Trauma-Informed Mindfulness: Guidelines for Effective Helping

Sam Himelstein, in a podcast interview with David Treleaven, discussed the principles for teaching mindfulness that he has developed over more than 12 years working with teens impacted by trauma.  His principles and related guidelines have relevance for anyone using mindfulness to help people who have experienced trauma. 

Besides his discussion in the interview mentioned above, Sam provided a blog post that addresses the guidelines explicitly.  The principles and guidelines (together with examples from real cases, teaching material and  practical exercises) are explained in depth in his forthcoming book,  Trauma-Informed Mindfulness for Teens: A Guide for Mental Health Professionals.

Guidelines for effective helping of people impacted by trauma

The guidelines developed by Sam Himelstein provide clear and consistent actions that can be taken by anyone helping people impacted by trauma:

  • Do no harm – this is a fundamental guideline informing the others.  Through research, study and practice of trauma-informed mindfulness practice, we can be more aware of potential harm and have the tools to do the best we can to avoid further harming the person suffering from trauma.  Sam mentions two resources that he draws on, The Meditation Safety Toolbox and Chris Willard’s Guidelines for Ethical Teaching of Mindfulness.
  • Avoid prescription about “meditation logistics” – people who are impacted by trauma are often unable or unwilling to start with formal meditation.  Sam urges us to avoid being inflexible through insisting on a set posture or closed eyes when initiating our helping interaction.  This requires letting go of the structural prescriptions of our own meditation training.  It is important to recognise that the people we are helping will be in a “different space” but can still develop mindfulness (inner and outer awareness) with processes other than formal meditation.  We need to acknowledge that mindfulness is more than just meditating.
  • Establish safety – it is critical that the person we are helping feels safe.  If they do not feel safe, they may experience re-traumatisation.  In addition to physical safety, this involves relationship and emotional safety through developing trust, being authentic and being prepared to modify our approach to suit where the person is at.  A more involved aspect of safety is what Sam calls cultural safety developed through “intersectional awareness”.  This requires an awareness of our implicit biases when dealing with people who have characteristics different to our own, e.g. gender, ethnicity, religion, age, sexual preference, disability or “class”.
  • Employ somatic practices first – this involves recognising the role of body memory in trauma and being cognisant that cognitive approaches commenced too early in the intervention can exacerbate the situation for the trauma-affected person.  Sam indicated that he often uses deep breathing exercises and basic somatic meditations.
  • Understand the “window of tolerance” – relates to a personal zone within which a person is able to effectively employ their cognition to “receive, process and integrate information”.  If a person is outside their window of tolerance than are unable to engage effectively in talking, telling stories or undertaking meditation practices.  Sam suggests that a sign of this “intolerance” is the person’s inability to use language, e.g. unable to formulate complete sentences or follow a line of discussion.  He recommends the book Trauma and the Body, as a resource for understanding the “window of tolerance” and learning about somatic approaches to trauma healing.

Reflection

As we grow in mindfulness through meditation practices, research and reflection, we can develop our awareness and understanding of the sensitivity of trauma-impacted people to formal meditation.  This requires that we become more aware of the “window of tolerance” and develop our capacity to pay attention to the signs that someone we are working with is not coping with our processes.  Associated with this, is the need to build the relationship through establishing safety and trust.  Employing somatic approaches will be more effective if we have experienced their utility ourselves as part of our own mindfulness practice and experience.   The more mindful we become, the better we will be able to help people impacted by trauma – for one thing, we will be able to let go of our assumptions and become more aware of our biases.

____________________________________________

Image by enriquelopezgarre 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-Informed Mindfulness: Principles for Effective Helping

Sam Himelstein has specialised for more than 12 years in using mindfulness to help teenagers impacted by trauma.   In a podcast interview with David Treleaven, Sam explained in depth his approach to teaching mindfulness to teens affected by trauma, as well as the evolving principles that shape his practice. While his focus is primarily on teens and educating others to work with teens, his approach and principles have relevance to anyone who is using mindfulness to assist people impacted by trauma (or anyone who is teaching mindfulness where a participant is a trauma sufferer).  He has developed his principles through ongoing reflection on practice.

Sam is a psychologist and youth worker and the author of A Mindfulness-Based Approach to Working with High-Risk Adolescents and the forthcoming book, Trauma-Informed Mindfulness for Teens: A Guide for Mental Health Professionals.  He is also the founder of the Center for Adolescent Studies.

Principles for trauma-informed mindfulness practice

In discussing his approach to working with teens impacted by trauma, including incarcerated youth, Sam identified several principles that guide his practice:

  • Avoid “adultism” – the assumption that as an adult you are superior to teens and have a lot to teach youth and they have very little in the way of wisdom to offer.  Associated with this false belief, is the assumption that you know best what is good for them – implying that they should learn from your teachings (that you try to impose on them).  This also involves recognising the wisdom they gained in their transition to a teenager. [You can also test your assumptions when working with adults – do you assume that they have no insights into the nature and practice of mindfulness?]
  • Work from where they are at – do not begin with formal meditation as they are unlikely to be ready for this.
  • Focus on relationship-building – consciously build trust in every aspect of your interaction, as their level of trusting others will have been severely damaged by their trauma experience(s). 
  • Assist teens to become comfortable with “sitting with themselves” and exploring “inner awareness”.
  • Be genuinely curious about what is happening for them and what they are doing to cope – bring an open mind to the interaction.  It can be helpful to identify and test your own assumptions before interacting.
  • Develop your own mindfulness continuously – your inner and outer awareness – and learn to let go of “ego” and the need to control the process.

Reflection

When teaching mindfulness to adults and youth, we need to be aware of the possibility that they may have been impacted by trauma(s) in their life.  Being conscious of the principles employed by Sam will help us to demonstrate sensitivity, build trust and relationships, and work at their pace – rather than to a pre-ordained progress schedule.  It will be imperative for us to grow in mindfulness – becoming fully aware of the assumptions we bring to the teaching/interaction, letting go of ego and the need for control, and genuinely engaging with curiosity, humility and openness.

____________________________________________

Image by Lubos Houska 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.

Our Thoughts Can Affect Our Performance

In the previous post, I discussed how nervousness can affect your mind and body and impact your performance.  I also looked at two strategies – naming your feelings and accessing your success anchor – to gain control over your nervousness.  In this post, I want to focus on how our thoughts can affect our performance.

Our negative thoughts

When we are nervous or anxious about our performance before some public activity, our minds tend to race, and we lose control over our thinking. We can be bombarded with a whole host of negative thoughts – “What if I forget what I was going to say?”, “What will people think of me?”, “How will I ever recover if I embarrass myself in front of my colleagues?”,  “Will I cope if they reject me?”, or “What if I do not meet their expectations?”

These negative thoughts often lead to procrastination.  I have found many times that people fail to start something because of these kinds of negative thoughts.  Sometimes, these disabling thoughts are not at a conscious level – they may just manifest as nervousness or anxiety.  This is where an exercise to name your feelings and the thoughts that create them can be very helpful.

Reframing with positive thoughts

I was recently following up people by phone who had participated in one of my courses – effectively a coaching session.  I was wondering what was causing me to procrastinate.  I have facilitated hundreds of courses and the people I was ringing were participants on my most recent course and yet I was nervous about the phone activity.  I started to follow the suggested step of naming my emotions and identifying the thoughts that gave rise to them.  The thoughts predominantly related to, “Would I live up to their expectations?”, and “Could I actually provide them with some help with their practice or project?”.  Sometimes, our doubts are not rational, but they persist.

Getting in touch with my feelings and negative thoughts enabled me to move on and actually conduct the phone coaching discussions.  What I found was that by controlling my negative thoughts through mindfulness, I was able to change my mindset and view the phone coaching differently.  I came to appreciate the very positive aspects of this exercise and this helped me to reframe the activity as relationship building.  I found that the participants were actually putting into practice in their workplaces the skills we covered in the course and they were having a positive impact on their workplace and the people in their team (intrinsically rewarding feedback!).

I came to the realisation yet again (somewhat blocked by my current anxiety), that my major role was to listen and ask questions for clarification and understanding (mine and theirs).  The experience then was very reaffirming.  Reframing the activity in positive terms, rather than focusing on possible (but not probable) negative outcomes, freed me up to perform better in the coaching interviews.  However, I have a long way to go to be free of “ego” concerns.

Becoming free of ego concerns

When we revisit our concerns or negative thoughts, we often have in advance of some public activity, we begin to realise how much “ego” is involved.  We are concerned about our image – how we will be viewed or assessed, what impact our performance will have on us or our future, what impression we will make or how embarrassed will we be if we “fail”.

These issues constitute ego concerns.  Tom Cronin (The Stillness Project) in his blog post, How to Find the Confidence to Speak in Front of 300 People, suggests that controlling your ego is a key aspect of gaining that confidence.  The less ego plays in determining how you feel about your forthcoming performance, the better you are able to just be present and appreciate the moment. Your presence and sense of calm can be very effective in helping you access your creative abilities and best performance.  He recommends daily meditation as a way to dissolve the ego and gain peaceful presence, no matter what we are doing:

… meditation plays a HUGE role. In the stillness of meditation we connect with that unbounded state of peaceful presence, beyond the limits of the ego. The work is to put aside time to meditate, and then outside of meditation, to observe the difference between that which is ego and that which is not. 

To remove all ego from our thoughts and activities requires a very advanced state of mindfulness.  As Tom indicates, this is a lifetime pursuit, because ego often gets in the road of our performance and our ability to have a positive impact.  However, we cannot wait until we are cleansed of all ego before we perform.

I have successfully addressed 1,800 people at a World Congress in Cartagena, Colombia in South America.  The topic was on action learning and I was doing the opening address as President of the Action Learning and Action Research Association.  My luggage had not arrived by the start of the Congress, so I had to present in my jeans that I wore on the flight over and a colourful Cartegena t-shirt I bought in the street outside the Congress.

I had to let go of any ego concerns about my standard of dress (the other dignitaries were in suits) if I was to actually get up on the stage.  I think this need and the casualness of my dress helped me in my address – it was particularly well received by the Colombians who were present amongst the representatives from 61 countries.  I certainly had ego concerns but the momentousness of the occasion and the potential contribution of the Congress to global cooperation, helped me to get through and manage my nerves.  But you can see I still have ego concerns that are alive and active when I undertake a relatively simple phone coaching activity (as described above) – lots more meditation to do!!

As we grow in mindfulness, we can clear anticipatory, negative thoughts about our performance, identify and control our emotions and progressively remove our ego concerns.

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

Image source: courtesy of xusenru on Pixabay

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