trauma – Page 7 – Grow Mindfulness

How to Let Joy into Your Life

Diana Winston recently provided a meditation podcast on Opening to Joy. She reinforced that mindfulness is about openness to the present moment in a curious and non-judgmental way. Diana thought that this particular meditation is relevant in December when we are constantly being exhorted to be “joyful” – when many of us are experiencing emotions other than joy owing to anxiety, depression, or serious setbacks (physical, emotional or financial) at this time of the year. It is also a time when we can experience extreme levels of exhaustion if we have been working intensely throughout the year or spending lengthy and stressful days as a carer. Diana offered this guided meditation as Director of Mindfulness Education at UCLA as part of the weekly meditation podcasts presented by MARC.

We can find that at this time of the year our negative feelings can be magnified as the pressure of family celebrations mounts, distressing memories of recent (or even long-past) adverse events well up or existing painful emotions such as loneliness become intensified because we are feeling left out or overlooked or misunderstood or marginalised. Some people have very recently lost family members as a result of bush fires, car accidents, or other misadventures – while others experience recollections of these devastating events occurring at this time of the year in the past. It takes a lot of time, focus and energy to heal the wounds of past trauma.

Diana encourages us to be kind to ourselves through self-compassion as well as to show compassion for others. She encourages us to explore mindful approaches to equanimity to allow peace and joy to re-enter our life if we are experiencing negative emotions or distress. To this end, she is offering an online course Cultivating Forgiveness as part of the many courses presented by MARC.

Encouraging joy in your life through mindfulness

When we practice mindfulness, we are opening ourselves to joy and contentment – to experiencing what is, in an accepting and kind way. It does not have to be a laugh-out-loud happiness but can be something small and subtle. Joy can range from something that is profoundly felt to a simple sense of being content with life at the present moment. It can be the sensation of mindfully taking a walk by the sea, drinking a cappuccino, being fully present and mindfully listening to someone – joy can happen just by being fully here and showing up in our lives. The act of gratitude for the positive things in our life – savouring our child’s development, our achievements, our friendships – can release us from unease or resentment and let joy into our life.

A guided meditation on cultivating joy

Diana provided a specific guided meditation on how to cultivate joy in your life during the podcast. The basic steps are as follows:

Begin by experiencing being grounded through your feet on the floor, your thighs resting on the chair, your back upright but not strained – developing a sense of stability and being supported.
Progressively scan your body and loosen any muscle that may be tight or tense including your feet, legs, arms, wrist, neck, shoulders, shoulder blades, lower back and your face and forehead – your whole body, opening to a sense of well-being and ease. You can take deep breaths as you progress with your scan and use the outbreath as a way to release tension and let in ease.
Now focus on something that will serve as an anchor in the event of distraction – the sensation of your breathing in some part of your body or the sounds in the room (without interrogation of their nature, source, volume or pleasantness). You can also use the dual process of focusing on the sensation of your fingers being joined while at the same time experiencing your breathing in some part of your body where your attention can focus. When you experience distractions such as planning, thinking, evaluating or worrying, redirect your mind to the present and your anchor to stay with the sense of ease, rather than the experience of unease. This process of redirecting attention builds your awareness muscle and increases the prospect of experiencing joy in your life.
While you are being anchored through your breathing or sound, be conscious of the peace or contentment you are experiencing. Pay attention to the joy that arises from being mindful – being fully in the present moment with openness and curiosity and wonderment.
Now focus in on a specific, recent experience of joy – e.g. being with a loved one, sharing an experience with a friend, enjoying company over lunch or dinner, walking in a rainforest, or enjoying the sense of competence when playing tennis or any other sport. Try to recapture the moment, the sensations, feelings, thoughts and the resultant joy – stay with these feelings and positive thoughts. You can express gratitude for being able to have such an experience and to have the capacity to recapture it.

The art of cultivating joy flows from our conscious efforts to develop mindfulness and live our lives as fully as we can in the present moment.

Reflection

We can cultivate joy in our lives through mindfulness practices, meditation, reflection and expressing gratitude. A meditation specifically designed to cultivate joy can assist us to grow in mindfulness and, as a result, more frequently capture and savour the experience of joy in our everyday lives. We can cultivate joy by being mindful in our words and actions.

___________________________________________

Image by Daniela Dimitrova 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.

Healing the Wounds of Trauma

Corey De Vos of Integral Life and Ryan Oelke discussed the need to address the effects of trauma at sometime in our life. Their discussion, Inhabit Your Wound, was wide-ranging and covered the impacts of trauma, barriers to addressing the wounds and processes for uncovering the wisdom that lies beneath the pain of trauma. They suggest that each of us has our own “unique constellation of trauma” but if the wounds are addressed with a gentle curiosity, social support, professional help and self-compassion, they can release new insights and energy to enable us to more fully realise our purpose in life.

Trauma tends to impact many facets of our life, often below the level of consciousness. It might be reflected in irrational fears, reluctance to appear in public, constant anxiety and depression, inability to develop and/or maintain intimate relationships, eating disorders or addiction, indecisiveness, inability to hold down a job or an overall sense of lack of meaning and purpose. Many things can trigger a trauma response, including objects, people, news, conversations and observing a violent incident – because trauma impacts at a “cellular level”. Trauma can leave us directionless, powerless, confused and disoriented.

Barriers to healing the wounds of trauma

Corey and Ryan maintain that the shadow of trauma follows us throughout life, but we typically have defence mechanisms to prevent us from dealing with the pain and healing the wounds. The memory of a trauma is often submerged below our level of consciousness because we sense that recollection is potentially too painful. We may even have experienced dissociation to keep the memory away from our inner awareness. We may have developed an internal narrative that is based on denial – “it really didn’t happen” – and this acts as a barrier to exploration and healing from trauma.

Ryan and Corey also observe that sometimes we could be part of a collective trauma experienced as a result of systemic discrimination or jointly experienced life events. These life events could take the form of war, mass incarceration, natural disasters or a terrorist incident. They can lead to “culturally inherited dramas” imprinted on our psyche. Experience with religion during childhood or later in life can leave its own “baggage” and can be “harder to unpack” and deal with because it can become caught up with other traumatic experiences. Corey and Ryan suggest that sometimes people want to hold onto their trauma because it makes them feel special and may even elicit a desired, sympathetic response from others (neediness in this area my be symptomatic of the trauma itself).

Processes to heal the wounds of trauma

We may have developed the ability to operate productively and confidently with our work environment but become aware of some disfunction in other arenas of our life. Alternatively, we may have noticed a habituated and unhelpful response to a specific kind of incident such as personal criticism, open conflict or someone challenging our ideas or perspective. These experiences can be the catalyst to deal with the “residual effect” of trauma and provide the necessary motivation to change our behaviour.

Corey and Ryan suggest, in line with Jon Kabat-Zinn, that a potential starting point is to “reinhabit our body” – to start noticing our bodily sensations and reactions. This can lead to curiosity about what has triggered these responses and what prior experiences underly the nature and intensity of our response. Ryan suggests that we need to work with any resistance we may experience in our body, but we should proceed slowly with a tender and caring curiosity. A key here is our readiness to open the wounds and our resilience in dealing with the result – timing and support are of the essence. Somatic meditation has proven to be an effective way to deal with the wounds of trauma and it is often undertaken with professionally trained facilitators.

There are a wide range of therapists to assist anyone who wants to deal with trauma and its effects. Some employ cognitive approaches (such as Dialectic Behaviour Therapy) requiring voicing our thoughts, feelings and assumptions, others use less cognitive approaches such as art or music as tools for therapy. A more recent development is the use of equine (horse) therapy which may be more appropriate for someone who loves animals and particularly horses. Organisations such as Beyond Blue provide links to resource centres and professional therapists and others such as the Black Dog Institute offer support groups. Keith Witt offers two books, Shadow Light and Shadow Light Workbook, that provide insights into our trauma-induced, unconscious responses and offer practices to illuminate the nature and potentiality of our “shadow self”.

The experience of Clare Bowditch in healing the wounds of trauma

Clare Bowditch – singer, songwriter and actor – captured her healing journey in her “no holds barred”, personal memoir, Your Own Kind of Girl. Clare indicated that she wrote the story of her early life to encourage others to speak to someone and seek assistance if they are suffering from the effects of trauma, especially if they are experiencing anxiety and/or depression. She describes in detail her own battle with anxiety and depression brought on by adverse childhood experiences and the trauma of seeing her sister die at the age of seven, after two years of hospitalisation with a rare, incurable illness that progressively eroded her muscles and caused paralysis.

Clare, like Corey and Ryan, stressed the critical importance of relationships (family and friends) for her successful healing journey. She encourages people to set out on the painful journey because it is “well worth it”, even if it turns out to be tougher than you first thought. Clare experienced a nervous breakdown – she had fled to London, unprepared economically and emotionally, after she experienced shame and depression following a relationship breakup. She experienced severe symptoms of her trauma wounds such as an inability to listen to music, write songs, watch TV, listen to the radio, eat well, sleep adequately or go outside. She was consumed by all kinds of irrational fears and images of death (grieving her sister’s death). Her response was to return home to her family and spend up to six months healing herself including meditating and learning about the impact of stress and unhealthy foods on the body’s nervous system.

Clare was able to reframe her nervous breakdown as a “nervous breakthrough” because “it was at this time that I got a really deep sense of what made sense to me, which was music” (p. 326). She had finally found herself. She rediscovered her need to be creative, to avoid things that did not make sense to her and to sing and write songs that really spoke her truth – her real, raw feelings. She stated that the journey required the discipline to control her negative self-talk, the insight to realise that despite her life circumstances she had a choice in how she responded and the courage and resilience to persist despite setbacks.

Consistent with Corey and Ryan, Clare maintains that it is important to celebrate the small steps forward because they collectively make up the journey:

… a career is a thing that’s made up of one tiny step, one small act of courage after the other. It’s only really when you look back later that it all makes sense. (p.313)

Reflection

Trauma affects many people in multiple, idiosyncratic ways. The problem is that it works away as our shadow self and unconsciously impacts our perceptions, thoughts, emotions, behaviour and responses to triggers. As we grow in mindfulness through meditation, reflection and self-observation, we are better able to gain insight into how we have been impacted, to develop the courage to address our trauma-induced wounds and move forward (however slowly) to realise our life purpose.

___________________________________________

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.

Healing the Impacts of Adverse Childhood Experiences and Childhood Trauma

The classic study on Adverse Childhood Experience (ACE) conducted by CDC-Kaiser Permanente with more than 17,000 members of a health organisation found that two thirds had suffered at least one ACE and more than 20% reported suffering three or more adverse experiences in childhood. Adverse childhood experiences cover the whole gamut of experiences resulting in immediate and long-term effects on a child – the experiences cover aspects such as physical, psychological or sexual abuse, violence in the home, mental illness of carers, separation from parents at an early age, divorce or suicide within the family. ACEs occur irrespective of gender, culture, context or economic status – although, children in poverty situations are more likely to experience ACEs. The range of adverse childhood experiences is extensive, their incidence is extremely high, and their impacts are long-lasting.

The impacts of adverse childhood experiences

This is an area that has been extensively researched and documented. CDC (Centers for Disease Control and Prevention) summarises the long-terms effects of ACEs in terms of their physiological, mental, relationship and behavioural impacts. The impacts are far-reaching and long-lasting. Nadine Burke Harris found in her research that toxic stress arising from adverse childhood experiences changes a person’s biological and neurological make-up and can result in an over-active stress response.

Nadine was inspired by the ACE study mentioned above and undertook extensive reading of research results and conducted her own research. In a TED talk, she shared her conclusions that early childhood experiences and related trauma impacted every area of a developing mind and body:

High doses of adversity [in childhood] not only affect our brain structure and function, they affect the developing immune system, developing hormonal systems and even the way our DNA is read and transcribed.

Preventing and healing the impacts of adverse childhood experiences

Nadine has dedicated her life and work to redressing the impacts of adverse childhood experiences and related childhood trauma. In 2007, she founded, as medical director, the Bayview Child Health Center (BCHC) which is not only focused on individual child health and wellness but also activism, education and community development.

Also, as a founding member and CEO of the Center for Youth Wellness, Nadine has contributed substantially on a global basis to the development and implementation of strategies to prevent and heal the impacts of adverse childhood experiences in individuals, communities and society generally. Some of the strategies developed by the Center and other activists in the area include:

Parental education in childhood development, sources of stress, the impacts of adverse childhood experiences and positive parenting
Multidisciplinary health care teams for children and youth
Screening for adverse childhood experiences by primary medical health practitioners and paediatricians
Community development to create social support systems and collaborative caring environments
Interventions in schools and political systems to raise awareness, support policies and action plans
Dissemination of the latest research into the nature and impacts of adverse childhood experiences.
Carer support centres
Early detection, intervention and home visitations for identified at-risk situations for children
Enabling reconnection with others through social prescribing and encouraging reconnection with nature
Adopting the guidelines and principles of trauma-informed mindfulness.

Nadine has documented her research and work in the area through her recent book, The Deepest Well: Healing the Long-Term Effects of Childhood Adversity. Together with other concerned professionals, parents and community members from the Center for Youth Wellness, Nadine has contributed to the development of the Stress Health website designed to help carers and parents to develop the basic components of a child’s life that will protect them, or help to heal them, from toxic stress. The website provides an ACE quiz based on the original ACE study to help you identify for yourself or your child the level of toxic stress experienced in childhood. On completing the quiz, you are given access to several suggested strategies for stress reduction, including mindfulness.

Reflection

Many of us have experienced one or more adverse childhood events. The care and concern of a loving friend or relative may have been instrumental in helping us to overcome or, at least, reduce the impacts of these experiences in our life, work and relationships. Other formative experiences such as personal study, community engagement or personal development may have helped also. As we grow in mindfulness, we can develop a deepened self-awareness and understanding of the impacts of adverse childhood experiences in our own lives, and increase our capacity for self-regulation to reduce those impacts.

____________________________________________

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.

Sound Meditation and the Power of Music

In previous posts I have discussed the role of music as a pathway to mindfulness focussing on the features that music and meditation have in common such as inner harmony, patience and deep listening. Alexandre Tannous has researched the role of music in therapy, in different cultures and philosophical perspectives. In a recent presentation for The Being & Doing Summit, he emphasised the power of music to heal, express emotion and deepen our awareness. He provides a range of sound meditations through his album, Sound Submersion – Volume 1, which incorporates musical instruments, such as the Tibetan Singing Bowl, that produce overtones.

Sound therapy

Sound therapy uses sonar frequencies to reignite and re-balance the energy frequency in the body. It can lead to healing and deep calm by enabling people to use the body’s natural healing powers to promote health and inner harmony. The applications of sound therapy are numerous, including its use with dementia and Alzheimer patients to stimulate memory recall. A social worker, Dan Cohen, discovered the power of music, aligned to personal preference, to help Alzheimer patients to access memories that have been locked away and normally inaccessible to them. The story of this amazing research was captured in the film, Alive Inside: A Story of Music and Memory. Sound therapy has also been used very effectively with seriously wounded veterans who can recapture or learn the skill of playing a musical instrument and discover a way to express their thoughts and feelings through music.

As an ethnomusicologist, Alexandre has travelled to over 40 countries to study music in different cultural and social settings. While he acknowledges that sound therapy has had a major resurgence in recent times, he maintains that it is an ancient practice, especially in Eastern philosophies. Alexandre explains that sound therapy often involves overtones, sound freqencies over and above a fundamental frequency, that we rarely hear because we are unaware of them and because the fundamental frequency is so strong that it dominates our hearing. Alexandre’s music compositions focus on “overtone-emitting” musical instruments such as the Thai Gong employed in Thai and Burmese temples.

Sound and mindfulness

Alexandra’s audio recordings provide the basis for sound meditations using different instruments. He identifies multiple benefits of sound meditation based on his extensive research over many years. Among the benefits are the development of inner harmony and equanimity, “ability to access and release trauma“, capacity to break habituated behaviour patterns that are unproductive, enhancement of self-awareness, development of higher levels of consciousness and stimulation of empathy and compassionate action. In the final analysis, sound therapy builds our awareness muscle through enhancing our concentration, listening and focusing skills.

As with other forms of meditation, there will always be intrusive thoughts. Alexandre suggests that we just let them pass, not entertain them and return to our focus on the music. Sound is truly transformative and if we adopt a deep listening posture during our sound meditation, it can improve our mental health and overall well-being.

Reflection

We often overlook the power of sound to deepen our consciousness and heal our mind and body. As we grow in mindfulness through sound meditation, we can enrich our lives in multiple ways, not the least of these is enhancing our self-awareness and awareness of others. Through sound meditation, we can build the capacity to deal with the waves of life – the ups and downs of everyday existence.

____________________________________________

Image by Jiradet Inrungruang 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-Sensitive Mindfulness: Providing A Choice of Anchors

David Treleaven recently published a book on Trauma-Sensitive Mindfulness. The book enables mindfulness trainers to recognise a trauma-affected individual, provide appropriate modifications to their mindfulness processes and avoid aggravating the individual’s trauma experience.

David argues that two factors are foundational to trauma-sensitive mindfulness, (1) choice and (2) anchors. He observes that people who are trauma-affected have experienced an unwanted negative event that endangered them, a total loss of control over the situation and a lack of agency (capacity to influence the outcomes). Providing choice, especially in relation to anchors, is critical for the welfare of the trauma-affected individual – it avoids reactivating the sense of helplessness associated with the traumatic event and reduces the likelihood of triggering a painful “body memory”.

Providing a choice of anchors – internal sensations

An anchor enables an individual to become grounded in the present moment despite being buffeted by distractions, negative self-stories or endless thoughts. The choice of an anchor is a very personal aspect of mindfulness – it relates to an individual’s preferences, physical capacity and emotional state. An anchor enables a person to experience ease and emotional stability.

Jessica Morey, an experienced teacher of trauma-sensitive meditation, begins a meditation training session by offering participants a choice of three internally-focused anchors – a bodily sensation, attention to sound within their immediate environment (e.g. the “room tone”) or a breath sensation (air moving through the nostrils, abdomen rising and falling or movement of the chest).

Participants are given the opportunity to try out these different anchors over a five-minute period and to make a choice of an anchor for practice over a further period. Providing this choice of anchors avoids locking individuals into a mindfulness process that can act as a trigger for reexperiencing trauma, e.g. sustained focus on breathing.

Alternative anchors – external sensing

David notes that the five senses offer further choices of anchors – in addition to the internally focused anchors suggested by Jessica. The senses enable a participant in meditation training to focus on some aspect of their external environment:

Hearing – tuning in to the external sounds such as birds singing, the wind blowing or traffic flowing past. The downside of this approach is that it may trigger our innate tendency to interpret sounds and this may lead to focusing on a particular sound – trying to identify it and its potential source. So, this may serve as a distraction pulling us away from experiencing (the “being” mode) to explaining (the “thinking” mode). The aim here is to pay attention to the experience of hearing, not to focus on a single sound. Sam Himelstein has found that listening to music can be a very effective anchor for a person who is in a highly traumatised state – choosing music that aligns with the individual’s musical preferences can serve as a powerful anchor.
Touch – a trauma-affected person could have an object, e.g. a crystal or a stone, that provides comfort and reassurance and enables them to become grounded in the present moment through the sensation of touch.
Seeing – taking in the natural surroundings, e.g. by observing closely the foliage of a tree – its colours, shape and texture or observing the patterns in the clouds.

Other options include sensations of smell or taste. However, in my view, these tend to be less neutral in character and can re-traumatise a trauma-affected person.

David Treleaven offers a wide range of resources to help meditation trainers build their awareness, skills and options in the area of trauma-sensitive mindfulness (TSM). These include an online training course, interview podcasts, a TSM Starter Kit (incorporating an introductory video and a comprehensive “TSM Solutions Checklist”) and a live meetup of the TSM Community (registered members of a community of TSM-aware practitioners).

Reflection

As we grow in mindfulness through meditation, research and reflection, we can become more flexible about how we offer mindfulness training. A trauma-sensitive approach to mindfulness requires an awareness of the manifestations of trauma and post-traumatic stress disorder (PTSD), identification of different sources of anchors and the willingness and capacity to offer participants the choice of an anchor and an approach to mindfulness. This means that we need to move beyond our own fixation with “meditation logistics” and be flexible enough to offer trauma-informed mindfulness practices.

____________________________________________

Image – Trees on the foreshore, Wynnum, Brisbane

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.

Disconnection from Childhood Trauma: A Potential Determinant of Depression and Ill-Health

Johann Hari, in his book Lost Connections: Uncovering the Real Causes of Depression, identified seven social causes of depression including the loss of connection to other people. One of the surprising findings in his discussions with researchers and his colleagues, was the link between obesity, childhood trauma and depression. In the final analysis, collectively they established that in many instances unresolved childhood trauma was a determinant of obesity and depression.

Obesity and depression

Johann drew on the ground-breaking research of Dr. Vincent Felitti, Founding Chairman of the Department of Preventative Medicine of Kaiser Permanente – a fully integrated medical provider offering not only health care plans but also services such as specialist medical practitioners, a dynamic medical school, mental health services and education and an affordable housing initiative. Kaiser Permanente views a healthy life for all as a cause to pursue, and is a pioneer in offering seamless health services along with leading edge research into preventative methods and treatment approaches.

Kaiser Permanente commissioned Vincent to undertake research into obesity because it was becoming the major factor in the growth of its operational costs. Vincent started out by using a specialised diet plan supported by vitamin supplements that was designed to help obese people lose weight. This approach appeared highly successful on early indications, but Vincent noticed that the people most successful at losing weight were dropping out of the program and returning to their eating habits and becoming overweight again. Additionally, they often experienced depression, suicidal thoughts, rage or panic.

Research by way of interview of 286 participants dropping out of the obesity program established that most had been sexually abused or experienced some other form of childhood trauma. Obesity was their way to deal with the aftereffects of childhood trauma, including fear of sexual assault and the desire to hide their shame.

Childhood trauma and depression

Vincent was surprised by the findings of the initial study and realised that research of childhood history as a determinant of adult ill health had been avoided previously because of shame, secrecy and the taboo nature of the topic. Yet his early findings established that childhood trauma played out powerfully decades later in terms of emotional state, biomedical disease and life expectancy. He found, for example, that 55% of participants in the obesity study had suffered childhood sexual abuse.

The link between obesity, depression and childhood trauma was not well received by the established medical profession. The video, A Tribute to Dr. Vincent Felitti, highlights the scorn he experienced when first announcing his findings at a medical conference and demonstrates the resilience of a man who had the courage to back his research and the bravery to pursue his creativity.

Vincent was convinced that he had to undertake research with a larger and broader sample of people to establish the credibility of his findings. Through Kaiser Permanente’s processes of capturing the medical history of patients he was able, in collaboration with Dr. Robert Anda of the Center for Disease Control (CDC), to add additional questions relating to life history. The questions picked up on the 10 types of childhood trauma identified by participants in the earlier study. The 17,500 participants involved in the second study were representative of the broader population of California where the study was done. They were middle class with an average age of 57 and were employed.

The research titled the Adverse Childhood Experience Study (ACE) highlighted even more surprising results. Two thirds of the participants in the research program had experienced one or more traumatic events. One in nine had experienced 5 or more adverse childhood events. They also established that the higher the number of different adverse childhood events experienced by an individual (their ACE Score), the greater the likelihood of that person committing suicide.

Typical strategies adopted by individuals to cope with the impacts of childhood trauma only exacerbate the problem of ill health, e.g. smoking or over-eating. Vincent maintained that the experience of chronic, unrelieved stress affects the nervous system and the brain and can produce “the release of pro-inflammatory chemicals in a person’s body”, leading to suppression of the immune system.

What can be done about childhood trauma?

I have previously discussed principles and guidelines for trauma-informed mindfulness practice. Johann Hari, in the section of his book on reconnection strategies offered several strategies that could have a positive effect on the negative impacts of childhood trauma, such as obesity and depression. His recommended reconnection strategies include social prescribing and reconnection with nature, meaningful work and meaningful values.

Vincent Felitti, too, was concerned that people who had experienced childhood trauma need some form of hope about their ability to redress its negative effects. He decided to do further research involving medical practitioners who were treating patients through Kaiser Permanente. He provided them with a few simple questions to ask patients that related to life history and covered childhood experiences, and asked them to express genuine empathy and respect for the patient.

Vincent found that the participants showed “a significant reduction in illness” once a patient shared their story of childhood trauma with a doctor. He thought that the explanation for this was twofold – (1) the person was sharing their story with another person for the first time and (2) the recipient of the disclosure was a trusted authority figure who treated them with kindness and respect. He postulated that the intermediate effects related to the fact that the experience removed the shame and self-loathing associated with the adverse childhood event. The association of the childhood trauma with the experience of humiliation was broken. Vincent acknowledged that this was an area for further research.

Vincent argued that the ultimate solution to childhood trauma lay in “primary prevention” and advocated for the integration of their research findings into primary care medical practice. He also supported the development of a life experience questionnaire reporting on childhood trauma as a part of a patient’s medical record that could subsequently be viewed by the treating doctor. A healing conversation could take place if the patient was willing and able to share their story.

David Treleaven warns, however, that when dealing with someone suffering from post-traumatic stress disorder (PTSD), it is imperative not to tackle the trauma experience head-on. He advocates a trauma-sensitive mindfulness approach. Sam Himelstein also cautions against the use of direct questioning and talking where a person is outside their window of tolerance.

Reflection

As we grow in mindfulness through research, meditation and reflection, we can begin to recognise the impact of our own experience of childhood trauma and address the negative impacts it has on our own life and relationships. We can also become sensitised to the experience of others who have experienced adverse childhood events and take this into account when dealing with individuals and groups who are seeking to use a mindfulness approach to improve their quality of life.

Johann provides a further resource to explore the whole question of depression in his later book, Lost Connections: Why You’re Depressed and How to Find Hope.

____________________________________________

Image by Pete Linforth from Pixabay

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

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

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.

____________________________________________

Image by obBilder 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.

____________________________________________

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.

Understanding Trauma and Post-Traumatic Stress

In the previous post, I addressed the need for trauma-sensitive mindfulness. One of the observations of David Treleaven mentioned in the post, was the need for meditation teachers to develop an awareness of, and sensitivity to, the presence of people who are experiencing, or have experienced, trauma. Failure to do this could lead to mindfulness activity that generates trauma stimuli leading to re-traumitisation. Being trauma-sensitive means understanding the signs of post-traumatic stress as well as having the presence of mind to modify mindfulness practices to take account of people’s needs in this condition.

Recognising the signs of post-traumatic stress

Trauma results where a person experiences an overwhelming amount of stress that exceeds their ability to cope and deal with the emotional fallout from that experience. The effects vary with each individual and the nature of the traumatic event. Traumatic events can include the loss of a sibling or parent through death, separation from a parent at a young age, a life-threatening car accident or terrorist event, separation and divorce, a house fire, physical or sexual abuse or a natural disaster.

This variability in the nature and impact of traumatic events, and the individual’s reluctance to disclose through shame or the need to comply with an authority figure, means that it is often very difficult to ascertain whether a person has suffered from trauma and is experiencing post-traumatic stress disorder (PTSD). According to several reports, up to 20% of people who experience a traumatic event together will experience post-traumatic stress disorder.

Trauma can impact a person’s thoughts, emotions, perceptions, level of arousal/reactivity and mood. It can be reflected in behavioural change such as avoidance of a person or location, inability to sleep or sleeping too much, reliving the trauma through nightmares or flashbacks or withdrawal from social contacts or work colleagues. The attendant emotions could be depression, anxiety and feeling unsafe. Thoughts of suicide can also be one of the signs of post-traumatic stress disorder.

The role of memory and embodiment

Peter Levine, in an interview with Serge Prengel, discussed the role of memory in trauma and post-traumatic stress disorder. Peter is the author of the book, Trauma and Memory: Brain and Body in Search of the Past – A Practical Guide for Working With Traumatic Memory. His book is ground-breaking in that he highlighted the role of “implicit memory” and showed how to treat trauma sufferers by accessing the “complex interplay of past and present, mind and body”. He termed his methodology, “somatic experiencing”.

In the interview, Peter stressed that we have several different forms of memory and the ones that are particularly relevant to trauma are episodic or autobiographical memories, emotional memories and procedural or body memories. Episodic memory, also termed “defining moments” by Serge the interviewer, though low in emotive content are nonetheless impactful. For example, Peter describes a teacher who acted as a mentor to him and instead of blaming him for poor judgement encouraged him to learn and explore his curiosity. Other mentors in his life as he progressed through his studies modelled similar behaviour. This, in turn, led him to a career choice as a professional mentor – so the episodic memory acted as a “trajectory” for his progress in life.

Emotional memories, on the other hand, “though further out of the realm of awareness” are “very powerful and compelling” and shape how we behave in our life. Some interaction from the past is encoded with a very strong emotion such as sadness, anger or fear. The emotional memory can interfere with a current relationship when something or somebody acts as a reminder of the past interaction so that we can be overwhelmed with either a very strong negative or positive emotion.

While emotional memories operate at a deep level, body memories are deeper still. At one level, they have to do with the acquisition of motor learning and skills, e.g. riding a bike. At another level, they are determinants of our approach or avoidance behaviour. Peter gives the illustration of coming across a former classmate more than 30 years after their schooling and finding that he had a strong desire to approach and reconnect with him. The classmate had been his protector at school when other children tried to bully him – hence his approach behaviour. An example of avoidance behaviour conditioned by body memory is when someone who has previously experienced sexual abuse actually freezes when touched by a loving partner.

David Treleaven reinforced the relationship between trauma and body memory when he stated in his video presentation that “the respiratory system is intimately connected to our sympathetic nervous system which is totally tied to traumatic stress”. He pointed to two books by Babette Rothschild that highlighted the close connection between trauma and body memory, The Body Remembers and Revolutionizing Trauma Treatment. David also explained further why meditation exercises such as mindful breathing can activate trauma stimuli. He drew on the differentiation between exteroception (body’s perception of external stimuli received through the senses) and interoception (sensing conditions within the body such as deep breathing or tightness of the chest). Normally exteroceptors and interoceptors integrate (e.g. the external sensation of viewing a sunrise is matched with the internal sensation of a warm feeling in your chest and a sense of looseness in your hands and legs); with trauma sufferers, “the relationship between interoceptors and exteroceptors can go awry”.

Peter Levine emphasised the need to recognise that we have a “fluid identity” – while our identity is shaped by the past, and the interplay of multiple events and interactions, it is possible to gently, but surely, release the embodied memories and progressively unearth the richness, power and sense of connection of an identity not locked into painful memories. He has dedicated his lifework to training individuals and professionals in understanding the role of the different memories and in learning to use his trauma treatment methodology, somatic experiencing. Other professionals, through an understanding of the mind-body connection, employ somatic meditation to assist trauma sufferers.

Reflection

We can grow in mindfulness as we develop an awareness of the role that memory plays in our own thoughts, emotions, moods and behaviour and learn to recognise the signs of post-traumatic stress in others. As we develop this heightened awareness, we can make appropriate modifications to our meditation teaching and deepen our own meditation practice and reflection.

____________________________________________

Image – Sunrise over the water, Wynnum, Brisbane

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.