Author Topic: Delayed Healing  (Read 1895 times)

Certain Hope

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Delayed Healing
« on: September 16, 2007, 03:46:58 PM »
This isn't the original article I'd read recently, but along the same lines... and I'll keep looking.

Doctor says 'debriefing' delays healing of trauma
by Kathy Briccetti, San Francisco Chronicle, December 31, 2006


Excerpted from http://www.buddhistchannel.tv/index.php?id=10,3581,0,0,1,0

San Francisco, USA -- Contrary to existing dogma in the mental health field, this book posits, trauma survivors have an innate capacity to heal themselves without medical or formal psychological intervention. There is a "healing force hidden in all of us, even if depleted by violence, that is always striving for survival," writes Richard Mollica, professor of psychiatry at Harvard Medical School and director of the Harvard Program in Refugee Trauma. In "Healing Invisible Wounds," he charges that "superficial, sensational media reporting of tragedies and debriefing therapy by misguided mental health workers" cause more harm than good for victims of violence.

Mollica, who also holds an advanced degree in religion and philosophy, bases his theory of psychological self-healing on 25 years of interviewing and counseling war refugees, victims of torture and survivors of natural disasters. He uses personal, or "trauma," stories from Khmer Rouge survivors, Bosnian doctors and Rwandan genocide witnesses and applies them to survivors of more common crises, such as sexual abuse, life-threatening illness or death of a loved one by accident or violence.

"Because of doctors' theoretical hubris and the grandiosity of their models ... [they] are unable to harness the therapeutic power of self-healing," he writes. He accuses doctors of throwing medicine at the problem and mental health practitioners of overemphasizing the brutal facts of the trauma story, told over and over, in their attempts at "debriefing."

According to Mollica, victims of violence must play an active role in their healing. Not only telling but interpreting one's trauma stories is crucial for healing. Understanding the cultural meaning of the trauma, taking a new perspective on it and realizing the motivations of the perpetrators, are necessary to reframe the trauma for the survivor. "Storytelling coaches" (e.g., doctors, social workers, therapists) can guide survivors in telling their stories without overwhelming listeners with horrifying details. The realization that by telling their story they will pass on valuable lessons in dealing with loss and tragedy also contributes to healing.

Mollica has identified several measures that encourage self-healing: engaging in altruistic acts, working to provide for oneself (rather than accepting long-term handouts), spirituality (but not necessarily formal religion), humor, physical exercise, relaxation techniques and good nutrition. Empathic communication between healer and patient also has restorative power, as does the creation of beauty, e.g., making art, tending a garden, keeping a journal, creating puppet theater. Recalling dreams, and understanding what they are trying to teach, can also help.

Mollica ends with a social call to arms, criticizing the media for its obsession with gore and devastation when news reporting could be used productively. "The media could play a critical role in supporting reconciliation [between warring countries] by sharing, through in-depth television documentaries and newspaper stories, the traumatic history of its citizens, instead of constantly repeating the emotionally charged accusations and denials of the violent events. ... The media need to be encouraged to present the full trauma story, not just the horrors."

changing

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Re: Delayed Healing
« Reply #1 on: September 16, 2007, 04:13:59 PM »
Certain Hope-

There is great truth in the concept of "theoretical models and medical grandiosity" delaying or even precluding a return to health by means of one's natural healing mechanisms. This can be applied to both the psychological and medical fields. However, I once suffered an extremely traumatic accident, was in extremely poor condition, etc- by the grace of God I was seen by a managing doctor and given state of the art, even some experimental medical treatment, and they achieved a result that natural healing could not do alone (I did think positively, prayed, and tried to cooperate and modify my behaviors to support health and healing), and I think that there is a "natural " component in man's quest for healing methods in medicine and elsewhere. I have had some truly wonderful psychologists/psychiatrists, and some who were downright malevolent. Thank you, as always, for the important and thought-provoking thread, Dear Hope.

Love,

Changing

« Last Edit: September 17, 2007, 01:37:30 PM by changing »

Hopalong

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Re: Delayed Healing
« Reply #2 on: September 16, 2007, 04:18:36 PM »
Huh!
Wow, this is a great, useful article, CHope...thank you so much. I think all of this could apply to survivors of emotional abuse or neglect too.

Self-check:
engaging in altruistic acts--Not so good
working to provide for oneself (rather than accepting long-term handouts)--Yes except I live with Ma
spirituality (but not necessarily formal religion)--In spurts, doing pretty okay. Need daily ritual though.
humor--I am ridiculous daily, witty at least once a week
physical exercise--I flunk this past year. Time to start again.
relaxation techniques--just started hypnosis CD again, huge help
good nutrition--new resolve, it's recent
Empathic communication between healer and patient--Have no formal therapist now, but a Covenant Group does it.
creation of beauty--I flunk this year, haven't written anything but a sermon
making art--I remember how I loved it
tending a garden--constant fantasies about edible landscaping, Fritz Haeg's work, and nouveau Victory Gardens
keeping a journal--does the board count
creating puppet theater--this one ain't for me
Recalling dreams, and understanding what they are trying to teach--haven't done that in a while, sleep issues

Not trying to "grade" myself (I pass! It's a Pass-Fail course and nobody fails!) but this is really a wonderful reminder of how many resources there ARE to use, in 3-D life, to heal yourself with.

Thanks again!
love
Hops
"That'll do, pig, that'll do."

Certain Hope

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Re: Delayed Healing
« Reply #3 on: September 16, 2007, 04:45:14 PM »
Thank you both, dear Changing and dear Hops...
for lifting out and hilighting two different aspects of this one article.

I am not suggesting that there's something un-natural about availing oneself of medical experts... only that the debriefing approach may place inappropriate focus on facts, rather than the tone of events and the human ability to rise above trauma.

It's buggin me that I can't find that one I read the other day, so I'll toss in a bit of Deepak Chopra here, just because I think this one's so good  :)


 Abuse and ForgivenessPosted by Deepak Chopra, M.D.
on Tue, Jun 19, 2007

Question:

How do I forgive my father for being abusive, and am I better off spiritually if I continue my relationship with my father despite his behavior? I would like to forgive my father, but I don’t understand upon what basis.

He now admits the abuse, and he says he deeply regrets it, but he claims he did not know any better. He is a brilliant and successful businessman, and I find it difficult to believe that he was so self-centered as to be oblivious to my needs, as he claims.

Answer:

Your situation is a good example of how forgiveness is not something you can rush toward just because you know that forgiveness is where you want to end up spiritually. The process of healing the hurts from our past is not an intellectual process.

Finding forgiveness, taking responsibility for your life, and letting go of the pain is not so much a procedure to heal the past, as much as it is a place you come to once the healing is complete.

The process of healing is, in many ways, really the process of mourning a loss, because when you mourn a loss you are releasing stored pain. We are used to mourning the death of a loved one, the loss of money, or a home.

We are less adept at healing the losses we may experience by the loss of love, health, respect, control, our childhood, or the countless other ways in which a version of our self is taken away from us.

The lack of care and protection from your father will always justify your anger and hurt as long as you relive it from the perspective of the child who experienced what you shouldn’t have had to experience. Now that you have survived and are grown up, these feelings can finally come up to be healed.

The first thing to recognize is that the reemergence of these old feelings is a positive and healthy sign that you are now in a strong enough position to heal the old hurts. Allow them to come up, don’t avoid them or push them away. Don’t indulge or exaggerate the feelings either. Let them be what they are.

All the feelings involved in the mourning process: pretense, blaming, excusing, anger, resentment, regret, bitterness, and finally acceptance, should all allowed to come forward as they want to.

You need to recognize that what you experienced and lost was in your past, that you have survived and that you are now here in the present, safe and secure. From this vantage your old hurts can tell you what it is that hurts.

You don’t need to know the exact details of what happened and when. You may only have a vague sense of the actual events, especially if they occurred when you were very young. It is enough that there is a willingness to see and feel what happened.

Learn why what you lost was so important to you, and why it had such power over you. You will discover how you handle loss, by showing you how you have avoided loss in the past and also what situations trigger memories of past losses, etc.

This is how the natural healing response is assisted. There is no set timetable for how long healing takes, it all depends on the loss that you have suffered, and no one can know the depth of your loss but you.

Through this process we discharge our emotional debt and spontaneously define a stronger spiritual self in the present. From here we learn to accept the loss, find forgiveness, and move forward in life.

When we have successfully mourned our losses, we are not just pretending things are OK, we are OK. We have not excused the abuser, we have finally outgrown our participation in that relationship and moved into a more powerful, loving self in the present.

Meditation will be helpful in developing and strengthening that spiritual self as a foundation for healing, acceptance and forgiveness, but it does not necessarily give you the courage, honesty, and patience required for the healing process.

Those qualities you must locate and cultivate within yourself to see you through your healing process.

http://health.yahoo.com/experts/deepak/1254/abuse-and-forgiveness

reallyME

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Re: Delayed Healing
« Reply #4 on: September 16, 2007, 04:49:43 PM »
Quote
According to Mollica, victims of violence must play an active role in their healing. Not only telling but interpreting one's trauma stories is crucial for healing.[/quote

hence, the "my story" section of this board, Dr G?

lighter

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Re: Delayed Healing
« Reply #5 on: September 17, 2007, 11:22:57 AM »
Great thread, Hope.

Mourning our losses..... then giving up 'expectations' of ever receiving what we were entitled to.... as human children.... hmmm.

That makes sense....::nod::

Notice....  I didn't mess wid da hope; )




gratitude28

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Re: Delayed Healing
« Reply #6 on: September 17, 2007, 02:28:04 PM »
I like this section very much, CH. I think the first time I really realized what this meant was when I heard Dr. Laura say to someone, "That may what you want, but that is not what you will get from this person." (paraphrased). It struck me that the healing had to be on my end. I can't bite into an apple and expect it to taste like a cheeseburger... no matter how much I would like it to... I can't have a relationship with my mother expecting any kind of understanding or care about the person that I am. I was so puzzled until I really absorbed that idea.
I hope I am on subject here... Please forgive me if I deviated.
Love, Beth
"There is a theory which states that if ever anyone discovers exactly what the Universe is for and why it is here, it will instantly disappear and be replaced by something even more bizarre and inexplicable." Douglas Adams

Certain Hope

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Re: Delayed Healing
« Reply #7 on: September 17, 2007, 05:02:50 PM »
Well, I went through such a splurge of reading early last week (and marking so many great things to my exploding favorites folders  :shock:), that I still haven't located the one article which originally got me headed in this direction!

But the general idea was that by continuously replaying past events in our minds (and I mean re-telling our stories over and over for months into years, not what's happing on our Story Forum here) it's possible to get stuck in that shame loop and repeatedly dig the rut deeper into ptsd type symptoms. Hmm... I think that must be where I read it... on one of those ptsd sites... possibly in one of the Pete Walker articles.

Shunned, it does sound like you've had a fantastic therapist. I can really relate to the need to slow down... or at least pause a bit, from time to time... because sometimes this process does begin to feel like a horse approaching the barn, just picking up speed with every gallop!
I don't want to miss anything, either... or draw false or hasty conclusions... and surely don't want to have to keep retracing old ground to pick up pieces.

This is lovely... and true for me, too:
When the hurts are so large, there's instantaneous relief when the problem is identified, known, and that puzzle piece falls into place. But, it's not healed. That happens ever so gradually, over time... a little each day. And sometimes there are the recurring, monumental ah-ha's... but the real work is almost invisible, it's so minute and slow.

Having a board full of wonderful people like this, keeps this phase of work going...


Keeping focused through times of confusion and distraction is my biggest challenge, but thankfully there are always at least a couple good topics going here... and many more good friends for support and encouragement.

Beth... you are definitely on subject! Unreasonable expectations can be relentless... and yet I know it's possible to be so much more content once they're laid aside. One of my favorite old lines... in acceptance lies peace. Much easier said than done.

Lighter... thanks for lettin Hope be  :)  Keep 'er aimed in the right direction, and she sails along real smooth.

Love,
Carolyn