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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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: Relationship Building through Music

Sam Himelstein has developed several basic principles and a series of guidelines to assist mindfulness teachers to sensitively work with people who are impacted by trauma. While these principles have been developed over more than a decade working with trauma-impacted teens, the principles and guidelines are also relevant to anyone working with adults who have experienced trauma. 

Relationship building through music

In his podcast interview with David Treleaven, Sam discussed a particular case that was a primary catalyst to the development of his principles and guidelines.  He provides a more detailed discussion of the case in his blog post, Trauma-Informed Mindfulness with Teenagers – 9 Guidelines.  The case involved a 17-year-old high school student, Jeanette, who had experienced a traumatic childhood with many categories of traumatic events in her life, including drug addiction of her father.  She had approached Sam, a registered psychologist, for help with her trauma-related issues.

During initial psychotherapy treatment, Sam was helping her to locate her estranged father so she could establish a connection with him.  However, before this reconnection happened, the young woman learned that her father had died from a drug overdose.  This intensified her trauma and when she presented at Sam’s clinic after the death of her father, she was unable to talk about her father, follow a line of discussion or formulate coherent sentences.  Sam described this in terms of “her brain down regulating”.

Sam’s first principle – “do no harm” – came into play as he realised that getting her to talk would take her outside her window of tolerance.  As he knew about her interest in music and her favourite genre, he intuitively realised that listening to music that she liked would enable her to establish some degree of equanimity, build trust and reinforce the relationship through a shared pleasant experience. 

As they listened to the music together, she slowly began to move her head in line with the beat and rhythm of the music.  Then, she began to talk.  Sam described the effect on Jeanette of listening to the music as regulating her central nervous system, bringing her back within the window of tolerance and enabling her to access her language ability so that she could express her emotions such as anger, grief and sadness.

Sam had realised that while Jeanette was positive about the utility of mindfulness in the context of therapy, “conventional talk therapy or mindfulness meditation wasn’t going to work”.  This music intervention was in line with what he described as practising an INCRA, an “inherently non-clinical relational activity” that is not a therapy technique in itself but effectively builds the relationship.  Sam discusses case studies where he has used INCRA in a clinical setting with teens in his forthcoming book, Trauma-Informed Mindfulness for Teens: A Guide for Mental Health Professionals.

Reflection

As we grow in mindfulness through meditation and reflection, we can better access our intuition when working with or training people who have suffered trauma.   Being present to the person needing help will enable us to let go of conventional, trained responses and be open to activities that are non-clinical in nature but develop the relationship – the foundation for all helping.  Trauma-informed mindfulness, then, involves not only sensitivity to trauma-impacted people but also the flexibility to depart from habituated responses or processes.  Mindfulness helps us to tap into our innate curiosity and creativity.

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

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

Understanding the Science of Compassion

In her presentation on The Science of Compassion during the Mindful Healthcare Summit, Kelly McGonigal highlighted the body-mind impact of compassion and compassion training. Over the past 10 years she has worked with the Stanford Center for Compassion and Altruism Research and Education in the capacities of researcher and educator. Kelly was a co-author of the Stanford Compassion Cultivation Training [CCT] and has undertaken research into its impacts on mind and body.

The mind-body effects of compassion training

The research undertaken by Kelly and her colleagues highlights the effects of compassion training on the mind and body. Kelly summarised these effects as follows:

  1. The process of compassion starts in the primitive part of the brain, the amygdala, which registers a form of “sympathetic stress”, experienced by the observing individual as sadness or suffering. At this stage a person can become overwhelmed, particularly where they become too identified with the person who they perceive as suffering in some way, e.g. through grief, chronic physical illness, relationship breakdown or mental illness. The person who is experiencing overwhelm may adopt flight behaviour by distancing themselves (mentally and/or physically).
  2. The next stage involves the pre-frontal cortex and other parts of the “midline structure of the brain”. Here the sympathetic sufferer, through a process of “social cognition”, can separate themselves from the perceived sufferer. They recognise the suffering of the “other” and understand that they have a relationship to that person (as part of humanity) but are quite distinct from that other person – they don’t take the suffering on-board or “own the suffering” of the other person. This ability to achieve separation mentally is critical for the balance and welfare of the observer and is foundational to their willingness and ability to act to relieve the suffering of others. Without this balance, the observer may experience what Richard Davidson described as “empathy fatigue”.
  3. When we actually take compassionate action to relieve the suffering of another, we experience the “reward system” – our brain releases dopamine which make us feel good, hopeful and courageous. It thus serves to strengthen our motivation to redress the suffering of others. It activates “the approach motivation system of the brain” – motivating us to act on environments that we experience as unjust or toxic.

As we grow in mindfulness through compassion meditation and compassion training, and take action to redress the suffering of others, we can experience an increasing capacity for compassionate action and strengthening motivation to act on unjust or toxic environments.

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

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

How to Do Those Difficult Tasks That You Avoid or Put Off Doing

We all have tasks that we ought to do, or want to do, but that we avoid or put off because they are difficult or challenging. Sometimes our negative self-stories get in the road, other times we may have developed the habit of procrastinating without knowing why. We find ways to distract ourselves from the task or take on other tasks that are not important or time-sensitive. We may have difficulty building up the energy to tackle the task in addition to overcoming the personal barriers we create that prevent us from completing the task.

Leo Babauta, creator of the Zen Habits blog, offers a comprehensive strategy to address this problem of avoiding or putting off tasks. In his article, How to Do Your Scariest Tasks of the Day – with Joy, he introduces an approach that he describes as creating a “training container”. He discusses how to develop the training container and offers a number of steps to encourage you to undertake the associated training in a spirit of joy.

Creating a training container to develop the habit of tackling a difficult task

Leo is an internationally recognised expert on developing habits – he has 2 million readers who seek out his wisdom in this area. The training container (or dedicated block of time) acts as a routine (for a new habit) that can be developed to suit your own personal and work style and that, with persistence, becomes an integral part of your day (just like any other training or gym regimen).

The key elements for creating a training container are:

  1. Set aside a time of the day when you train yourself to do the task. It’s important to allocate a set time that suits your lifestyle and/or work pattern that you can dedicate to the training. I’m a morning person, so I find that mornings are best for training myself to complete a difficult task. You can let others know about your dedicated time and even set up a reminder through the alarm on your mobile phone. The time set aside may change as your circumstances change, e.g. when I was writing my PhD, I used to write at 4am for two hours before our baby woke up and before the phones started to ring.
  2. Set aside a place for this training. You can find a space that is different to your normal place of working so that you break free of environmental blockages associated with your procrastination. If I have a difficult task to work on, I go away from my office and work at the kitchen table (with a view) or go to a tolerant, coffee shop. If you have a recurrent difficult task, you can go to an alternative space daily and treat it as your training space.
  3. Set up a ritual for starting your scary/difficult task. Leo, who happens to be a mindfulness expert among other things, encourages you to develop a ritual at the start to focus on your intention and commitment to dedicate your attention fully to your task. This helps you to undertake your task mindfully, fully utilising the opportunity that the training container provides.
  4. Focus on a single task during your training session, do not multi-task. I learnt early on that if I start the morning with reading emails, I get side-tracked very easily and hours can pass before I get back to my difficult task or have to put it off to another day. If you find that you feast on the news, you will have to develop the discipline to put off chasing the news until you have finished your training session. This discipline of undertaking a single task during your training session, not only builds your capacity to focus but also enhances your productivity.
  5. Revisit your “why”. You need to get in touch with the fundamental reason you want to do the difficult task – Who are you doing it for?, Who will benefit from it? In my case, I try to keep my focus on my readers who come from all walks of life but who share many common personal difficulties that impact negatively on their lives. Richardo Semler suggests that you ask yourself three “why’s” to get to your deeper purpose. Focusing on purpose builds motivation.
  6. Express gratitude at the completion of your training session. Leo suggests that initially you set a timer for your training session. He urges you not to rush off to something else when the session is completed, but to take the time for a brief gratitude meditation. As he puts it, “Bow to the practice, and to yourself, out of gratitude.” In the long run, you will certainly be grateful for having set aside the time, place and focus for your training container.

I have found these tactics very useful in creating the discipline and focus to write this blog. Yesterday, I completed my 300th post. I now have a set time and place every second day when I write my blog and maintain a single focus throughout the research and writing involved. I have found, too, that some preparatory work in the form of thinking or research before my writing day also helps me to start writing because I am not starting from a blank sheet. So, jotting down some notes during the day may be helpful when you come to tackle your task within the training container.

Training with joy

Leo provides a number of ideas to help you bring joy to the challenge of completing your training session. Two of these steps – dropping into your body & staying with your sensations – are consistent with my previous discussion on managing anxiety with mindfulness.

Leo also suggests that playing some music can help to achieve the mindset and focus necessary to realise joy in undertaking your difficult task. I play classical music when I write this blog. I find that Mozart’s music strengthens my concentration and increases my relaxation. I have yet to follow Leo’s final step, “Dance with the chaos- let your body move to the music”. He also suggests that the dance can be figurative in the sense of having fun while you are encountering uncertainty and venturing into an aspect of your life that you used to avoid or put off.

As we grow in mindfulness – by bringing a disciplined, mindful, focused, curious, grateful and joyful attention to a difficult task – we can experience greater productivity, energy and sense of achievement. Overcoming procrastination takes time and persistence but having a plan like the “training container” can help us to remove the blockages that get in the road of achieving our tasks and associated, meaningful endeavours.

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

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

Online Meditation Training for Mindfulness Practitioners

Mindfulness Monthly is a paid service designed to enable practitioners, new and experienced alike, to join and contribute to an ever-evolving, global mindful community.   This service is provided through Sounds True and is hosted by Kelly Boys, a Master teacher of meditation practice.

Central to the program are monthly online sessions with leading mindfulness teachers.  Diana Winston, co-author of Fully Present: The Science, Art and Practice of Mindfulness, will be conducting the April 2018 session on Forgiveness Meditation.  Each monthly session will focus on a mindfulness theme and introduce a meditation practice.  It will also provide opportunity for a break-out in small groups to discuss the focal issue, share experiences and ask questions.

The monthly sessions will be supplemented by weekly guided meditation resources covering a wide variety of themes and a private Facebook group to share ongoing practice and learning.  Participants in Mindfulness Monthly will have exposure to the latest mindfulness practices, research and relevant neuroscience findings from recognised world leaders.

The online community is designed to connect participants with other practitioners from around the world, develop a global mindful community and provide ongoing support for daily, mindfulness meditation practice.

Participants will have the opportunity to share the benefits of mindfulness meditation as they experience them and to learn new ways to grow in mindfulness.  They will also be able to discuss their questions and explore ways to overcome the barriers to daily meditation practice.

Opportunities will be provided to share articles and each month participants will receive a free gift from Sounds True in the form of a complete product. A live, online 75 minute Q & A session will be provided at the conclusion of the monthly sessions.

The organisers are looking to grow the global community of mindfulness practitioners and increase the number of people who can realise the benefits of mindfulness.  It is also their hope that participants will reach out to others to support them in their mindfulness endeavours.

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

Image source: courtesy of geralt 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.

Mindfulness and Organisational Interventions

The Mindful Nation UK  report stated that mindfulness alone will not fix dysfunctional organisations.  Where narcissistic managers or leaders exist in an organisation, the result is typically a toxic environment for employees where they are devalued, overworked and subject to public, caustic criticism.

Mindfulness can build resilience but the desired intention is not to build people’s capacity to endure unreasonable workloads or a toxic environment.  It is designed to build their capacity to contribute to the organisation where reasonable stressors exist.

Narcissistic managers see resilience as a way for employees to “toughen up” so that they meet their unrealistic demands.  I have even heard one senior narcissistic manager say of his subordinate manager that he “needs to be more resilient” in a situation that involved ever-changing deadlines, public criticism by the senior manager in front of his own staff, constant blaming for things outside his control and demands that border on unethical behaviour.

The Mindful Nation UK report was cognisant of the very relevant views expressed by the Trade Union Congress (TUC) in its 2013 document on “Work and Wellbeing: A Trade Union Resource”.   In this resource, the TUC expressed concern that wellbeing programs were being used as a substitute for addressing more fundamental issues such as workload, hours of work and inappropriate management style.

In their discussions with the working group developing the Mindful Nation UK report, the TUC were particularly concerned about the need to address toxic work environments and not assume that mindfulness training for staff will change the level of toxicity by osmosis – that is, by unconscious assimilation of the values, ideas and skills of mindfulness by narcissistic managers who create toxic environments.

The Mindful Nation UK report recognised the validity of the TUC’s concerns by stating:

Mindfulness will only realise its full potential when it is part of a well-designed organisational culture which takes employee wellbeing seriously (p. 45)

Despite this assertion and the statement that “as an isolated intervention it [mindfulness] cannot fix dysfunctional organisations”, the report recommendations relating to mindfulness in the workplace still failed to include explicit intervention in the organisational culture.

As organisations help managers and leaders to grow in mindfulness through mindfulness training, they also need to design interventions to directly address the culture of the organisation in a planned, constructive way that creates values and behaviour consistent with those espoused in mindfulness programs.

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

Image source: courtesy of  geralt 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.

 

Training the Mindfulness Trainers

In their report, Mindful Nation UK, the Mindfulness All-Party Parliamentary Group (MAPPG) expressed concern that many people offering mindfulness training to organisations are not adequately trained or not trained at all.  When there is any major movement, there are all sorts of people who “get on the bandwagon” to make a name for themselves and/or to make large profits.  For example, Reg Revans, the father of action learning, complained that unqualified and unskilled people were offering action learning consultancy at USD$10,000 per day and were in it only for the money.

MAPPG stated at the time (2015) that there seemed to be no recognised way for trainers in mindfulness to gain appropriate training and certification. This gap in training and certification is closing with a number of reputable organisations moving to ensure that people who offer training in meditation are themselves properly trained and certified.

Training and Certification for Trainers in Mindfulness and Meditation

Sounds True, is a multimedia publisher founded by Tami Simon in 1985.  The organisation provides resources and training to enable personal transformation with a strong emphasis on mindfulness and meditation.

Resources include free weekly audio interviews with inspiring speakers such as Goldie Hawn, downloads of videos & other publications, and online training tools.   These resources are provided to support you in your own mindfulness journey.

The Mindful Nation UK report acknowledged the growth of digital mindfulness training in many organisations throughout the UK and viewed it positively as a means of extending access to mindfulness training in the workplace as well as providing back-up resources for trainer-led mindfulness activities.  The report acknowledged, however, that there needs to be more research to support the efficacy of digitally-based programs (p.43).

Sounds True combines the best of both worlds – interaction with mindfulness trainers along with digital delivery – in a series of offerings that are available, some paid and others free.  For example, the recent Mindfulness and Meditation Summit, one of a number throughout the year, included video presentations by leading mindfulness trainers such as Jon Kabat-Zinn, Jack Kornfield and Tara Brach with Q & A sessions at the end of each presentation.  The summit was offered free during the live presentations by 32 speakers over 10 days, along with guided audio meditation practices.  A paid, upgrade option is also available to be able to download the video presentations and additional resources from the completed summit.

Sounds True also offers more formal training for potential teachers of mindfulness and meditation.  A paid, online course, The Power of Awareness, offered over 7 weeks by Jack Kornfield and Tara Brach includes live video presentations (downloadable), online library resources and other gifts.  The online course offers both interactive and personal study resources:

  1. 26 mindfulness training sessions recorded live and available on video for download
  2. Personal Mentor and Group Online Study Sessions
  3. Resources for guided meditation practices
  4. Workbook incorporating reflections
  5. Exercises for personal journaling.

Completion of the Power of Awareness Course entitles the participant to a Certificate of Completion provided jointly by The Greater Good Science Center at The University of California, Berkeley and The Awareness Training Institute (ATI).

As you grow in mindfulness and experience its many benefits, you will feel compelled to share your experience and insights with others.  One way to do this is to provide training in meditation and mindfulness.  However, you really need to have established your own mindfulness practices and undertaken adequate training to be able to effectively helps others as a teacher.

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

Image source: courtesy of pasja1000 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.