Throwback Thursday: Overcoming Shame

I have written before about how much we all need human connection  (see: Family of Choice, Connection Heals, Relationships after Severe Trauma: Making Healthy Choices)and how forming positive relationships can be an important step towards developing self-love. The following research describes the role connection plays in overcoming shame, one of the core issues for trauma survivors.

Dr. Jessica Van Vliet conducted a study, published in  Psychology and Psychotherapy: Theory, Research, and Practice, that indicates that shame results from internalizing and over-personalizing a situation. The individual also seems to believe they are powerless to change their feelings or their fate. Shame in turn can lead to social isolation, with resulting decreased opportunities for having one’s faulty beliefs challenged by others or new, positive experiences.

Van Vliet states that connection (to family/family of choice, friends, a higher power, humanity as a whole) plays a crucial role in overcoming shame:

Connecting to others helps to increase self-acceptance, and with self-acceptance can come a greater acceptance of other people as well. People start to realize that it’s not just them. Other people do things that are as bad or even worse sometimes so they’re not the worst person on the planet. They start to say to themselves, ‘This is human, I am human, others are human.’

The implications of this research for trauma survivors are clear. This is why establishing and building a support system is such a crucial part of the first phase of trauma therapy. Support groups and connections with other trauma survivors can also play a powerful role in establishing one’s sense of being part of humanity, not completely “other”. The good news is that you can overcome shame!

Kathleen Young, Psy.D

References:

University of Alberta (2009, September 9). Overcoming Shame: Making Connections Is The Key, Says Researcher. ScienceDaily. Retrieved May 4, 2010, from http://www.sciencedaily.com­ /releases/2009/09/090908193523.htm

Van Vliet, K. J. (2009). The role of attributions in the process of overcoming shame: A qualitative analysis. Psychology and Psychotherapy: Theory, Research and Practice, 82, 137-152.

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Throwback Thursday: Mindfulness and Trauma Treatment

Mindfulness and Trauma Treatment: Dialectical Behavioral Therapy

I think I first encountered the term Mindfulness in 2000 at a workshop presented by Marsha Linehan, Ph.D. on Dialectical Behavioral Therapy (DBT).  DBT was primarily developed to work with those diagnosed with borderline personality disorder (BPD), a form of complex PTSD as I conceptualize such things. Mindfulness is the core skill of DBT and can be applied to help trauma survivors learn non-reactivity to thoughts and emotions. As such, it is highly applicable to trauma treatment.

In DBT, mindfulness practice is designed to help you learn how to experience a state Linehan calls “Wise Mind”. This is the same state others may call being centered, true self or authentic self. Wise mind refers to the state in which your emotions and your thoughts work together so that informed choices are possible, even when your life and/or circumstances are difficult. You’re in wise mind when you can meet each moment of life as it is, not as you would have it be, and respond to it effectively. Everyone has the capacity to experience this but trauma may have gotten in your way.

In Linehan’s Skills Training Manual for Treating Borderline Personality Disorder (1993), there is a clear explanation of mindfulness, as well suggestions for practice. This is a great practical resource for clinicians working with complex trauma survivors, not just those formally diagnosed with BPD. Linehan breaks mindfulness into six specific skills. I will elaborate on these and their application to treating trauma in upcoming posts.

Given the context of an ineffective family environment that often goes hand in hand with complex trauma, many trauma survivors need to learn skills and develop basic capacities that have been missing or lacking since childhood. These are the things the trauma therapist will focus on in phase one of trauma treatment. The lack of capacities like emotional regulation and frustration tolerance understandably make daily life more difficult. Grounding and mindfulness are emotion management tools that can come in handy here.

I feel like the following passage from the Mindfulness and Psychotherapy blog captures what I see as one of the hallmark goals of this stabilization phase of trauma therapy: to increase the individual’s ability to tolerating sitting with the range and extent of their feelings. Elisha Goldstein, Ph.D. writes:

Daniel Siegel, M.D., author of many books the most recent being Mindsight, describes that we all have “a window of tolerance.” The heart of working with trauma is to get to a point where the emotional reaction from the trauma memory is no longer overwhelming. We can learn to ride the edge of this window and allow ourselves to look onto the emotional and physical distress associated with the memory with “nonjudgmental awareness.” While it seems counterintuitive, we want to very carefully bring the trauma into awareness so we can eventually change our relationship to it. This is challenging and takes practice and skilled support.

This is what you, with the support of a trained trauma therapist, can accomplish in the beginning of trauma treatment.

Kathleen Young Psy.D.

 
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Mindful Monday: Sky

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Mindful Monday: Brave

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Mindful Monday: Enough

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