Tag: safety

Moving from Trauma in a Relationship to Trust

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

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

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

3 steps to the trauma response

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

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

Recognising trauma created in a relationship

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

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

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

3 step approach to releasing stored trauma

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

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

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

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

Reflection

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

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

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

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Image by Gerd Altmann from Pixabay

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

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

Mindfulness Meditation – Being With Things As They Are

Allyson Pimentel presented a guided meditation on “Mindfulness” for the MARC, UCLA  meditation podcast series.  In the meditation, she described mindfulness as paying attention in the present moment with an attitude of acceptance and kindness and a  “willingness to be with things as they are”.   She suggested that mindfulness can be either formal (as with the UCLA guided meditations) or informal  (occurring  throughout our day as we focus on the present moment).

Mindfulness then entails paying attention in a kind way to things as they are occurring in our life in the present moment – not wishing them to be different or to go away.  In this regard, Allyson maintained that mindfulness meditation can serve as a refuge – a safe place to nourish, restore and renew ourselves in challenging times.  We can feel overwhelmed by external events (such as  storms and severe weather events) or internal experiences (such as challenging emotions, deprecating thoughts or painful bodily sensations).   Mindfulness meditation offers the opportunity to regain our equilibrium when faced with these challenges.

Allyson likens mindfulness meditation to a “wildlife reserve” where our own “animal bodies” are protected, kept safe and nurtured so that we can cultivate the “beauty” of kindness, gratitude, generosity and wisdom.  Mindfulness meditation, then, can be a place of quiet restoration, renewal of our sense of wonder and gratitude and a means to mind-body balance.

Guided mindfulness meditation

Allyson progresses through the meditation by focusing in turn on bodily sensations, challenging emotions, disturbing thoughts and the ease and calmness of our breath:

  • Bodily sensations – we are asked to focus on a part of our body where we feel tightness and to be with this bodily sensation in all its dimensions (such as soreness, pain, tension).  Allyson invites us to soften this part of our body and allow some degree of ease to permeate our bodily sensation.  This involves a process of recognition and acceptance of what we are experiencing in the moment, rather than rejection or fighting against the sensations.  After focusing on a particular bodily part and accompanying tight sensation, we are encouraged to undertake a process of progressive body scan and relaxation.
  • Challenging emotions – we now focus on any challenging emotion such as resentment, anger, frustration or annoyance.  This involves being with the emotion, not attempting to deny it.  It requires an openness to what is – in all its amplitude and disturbance.  Again the process involves recognition and softening towards what we are experiencing, not hardening our hearts.
  • Disturbing thoughts – we might be simultaneously experiencing disturbing thoughts such as negative self-evaluation and self-censure.  As we get in touch with these thoughts and their impacts on our body and emotions, we can learn to diffuse them by accepting their presence and being with their intensity, while acknowledging that “we are not our thoughts”.
  • Breathing – finally, we can take refuge in our breath which is ever present to us.  We can focus on our breath wherever we experience it in our body, e.g., our chest, abdomen or nose.  This involves acceptance of the nature of our breath, not trying to control it.  As we tune into and listen to our breath, we can experience ease and freedom.

Reflection

At the end of the guided meditation, Allyson invited us to observe any aspect of our body that still feels tense or tight and to be with the sensation.  At the time, I had a tightness in my right ankle from a bit of swelling there.   The act of focusing and softening eased the sensation of tightness and pain.

As we grow in mindfulness through meditation and informal mindfulness practices throughout our day, we can access the well of ease, experience a refuge from challenges we are encountering and restore our equilibrium and sense of balance.

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Image by Dominik Rheinheimer 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.

                                                                                                        

Developing Kindness through Meditation

Neuroscientists tell us that we become what we focus on because the act of focusing and paying attention creates new or deepened neural pathways in our brain.  So if we are constantly obsessed with criticism – finding fault – then this stance begins to pervade our whole life, and nothing will ever satisfy us.  So too if we develop kindness through meditation, our thoughts and actions become kinder towards ourselves and others.

Diana Winston, Director of Mindfulness Education at the Mindful Awareness Research Center (MARC) at UCLA, offers a specific guided meditation designed to develop kindness.  This meditation podcast is one of the weekly podcasts offered by Diana or one of her colleagues on a weekly basis through MARC – drawing on personal experience, dedicated research and the wisdom of the global mindfulness community.  The kindness meditation as with most MARC meditations begins with being grounded and then moves to offering kindness to ourselves followed by kindness to others.

Becoming grounded in meditation

There are multiple ways to become grounded – becoming focused, still and fully present.  Often, we can start with deep breathing to enable our body and mind to relax and increase awareness of our bodily sensations.  This enables our focus to move inwards and away from the distractions and intensity of the day – away from the anxiety, negative thoughts and worries associated with meeting deadlines, doing presentations, dealing with conflict or challenging interactions with colleagues or salespeople in stores and supermarkets.

Once we gain some sense of balance and ease with deep breathing, we can move on to undertake a body scan.  This entails progressively noticing the various parts of our body and related bodily sensations, releasing any tension and tightness as we progress.  We can observe the firmness of our feet on the floor, straightness of our back, weight of our thighs on the seat, the pressure on our back from the chair and the tingling and warmth from energy flow in our fingers.  Observation will lead to awareness of tension which we can release as we go – tautness in our shoulders and arms, rigidity in our stomach, stiffness in our neck or tightness in our jaw, forehead or around the eyes.  It is important to focus on tension release and not seek to work out why we are so uptight or tense or, even more importantly, to avoid “beating up” on ourselves or being unkind towards our self because of the “failing” or deficiency” represented by our tension.

Finding our anchor in meditation

The next stage of the meditation is to find an anchor that we can continuously return to in the event of distractions or loss of focus – an anchor to stop us from being carried away by the tide of our thoughts or emotions.  An anchor is a personal choice – what works for one person, may not work for another.  Typically people choose their breath, sounds in the room or some physical contact point.

You can focus in on your breath – bringing your attention to where you most readily experience breathing – in your chest, through your nose or in your abdomen. For instance, you can increase your awareness of the rise and fall of your abdomen with each breath and choose to rest in the space between your in-breath and out-breath.

Another possible anchor is listening to the sounds in your room – listening without interpreting, not trying to identify the nature or source of a sound and avoiding assigning a feeling, positive or negative, to the sound.  You can develop a personal preference for using your “room tone” as your anchor.

Choosing a physical contact point in your body is a useful anchor because it enables you to ground yourself wherever you happen to be – whether at work or home or travelling.  It can help you to turn to awareness rather than your phone whenever you have waiting time.  An example is to focus on the firmness of your feet on the ground, the floor of your room or the floor of your car (when it is not moving!).  My personal preference is to anchor myself by joining my fingers together and feeling the sensations of warmth, energy and strength that course through the points of contact of the fingers.

Whatever you choose as an anchor, the purpose is to be enable you to return your attention to the focus of your meditation and, in the process, build your awareness muscle.  As Diana reminds us, “minds do wander” – we can become “lost in thought”, distracted by what’s happening around us,  planning our day, worrying about an important meeting, thinking of the next meal, analysing a political situation or indulging in any one of numerous ways that we “live in our minds”.

Throughout the process of grounding, it is important to be kind to our self – not berating our self for inattention or loss of focus, not assigning negative labels to our self, such as “weak”, “distractible”, or any other derogatory term.

Kindness meditation

The kindness meditation begins with focusing on someone who is dear to us – our life partner, a family member, a work colleague or a close friend.  Once you have brought the person into focus, the aim is to extend kind intentions to them – you might wish them peace and tranquillity, protection and safety, good health and strength, happiness and equanimity, the ease of wellness or a combination of these desirable states.

You can now envisage yourself receiving similar or different expressions of kind intentions from the same person.  This can be difficult to do – so we need to be patient with this step and allow our self to be unsuccessful at the start (without self-criticism or unkindness towards our self).  We can try to become absorbed in, and fully present to, the positive feeling of being appreciated and loved. Drawing on our memories of past expressions of kindness by the focal person towards us, can help us overcome the barriers to self-kindness.

You can extend your meditation by focusing your loving kindness meditation on others, particularly those people you have difficulty with or are constantly in conflict with.  We can also extend our kindness meditation by forgiving our self and others for hurt that has been caused.

Reflection

Kindness meditation helps us to grow in mindfulness – to become more aware of others, the ways we tend to diminish our self, our bodily sensations and our thoughts and feelings.  It assists us to develop self-regulation – learning to maintain focus and attention, controlling our anger and criticism (of our self and others) and being open to opportunities and possibilities.   Through the focus on kindness, we can become kinder to our self and others (even those we have difficulty with).

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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.

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.

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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.

A Guided Meditation on Self-Compassion

Diana Winston provides a guided meditation on self-compassion as part of the weekly offerings of meditation podcasts from the Mindful Awareness Research Center (MARC), UCLA.   These weekly podcasts are also available via the UCLA Mindful App.  

Diana explains that the tendency to be self-critical – to disown parts of ourselves that we don’t like – is universal, not the province of a single age group, gender or ethnic group.  We can hear our own voice telling us that we are “stupid” “undeserving”, “inconsiderate” or some other self-demeaning term.  These inner voices focus on our flaws and not our essential goodness or kindness.

In line with the research and philosophy of Kristin Neff, Diana encourages us through self-compassion meditation to accept ourselves as we are with all our warts and flaws and to recognise that in common with the rest of humanity we make mistakes, make poor decisions and say or do things that we later regret.

A guided self-compassion meditation

In her introduction to a guided meditation on self-compassion, Diana leads us through a basic process for becoming grounded – adopting a comfortable position, taking a couple of deep breaths and engaging in a body scan to release points of tension to enable us to become focused on the task at hand. Diana then takes us through three basic steps of a self-compassion meditation:

  • 1. Mindful awareness of our negative “voices” – getting in touch with the self-criticism in our heads and being able to accept ourselves as we are, with all our faults, failings and mistakes.  This does not mean engaging with the voices but noticing what they are saying and accepting that we are not perfect.
  • 2. Recognising that flaws are an integral part of our shared humanity – acknowledging that this is part of the human condition.  No one is perfect and everyone makes mistakes – we have this in common with the rest of humanity.  We can then offer self-forgiveness and kindness to ourselves.
  • 3. Extending kindness to others – when we recognise that we share a flawed existence with the rest of humanity, we are better able to offer kindness towards others.  We can start by expressing gratitude to the people we admire and acknowledging how they enrich our lives. We can then extend this kindness to wishing them and others safety, health, happiness and the ease of wellness.

As we grow in mindfulness through awareness of our negative voices and our inherent flaws, we can learn to accept ourselves as we are, acknowledge our shared humanity and extend self-compassion to ourselves and kindness to others.

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Image by Ioannis Ioannidis 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.