Tag: trauma

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.

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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.

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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.

Understanding Trauma-Sensitive Mindfulness

David Treleaven, through his doctoral dissertation and subsequent book, has raised awareness globally about the need for trauma-sensitive mindfulness.  His book, Trauma-Sensitive Mindfulness: Practices for Safe and Transformative Healing, identifies three myths about mindfulness and trauma, discusses research-based case studies and offers clear options for the way forward.  His work is so critical to the teaching of mindfulness that Brown University has sought to integrate his work and findings into their Mindfulness Based Stress Reduction (MBSR) Course and the Search Inside Yourself Leadership Institute is exploring integration of David’s approach into their Mindful Leadership program.

Trauma and mindfulness

Trauma is described as “the experience of severe psychological distress following any terrible or life-threatening event”.  Many organisations and trainers/consultants/psychologists offer services, strategies and programs for trauma sufferers. Beyond Blue, for example, offers coping strategies and ways that friends and relatives can help someone close to them who is suffering from a traumatic event.

Mindfulness has become acknowledged as an effective way to deal with trauma.  For example, Boyd, Lanius and McKinnon (2018) concluded from a review of the relevant literature that mindfulness-based therapeutic approaches are effective in reducing the symptoms of post-traumatic stress disorder (PTSD).   They suggested that reduction in shame and self-blame could be key explanations of the efficacy of mindfulness-based approaches to PTSD.

David, however, warns that there are potential difficulties in using a mindfulness approach if practitioners are not sensitive to the interplay between mindfulness practices, beliefs about the universal efficacy of mindfulness and related messaging.  He points out that most people will experience at least one traumatic event in their life. So, in any one room of meditation participants, there is likely to be one or more people who are experiencing trauma in their lives.

David dedicates his life to making people aware of the need for trauma-sensitive mindfulness through his book, videos, podcasts and workshops. He articulates his concerns about a lack of sensitivity to this issue amongst meditation teachers by identifying three “myths” about mindfulness and trauma that can potentially create harm for trauma sufferers.

Three myths about mindfulness and trauma

David’s research with trauma sufferers and practitioners in the field working with people who have experienced trauma, has led him to identify three “myths” (widely held false beliefs) that impede effective and safe use of mindfulness approaches. The myths are powerful determinants of the behaviour of mindfulness teachers:

  • Universality – David describes this myth as “one size fits all”.  However, David’s experience is that for some people who have experienced trauma, meditation can activate trauma stimuli so that the person re-experiences trauma.  As Peter Devine comments, “The nervous system can’t tell the difference between that [reliving the trauma] and the original trauma”.
  • Certainty – this myth relates to the assumption by meditation teachers that they will know when a person has experienced (or is currently experiencing) trauma.  David cites a case of a very experienced meditation teacher who failed to pick up the cues that some of his trainees were trauma sufferers.  He maintains that there are some very subtle non-verbal cues that can signal the existence of trauma, but it requires sensitised awareness to detect them.  He suggests that two major impediments that get in the road of someone openly disclosing their experience of trauma are (1) feelings of shame and (2) compliance (felt need to conform to an authority figure).
  • Neutrality – the myth that breath is always neutral, with no emotive content.  David recounts the experience of one person who was traumatised by a violent parent when a child.  Focusing on his breath “reconnected with the need to hide”, caused him to re-live his trauma and led to increased anxiety.  So, instead of being a calming anchor, mindful breathing acted as a trauma stimulus.

Trauma-Sensitive Mindfulness: some strategies

David provides considerable detail, explanation and case illustrations of these myths in his book on Trauma-Sensitive Mindfulness and in a video presentation on The Truth About Mindfulness and Trauma, which was a promotional webinar for his course for practitioners on recognising trauma, responding to trauma and preventing the re-living of trauma during mindfulness practice.

In the video mentioned above, David suggests a range of strategies that address the limitations and potential damaging effects of the three myths:

  • Develop awareness about possible difficulties for people during mindfulness practices
  • Increase knowledge of, and sensitivity to, the signs of trauma
  • Provide space for people to experience different aspects of mindfulness practice and be ready to make modifications after asking, “What would work for you?”
  • Acknowledge at the outset that some people may have a very different experience to the calming effects of mindfulness meditation
  • Offer the opportunity for participants to approach you privately to have a conversation about their experience
  • Don’t reinforce the “shoulds” of mindfulness experience, e.g. avoid saying, “you should experience calm and peace”
  • Avoid “close and sustained attention to breath” as this may be a stimulus for re-experiencing trauma
  • Offer a range of options for people to practice mindfulness so that they can choose their own anchor for paying attention, e.g. breath, sounds, the sensation of the feet on the floor, feeling of the body on the chair or fingers touching each other.  According to David, Paula Ramirez, a Director of Breathe International, maintains that this choice of options gives participants a sense of agency (the opposite of a loss of control).

As we grow in mindfulness through our own meditation, research and reflection, we can become more sensitive to the needs of people who have suffered (or are suffering) trauma; be better able to respond to their needs; and also learn to adopt strategies that avoid re-traumatising participants in mindfulness training groups.

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Image by Anemone123 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.

Being Vulnerable: How to Improve Our Relationships and Contribution

In the previous post I discussed Tara Brach’s presentation on vulnerability and intimacy and ways to overcome our defence mechanisms. In this blog post, I want to focus on becoming vulnerable to improve two aspects of our lives – our contribution and our relationships.

Vulnerability is universal

Vulnerability is “part and parcel” of being human. When you think about it most people you encounter in life will have experienced at least one trauma – a significant frightening or disturbing event – in their life at one time or another. A traumatic event may take many forms and people will react differently to varying events such as the death of a child, partner, parent, sibling or friend; the break-up of parents through divorce; a major car or workplace accident; loss of a job; experience of chronic illness and/or pain; severe financial difficulties resulting in the loss of a home; break-up of an intimate relationship; a period of mental illness; addiction to drugs or alcohol; or any manner of distressing events.

Tara makes the point that “the more wounding there has been, the greater are the defences”. We each have been wounded at some time through various events, traumatic or otherwise, that have intensified our sense of being vulnerable and precipitated our defence mechanisms designed to protect us from such vulnerability. Ian MacLaren recognised that everyone experiences vulnerability when he wrote, “Be kind, for everyone you meet is fighting a hard battle”.

Because of our past experiences, we may feel afraid to speak up, to take part in a group activity, to perform publicly, to engage in conversation or to give positive feedback to another person. We may feel that we will be rejected, laughed at, or cut out of a group. We might be concerned about experiencing embarrassment, lack of control or overt emotions expressed as tears.

How we hide our fear of being vulnerable

There are many ways that we can camouflage our fear of being vulnerable such as:

  1. excessive criticism of others, constant judging (people never measure up to our expectations)
  2. projection of our own fears or anxiety onto others (“they are too fearful or lack courage”)
  3. aggressive emotions such as anger, blame (fight behaviour)
  4. withdrawal through depression (flight behaviour)
  5. inertia (freeze behaviour)
  6. overcontrolling others
  7. overconsuming – food, social media, goods and services, drugs
  8. hiding behind a mask/role – being the boss, the helper or the victim

The problem is that these ways of hiding our feelings of vulnerability are often subtle, elaborate, sub-conscious and developed over long periods of time. It takes a concerted effort and continuous training to be able to identify our defence mechanisms and overcome them through sustained, focused attention in meditation.

Being vulnerable to improve our contribution

Tara at one stage in her presentation tells the story of how a disturbed teenager’s life turned around when he heard a monk sing a song both loudly and off-key in front of an audience. He was taken with the courage required by the monk to do that and make a “fool” of himself. The monk showed bravery by placing himself in a potentially embarrassing situation.

I previously recounted a similar story of coach Mo Cheeks (who could not sing in tune) getting up in front of thousands of people at a NBA playoff and helping a 13 year old girl complete the national anthem after she was overcome with nerves.

Both these stories illustrate the power of being vulnerable (overcoming our natural defence mechanisms) to make a contribution to others and the community generally. Mo’s action, for instance, has been a source of inspiration for more than half a million people who have viewed the video of his compassionate intervention.

Improving a relationship by being vulnerable

Tara tells another story of a mother who was feeling very vulnerable because her daughter had become addicted to heroin and was continuously in and out of treatment centres for her addiction. The mother hid her sense of powerlessness and being vulnerable by her angry, blaming and controlling behaviour towards her daughter. Through psychotherapy the mother was able to let go of her defences and need for control and provide compassionate support for her daughter – to be with her daughter in her struggle, trusting in her daughter’s own wisdom to break free of the addiction.

The daughter did succeed and overcame her addiction and the mother and daughter built a deep relationship through this mutual experience of vulnerability. The mother was able to overcome her defence mechanisms to provide constructive support that enabled her daughter and the relationship to move forward.

A meditation on vulnerability

In her presentation (at the 35.45-minute mark), Tara provides a basis for reflection on your own sense of vulnerability and how it is impacting your relationships. She suggests you focus first on a relationship that you want to improve in terms of closeness or one that is bogged down in a pattern of behaviour that is not constructive. The focal relationship can be with anyone – life partner, friend, child, sibling or work colleague.

The reflection then revolves around exploring the ways that you are creating separation through your own thoughts and actions. Tara provides some questions to explore how your vulnerability is impacting the relationship:

  1. in what ways are you protecting yourself in these interactions?
  2. are you judging the other person?
  3. are you projecting on the other person some expectation of how they should be?
  4. are you withholding yourself and pretending to be who you are not?
  5. are you trying to impress the other person by constantly explaining how good you are at some endeavour or how much better your trip or experience was?
  6. are you operating from a low level of trust of people generally?

Once you have addressed these questions, the process then involves getting in touch with how you feel in your body when you are defending yourself – are you uptight?; does your face reflect your intensity?; are you physically rigid?; or are you looking distracted (as you search for a self-protective response)?

You next ask yourself how would you manage if you let go of one or more of your defences in your interactions with this person – how will you need to feel differently? A visioning question can be helpful here – “What if I reduce my armour, what will our interaction be like and how will I cope with being seen to be flawed or being rejected or looking foolish”? You can ask yourself, “How likely is it that these outcomes I fear will actually occur?”

The final step is to face your fear and sense of being vulnerable, acknowledge it and use your breathing to bring it under control. You can adopt a mindful breathing approach, deepen your in-breath and out-breath or envisage the fear as you breathe in and envisage its release as you breathe out.

As we grow in mindfulness through noticing and managing our vulnerability through meditation practice, we can open ourselves up to more creative contributions to our community and to deeper and more meaningful relationships. As the defence barriers we construct begin to come down or weaken, we are able to free up our creative abilities and let people into our life.

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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. 

Meditation and Mental Health

Jonathan Kryiger and Andrew H. Kemp, researchers at the University oF Sydney, discussed meditation and mental health in a blog post titled, Beyond Spirituality: the role of meditation in mental health.

in their article, they identify a number of benefits for mental health reported in research on meditation.  They indicate how meditation, both by expert practitioners and people who meditate for short periods of time, can result in positive changes in their body, brain, emotional regulation ability and rate of ageing.

Of particular note, is the ability of meditation to assist in the treatment and management of acute and chronic pain.  Particular forms of mindfulness meditation such as Mindfulness Based Stress Reduction (MBSR) demonstrate positive results in the treatment of mood disorders and anxiety.

Meditation and regulating emotions to achieve mental health

While the generic benefits noted above can be realised through different forms of meditation, the focus of mindfulness meditations can vary considerably.  Throughout this blog, we have mentioned some meditations that target specific negative emotional responses that are injurious to mental health:

  • Forgiveness meditation, in which we focus on forgiving another person who has caused us harm or hurt, aims to reduce resentment which can undermine our self-esteem, self-confidence and effectiveness
  • Self-forgiveness meditation targets the never-ending cycle of self-criticism and negative self-evaluation which brings with it debilitating shame and guilt
  • Gratitude meditation can help to reduce depression which can disable us from taking constructive action in the various arenas of our daily life
  • Equanimity meditation helps us to replace mental agitation and disappointment with calmness and self-assurance
  • R.A.I.N. meditation helps us to face the “fear within” and frees us from the disabling effects of fear and anxiety that hinder our capacity to live fully and creatively
  • Somatic meditation enables us to get in touch with our bodies and progressively remove the emotional imprint of adverse events or trauma manifested in muscle tightness or pain
  • Loving kindness meditation focused on others can take us beyond damaging self-absorption and self-preoccupation and free us to access peace and happiness through the appreciation of others and their contributions to the quality of our lives
  • Expose negative self-stories through awareness raising.

The weekly meditation podcasts provided by the Mindful Awareness Research Center (MARC) at UCLA can extend the range of meditations we employ to target unhelpful and unhealthy emotions that impact the quality of our mental health.

As we grow in mindfulness through focusing our meditations on replacing negative emotions with positive ones, we can experience real growth in our mental health and our capacity to live life fully and creatively, develop loving and fulfilling relationships and avoid the downward spiral of mental illness.

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

Image source: courtesy of Wokandapix 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.

Action Learning, Mindfulness and Mental Health in the Workplace

Over the past few months I have been exploring the linkages amongst action learning, mindfulness and mental health.  I have found that action learning and mindfulness are complementary and enable the development of an organisational culture that is conducive to mental health. The image above represents my current conceptualisation of the relationships amongst action learning, mindfulness and mental health.

Mental illness in the workplace

The pressures of modern life have led to the increasing incidence of people in the workplace suffering from mental illness.  This is compounded by the increase in the number of narcissistic managers.  My own experience of consulting to organisations over many years has highlighted for me the urgency of taking action in the area of mental health in the workplace.

One particular consulting experience involved helping a manager and their group to become more effective.  The senior manager exhibited high levels of narcissistic behaviours and the middle manager –  while sincere and very conscientious – lacked self-awareness and interpersonal skills.  This workplace environment was toxic for the mental health of all involved, including myself as a consultant.

Action learning and toxic work environments

In the course of my research and work as an organisational consultant and academic, I came across an action learning intervention in an educational context in South Africa that addressed the mental health issues resulting from a toxic workplace.  This doctoral study has been published in article form and is described in my post on overcoming a toxic work environment through action learning.

Around the same time, I had the good fortune to study another doctorate that addressed the trauma experienced by midwives in a hospital in New Zealand.  This research used action learning to change the culture from a punitive one to a culture that supported health professionals suffering trauma, reduced the impact of the traumatic event and enabled them to be more resilient in the face of the trauma experience. I discussed this case in my blog post on agency through action learning.

Creating a mentally healthy workplace through action learning

Reflecting on these two studies about action learning and toxic workplaces raised my awareness of the positive mental health implications of the action learning-based, manager development that I had been conducting with my colleague, Julie Cork, over more than a decade.  I came to conceptualise that manager development program as creating a mentally healthy workplace through action learning.  The perception of this program as developing a culture conducive to mental health in the workplace was reinforced by a report by two lawyers titled, Mental Health at Work.

When facilitating the Confident People Management (CPM) Program with Julie, we have the participating managers identify the characteristics of their worst and best managers.  Then we ask them to identify their feelings when working for the best managers and then when working for the worst managers.  Over more than a decade there has been almost unanimity over more than 80 programs in terms of the relevant managerial characteristics and the resultant feelings of subordinate staff.  This is independent of whether the participants are from the capital city or regional areas and does not differ substantially amongst participants of different occupations and professions – whether the participants are police officers, doctors, lawyers, scientists, mental health professionals, nurses, hospital managers or public servants engaged in child safety, accounting or marketing roles. Participant managers know intuitively what managerial behaviours are conducive to mental health and what are injurious.  We set about in the CPM to develop the characteristics of “good managers” in the program.

Mindfulness and mental health in the workplace

The research supporting the positive impact of mindfulness on mental health and its role in overcoming mental illness is growing exponentially.  The ever-growing research base in this area led to The Mindfulness Initiative in the UK and the creation of the Mindfulness All-Party Parliamentary Group (MAPPG).

The benefits of mindfulness for mental health in the workplace were then documented in two very significant reports, Mindful Nation UK and Building the Business Case for Mindfulness in the Workplace.  I have discussed this proactivity in the UK and the associated reports in a post, The Mindfulness Initiative: Mindfulness in the Workplace.

The Mindful Nation UK report incorporates feedback from the Trade Union Congress (TUC) which argues strongly that mindfulness alone will not solve the problems of toxic work environments.  They contend that organisations need proactive interventions (not just isolated mindfulness training) to ensure that organisational culture is conducive to employee well-being.  I have argued that action learning is an intervention that can develop a culture conducive to mental health.

In my discussions I take this conclusion one step further by contending that action learning and mindfulness are complementary and contribute to mental health through the development of agency and self-awareness.

Action learning and mindfulness as complementary interventions.

Reflection is integral to action learning and some mindfulness practices rely on reflection on events and personal responses to build awareness.  I have discussed the similarities and differences in these reflective practices within the two approaches in a post titled, Mindfulness, Action Learning and Reflection.

Elsewhere, I have shown  how action learning can contribute to the development of mindfulness through “supportive challenge”, mutual respect, equality and “non-judgmental feedback”.  This discussion is available in a blog post, titled Developing Mindfulness Through Action Learning.

After discussing the complementarity between action learning and mindfulness, I wrote a reflection on the previously mentioned action learning intervention designed to change a toxic work environment in an educational setting.  In this reflection, I discussed how mindfulness training could have helped the participants to exercise more fully the responsibility that came with agency.  In a subsequent post, I looked at how mindfulness expands our response ability.

In a further reflection on both the doctoral studies mentioned above, I highlighted the capacity of mindfulness to break through the “conspiracy of silence” about mental health in organisations and to strengthen both self-awareness and resilience.

The complementarity betwen action learning and mindfulness in terms of developing a culture conducive to mental health comes into sharper focus when we consider the contribution of each to “agency” and “self-awareness” in the workplace.

Action learning and mindfulness develop agency in the workplace

Drawing on the work of Tali Sharot, author of The Influential Mind, I have shown how agency is a necessary prerequisite for mental health in the workplace.  I have also explained how action learning can contribute to both employee agency and managerial agency.  One of the things that stop managers from providing employees with agency (control over their work environment and the way their work is done) is fear of loss of control.  Mindfulness enables a manager to overcome this fear, provide agency to employees and grow their own influence in the process.

I contend further that mindfulness enables agency to be sustained in the workplace for both managers and employees.  Managers are better able to realise their potential by “letting go” and enabling employee agency.  Employees, in turn, build their capacity to take up the agency provided through their own pursuit of mindfulness.  “Sustainable agency” is an organisational condition that provides a nurturing environment for managerial and employee growth and for the mental health of all concerned.

Action learning and mindfulness develop self-awareness in the workplace

When you look at the underpinning philosophy of both action learning and mindfulness you find that both actively work towards achieving self-awareness by removing the blindness of false assumptions, unconscious bias, prejudice, and self-limiting “narratives”.

Action learning and mindfulness can thus act together to build self-awareness, a precondition for mental health.  In the process, they provide the payoff from self-awareness in terms of increased responsiveness, creativity and self-management.  Action learning and mindfulness also enhance self-awareness by encouraging us to admit what we do not know.

As managers grow in mindfulness through mindfulness practices they are better able to contribute to action learning and to build a culture that is conducive to mental health.  Mindfulness helps both managers and employees to develop deeper self-awareness and to build their capacity to take up the agency provided, thus leading to a more sustainable organisational capacity for agency.

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

Image source: Ron Passfield, Copyright. 2018

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.

Coping with Trauma by Re-Connecting

In the previous discussion, I identified ways to access your inner resources to cope with trauma.  The problem with trauma, as Tara Brach points out, is that we become cut off from our brain and from our relationships.

This separation from ourselves and others impedes our ability to access our inner resources. There are a number of things that we can do to move past these blockages and find some peace.

Connecting with the present moment

One of the issues with trauma is that we can keep visiting the traumatic event(s) and the associated feelings, so we are re-living the past.  Resourcing begins with being in the present – being able to focus on the positives in our life including our achievements.  For example, we can connect with nature through open awareness – listening to the birds, smelling the flowers and trees, feeling the breeze on our face, observing the sky and clouds and touching the fibrous stems of a plant.

Connecting with our anxiety and aversion

When we find that every fibre of our body resists delving into the depths of our pain and grief, we can make the anxiety or aversion the focus of our meditation.  This involves being open to the anxiety involved and, instead of pushing it down deeper, we can establish a relationship with the feeling of aversion.  One way to do this is to explore the relationship that is demanded by the aversion – what is it asking of us?  Another way is to disarm it by picturing an image of the aversion- a cartoon character, an archetype (e.g. a witch) or a monster – and giving it a name such as “Mister Magoo”.  When the anxiety, fear or aversion rears its ugly head, we can then say – “So, Mister Magoo, I see you are back, what do you want this time?”

Connecting to daily practice

Sometimes, we find that we cannot maintain a daily practice of meditation – we may lack the discipline or motivation.  If we are driven by “shoulds”, we will be unable to sustain the habit of meditation.  However, if we revisit our intention – purpose for engaging in meditation – we can find the necessary discipline and motivation to restore our meditation practice.  Affirming to ourselves the benefits we seek, will help us to keep on track and overcome minor deviations from daily practice.  Sitting in the place we always sit for meditation can help, even if we can only do it briefly.  Journaling about the resistance we are feeling and recording how long we practised, can bring to light a pattern in our thinking and behaviour.  Also, by naming the resistance, we can tame it.

Connecting with our body

Sometimes we cannot feel an emotion in our body – we can become numb to our feelings.  We may feel, as a result, that we lack something that others possess when they can describe the impact of a feeling in their body in terms of colour, shape, intensity or location.  Again, practice helps.  When we feel a strong emotion such as kindness or disgust during our daily activity, we can try to notice our bodily reaction, exploring what is happening in our body no matter how minor or weak the impact.  Regular practice of this noticing will heighten our awareness and open us up to sensing our body’s reaction to particular emotions.  At first, it may be just a general sensation, but over time the features of the sensation will come into clearer focus.

Connecting to the community of suffering and love

The reality is that at any one time, most people are experiencing some form of suffering, whether physical, mental or a combination – suffering is a part of the human condition.  If we can move beyond our own suffering and its intensity we can connect to others who are experiencing similar suffering or something different and more intense – compassion for others can take us outside of ourselves.  There is also the wider “field of love” that we can tap into – be it from our friends, family or the community generally.  There is a sea of kindness everywhere, if we only look for it.

Connecting to a source of wisdom

We can imagine a wise person besides us as we try to make decisions that affect our life and wellbeing.  This can be a religious figure or someone who has taught or mentored us in life.  We can envisage talking to them about our issue and the decision we need to make.  This is a way to tap into universal wisdom.  We might raise our aversion, anxiety or resistance as a topic of conversation and the focus of a decision.

Through these means of connection, we can realise that we are not alone, that we do not need to be “cut off”.  We can feel the strength of everything and everyone around us and rest in that awareness.  As we grow in mindfulness through connection practices, we can break free of the sense of separateness, numbness and overwhelm and feel energised to deal with our deeper feelings generated by the experience of trauma.

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

Image source: courtesy of markusspiske 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.

 

Accessing Our Inner Resources to Cope With Trauma

Mindfulness through “resourcing meditation” can help us to cope with trauma.  It does not replace the need for therapeutic assistance but complements therapy and facilitates the process of dealing with deeply held fear or grief.

The causes of trauma

Trauma can be experienced by anyone at any stage of life.  The associated experience of profound psychological distress can result from a natural disaster such as a cyclone or earthquake; a personal life event such as the death of a parent. life partner or a child; being involved in a serious car or transport accident; the experience of going to war or being a prisoner of war; experiencing a vicious relationship break-up; being a person displaced by war; experiencing a toxic work environment over an extended period; being a refugee attacked by pirates when trying to flee a war-torn country by boat (the experience of Anh Do).

People in helping professions can experience vicarious trauma by virtue of supporting others who have had a traumatic experience. So midwives in a hospital can experience trauma when a mother and/or baby dies; professionals providing access to legal aid can be overcome by constant exposure to the recounting of traumatic experiences by clients; police, ambulance drivers and paramedics can experience vicarious trauma as a result of the work they do with victims of crime or serious car accidents; and police and their life partners, too, can experience trauma vicariously as a result of the death of a colleague through violence.

The effects of trauma

Just as the causes of trauma can be many and varied, so too are the effects experienced by people who have been traumatised.  Some people experience Post Traumatic Stress Disorder (PTSD).  This usually occurs when a person experiences an event that is personally life-threatening to themselves or others and is more likely in situations where a pre-existing mental illness is present, and/or a series of traumatic events are involved, such as sexual abuse.  People who have PTSD will experience “feelings of intense fear, helplessness or horror” and tend to replay the traumatic event(s) over and over, so that their intense anxiety condition becomes locked in.

The spectrum of responses to the experience of trauma is very wide – from numbness and inertia to aggression and violence.  People who experience trauma can become withdrawn and avoid interactions; experience de-sensitisation to the people and situations they have to deal with; experience on-going depression; become cynical or distrustful in their interactions; or experience a profound and enduring sadness.  They may question their self-worth and accomplishments; experience difficulty in relaxing and sleeping; or be overcome by a deep sense of grief (where someone significant to them has died).

The psychological effects of a physical injury, car accident or injury as a child can easily be overlooked.  In their Guide, How Trauma Affects the Brain,  the Lanier Law Group provides a comprehensive discussion of the psychological effects of such traumatic events and discusses various modalities for healing from trauma.  Their Guide also covers PTSD after an injury and following service in combat areas.

Accessing our internal resources

In a previous post, I wrote about how to use the R.A.I.N. meditation process to deal with fear and anxiety.  However, in cases of trauma and intense grief, we may not be able to plumb the depths of our feelings because the experience would be too painful and/or cause flashbacks to the traumatic event(s).

Tara Brach, in the course on the Power of Awareness, described how to access internal resources to cope initially with the psychological pain experienced with trauma.  Drawing on her own experience with trauma victims and sound research in the area, she suggests a number of ways to resource ourselves:

  • Physical grounding – this involves getting in touch with the feeling of our feet on the ground and our buttocks on the chair.  The physical sensation of contact with the ground or chair is important because it enables us to link the sense of safety and security through sitting or standing with our psychological experience.
  • Breathing deeply and slowly – this could begin with lengthening our in-breath and out-breath and move to mindful breathing, which includes paying attention to the space between.
  • Touch – touching our heart or stomach with some loving gesture that brings warmth to relax our body.
  • Talking to ourselves – we can use comforting and supportive words while engaged in conversation with ourselves.
  • Envisaging our allies – there may be relatives or friends in our life who provide very strong emotional support and constant affirmation of our self-worth.  There are others such as members of a support group for a chronic illness or for loss of a child or loved one.  Bringing these people to mind together with the feelings of kindness and encouragement they engender, can build our inner resources to cope with trauma.
  • Revisiting a place of peace or relaxation – we can do this physically or just by visioning what it was like to be in our favourite place.  It could be by the bay or at the seaside, in the mountains or on the deck in our home-anywhere that gives us strength, renews our spirit and intensifies our feelings of security.

Whatever process we use for inner resourcing, it is important to get in touch with what positive effects we are feeling in our body, as well as in our minds.  Tara Brach, in the Power of Awareness course, encourages us to use resourcing meditations based on the above listed pathways to tap into, and strengthen, our inner resources.   She argues that these meditations are a true refuge, unlike the false refuges of drugs or alcohol.

Being able to deal with trauma through the R.A.I.N. meditation process (plumbing the depths of our fear or grief) may take months of resourcing ourselves before we can confront the depths of our emotions, but Tara’s own counselling experience with people who have suffered trauma (including PTSD) confirms that it is possible to emerge from the depths to live a balanced and happy life.

As we grow in mindfulness through resourcing meditations, we strengthen our inner resources to cope with the profound psychological effects of a trauma and build up our capacity to deal with the resultant debilitating emotions.

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

Image source: courtesy of Maialisa 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.

Recognising Our Emotions and Our Feelings

In the previous post, I explored the benefits of mindful breathing in terms of increased self-awareness and self-management and the capacity to become more in touch with our breathing.  As we develop our mindfulness practice, we are able to move beyond breathing mindfully to recognise our emotions and feeling states.

The emotional roller-coaster of life

Feelings are “part and parcel” of being human.   If we ignore them or suppress how we feel, emotions will take over our lives – we will be controlled and overwhelmed by them.  Previously, we saw the physical and psychological damage caused by suppressed feelings in a toxic work environment and when midwives suffered trauma in silence following a critical incident.

We can allow emotions to work for us or against us – we can learn to recognise them and treat them with loving awareness and kindness.  Too often we attempt to deny or ignore our painful feelings because they cause discomfort and upset our expectation of a pleasant life.  Jack Kornfield, in the Power of Awareness Course, reminds us that we seek to make our life comfortable in so many ways – we seek the comfort of air conditioning or a soft pillow or mattress.  He points our that we try to deny the conflicting reality of being human – lives that engender joy and pain; praise and blame; elation and depression; happiness and sadness; gain and loss.

We assume that things will go along as expected – until we are confronted with a serious illness or a substantial loss or defeat.  Jon Kabat-Zin suggests that it is “certifiably absurd” to assume that things will always go on the way they are now.  He argues that “stress really has to do with wanting things to stay the same when they are inevitably going to change” – the fundamental “law of impermanence”.

Mindfulness and recognising our emotions

Mindfulness meditation can give us the capacity to handle the wide range of emotions that we will have to deal with in life.  This is not to say that we will not experience upsets or “come to grief”, but that we will reduce our reactivity to these emotions and regain balance more easily – we will have the ability to “bounce back” more quickly.  In other words, we will develop our resilience.  Jack Kornfield reminds us that recent neuroscience research confirms the view that mindfulness builds resilience and creates a “window of tolerance” – a greater openness to life events that we experience as adverse or painful.

Matt Glaetzer epitomised this expanded tolerance of adverse events in the Commonwealth Games on the Gold Coast, Australia, in 2018.  Matt was world champion and Commonwealth Games record holder for a sprint cycling event he contested and was also the fastest qualifier for the 2018 sprint event.  Yet he was beaten by the slowest qualifier, Malaysian Muhammad Sahrom, and was eliminated from the race and did not make the quarter finals.  Matt was “gutted” and devastated by this defeat and the loss of a real gold medal chance.

However, Matt had to race the 1,000 metre individual cycling sprint the following day.  He went on to win this time trial race and the Gold Medal.  When asked how he recovered his balance, Matt stated that “I had to regroup, sometimes things don’t go the way you plan them”.   He sought out the support of family, team mates and friends; said a prayer; and reset his mind to get his “head space in the right area“.  This changed mindset involved not wallowing in his utter disappointment but focusing on winning a gold medal for Australia.   Matt faced the depth of his emotions and feelings after the embarrassing loss and focused his mind on his next goal, rather than “beat up” on himself for making a bad tactical error in the first race.

As we grow in mindfulness, we can liberate ourselves from the potential tyranny of our emotions by recognising them for what they are, by understanding their influence on our thinking and behaviour and by taking constructive steps to manage our emotions to  gain self-acceptance and balance and avoid reactivity.

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

Image source: courtesy of alfcermed 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.

Agency through Action Learning

In a previous blog post I focused on agency and mental health – highlighting the mental health benefits that accrue when an employee is given the capacity to influence their workplace environment and to have a degree of power over the way things are done.  How then does a manager create a workplace environment that is conducive to mental health through employee agency?  One way to address this issue is for the manager to adopt an action learning approach.

Action learning and agency

Agency is a defining characteristic of action learning which involves learning with and through action and reflection on the consequences of your action, both intended and unintended.  It is typically conducted in groups within a workplace where employees are collaborating to improve the work environment and the way the work is being done.

Reg Revans, the acknowledged father of action learning, argues that the best way to improve a workplace and the way the work is done, is to involve the people who have the “here and now” responsibility for the work.  He suggests that you do not get a Professor of Medicine to solve the problems of nurses having to look after dying children – you get the nurses themselves together to explore the issues they are confronting, identify what creative solutions they could adopt and take action to implement them.

In the same way, Dr. Diana Austin found that the way to address the seemingly intractable problem of midwives experiencing trauma after the death of a baby and/or mother before, during or after birth, was to have the midwives share their thoughts and their feelings after experiencing such a critical incident.

In her presentation at the Learning for Change and Innovation World Congress in Adelaide in 2016, Diana explained that her research involved working with an “action group” of affected parties who gathered information about traumatic events and reactions from each other, from interviews with other affected parties and from external health professionals.

The “action group” identified the unconscious rules of the health professionals as the major impediment to improving the midwives’ work situation. The research resulted in the creative solution of an illustrated Critical Incidents e-book that addressed and challenged the fundamental assumptions underlying the unconscious rules.  The e-book is now accessible to all health professionals throughout NZ and the world.

Diana explained that the research by the “action group” led to some key organisational outcomes:

  • the conspiracy of silence about the personal impact of trauma after a critical incident was unearthed, challenged and removed
  • destructive assumptions and unconscious rules were surfaced and challenged
  • the e-book support package was created and made accessible to all
  • new supportive processes were implemented and self-compassion was encouraged (refer: Austin et al, After the Event: Debrief to Make a Difference)
  • a collaborative ethos was established that replaced the old ethos of “going-it-alone’ when suffering trauma after a critical incident.

Clearly, the activities of Diana and the “action group” not only improved the work environment and the way the work was done but went a long way to redressing the potential, long-term effects of experiencing trauma, by providing a supportive environment conducive to positive mental health.  In the final analysis, the action learning by the group provided increased agency through the ability to change their work environment and the way trauma of health professionals was handled.

As managers and leaders grow in mindfulness, they are better able to facilitate action learning processes within their organisation, thus increasing the agency of employees and improving mental health.

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

Image source: courtesy of Wetmount 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.