When emotions turn and stay sour, when thoughts become cynical and judgmental, good and compassionate treatment is on the line. Helpers who become sour and cynical tend to begrudge their high need clients for their neediness. There is a risk that helpers become too well-practiced at taking a bleak view of those they have avowed to assist. There is a temptation to begin to blame clients for their failure to improve. If treatment ends pre-maturely, with either a client never returning to treatment or a helper 'firing' them out of frustration, there is a tendency for the client to take the fall. Of course what we are talking about here are signs of burnout.
Scott E. SpradlinTags: love compassion mindfulness treatment psychotherapy therapy effectiveness burnout counseling dbt spradlin dialectical efficacious
It is so refreshing to be treated with contempt.
Julianne DonaldsonJust start somewhere," Dr. Marshall had said to me as I ground a banana-pineapple one to bits between my teeth. "It doesn't have to be at the beginning." She'd pulled her legs up, Indian-style, letting the legal pad she'd been holding drop to the floor.
"I thought everything always had to start at the beginning," I said.
"Not in this room," she said easily. "Go ahead, Caitlin. Just tell me one thing. It gets easier, I promise. The first thing is always the hardest."
I looked down at my hands, stained mildly red from the particularly sticky watermelon Rancher. "Okay," I said, reaching forward to take another one out of the bowl, just in case. She was already sitting back in her chair, readying herself for whatever glimpse I would give her into the mess I'd become. "What was the name of Pygmalion's sister?"
She blinked, twice, obviously surprised. "Ummm," she said, keeping her eyes on me. "I don't know."
"Rogerson did," I told her. "Rogerson knew everything.
Tags: inspirational quote depression treatment shocking abusive realationship
One's prescription can seem extensive--even overwhelming, depending on an individual's circumstance--and I can imagine the prospects exciting few people of any stripe. Lots of eaters are going to balk at abstaining, but to learn that recovery is going to require rigorous honesty, or more attention to spirit, could be far more off-putting.
Then again, who gets excited about any serious treatment prescription? Certainly not the cancer patient told she'll have to undergo radiation, or the back patient ordered to a month's uninterrupted bed rest, or the lung patient told he'll need a double transplant.
To some, the flaw of those comparisons will be their being equated with food addiction, and that is the rub, entirely. The medical profession and the public at large don't see that they are equivalent. The consequences of obesity (the chief consequence of food addiction) constitute the fastest-growing, and soon the gravest, threat to public health. Obesity is suicide on lay-away: It has plenty of time to degrade quality of life before finally ending life prematurely.
Tags: abstinence treatment obesity food-addiction
One of the paradoxical and transformative aspects of implicit traumatic memory is that once it is accessed in a resourced way (through the felt sense), it, by its very nature, changes. Out of the shattered fragments of her deeply injured psyche, Jody discovered and nurtured a nascent, emergent self. From the ashes of the frantically activated, hypervigilant, frozen, traumatized girl of twenty-five years ago, Jody began to reorient to a new, less threatening world. Gradually she shaped into a more fluid, resilient, woman, coming to terms with the felt capacity to fiercely defend herself when necessary, and to surrender in quiet ecstasy.
Peter A. LevineTags: fear mind memory body healing treatment mental-health terror mental-illness posttraumatic-stress-disorder trauma ptsd freeze frozen overwhelmed traumatized healing-trauma fight-flight frozen-in-time
So, what role does memory play in the understanding and treatment of trauma? There is a form of implicit memory that is profoundly unconscious and forms the basis for the imprint trauma leaves on the body/mind. The type of memory utilized in learning most physical activities (walking, riding a bike, skiing, etc.) is a form of implicit memory called procedural memory. Procedural or "body memories" are learned sequences of coordinated "motor acts" chained together into meaningful actions. You may not remember explicitly how and when you learned them, but, at the appropriate moment, they are (implicitly) "recalled" and mobilized (acted out) simultaneously. These memories (action patterns) are formed and orchestrated largely by involuntary structures in the cerebellum and basal ganglia.
When a person is exposed to overwhelming stress, threat or injury, they develop a procedural memory. Trauma occurs when these implicit procedures are not neutralized. The failure to restore homeostasis is at the basis for the maladaptive and debilitating symptoms of trauma.
Tags: mind memory body healing treatment mental-health mental-illness posttraumatic-stress-disorder trauma ptsd overwhelmed traumatized healing-trauma
In response to threat and injury, animals, including humans, execute biologically based, non-conscious action patterns that prepare them to meet the threat and defend themselves. The very structure of trauma, including activation, dissociation and freezing are based on the evolution of survival behaviors. When threatened or injured, all animals draw from a "library" of possible responses. We orient, dodge, duck, stiffen, brace, retract, fight, flee, freeze, collapse, etc. All of these coordinated responses are somatically based- they are things that the body does to protect and defend itself. It is when these orienting and defending responses are overwhelmed that we see trauma.
The bodies of traumatized people portray "snapshots" of their unsuccessful attempts to defend themselves in the face of threat and injury. Trauma is a highly activated incomplete biological response to threat, frozen in time. For example, when we prepare to fight or to flee, muscles throughout our entire body are tensed in specific patterns of high energy readiness. When we are unable to complete the appropriate actions, we fail to discharge the tremendous energy generated by our survival preparations. This energy becomes fixed in specific patterns of neuromuscular readiness. The person then stays in a state of acute and then chronic arousal and dysfunction in the central nervous system. Traumatized people are not suffering from a disease in the normal sense of the word- they have become stuck in an aroused state. It is difficult if not impossible to function normally under these circumstances.
Tags: fear mind memory body healing treatment mental-health terror mental-illness posttraumatic-stress-disorder trauma ptsd freeze frozen overwhelmed traumatized healing-trauma fight-flight frozen-in-time
It is my belief that the basic knowledge that we're providing to the world will have a profound impact on the human condition and the treatments for disease and our view of our place on the biological continuum.
J. Craig VenterTags: science future progress knowledge biology belief evolution medicine treatment disease genetics molecular-genetics
You are mostly treated by others, the way you deserve.
Krishna SaagarTags: life success respect leadership treatment
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