after our hair or car than we do our brains – the source of our thoughts, creativity, happiness, and practical skills. Andy suggests that all It takes is 10 mindful minutes each day to begin to mind our brains.

Protective measures

The Harvard Medical School, in their publication on Alzheimer’s disease and its treatment, suggest a range of protective measures that people can take to either avoid Alzheimer’s or to slow the progress of the disease. They point out however that scientists have not found a cure for Alzheimer’s or found definitive ways to prevent its occurrence – there are still many unknowns in relation to the disease, including the actual impact of genetic factors. The Harvard Medical School, however, notes that lifestyle factors are a major influence on preventing the disease or slowing its progress.

In line with many other sources such as the National Institute of Aging, the Harvard Medical School recommends exercise, diet, weight reduction, restful sleep and mental stimulation as protective measures. They remind us that what is good for our brain and body is also good for our heart.

The Harvard Medical School provides health reports on the benefits and techniques for different exercise routines. They particularly stress the multiple benefits of walking in their publication Walking for Health, including the positive impacts on blood pressure, memory, heart health and weight. Walking is one of the easiest and most accessible forms of exercise and they suggest that it is a good place to start for people who are not used to exercising. In a related article they identify 5 Surprising Benefits of Walking.

The recommendation re restful sleep accords with the research by Stanislas Dehaene, author of the book How We Learn: The New Science of Education and the Brain. Stanislas highlights the key role of sleep in consolidation of learning – in making our learning explicit and building “unconscious competence”.

Mental stimulation as a way to mind your brain

The Harvard Medical School maintains that while level of education has a positive effect on maintaining a healthy brain (through the process of creating “cognitive reserve” in the form of neurotransmitters and brain cells), what is more important as you age is to engage in activities that stimulate the brain. They suggest, like the Institute of Aging’s recommendations re “cognitive training”, that mentally stimulating activities such as playing music, reading, writing, doing puzzles and playing games, can help to develop and maintain a healthy brain despite physically ageing. There are many very active and inspiring octogenarians who provide testament to this possibility.

Minding your brain through mindfulness

Harvard Medical School, in the previously mentioned publication on Alzheimer’s, illustrates how this disease actually shrinks the physical brain as a result of the ”massive loss of brain cells” – which, in turn, “damages areas involved in thought, planning, memory, mood and behavior”. In contrast, Richard Davidson and Daniel Goleman in their book, Altered Traits: Science Reveals How Meditation Changes Your Mind, Brain and Body, reveal that mindfulness meditation actually increases the neo-cortex area of the brain.

They also contend that mindfulness meditation can shape your brain to build resilience. Drawing on the science of meditation they maintain that focused meditation and aligned action can develop the traits necessary for personal resilience – positive connections, awareness, insight into your inner landscape, clarity of purpose and a permeable self.

One of the positive effects of mindfulness meditation is better use and development of your working memory which is an area negatively impacted by Alzheimer’s disease. The act of paying attention facilitates short term memory thus enabling better retention and use of information for improved decision-making and behavioural choices. Harvard Medical School has a series of articles on improving your memory and a comprehensive report on how to keep your brain healthy in the face of age-related memory loss.

Specific mindfulness activities have particular effects relevant to minding your brain. Tai Chi, for example, enables you to deepen the mind-body connection as well as improve physical health, psychological well-being and overall energy levels (thus facilitating other forms of exercise such as walking).

Reflection

Harvard Medical School emphasises the need to mind your memory to offset the occurrence of memory lapses which are a natural part of the ageing process. Looking after our memory can be one of the many protective measures that we can employ to prevent or delay the onset of Alzheimer’s disease and its multiple debilitating effects.

As we grow in mindfulness, through meditation and other mindfulness practices such as Tai Chi, we can enhance our working memory, build resilience, develop our physical brain, and improve our overall psychological well-being which further reduces the strain on our brain brought on by life’s stressors. Developing the habit of mindfulness is a very sound and healthy resolution for the New Year.

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Image by Mabel Amber from Pixabay

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

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