My daughters and I did something a bit unusual for us yesterday. For the first time in my life and henceforth theirs, we did not celebrate Christmas Eve. When I was married, our family was interfaith in terms of family tradition, and my family of origin defines the word complex in terms of faith traditions. This year, we celebrated Hanukkah, but it wasn’t quite that easy. I grew up amongst Scandinavians. Dyed in the wool Scandinavians. For my family, Christmas is all about the traditions. The food. The holiday decor. The annual trek to Ingebretsen’s for the food. The music. It was never about the gifts. It was an excuse to be Swedish or Norwegian. I mean, to really be Swedish or Norwegian.
I have always associated Christmas with Scandinavia. With my grandparents. With their home cultures. And with very cold weather. It has never felt like a spiritual tradition to me for this reason, I suspect.
So, yesterday, Christmas Eve, the evening upon which all good Scandis celebrate Christmas, I did not. This year, my daughters and I re-examined our family traditions. Going forward, what do we want to keep, and what do we want to leave behind as we re-create our family?
A divorce changes everything. In our case, it changed it for the better, but the dynamic in our home is still vastly different now. We can practice Judaism openly without fear of reprisal from family members. We do not have to keep anything for the sake of keeping it just to appease–to keep a false peace. We can be deliberate about our practices, and that freedom to choose feels like a privilege.
So, what did we do? This might sound funny, but…we watched Christmas movies all day. We stayed in our pajamas and chose movies that we liked or remembered liking. “White Christmas” was the front runner. I made the traditional cookies that my Great Aunt Evelyn always made during the holidays while we lounged and reminisced. The last movie of the night was Nancy Meyers’ “The Holiday”. I saw this movie in the cinema in 2006 which blows my mind because I so clearly remember it. The part that hit a nerve in me when I saw it then and nearly ran me over last night was Kate Winslet’s monologue:
“What I am trying to say is I understand feeling as small and as insignificant as humanly possible. And how it can actually ache in places that you didn’t know you had inside you. And it doesn’t matter how many new hair cuts you get, or gyms you join, or how many glasses of Chardonnay you drink with your girlfriends. You still go to bed every night going over every detail and wonder what you did wrong or how you could have misunderstood. And how in the hell for that brief moment you could think that you were that happy. And sometimes you can even convince yourself that he’ll see the light and show up at your door.
And after all that, however long all that may be, you’ll go somewhere new, and you’ll meet people who make you feel worthwhile again, and little pieces of your soul will finally come back. And all that fuzzy stuff, those years of your life that you wasted, that will eventually begin to fade.”
In 2006, as I sat in the dark of the theatre watching Winslet so brilliantly speak out these words, I ached inside. I knew that something was terribly wrong in my life then. I knew that I was diminishing. I was not on the right path. I wasn’t playing the right part. The character of Arthur Abbott, played by Eli Wallach, remarks to Iris, Winslet’s character, during their first dinner together why she is miserable in her life:
Arthur Abbott: He let you go. This is not a hard one to figure out. Iris, in the movies we have leading ladies and we have the best friend. You, I can tell, are a leading lady, but for some reason you are behaving like the best friend.
Iris: You’re so right. You’re supposed to be the leading lady of your own life, for god’s sake! Arthur, I’ve been going to a therapist for three years, and she’s never explained anything to me that well. That was brilliant. Brutal, but brilliant.
That is what struck me last night eleven years after I’d seen this movie for the first time. You know, if I could sum up why we go to therapy, it would be Arthur Abbott’s remarks–to learn to play the leading role in our own lives. Not a supporting role to someone trying to usurp that role in our lives. To be the star of our own story. It isn’t an elegant process that happens in two weeks as it does in “The Holiday”, but it can happen.
So, that is what I would wish for all of you as 2017 comes to a close. I wish for all of us that we would become the leading men and women of our lives–the stars of our stories. The stories might be adventure, fantasy, romantic comedy, drama, slapstick, epic, or sitcom. It’s my guess that they will be all of the above.
May it be a life worth living and story worth telling in the end.
Shalom and keep going.
And Merry Christmas, everyone!
I want to talk about negative core beliefs and dissonance–and perhaps a way to challenge them effectively. Bear with me as I get there. I have written a lot about my last two years in therapy with a neuroscientist. I didn’t know initially that he was an official neuroscientist (who taught at the college level) who also happened to be a social worker, but that’s what he was. He specialized in “difficult cases”. I didn’t think of myself as a difficult case per se, but I imagined that my history would qualify me for that label once my full case history was trotted out.
I’ve written before that my most powerful negative core belief is “I am disposable. I am expendable.” It is hardwired. I have processed almost all of my maladaptive core beliefs at this point, but this one is like the final boss in a video game. I can take it on over and over again, and over and over again I lose. It’s not “online” most of the time, but when it’s activated, I fall. I cannot refute it. There is no line of thinking that will stand up to it. No amount of EMDR has defused it. This is why I agreed to continue therapy after my therapist moved. To try to get at this particular core belief.
And then…
As I was sharing my frustration and fear about dealing with this with someone close to me, an idea was brought forth. He commented, “You can’t nullify a person, right? That came up for you early on in therapy. Your sense of morality doesn’t allow you to do that. You view all people as significant regardless of past acts. Is this true?”
Well, yes, I do. Frankly, it has made dealing with my parents a pain.
He continued, “Philosophically speaking, would you find it immoral to view another human being as disposable?”
Yes. I would. Humans are not disposable.
He then asked, “So, would it violate your own sense of morality and personal philosophy to view yourself as disposable? To agree with that?”
Why had I not asked myself this before? How had I not seen it from this perspective? I do not believe that I can have a double standard. There are not two sets of rules in the universe. If it is true for others, then it must be true for me. That is one aspect of integrity. How I view and treat other people must also apply to myself. If I view other people as having inherent worth and in no way disposable, then how could I view myself in an opposite way?
This is where the arguments start. This is what I would like anyone who has a profound struggle with a deeply embedded negative core belief to take note of. Challenging a core belief doesn’t change it. You must think of this like a boxing match. Once you find a statement or a strong sense within yourself that you can hold onto that matches the strength of your negative core belief–that matches its energy, then you can throw the first punch. Like this:
What will happen next? Heisenberg, your profoundly negative, most likely biologically embedded core belief, will get up and come at you with evidence. That is exactly what mine does. Heisenberg is cold, mean, and extremely smart. He uses evidence from my past to prove why I am disposable, and the case is airtight. And, the more you listen, the worse you feel. The more monstrous that core belief becomes. As if it takes on a life of its own until he’s doing this:
Those feelings that you have at this moment are defined as “dissonance”. Why? They are the gap between what you are starting to know is true about yourself or situation and what you feel is true about them. This gap can be shallow or a deep abyss. This is why emotional dissonance can be so dangerous and hard to manage. This is where the spin-outs and target behaviors can happen. I typically freeze and can’t reach out. Emotional eating, cutting, high-risk behaviors like gambling, high-risk sex, substance abuse and emotional dysregulation are all common manifestations of falling into this gap.
Now, a negative core belief doesn’t sound that bad on paper. Why would someone react in such an extreme way? It is a matter of what that core belief represents and triggers. In my case, my negative core belief centering on expendability was literal. I was trafficked. I had a literal price tag put on me and was sent to an auction. Men actually bid on me. It was the most dehumanizing experience that I could never have imagined as an 18 year-old. I was put through experience upon experience meant to rob me of a sense of identity so that I would come to experience my own person as an object void of self. That is the purpose of the “breaking in” process. Once you are no longer a person, you are compliant. The problem for me in all of this was that I fought the process in captivity and left that environment with a sense of self albeit a very traumatized, compromised one. Years later, when there is a trigger, the past becomes present, and I am faced with this old but very effective lie. It is biologically embedded with the actual trauma. This is the neurology of trauma and beliefs acquired with trauma. This is why we suffer so much when we flashback–even with something as seemingly benign as a negative core belief.
Part of battling it out in the therapeutic process is identifying that which you solidly believe to be true with someone who can parse your language. When someone gets to know you, they can often help you discover your values and truths–the truths that you take for granted. This can prove to be quite useful when you can’t see what’s true anymore staring up from the bottom of your dissonant abyss.
What is a better strategy? Don’t fall into the abyss. Well, that’s brilliant. How do we avoid that? Go back to that moment when Heisenberg is giving you the finger. In the past, I didn’t have anything that could adequately refute the case he made against me. I would fold every time and free fall. Now? I still feel the onset of panic when that profoundly negative belief comes online, but I honestly know that it cannot be true because it does not line up with any of my beliefs about humanity. How could it be true? Once I sat with that, I let it go further. If I’m not expendable or disposable but a person treated me as if I were, then who in that situation had acted badly? Me or the other person? Clearly, the other person. This is an easy conclusion, but it is a very difficult idea to internalize when you grow up under gaslighting conditions or presently experience them:
“We treat you like this because you are bad.”
The truth is this:
“We treat you like this because we are bad.”
Change one word in that statement and the meaning is completely different. Gaslighting is very common: “You are the problem which is why we hurt you. You are the problem which is why you were sexually abused. You are the problem which is why X happened to you.” What perpetrator is ever going to admit, “I have the problem which is why I hurt you”? Nary a one most likely.
So, there you are staring down Heisenberg. He’s coming at you with your terrible belief, triggered by something that you can’t control like a phone call from that person, something a person said to you, a feeling you had when something happened that made the past present in an instant. It could be anything. When this experience is beginning to crescendo, do not try to change how you feel. Do not try to change Heisenberg. He never changes. Bring in your own strength–your own hitter. I figured this out because I realized that some of our very malignant core beliefs do not belong to us. They originated in our trauma and are not natural to our personalities or nature. We may have held onto them because they helped us navigate extreme and painful circumstances, but they no longer help us. They hinder us. This is the definition of ‘maladaptive’.
This is what a solid refute will do to your Heisenberg:
Your challenge will become the wall to your Heisenberg. Heisenberg does not stop showing up when stress shows up. Your neural connections have created a fantastic pathway for him. The more you use your challenge against him, however, the more you weaken his pathway until there are potholes in your neural connections. It will look something like this:
After a few months of challenging Heisenberg with the same new thought that might be one of your beliefs: “I can’t be disposable because it violates my own personal sense of morality,” my personal Heisenberg is starting to do this:
He leaves before anything serious starts.
In my mind, I thought for years that dealing with negative core beliefs was all about changing them, but then I realized that a negative core belief was a lot like Heisenberg of “Breaking Bad”. Heisenberg, much like Dr. Jekyll’s Mr. Hyde, was an evil alter ego. A negative core belief is a negative alter ego of a functional, adaptive thought. It’s a thought gone rogue. It served a purpose, but its present existence has long outlived its original purpose. Now it just keeps on comin’ because that’s what it does. Like a cancer.
I can try to kill Heisenberg or strengthen my other thoughts in order to overcome him. Where is the effort better spent?
So, the key here is finding the right challenge. That is the most important part of the process in taking down a malignant core belief and arguably the most difficult. I would assert, however, that the prior work done in therapy, which included EMDR, laid the foundation for present insight.
The other strategy I have used in the past and model in this post is externalizing and naming a toxic feeling in order to separate it from yourself and your identity. I have identified my most feared maladaptive core belief as “Heisenberg” in order to differentiate every idea associated with it from myself and my identity. This draws a distinct line between me, my own thoughts, my hopes for my present and future, and what I would like to think about. This is highly effective for dealing with negative emotions.
For anyone experiencing the abysmal free fall or struggling with repetitive negative thoughts rooted in malignant core beliefs, there are strategic ways to deal with them and eventually defeat them. It takes time and consistency, but it is possible.
Keep going.
I want to talk about how finding out what motivates you can lead to personal liberation. To do that, I will take you back to my junior year of college. I was something of a fresh-faced know-it-all with something to prove. I didn’t really know what I wanted in terms of a future career. For most of my life, since the age of 4, I was certain that I was going to be a doctor, but then I discovered the theatre. Yeah, that old cliché.
So, I did what many confused perfectionists do. I went to college and hit it hard. My entire identity became about doing well in college. Learning, of course. That was my priority, but I could not do poorly in anything. I had to receives As on everything. In my mind, I was proving my parents wrong about me. What I didn’t have the insight into then was that I was building an identity around performance and actually fortifying the very lies that I was trying to disprove. My worth became proportionate to my professor’s evaluations of me. I entered college a perfectionist. I became a superperfectionist during college. Every mistake I made grated on me and drove me harder. I studied all the time. I lacked a social life, and that seemed justifiable to me. I was building a foundation for a future career path–whatever that would be.
The results of these painstaking efforts were inclusion on the Deans’ lists of the colleges I attended, scholarships, and recognition, but I hated it. I didn’t feel a sense of accomplishment. What if I failed? The anxiety grew greater the higher I climbed, and my personality had become distorted. When I look back, I see someone whom I would not like today. I was one of those intellectual snobs who would metaphorically wear black turtlenecks and chain smoke at cafés at midnight while discussing the merits of the intellectual movement in Europe vis-à-vis the developing social pragmatism of America.
Then art history happened. For some ridiculous reason, a medievalist at one of my colleges pushed me in the direction of art history. It made sense. My great-grandfather was a landscape artist in his country of origin, and my grandmother was an artist as well. I had the language background for it, and I met the intellectual snob criteria for graduate level courses. Perfect.
That is when I met the Flemish Professor. He was a brilliant man and teacher. He made art history seem accessible and easy. Suddenly, I could see art history as a viable career. I took all of his courses–medieval art history. There were, like, six. We got to know each other. We had a good collegiate relationship. It was during the end of my junior year that he suggested I take his graduate course on the cathedrals of Europe. To me, at that time, this was a coup not to mention a fascinating course of study. It was in this class that he handed me the topic for my art history thesis.
Catalonian retables.
If you find yourself asking what the heck a Catalonian retable is, then you’re not alone. That was my response as well except with more colorful language. This is a retable in case you’re wondering:
This was a thesis based on research. Well, the only access I had to Catalonian retables was through large, cumbersome books. Two large, cumbersome books. Both of them in German. For some reason, the Flemish Professor thought that I spoke German because I told him that I got bored while living in France and took an introduction to German at The Goethe Institute. I left being able to count, conjugate, and perhaps order a beer, a piece of cheese or a piece of cake. I would confuse the two. In other words, I would do really well at Oktoberfest.
The only other published research in the entire world at the time was one French article. That’s it. Two German books and one French article. The Flemish Professor asked for a 10-page “thesis” about Catalonian retables based on this? I gave him a 13-page paper, and I used all three sources. The only three sources on Catalonian retables in the world at the time. That’s how obscure the topic was. He checked off on my outline and bibliography.
Do you know what this professor gave me for a grade? Hold on…
A C. A C!!!!! I died on the inside. I took that paper and marched into his office. I put it on his desk and demanded an explanation. Something I have never done before, but I felt he owed me that particularly since he signed off on every aspect of it. We went head to head. The sources were incomplete he said. There were only three I said. In the world. It wasn’t long enough he said. He asked for 10 pages I said. I gave him 13 which was a miracle. Why didn’t I use more of the German material he asked? I don’t speak German I said. I countered him on every criticism. He had nothing to stand on.
“The grade stands. There was a misunderstanding.”
And then he crossed his arms and made something akin to a pouting harumphing noise. Politics?! Was this my ego coming up against his far more established ego? What? I was incredulous. How was I supposed to live with this? Dear God! A C in the class? I went home and had an existential crisis. Who was I? If I got a C, then what? Maybe I really was stupid after all. Maybe my parents were right. Maybe I just hit the ceiling of my abilities in the academy. Maybe I peaked. Maybe…maybe…maybe…maybe…
This all sounds ridiculous. I know that, but when we think about the things that set us off on any given day it isn’t so unreasonable. I know what caused this crisis. I started college two weeks after I escaped trafficking. That blows my mind when I really ponder that. I went from being a sex slave to a co-ed in two weeks. I compartmentalized everything. I threw myself into academics and performing, and I found out that I was good at it. My whole world rose and set on earning high marks in everything, and it fell apart when I didn’t. I didn’t know who I was apart from performing–performing perfectly. From being perfect. This core belief somehow protected me from ever having to deal with what caused me to develop that maladaptive strategy. Underneath my consistent efforts to climb higher and be the best festered a toxic mélange of self-loathing, terror, and despair. If I wasn’t good in the academy, then I wasn’t going to be good anywhere. It was my last hope, or so I thought. The Flemish Professor ripped me apart when he gave me that C.
And it was one of the best things that could have happened to me because it forced a reckoning. I hated who I had become. I didn’t enjoy the hoop jumping, politics, and ass-kissing that I had to do at university. I hated the esoteric and seemingly useless topics of study. Catalonian retables? That’s not going to cure the world of its ills. Furthermore, I realized that I wasn’t actually studying because I liked it. I had lost my integrity. I had become a divided person–a dis-integrated person. Maybe I always had been. I didn’t even know.
Receiving that C, as small a thing as it is in the grand purpose of life, was a catalyst for immense growth. I stopped and reconsidered my path and my purpose. I made life changes after that class that changed the course of my life for good. I also realized that if I was going to do something with my life that mattered to me, then it need be because I’m invested in it for reasons that resonate with my character and who I desire to be rather than proving a point to people who actually don’t care about what happens to me now or in the future. The past should not corrupt the present nor my future.
That was two decades ago. Ironically, that C was the best grade I ever got.
All this is to say that you may have had or are currently having experiences that ignite you in ways you never expected. Your brain and heart may be on fire with existential despair or desolation. You may be up against something that is breaking your brain. Or perhaps your identity is on the line in a way that you never expected. After dealing with recovery from profound trauma for almost three decades, I can safely estimate now that these kinds of experiences can be some of the most useful for emancipating us from ourselves and prisons of our making. Most often, we did not create our cells, but we have a strange gift for keeping ourselves locked inside them through our self-judgment, personal and secret vows, self-loathing, need for vengeance, and constant comparisons between ourselves and others, and ourselves from the past, present, and future through these words, “I didn’t expect that my life would look like this at this age.”
There is no easy way to make a new key for an old prison, but what I have learned is that it all starts with questions. And, the first question is usually, “What would happen if I tried ____________?” Rethinking our present requires imagination and willingness. It also requires giving up our fear of pain. It will hurt emotionally and spiritually to integrate, but it hurts more to remain compartmentalized. This I know from experience.
These are my observations as I continue to walk the road of attempting to live an integrated life. May your entry into the forthcoming holidays bring you peace, merriment, and a deep sense of joy.
As always, keep going.
Shalom…
This week has been what I used to call in undergrad “Hell Week”–all the final exams were scheduled successively in a rather discouraging 1-2 punch. It was exhausting when I was just entering my 20s living with little to no responsibilities in terms of taking care of another person. Now?
Sweet fluffy lord…I really do wonder what my 21 year-old self ever complained about! Studying for final exams in medical school while raising teenagers, driving them to and fro, running a household, and celebrating a festival holiday? I question my life choices sometimes. I keep telling myself that at least my classes are in English–mostly.
You don’t read my blog, however, to hear me whine. I figured something out yesterday after I took my A&P II exam. I noticed during the exam that I was calmer as compared to my Pathology exam. I recalled necessary information faster, and I felt more confident. I felt totally frenetic during my Pathology exam. Granted, the Pathology exam was brutal. It took me two hours to complete it, and I felt like part of my brain had been sucked out of ear during the essay section. As far as I’m concerned, essay sections on science exams are mean. The bullshit answer sounds like bullshit on a science exam as opposed to nonsense answers on liberal arts exams:
“Baudelaire’s depiction of the darkness inherent within the flowers represented his ultimate struggle with his own existence and that of his culture which makes sense as Sartre’s existentialist notions had resonated quite strongly with the French people generally and specifically with members of l’académie.”
I just made that up right now, and I bet I could sneak that by someone were I discussing French existentialist poetry. That’s quality filler, man! Science filler material is a different matter altogether. If you don’t answer the question with the correct information, it’s wrong even if you wrote out the entire periodic table from memory. So, you really have to study and retain everything.
That’s where it got tricky for me. I was studying, but the retention and recall were a problem. Why? I refuse to blame it on being in my 40s. I noticed that my retention and recall were much better during A&P than in Pathology. Why? What made the difference?
I studied in absolute quiet for my A&P final when everyone was at school for that exam, and I was studying over the weekend for my Pathology exam when too much was going on. I couldn’t find any peace. In other words, I was multitasking, and current research shows that our brains are not designed for it:
“Research conducted at Stanford University found that multitasking is less productive than doing a single thing at a time. The researchers found that people who are regularly bombarded with several streams of electronic information cannot pay attention, recall information or switch from one job to another as well as those who complete one task at a time.
A special skill?
But what if some people have a special gift for multitasking? The Stanford researchers compared groups of people based on their tendency to multitask and their belief that it helps their performance. They found that heavy multitaskers — those who multitask a lot and feel that it boosts their performance — were actually worse at multitasking than those who like to do a single thing at a time. The frequent multitaskers performed worse because they had more trouble organizing their thoughts and filtering out irrelevant information, and they were slower at switching from one task to another.
Ouch.
Multitasking reduces your efficiency and performance because your brain can only focus on one thing at a time. When you try to do two things at once, your brain lacks the capacity to perform both tasks successfully.
Multitasking lowers IQ
Research also shows that, in addition to slowing you down, multitasking lowers your IQ. A study at the University of London found that participants who multitasked during cognitive tasks experienced IQ score declines that were similar to what they’d expect if they had smoked marijuana or stayed up all night. IQ drops of 15 points for multitasking men lowered their scores to the average range of an 8-year-old child.” (Why Smart People Don’t Multitask)
Yeah, I would say that a possibly 8 year-old version of myself tried to take that Pathology final exam after multitasking all weekend. That’s why it was so difficult as opposed to yesterday’s Anatomy & Physiology exam which was challenging but doable.
I don’t have my scores back from my Pathology exam. I can’t tell you if there was a differential between my performances, but I do know how I did on my A&P final exam (the teacher likes to grade them on the spot–in front of you). I owned that exam. So there, brain!
All this is to say that we are far more successful when we focus on one thing at a time. Sometimes we can’t. I couldn’t last weekend, and it might very well show up in my final grade. Worse than that, however, is that I may not have retained all the necessary information that I want and need. There isn’t a damn thing I can do about it except go back and review what didn’t take. The American lifestyle of “doing it all” is corrosive to our brain matter and neuronal connections. If we make small changes accompanied with lifestyle changes and commit to focusing on one thing at a time, then we will actually be able to be more effective and, ironically, more productive. It’s counterintuitive, but it’s proving to be true.
It is something to think about and perhaps aim for as we continue onward.
Happy Hanukkah from my house to yours. Clearly, she’s so excited. And awkward.
This was the other one.
May your days be merry and bright.
And all that.
With love and peace, MJ
Jack the New Therapist aka the FNG will be no longer. It has become a failed collaboration. That is what my reasonable self says. My snarky self is pointing at this:
Jack has one of the worst Resting Bored Faces I’ve come across. There are three places you never want to see an RBF: 1) on a date 2) while you’re speaking publicly 3) on the face of your therapist while you’re sharing something. He doesn’t mirror or even change his facial expression very much. He is extremely low affect. He rarely smiles. It is strange. He is putting the clinical in clinical psychologist.
It’s more than that though. He won’t actually therapize. He just expects me to sit and talk ad nauseum, and I hate doing that. That is too client-centered for my taste. He rarely asks questions. When he does he says, “Do you mind if I ask a question?” Sweet fancy Moses, please ask a question!! If I mention a past traumatic event, he looks visibly jarred by it. He then says, “I’m just really angry that you experienced that. That shouldn’t have happened to you.”
I’m way beyond that now. Of course, that should not have happened to me. What I need is some kind of insight into resolving remaining emotional dissonance, and I now see that he can’t offer that. He can’t get past the nature of my past traumatic experiences. He’s hunting for something. An explanation for something. It feels as if he doesn’t believe me on some level. I present how I present, and he continually refers to studies that show that I should be a mess. So, the questions that he has managed to ask are not meant to help me. They have been probing questions.
Do you see a theme here? This wasn’t therapy. This was some kind of inquisition, and I don’t say that in cynical way. The Spanish Inquisition was an inquiry into whether or not a Jew who converted to Christianity was, in fact, an honest convert. This felt like an inquiry into whether or not I was “fronting”. Was I really stable? Was I really recovered or effectively recovering? After all, studies show that you can’t fully heal after trafficking, childhood sexual abuse, and longterm exposure to traumatic environments in childhood and adulthood. Studies show that you struggle, your hippocampus shrinks, and you remain fragile in some way for the rest of your life. Well, I never liked those studies. Excuse my language, but fuck’ em. I don’t want a smaller hippocampus or a lifelong struggle. He wants me to provide evidence that how I appear in his office is true in my life.
No. I don’t have to do that nor should I have to in a therapist’s office. For all his training, he should have known better. There are healthy ways to gauge the state of a client.
All that aside, I think this experience has answered my question: Do I still need intensive therapy?
I don’t think I do right now. I’ve been at this since March 2015. My favored therapist saw me through the dissolution of my marriage, the fallout, and the processing of the trauma associated with domestic violence. He saw me through the process of “getting my shit together”. He was one of the best therapists I’ve ever worked with. Perhaps it was good that he moved out-of-state. It allowed me to assess myself and see that I didn’t need the Hot Seat anymore. After everything that has happened since mid-2015, that’s a weighty realization as I head into 2018.
And this is where I must say that the unimaginable is possible. I don’t want to sound “inspiration porn-y”, but I do want to be honest. I could not have imagined my life in January 2015. I knew that I was miserable and despairing. I knew that I was getting sicker and sicker. I knew that I no longer loved my husband. I was starting to figure out that he was abusive. I knew that I was living a life that I hated. I wanted so much more for myself and my daughters, but I didn’t know how to get there. It all felt out of reach for me and them. Impossible. How do you start over in mid-life?
One step at a time taken with great anxiety, however, and my life changed little by little. Your life does not change overnight. It changes with sometimes very small steps made by you. And, truthfully, it all depends on how much you want it. How badly do you want to be free of what is keeping you from something better? For a while, you have to be single-minded. Tenacious and relentless. You must get used to the idea of uncertainty which human beings tend to disdain. More than that, you must dislike your present circumstances more than you dislike not knowing what will happen. Once that tips, it becomes a lot easier to make big changes. The outcome becomes less important to you than making the necessary changes even if those necessary changes are ripping out the foundations of your life.
Currently, I would say that the hardest part of the past two-and-half years has been learning to live with uncertainty. It hasn’t been the loss of a marriage. I had a bad marriage. The grief associated with the loss of a dream or an idea hit me harder. The trauma that occurred within that marriage was very painful to process. The things that he said to me infested me in ways I didn’t know until they came creeping out when I was alone at night. That was very difficult, and I have cried harder and longer over the past two years than I think I have in my entire life.
And yet I can say now that it was a deep cleansing. Sexual violence can leave us feeling defiled in a very particular way. I was sexually brutalized for days in a drug-induced haze when I was in the trafficking environment. When I left that place, I felt utterly shattered and desecrated to my core, but it didn’t feel personal. Human traffickers are criminals. They are doing what they do–the job they have chosen. In that way, it was easier for me to heal. While I experienced shame, it was somehow easier to deal with because, while I felt for years that it was my fault, it didn’t land or fester in certain areas of my identity.
After the sexual violence in my marriage occurred, I was brought low into a place of utter desolation. My husband raped me. More than once. And then he blamed me for it. He tore my hip apart. He herniated the muscles supporting my pelvic floor. I required two corrective surgeries–one requiring months of rehabilitation in which I had to learn how to walk again and the other requiring a stay in the hospital and weeks of no driving, no lifting, and sitting on pillows. It was humiliating.
I will probably not discuss the nature of the domestic violence in my former marriage again, and I do so now with a reason. What I have realized now that I have some distance is that it feels harder to overcome trauma endured from a friend. From an intimate. Brené Brown suggests in her latest book that it is harder to hate someone close up. To counter popular and anonymous hatred, we should then move in. What if that hatred comes from someone close to you? From someone who promised to love you? The opposite of love isn’t what most people assume. It isn’t throwing candelabras and screaming while stomping around and launching invective. No, that’s not hatred. That’s rage. Hatred in an intimate relationship is complete disengagement to the point of treating the former beloved as if they do not exist, and, when the beloved continually seeks out some form of validation that they do indeed matter, lashing out in violence to make the point that they do not and will not.
This is the opposite of love, and it is extraordinarily difficult to heal from. Why? This kind of treatment erodes your ability to retain hope and trust. As much as I wanted to believe that someone I loved wouldn’t do to me what my ex-husband did, I could not. When someone said, “But, I love you,” my mind would simply counter with, “That is what he said.” If your partner could hurt you so profoundly while saying he loves you afterwards, then how will you ever know what is true again? It is this uncertainty that has nearly undone me. It is this uncertainty that has done the most damage to my ability to trust myself again and my ability to make good judgment calls.
What is to be done about it? How does one heal from it? For real? How? Well, this is what I have done and continue to do:
We are in the holiday season now. If there were any time of year to show yourself patience and kindness, then it’s now. With that, I wish you, my readers, the deepest peace and restfulness that you are probably wishing everyone else through your holiday greetings and well-wishes. May it truly be so for each of you.
Shalom…
I am nearing the end of my first year in traditional Chinese medical school. To say that I have learned a lot is almost an unforgivable understatement. Someone asked me yesterday if I feel more confident in my understanding of how the human body works since I’m about to take Anatomy & Physiology III and Surface Anatomy is behind me. No. I feel less confident. Granted, I now know where the parts are, and, sure, I know what a foramen is; but, it is now quite clear to me that I know far too little compared to what there is to know. I now completely understand why there are medical specialties. There is too much to know and master.
So, to cope with my feelings of inadequacy, I amuse myself at school by laughing every time I hear the word ‘trochanter’ because it either sounds like part of a horse or a verb.
“I hurt myself trochantering.” OR “The trochanter on that horse is magnificent.” OR “He’s got a far greater trochanter that you’ll ever have!”
My jokes aside, I am also somewhat ashamed to be a Westerner from time to time the more I learn about the Chinese medical paradigm. There is so much misinformation in the West about what it is. People believe that it is superstition, folk medicine, or some ancient tradition that the Chinese people refuse to give up and replace with modern medicine. Then they use words like ‘Qi’ and cite something they heard in the news about villagers killing endangered animals for their penises to prove their point.
I can’t eradicate ethnocentrism and ignorance in one blog post, but I can explain one thing: Qi. What is Qi (pronounced chee)?
The first thing to clear up is that the use of the word Qi in Taoism is not the Qi of TCM. These are two very different concepts. One is a philosophical and almost religious concept while the other is a bodily and/or physical concept. To help illustrate this, I’ll use a Western concept that many readers will understand.
The second verse of the first book of Genesis says, “Now the earth was formless and empty, darkness was over the surface of the deep, and the Spirit of God (or breath) was hovering over the waters.”. The Hebrew word for ‘spirit’ is ‘ruach’ which also means ‘breath’. Qi means ‘breath’, too. The ‘breath’ or ‘spirit’ of God is referred to many times in the Bible. When you go to the doctor, however, and you are asked to take deep breaths so that the physician can listen to your ‘breath’, do you believe that the doctor is listening to your spirit? No. I don’t know one person who confuses their spirit, God’s spirit or breath as it were, with the physical act of breathing or the exhalation of CO2 and inhalation of O2. We are able to completely separate the two concepts and nary confuse them.
This is precisely the same when one speaks of Qi in Traditional Chinese Medicine (TCM). We are not confusing the Qi of Taoist thought or philosophy which compares quite closely with the Biblical statement made in Acts 17:28 “We live and move and have our being in Him.” To the Taoist, we live and move and have our being in Qi–the original breath or source. This is not, however, the Qi we discuss in medical school or Chinese medical practice.
So, what is this medical Qi then? There are many, many types of Qi.
This is just a list of the Qi that functions in the body. This is not a list of pathogenic Qi–that which disrupts homeostasis and causes pathogenic changes and disease processes in the body.
There is no superstition involved. There are no demons as some people have suggested. No, Qi is not the name of a god, and I’m not worshiping it. TCM is a different approach. A different medical model. And, it is highly effective and healing, but it’s different from what we as Westerners know.
Hopefully, this quick primer on Qi has shed some light on what it is and maybe piqued your curiosity.
By the way, emotions are viewed as internal pathogens in TCM when they disrupt homeostasis, and their activity and effect on the body and well-being are taken quite seriously.
Well, I’m going to study now. Pathology class in two hours…
I saw Jack, my still-feeling-new therapist, on Tuesday, and we had an almost adversarial session. It didn’t feel therapeutic to me. I felt as if I were there to challenge his ideas and assumptions of what survivors of trauma look like. He consistently says, “Studies show…” and “The brains of survivors of trauma show…” and “Studies show that survivors of torture will believe…”
I know.
I fall outside the results of whatever studies Jack is relying on. Had I been “studied” a year or two after I left the trafficking environment? I don’t know. I’ve been wrestling with the elements that make me a “survivor” since I was 16 years-old. I cognitively know what is true. The point of therapy for me now is to build a bridge into the future rather than get mired down in the present by fear as well as to resolve any emotional dissonance that remains. Jack is still wrestling with his own assumptions about whether how I, as a survivor of profound trauma, present in session is possible. “You shouldn’t even be able to live as you do. You shouldn’t have succeeded. I don’t understand.”
Oy vey! Well, I did. Now what?
I think about other people who survived far worse, and what they accomplished. How many Jews left the extermination camps, emigrated, and built new lives for themselves? Successful lives. How many émigrés from war torn countries have done the same? Leaving everything behind, including family–if they even have anyone left–and settled in foreign lands, started over, and built something new while facing prejudice and social exclusion? Humans are built to survive and even thrive. It is possible regardless of what studies show.
Think of epigenetics. Yes, trauma is passed down through generational lines via changes to the genome. Children and grandchildren of Holocaust survivors tend to be more anxious and suffer from certain health and mental health issues due to genetic changes caused by the extraordinary suffering their forebears experienced in the Holocaust. This would hold true for other groups that experienced extreme hardship like the Great Depression and civil wars. My paternal grandmother and grandfather both died by suicide. My grandfather was a veteran, but his great-grandfather was also a Russian Jew who most likely emigrated due to the social oppression that kept Jews restricted to the Pale of settlement as well as kept them socially and economically restricted. My grandmother, an anusim, was never able to reconcile her family and ancestral history with her present. She could not resolve the dissonance and make a choice for herself. It is hard to overcome a deeply ingrained fear particularly when keeping secrets and lying are the family way even at the expense of one’s own identity and future.
What do we do then when people tell us that certain possibilities are out of reach for us? Do we believe them?
Nope. We do not.
Perhaps it’s cliché or stupid, but I’ve come to believe that we are often able to achieve that which we want when we decide that we can. When we begin to imagine it. When we find our inner contrarian and make a decision to succeed no matter what anyone else says even while they’re quoting studies about what should be possible for ‘someone like us’.
“Psychologists tell us that by the time we’re in our mid-30s, our identity or personality will be completely formed. This means that for those of us over 35, we have memorized a select set of behaviors, attitudes, beliefs, emotional reactions, habits, skills, associative memories, conditioned responses, and perceptions that are now subconsciously programmed within us. Those programs are running us, because the body has become the mind. This means that we will think the same thoughts, feel the same feelings, react in identical ways, behave in the same manner, believe the same dogmas, and perceive reality the same ways. About 95 percent of who we are by midlife1 is a series of subconscious programs that have become automatic—driving a car, brushing our teeth, overeating when we’re stressed, worrying about our future, judging our friends, complaining about our lives, blaming our parents, not believing in ourselves, and insisting on being chronically unhappy, just to name a few.”
― Joe Dispenza, Breaking the Habit of Being Yourself: How to Lose Your Mind and Create a New One
This is interesting, isn’t it? So is this.
“Reason this: When you think from your past memories, you can only create past experiences. As all of the “knowns” in your life cause your brain to think and feel in familiar ways, thus creating knowable outcomes, you continually reaffirm your life as you know it. And since your brain is equal to your environment, then each morning, your senses plug you into the same reality and initiate the same stream of consciousness.”
― Joe Dispenza, Breaking the Habit of Being Yourself: How to Lose Your Mind and Create a New One
I’ve said it before. The brain lives in the future based upon what it knows from the past. I am the poster child for this phenomenon. My family, my grandmother and grandfather, lived and died by this phenomenon. What can we do about this? Oh, so much.
“Change as a Choice, Instead of a Reaction”
I, therefore, carefully make one suggestion. What is one small thing that you could imagine changing? You don’t have to change it in real time. Just in your mind. You cannot make a meaningful change in your life, if you can’t imagine it first.
I’ll go first. I have a habit of letting my mind run away with me. It happens when I’ve done too much in a day or after I’ve had a migraine. Suddenly, the script starts. A film plays in my mind in which I’m all alone in my life. I feel lonely and overwhelmed but stoic and contrarian about the situation at the same time. Sort of like this:
It won’t last long. I’ll eventually end up crying alone in my room mumbling to myself:
I was once caught crying in the kitchen by my daughter as I sniffled, “I’m going to die alone while trying to help refugees, but I’ll be eaten by wild dogs having helped no one…” I am not lying when I say that I have always had a larger-than-life flair for the dramatic, hence, my mother’s terrible nickname for me:
My mother called me ‘Sarah Bernhardt’ for the first 20 years of my life. I hated it although it was perhaps earned. Per my own suggestion, I am going to imagine responding to fatigue and stress differently by creating a narrative now–when I’m not stressed. Then, when I’m stressed I will have this narrative to call upon instead of my brain trampling over me like a herd of terrified bovines.
Will it work? We shall see, but I’m doing this in the spirit of making changes as a choice rather than from a reactionary place.
If you want to read something that has the potential to introduce you to a very different way of thinking, then I recommend this: