Disclaimer:

Disclaimer:

1) My posts are not intended to replace or act in place of a counseling relationship.

2) If you are in crisis you should go to your local hospital or police station for assistance.

3) I can not guarantee confidentiality if you choose to become a follower or if you post comments on my blog.

I hold a masters degree in counseling and I am a licensed professional counselor in the state of Idaho. My intent with this blog is to post my perspectives on different mental health topics. This blog is NOT intended to replace or act in place of a counseling relationship.

I take confidentiality very serious and have taken steps to afford each of you the opportunity to remain anonymous if you choose. There are two things that will increase the chance of you being recognizable by others; 1) becoming an official follower of my blog 2) posting comments to my blog. If you don't want to be identified, I encourage you to avoid doing these two things.



Monday, October 4, 2010

Pain sucks… really?

There are many people smarter than I who have written about pain. One of my favorite examples is the author of The Chronicles of Narnia, C.S. Lewis. He wrote an entire book called The Problem of Pain. For your sake and for my own, I’m going to keep this much briefer than a book. There are only three things I am going to address in this particular blog. One is the fact that pain sucks. Another is the fact that pain is awesome (This might be hard to believe). The final part will be about balance. We know pain sucks. On a good day we can usually admit that it has a purpose that is good and healthy. How do we balance the two views? I suggest we look at it as part of our design.

The challenge of pain:
It would be foolish of me not to recognize that each of you have pain that is very real and possibly traumatic in your history. The pains you have felt may have shaped defense mechanisms you still use today. I call this scaffolding and will likely blog separately in the future. In some cases, the mechanisms are unhealthy and can recreate different forms of the pain you felt the very first time you experienced it. For example, sometimes little children are taken from their homes and put in foster care. They may experience the separation as a terrible loss of their primary care giver or they may experience the separation as an extreme relief due to the poor attachment to their primary care giver. Both situations cause real and memorable pain and both situations can cause unhealthy mechanisms that may lead to additional future pain. Boldly put, the suffering part of pain sucks.

Let’s take the same example and fast forward ten years. The little child is now sixteen years old and has their first boyfriend or girlfriend. They begin to feel very close and even express that they are “in love”. The child who, at age six, felt relief from the experience of separation may find themselves wanting to break up because the emotions are too intense. The defense mechanism that helped them survive an early trauma can prevent healthy attachment to others.

The positive side:
We are designed to heal! It may be very difficult and it may take an entire lifetime but our brains are designed to take in new information all the time and the brain is even designed to “trim” unnecessary paths (Badenoch, 2008). In English, this means we can take bad situations and make them unbelievably positive points of change in our life.

I have a bias toward finding positive things even in the most hideous of situations. The reason I feel it’s important to give you this disclaimer at this point is because I am going to take the example from above and show some positive aspects to the difficult situation. There is no intent to minimize how difficult it is to make changes and to heal wounds that run as deep as many of you have. With that said, there exist other perspectives to every situation. Sometimes it’s helpful to learn new ways of viewing old stories. It might create a paradigm shift that will change your life forever in very good ways.

Let’s take the six year old child and say that they felt relief after being removed from their home. Let’s also say the child gets placed in a home with adults that know how to create a healthy attachment to children. The child may feel scared and nervous as they attach to the surrogate parents but with patience and empathy, the child is able to create a healthy attachment. The child has worked through the pain. The key is they didn’t ignore it and they had someone who showed them appropriate empathy. If these things happen, pain can be an awesome thing. Awesome is a powerful word and appropriate because pain can improve resilience. When difficult things arise in the life of a person who is resilient, they can often feel as though it will work out in the end. People who have suffered and worked through the pain often carry more hope. This is one way how the terrible thing of pain can be an amazing and powerful benefit.

A balancing act:
For those of you who are up for a challenge, I’m going to get a little psycheducational now. Pain is felt physically and mentally. If you ask someone who has a bad back problem, they might say the most annoying pain of all is the one you can’t see but still puts you on your knees in pain. Emotional pain can be just as intense as bad back pain for many people. It can make a person curl up in the fetal position and sob uncontrollably or it can make a person completely irrational. The pain is real! I don’t have all the answers as to why this happens. I wish I did. I have learned a few things about the healing process that might be helpful though.

First, everyone is unique and their situation is also unique. You don’t have to try to be special because you are. It’s amazing to me how many people are trying to be unique rather than being who they are. At the same time, anyone who assumes they have the answers for you probably needs a little more humility in their life. I, by no means, believe that what I suggest to folks is going to heal them. Sometimes I get lucky and look like I work miracles but my suggestions are merely an attempt to empathize with people and present other possible outlooks. The real work and growth comes from the people I have the privilege to know.

Second, empathy is a requirement in healing. We cannot heal ourselves no matter how strong we are and no matter how much we want to. It’s the reason I have chosen the counseling profession. I may not be able to work miracles but I can be present for a person in need and sometimes that’s enough. Many counselors use treatment techniques to promote healing. I’m still learning about the techniques. It seems to me that the techniques being used are generally different ways of showing people empathy. If I’m right, I don’t know for certain if I am, then empathy is the healer more than any given technique. If empathy is the healer then we all have the power to heal by listening to the story of another unique person.

For those of you who want a more scientific explanation, this part is for you. There is a place in the brain called the hippocampus. According to Paul David Nussbaum in his book titled Save Your Brain, the hippocampus is said to be an area of the brain that decides what will get stored in long term memory. An interesting thing happens when we feel pain that is physical and/or emotional. The hippocampus is highly active. Joy has a similar effect on the hippocampus. We can only make a conjecture about the meaning. It seems reasonable to guess that we were designed to remember pain and joy. If this is the case, then I believe we were designed in this manner as a means of staying balanced and protected simultaneously. We’re supposed to experience pain and joy.

To all you logical people out there, feeling pain and joy lead to intelligence. Intelligence leads to improved decision making ability and improved decision making ability leads to hope. Even though hope is an emotion, it is a logical emotion because the logical path comes from preparation just as hope comes from preparation, also known as pain and joy.

Thanks again for taking the time to read a little about my perspectives. I hope you find the content to bring you appropriate joys and struggles. I also hope you have people in your life that support your growth. Remember that there are counselors in almost every community that would love to get to know your personal struggle. They are bound ethically and legally to keep your information confidential in almost every case. Please feel free to read my very first blog if you would like to know more about why I think going to counseling is a good idea.

Badenoch, B. (2008). Being a brain-wise therapist: A practical guide to interpersonal neurobiology. W.W Norton Company.

5 comments:

  1. This comment has been removed by the author.

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  2. As usual, good stuff. You leave very few gaps when you address an idea. That is rare to find, especially in such a short document.

    In paragraph 9 you talk about empathy possibly being the healer. In my opinion, empathy is the gateway through a person’s "shell", consisting of laziness or disinterest, and as you mentioned, defense mechanisms. If you are skilled in empathy and the adaptations of it required for each individual, they will allow you deeper into their mind (euphemism-you gain a deeper connection with them (less scary sounding)). I agree that for that reason, empathy is vital to (as much as I hate this word) ethical treatment. At that point there is, I believe, another vital part to the process. This part is also very dangerous, and much like brain surgery, it should only be attempted if you are very confident and delicate. That part is the idea of suggestion (purely by definition).

    To suggest: To mention or propose for consideration or action. To call to mind.


    Finally, just as another technical definition thing, in the third to last paragraph I think "knowledge" fits what you are trying to say better than "intelligence" simply by dictionary definition.

    Intellect being your ability to learn
    Knowledge being the accumulation of what you've learned.

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  3. Thanks for the feedback. Your suggestion in paragraph 9 sentence two makes sense as well. I could change "ourselves" to "without empathy". When looking at it as though the italics are a header for the paragraph, it could also be said the way it is. I am fascinated by the change of "intelligence" with "knowledge" in the third chapter up from the bottom. I agree that the terms are not necessarily interchangeable. I chose the term intelligence because it seems to be more in line with the ability to decipher between things as apposed to recognition of things. I'd be curious to know your thoughts about my interpretation of "knowledge" and "intelligence".

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  4. I go by dictionary definition as I wrote them at the bottom of the comment.
    Although I recognize that some people may use the words interchangably in loose conversation, Ive spent most of my social life arguing with people and trying to prove a point. Ive found that the best way to start an argument is to make sure that your audience understands what you mean when you use a key word. If you dont set this boundary for definition, you not only limit the ability to add variety, but the person will typically default to their definition and misunderstand you.
    I have put the time in to know the dictionary definitions of these words to gain leverage.
    Intelligence is ones capacity or ability to learn. Knowledge is ones accumulation of knowledge.
    You state that pain and joy lead to intelligence. It would seem to me that pain and joy are experiences which passed through your intelligence are processed into knowledge of differing quality. Certainly the quality of the knowledge gained directly relates to intelligence.
    Then again, even by dictionary def. it's subject to interpretation. one might believe that intelligence is a set capacity with little room for changw while another might believe that, like knowledge, it grows right along with it. that would be an important thing to agree on one way or the other to have a successful conversation.

    In paragraph 9 u said this. "We cannot heal ourselves no matter how strong we are and no matter how much we want to." Are you saying that you believe that to be true by itself?
    Ok ur right, I misread because I subconciously disagreed lol. My brain wouldnt let it work.

    Yah I definitely disagree that we cannot heal outselves alone. Outside help is good and maybe sometimes necessary, but not required.

    I wrote all of this on my phone in the parking lot of walmart. I hope it makes sence.

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  5. Very interesting response. I am impressed with how thorough you are. I will defend my choice of the word intelligence one more time but not for the sake of proving you wrong. Much more important to me is being clear with my thoughts so that others, including you, might understand my unique perspective.
    According to some of the most current brain research I have read, we have the ability to create new neural nets throughout life and can even do what is called "trimming" which makes us more efficient in thought. You can find a really good book on the two subjects that was written by Bonnie Badenoch at the 1st link below. Due to these two processes that naturally occur, I genuinely believe we have the capacity to expand our intelligence and it is absolutely not a set value that is unchangeable. While knowledge refers to one’s desire to seek information, intelligence is closer in relation to wisdom because it describes a process that requires integrating knowledge into practice. The difference is, intelligence, in my perspective, is the internal process and wisdom is the external projection.
    I encourage you and all readers to find additional articles on topics you find most intriguing. If you do so, I'd encourage you to find articles that are "peer reviewed". Getting "peer reviewed" articles doesn't make them perfect but it does tell us that several sets of eyes have looked over it and found it useful in the profession they represent.
    As far as the outside help piece, one of my favorite books is called the reciprocating self. I've attached an Amazon.com link below so you can see the book I'm talking about if you’re interested. It happens to be one of the most valuable books I've read. It helped shape my views about why I believe we can't heal on our own. My summary on the idea is that we don't exist without the other and to ignore the reality that other things, people, animals, etc. have an influence on us is something I have strongly considered and found to be impossible. For example, if we go to the middle of the desert to hide from people, we are influenced by a lack of electricity, the travel time to the grocery store, the hot sun beating down on us, etc. In my opinion, there is no escaping the influence of “others”. When we turn to ourselves to provide solutions, we often repeat mistakes made by “others”. That said, there is value in creating our own wheel per se. Yes, there will always be the person who created the wheel the first time, but we often learn more in finding our own answers than in having them pointed out to us. However, we always use “others” to come to our own conclusions because one does not exist without the other.

    1) http://www.amazon.com/Being-Brain-Wise-Therapist-Interpersonal-Neurobiology/dp/0393705544/ref=sr_1_1?ie=UTF8&qid=1286819704&sr=8-1
    2) http://www.amazon.com/s/ref=nb_sb_noss?url=search-alias%3Dstripbooks&field-keywords=reciprocating+self

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