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Friday
Mar302018

Happy Easter! St Peter and Shame


It’s Easter, and whether and to what extent you believe the Christian story, this is the most important event of the Christian calendar.  I believe it has relevance for all of us, in its exploration of utter darkness, despair, cruelty, deceit, loss, shame and loneliness, staying with the unbearableness of these feelings through the Friday and Saturday, to the celebration of Easter, bringing forgiveness, redemption and hope once more.

The story of Peter stands out for me today.   At the last supper with Jesus, Peter swore he would never forsake him.  But Jesus predicted that Peter would deny all knowledge of him before the cock crowed the next morning.  And that is what happened.  As Jesus was led away to see the high priest and answer his questions, a small servant girl came out and asked him if he was a disciple. He said that he was not, and went out to warm his hands by the fire.

Twice more he denied his knowledge of Jesus, and as dawn came nearer and the cock crowed, he buried his head in his hands and cried, feeling the utter desolation of his betrayal, both of his friend, and himself.

We have all done things, or failed do to do things, that make us feel utterly ashamed.  Shame has a positive side, in that it helps us to know when we have done something wrong.  But for many of us, shame is a pervasive sense that we are only ever one step away from being seen to be very wrong.  It’s always there,  like a hole or dark shape inside us.  Chronic shame comes from our earliest experiences that somehow gave us the message that we were wrong, or bad, or not good enough.   Shame is about how we feel about ourselves.  Guilt is also a horrible feeling, but is more about feeling we have done something bad.

We can be shamed by others, or we can shame ourselves.  If as children, we have struggled to make sense of parents or carers’ responses to us, we may often rationalise our experiences by believing there is something wrong with us.  We develop an inbuilt sense of shame, which is then increased by subsequent shaming events.  Others then telling us we are “over sensitive” or self centred really doesn’t help.

Shame feels horrible.  I have experienced it as a holding an ugly, hairy, “wookie” type part of me inside.  Others have talked about dark slime, a lead weight, a sense of nothingness.  We all feel it differently.  And shame can be released. Just as Peter was forgiven by Christ, and went on to lead the early Christian movement, to be the rock on which the church was built, so all of us can find release.

We can release shame when we talk about it, when we bring those difficult feelings into the light, with a person who we trust to listen and not judge us.  Someone who can stay with us in the unbearableness of the feelings, and who does not need to deny their existence or strength. The process has been called making “an interpersonal bridge” and it is literally that, allowing the difficult feelings to escape and diffuse harmlessly into the air.  

 Shame can be crippling, and it really can be released.  If your shame holds you back from living your life fully, maybe it is time to talk to someone?

Happy Easter.

Wednesday
Nov012017

Book review: The Secret Diary of Hendrik Groen, 83¼ Years by Hendrik Groen, Hester Velmans (Translator) 

 

Getting old is scary – and also inevitable.  I've chosen to describe this book as a bit of a complement to “Being Mortal” reviewed in my earlier blog.

The author writes from the perspective of an 83 year old man living in a old people’s home, facing a range of health problems and declining mobility.  In his diary he documents his frustrations with the small mindedness of his fellow residents, and the arbitrary power of the management.

What makes this book special is the imagination with which he tackles the situation.  With his friend Evert, he finds a small group of like minded people to form the “Old but not yet dead club” and they create for each other a fantastic set of outings, all involving a lot of fun, and a surprising amount of food and alcohol.  The group become firm friends, and are soon the envy of the institution.  They take on the management with the assistance of a retired lawyer, who just wants to be paid in wine…

For me the book is about friendship and acceptance, and making the most of the reality of the situation that you are in, a philosophy exemplified by the central character.   His growing love for Eetje and the losses over the year make this a profoundly moving book, and I cried at the end of it. I also felt uplifted by the support they offered each other, which made very terrifying aspects of growing old so much more bearable.

I feel the book shows how life can be lived to full, whatever age you are, and where ever you live, as long as you have some friends to share it with – and are willing to go out and find, and make those friends.  I wondered who the author is – in some ways I don’t really mind, though I would be disappointed if it turned out to be a young woman.  I would like to think it is someone who is experiencing old age and coming to terms with their own mortality and that of their friends.

Whilst it is very funny in places, it is also quite gruelling at times.  He paints such a vivid picture of the home that for me, the frequent deaths of his fellow residents are both an every day occurrence and painfully real.  Some reviewers found it slow going at first – which it is a bit – and criticised it for being morbid, self obsessed and making fun of old people.  I don’t think it does this, but what it does do is bring us uncomfortably close to the prospect of infirmity, illness and loss, the death of others and our own mortality.  That is both scary, and enormously helpful.  It helps that it has so much humour in it   I recommend this book!

 

Sunday
May072017

Book review: the Outrun by Amy Liptrot January 2016

The Outrun is a book about recovery.  It charts Amy’s journey from the rock bottom of self destructive alcoholism and shows there is a way, if tortuous and difficult, to gradually, and slowly heal.  Why review this book?  Why now?

I think this is an important book.  I don't think it is always great literature, though many reviewers would agree with me, but the issues she tackles, and the honesty and transparency of her recovery process are relevant, to me, and judging from the highlighting in the kindle version, many other people.

Amy describes her childhood in Orkney, growing up on a farm close to Scara Brae, with parents who combined hope for a new life with mental illness and evangelic Christianity. From her teenage years she strives for excitement and escape, drinking increasingly heavily.  This pattern continues when she moves to London, where she finds herself in a bubble of drinking, drugs, successive failed jobs, and endless moves, frustrated flat mates, and eventually ending up in a tiny lonely bedsit. After many dangerous and humiliating experiences she decides to enter rehab, a three-month detoxification process.

Newly sober, she returns home to Orkney, and gets a job with the RSPB, tracking corncrakes.  Through this link she is able to spend a winter on the tiny island of Papa Westray (“Papay”), living in a pink cottage, baking bread, walking, and immersing herself in the Island culture, environment and wildlife, connected to the wider world through a variable internet cable.

She becomes fascinated by the world around her, by the stars, by the ships that pass, the wildlife and the birds that nest around Papay’s rocky shores, and how the islands small community survives and thrives.  The chapters become increasingly circular as she weaves together her experiences in Orkney, in London, in rehab, and in Papa Westray, searching for meaning, striving to make sense of why all this happened, and drawing in the healing power of the island and nature.  For me this book is very much about someone trying to find themselves, moving from a gaping, painful hole, to a sense of who they are, and who they are in the world.

I resonate with much of this book.  I have lived in or visited all the places in the book, including Papa Westray, which is a very special island.  I have not been an alcoholic, but I have been in love with one, attended AA meetings and addressed my own needs through Al Anon.  I have experienced that sense of searching, a need for continual movement, which runs through the book. 

One reader described the books’ style as “relentless”.  We are treated to her thoughts, and more thoughts, moving between topics and time, linked by sometimes over-worked metaphors. There is no dialogue and other characters are often sketchy, possibly to protect them.  This is a book about her process, her thinking, and her sense making.  It may not be yours.  Throughout the book there are moments that will stay in your mind, where she captures the utter degradation of her addiction, or the absolute wonder and beauty of the night sky, the sea, or cliffs that surround her. Or you may enjoy the highly informative tangents that make up much of the second part of the book. 

I started by saying this is an important book, and I believe it is because it contains hope. It shows recovery is possible, and she articulates brilliantly how opening herself to the natural world, observing, becoming curious, attuning to tides and seasons helps this process, and helps her to know who she is.  The book  certainly has its flaws, but I would recommend it.

Friday
Jan062017

Book review: Being Mortal: Illness, Medicine and What Matters in the End by Atul Gawande 2015

This book stopped me in my tracks.  It is a closely argued, passionate, moving and powerful book, addressing uncomfortable issues that affect all of us.

 Dr Gawande starts with looking at ageing, and how old age is a relatively new phenomena.   It is only in the last 50 years that large numbers of people in western societies have started living into their 80’s and beyond.   I remember learning about the age pyramid:  lots of children at the bottom and then tailing off to just a very few people at the top.  But in western societies we no longer have a pyramid, because people don’t die young very much any more, so we have something approaching a rectangle.

This change is happening across the world, as societies become more wealthy.  Gawande reflects on the role of the extended family, which it is easy to idolise as a perfect solution: and how this is really dependent on there being very few old people to look after and revere.  But this system is challenged when there are lots of old people, and proportionately fewer children to look after them.

Medical advances mean that we now expect to be cured of any life threatening disease.  He points out that this is relatively new (certainly in western society) but documents how pervasive this belief is. This ability to keep ourselves alive means that the majority of us are living far longer than before, and expect to live full and independent lives.  Our mortality and the effects of ageing therefore catch us unawares.

The central section of the book considers how we can retain meaning in our lives when we get to the stage where we need assistance and care.  Through a series of case studies he describes ways that individuals have set out to provide alternatives to institutionalised nursing and “old peoples homes”.  Conventional institutions are great at keeping people alive, but what for?  He looks at approaches that have allowed people to stay in their own homes, providing support on an outreach basis, that have brought institutions (and their residents) to life by bringing in birds, animals and children, and nursing care that has stood convention on its head by allowing residents to lock their doors, have their own kitchens, and go for solitary walks when they wish to (or even have sex).  I found this section fascinating, inspiring at what a few individuals could do, and the challenge to the dominance of keeping people safe rather than happy.  As all the examples are from the US I was intrigued to know whether these initiatives were also happening in the UK.  His enthusiasm for understanding older people is infectious, and I found myself wondering what I needed to learn to be more useful to this ever increasing group of people.  Which of course, will, at some stage, include me.

He then addresses the issue of mortality itself, and the tendency, in the US at least, to avoid talking about a person’s imminent death. His stories describe people continuing with complex medical interventions, even if they had little chance of success, and in actually shortened people’s lives rather than extended them.  Many years ago I remember being shocked that surgeons had amputated my grandmothers leg as she lay dying in hospital. Fortunately she wasn’t aware of it, but I wondered why.  Why could she not be allowed to live her last few days in relative peace?  

He contrasts the medical approach (including his own) with that of the hospice teams, who aren’t afraid to talk about death, but instead talk about life. 

What do you most need right now?

 What do you fear most? 

What is important to you, and what would make a good day for you?” 

His stories show how this approach helps to relieve people’s fears, to focus on what is most important to them, achieve what they absolutely need to  (e.g. attending a wedding) and give them space to die.  Interestingly, he cites statistics that show that people choosing a hospice approach rather than further medical intervention often live longer, quite possibly because they have taken back control of their lives, and crucially, worked within their reality of what is possible at that moment, for that day.

The final chapter describes his own father’s aging and death and his struggles with this, as the notions of mortality move from the beautifully written stories about other people to the deeply personal.  This transition took me on a similar and uncomfortable journey.  Reading the initial chapters about aging, and retaining dignity and choice helped me to understand some of the issues around my father’s situation, and seemed very positive, and also reasonably distant and manageable.  The final chapter however reminds us that death will come for all of us, to those we love most in the world, to ourselves, and it may not come when we want it to. 

The book ends on a sombre note, but it is also deeply alive.  More than anything this is a book encouraging us to ask questions, to find out what is important to people and to find ways to support them, and above all to remember that we are human.  And being human involves being born, living a finite life, and then dying, and all parts are important.

 

Saturday
Jul022016

Making sense of loss and grief

 

 

Just at the moment, many of us are in a state of pronounced grief.  We have embarked on a massive change, and any change brings loss.  Even those who welcomed the referendum result will still be adjusting to change and the prospect of living in a very different world.

From a therapeutic point of view, thinking about Kubler Ross’s ideas of how we work through grief is helpful.  The diagram shows it as a wave, but it isn’t a linear process, and  it is often shown with stages in different orders, but the important point is that all stages are necessary.  And they take time.

When we are faced with loss, whether unexpected, or anticipated, as when terminally ill loved one dies, there is always an element of shock and denial.  To feel a mix of feelings, or none at all is entirely normal.  As the confusion and denial passes, we start to feel angry, and this anger is important.  People who can get angry and express these feelings when faced with bereavement often process their grief more effectively.  When we find it hard to get angry or turn this anger internally, we may well get stuck longer with unprocessed grief.

The important thing about depression after loss is that it is normal.  It is our wholly human response as we feel great sadness.  The colour goes out of our world, our energy diminishes, and we lose interest in our surroundings for a while as we process the feelings inside.  It isn’t a permanent state, even if it can feel endless. These feelings will pass.

 Much of our work at Solace is about helping people to find some meaning in the losses and trauma they have experienced, to help people tell their story, and to re-emerge as human beings who have suffered greatly, experiences unimaginable losses and who can, accepting all this, live their lives fully.  Over a week on from the referendum, many of us still find it hard to talk about very much else.  This bargaining phase is all about trying to make some sense of it all.

 Acceptance in the case of the referendum result will mean different things to different people.  For some, it means literally accepting the result and getting down to making a success of where we are. Theresa May appears to be doing this!  For others it may well mean finding new energy to stopping Brexit happening (such as the recent growth in the Lib Dems and the Green Party).

 This blog isn’t about politics, but is intended to be helpful in understanding how we might be feeling, and to put our feelings into the context of a very natural process.  A process that we experience every time we lose somebody,  or make a major change in our lives, planned or unplanned.