Coping With Pain Quotes

Keep in mind, hurting people often hurt other people as a result of their own pain. If somebody is rude and inconsiderate, you can almost be certain that they have some unresolved issues inside. They have some major problems, anger, resentment, or some heartache they are trying to cope with or overcome. The last thing they need is for you to make matters worse by responding angrily.

Perhaps the greatest faculty our minds possess is the ability to cope with pain. Classic thinking teaches us of the four doors of the mind, which everyone moves through according to their need. First is the door of sleep. Sleep offers us a retreat from the world and all its pain. Sleep marks passing time, giving us distance from the things that have hurt us. When a person is wounded they will often fall unconscious. Similarly, someone who hears traumatic news will often swoon or faint. This is the mind's way of protecting itself from pain by stepping through the first door. Second is the door of forgetting. Some wounds are too deep to heal, or too deep to heal quickly. In addition, many memories are simply painful, and there is no healing to be done. The saying 'time heals all wounds' is false. Time heals most wounds. The rest are hidden behind this door. Third is the door of madness. There are times when the mind is dealt such a blow it hides itself in insanity. While this may not seem beneficial, it is. There are times when reality is nothing but pain, and to escape that pain the mind must leave reality behind. Last is the door of death. The final resort. Nothing can hurt us after we are dead, or so we have been told.

Other times, I look at my scars and see something else: a girl who was trying to cope with something horrible that she should never have had to live through at all. My scars show pain and suffering, but they also show my will to survive. They're part of my history that'll always be there.

Sometimes you can learn, even from a bad experience. By coping you become stronger. The pain does not go away, but it becomes manageable.

The loss of a loved one is like the loss of a part of oneself; an arm or a leg. At first, the pain is so physical that it is hard to ignore. The trauma is so intense that the mind finds it hard to cope with the loss. With time the pain eases, the body recovers and the brain figures out new ways to go on.

When you have a persistent sense of heartbreak and gutwrench, the physical sensations become intolerable and we will do anything to make those feelings disappear. And that is really the origin of what happens in human pathology. People take drugs to make it disappear, and they cut themselves to make it disappear, and they starve themselves to make it disappear, and they have sex with anyone who comes along to make it disappear and once you have these horrible sensations in your body, you’ll do anything to make it go away.

The mind knows the truth when your heart denies what it feels. When you don't feel safe to let people in it is because you're not ready to deal with the pain of honesty.

I am not "cured"--I know I never will be. I will always crave that pain to keep me centered. I will always be just a little astounded when I get through a crisis without putting a blade to my flesh.

Nostalgia is denial. Denial of the painful present. The name for this denial is Golden Age thinking - the erroneous notion that a different time period is better than the one ones living in - its a flaw in the romantic imagination of those people who find it difficult to cope with the present.

You can’t selectively numb your anger, any more than you can turn off all lights in a room, and still expect to see the light.

Pain comes to all of us some time or another. Its how we learn to cope with it that determine our future.

You survived by seizing every tiny drop of love you could find anywhere, and milking it, relishing it, for all it was worth. And as you grew up, you sought love, anywhere you could find it, whether it was a teacher or a coach or a friend or a friend's parents. You sought those tiny droplets of love, basking in them when you found them. They sustained you. For all these years, you've lived under the illusion that somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That is what has gotten you by.

It is not lies or a lack of loyalty that ends a relationship. It is the agonizing truth that one person feels in their heart on a daily basis. It is realizing that you are coping and not living. It is the false belief that there is a verse, quote, phrase or talk that will magically make you feel content, complete or not care. However, it doesn’t last longer than a few days, before your mind and heart goes back to what it wants. It is the moment you realize that you left without ever leaving. It is the moment you realize that fear, shame or guilt is the only thing standing in the way of the life God meant for you to live.

We may seem fine, even when the pain remains right there beneath our surface.

Hiding my pain and acting strong, afraid to cry and show my tears, I struggle with all this years later.

I also know I'm not going to stay away. I'm going to grab onto her and let myself get cut. I'm good at pain. I'm good at bleeding, emotionally and physically.

We build a shell around it, like an oyster dealing with a painful particle of grit, coating it with smooth pearl layers in order to cope. This is how we walk and talk and function , day in, day out. Immune to others’ pain and loss.

There are stories that are true, in which each individual's tale is unique and tragic, and the worst of the tragedy is that we have heard it before, and we cannot allow ourselves to feel it to deeply. We build a shell around it like an oyster dealing with a painful particle of grit, coating it with smooth pearl layers in order to cope. This is how we walk and talk and function, day in, day out, immune to others' pain and loss. If it were to touch us it would cripple us or make saints of us; but, for the most part, it does not touch us. We cannot allow it to.

Afterward, I curl around her. We lie in silence until darkness falls, and then, haltingly, she begins to talk...She speaks without need or even room for response, so I simply hold her and stroke her hair. She talks of the pain, grief, and horror of the past four years; of learning to cope with being the wife of a man so violent and unpredictable his touch made her skin crawl and of thinking, until quite recently, that she'd finally managed to do that. And then, finally, of how my appearance had forced her to realize she hadn't learned to cope at all.

Self-mutilation is a very different issue to suicide. It is a controlled pain personal to you, allowing you to live/exist to some degree.

One very important domain of our lives and experience that we tend to miss, ignore, abuse, or lose control of as a result of being in the automatic pilot mode is our own body.

Suicide is not chosen; it happens when pain exceeds resources for coping with pain.

Children of the mentally ill learn early on how not to be a bother, especially if they grew up with neglect. As my sister insisted once, when she was in severe pain after injuring her ankle, 'This isn't me! This is not who I am!

How many mental health problems, from drug addiction to self-injurious behavior, start as attempts to cope with the unbearable physical pain of our emotions? If Darwin was right, the solution requires finding ways to help people alter the inner sensory landscape of their bodies. Until recently, this bidirectional communication between body and mind was largely ignored by Western science, even as it had long been central to traditional healing practices in many other parts of the world, notably in India and China. Today it is transforming our understanding of trauma and recovery.

Love never fails, Mila. That's what your parents believed. And because of you, it's what I believe now, too. You stuck by me and loved me when I didn't deserve it. All I want is a chance to prove that I can be worthy of it. Your parents were sort of fucked up in their own way, like me, and they never got the help that they needed. But I will. I promise. I will put the work in. I will learn how to cope with painful things and I will never leave you again. Just tell me that you'll stay with me.

Pain moves us forward, changing us into something else, something we need to be.

For a year she found an exquisite pain - almost pleasure - in facing the world as if she didn't care. Look at me, she would say to herself in the middle of a trying day. Look at me: I'm surviving; I'm coping; I'm in control of all this.

For all these years, you’ve lived under the illusion that, somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That’s what has gotten you by

I’ve found that it’s of some help to think of one’s moods and feelings about the world as being similar to weather. Here are some obvious things about the weather: It's real. You can't change it by wishing it away. If it's dark and rainy, it really is dark and rainy, and you can't alter it. It might be dark and rainy for two weeks in a row. BUT it will be sunny one day. It isn't under one's control when the sun comes out, but come out it will. One day. It really is the same with one's moods, I think. The wrong approach is to believe that they are illusions. Depression, anxiety, listlessness - these are all are real as the weather - AND EQUALLY NOT UNDER ONE'S CONTROL. Not one's fault. BUT They will pass: really they will. In the same way that one really has to accept the weather, one has to accept how one feels about life sometimes, "Today is a really crap day," is a perfectly realistic approach. It's all about finding a kind of mental umbrella. "Hey-ho, it's raining inside; it isn't my fault and there's nothing I can do about it, but sit it out. But the sun may well come out tomorrow, and when it does I shall take full advantage.

Angelina told Ahmed that there came a time when her grandmother began to call on God to end her life, as she could no longer cope with her pain. She strongly believed that God listens to people’s words and hearts. Her prayers, however, remained unanswered. Instead of death, she only received more pain and depression.

I know people think suicide is selfish, and maybe sometimes it really is. But what happened to Kai was beyond what anyone should have to cope with. I didn’t blame him, not really. It just broke my heart that I wasn’t enough to keep him here.

According to studies, clinically depressed individuals have a more accurate grasp of reality than the average person. We tell ourselves lies and layer falsehoods and self-assurances over one another in order to cope with a world colored by pain and suffering. We put blinders on. If we lose that illusion, we crumble into depression or we crack and go mad. So perhaps I’m crazy, but only because I see things too clearly?

It is the night sea journey that allows us to free the energy trapped in these cast-off parts—trapped in what Marion would call “the shadow.” The goal of this journey is to reunite us with ourselves. Such a homecoming can be surprisingly painful, even brutal. In order to undertake it, we must first agree to exile nothing.

Most survivors are cope-aholics, people who cope with whatever is thrown at them without reliance on others. They do not seek sympathy for their pain and feel undeserving if it is offered. They are especially adverse to sympathy from others.

Relief was what I was looking for that day, and I didn’t care how I got it. What I wanted - what I needed - was a pain that I could see and deal with. I couldn’t cope with the mess inside of me any longer, and cutting myself seemed to be the best solution. I knew that it would work. What I didn’t know was that I was about t engage in a behavior that was not just dangerous but highly, highly addictive.

Certainly we want to protect our children from new and painful experiences that are beyond their emotional comprehension and that intensify anxiety; and to a point we can prevent premature exposure to such experiences. That is obvious. But what is just as obvious — and what is too often overlooked — is the fact that from their earliest years children live on familiar terms with disrupting emotions, fear and anxiety are an intrinsic part of their everyday lives, they continually cope with frustrations as best they can. And it is through fantasy that children achieve catharsis. It is the best means they have for taming Wild Things.

Contrary to popular opinion or the escapist trends of society, false hope is in no way better than a harsh truth. A harsh truth is painful to accept, but there's healing at the end. False hope, on the other hand, is a very dangerous thing that offers no reward. Not immediately, nor with the passage of time. It never pays off.

Pain came to all of us at some time or another. It was how we learned to cope with it that determined our future.

Blame is a Defense Against Powerlessness Betrayal trauma changes you. You have endured a life-altering shock, and are likely living with PTSD symptoms— hypervigilance, flashbacks and bewilderment—with broken trust, with the inability to cope with many situations, and with the complete shut down of parts of your mind, including your ability to focus and regulate your emotions. Nevertheless, if you are unable to recognize the higher purpose in your pain, to forgive and forget and move on, you clearly have chosen to be addicted to your pain and must enjoy playing the victim. And the worst is, we are only too ready to agree with this assessment! Trauma victims commonly blame themselves. Blaming oneself for the shame of being a victim is recognized by trauma specialists as a defense against the extreme powerlessness we feel in the wake of a traumatic event. Self-blame continues the illusion of control shock destroys, but prevents us from the necessary working through of the traumatic feelings and memories to heal and recover.

When a person is in emotional pain, it’s hard to be rational and to think of a good solution. Nevertheless, many of the coping strategies used by people with overwhelming emotions only serve to make their problems worse.

I never know what to tell them. I mean, there's nothing you can say to make a person stop hurting. Half the time, I just feel like telling them the truth. I'd say that for 3 months, you're going to feel worse than you've ever felt and you cope as best you can. And that after 6 months, the pain isn't so bad, but it still hurts more than you think it will. And even after years, you still find yourself thinking about the person you lost and get sad about it. And you still miss them all the time.

Because of this inner busyness, which is going on almost all the time, we are liable either to miss a lot of the texture of our life experience or to discount its value and meaning.

I don't think immediate tragedy is a very good source of art. It can be, but too often it's raw and painful and un-dealt-with. Sometimes art can be a really good escape from the intolerable, and a good place to go when things are bad, but that doesn't mean you have to write directly about the bad thing; sometimes you need to let time pass, and allow the thing that hurts to get covered with layers, and then you take it out, like a pearl, and you make art out of it. When my father died, on the plane from his funeral in the UK back to New York, still in shock, I got out my notebook and wrote a script. It was a good place to go, the place that script was, and I went there so deeply and so far that when we landed Maddy had to tap me on the arm to remind me that I had to get off the plane now. (She says I looked up at her, puzzled, and said "But I want to find out what happens next.") It was where I went and what I did to cope, and I was amazed, some weeks later when I pulled out that notebook to start typing, to find that I'd written pretty much the entire script in that six hour journey.

A full and powerful soul not only copes with painful even terrible losses, deprivations, robberies, insults; it emerges from such hells with a greater fullness and powerfulness, and most essential of all with a new increase in the bliss-Fulness of love. I believe that he who has divined something of the most basic conditions for his growth in love will understand what Dante meant when he wrote over the gate of his inferno: 'I, too, was created by eternal love.

It would not be hard to imagine that a happy hermit, living in isolation, might feel connected to everything in nature and all people on the planet and not be at all affected by a dearth of human neighbors.

It was painful to contemplate the distance between the future of accomplishment I'd imagined for myself twenty years earlier...it was painful to understand that the cushion of exceptionality invoked by the drug had made me oblivious to my inertia. And it was painful to have to define myself again, at an age when most people are happy in their own skins.

Along with the trust issues, one of the hardest parts to deal with is the feeling of not being believed or supported, especially by your own grandparents and extended family. When I have been through so much pain and hurt and have to live with the scars every day, I get angry knowing that others think it is all made up or they brush it off because my cousin was a teenager. I was ten when I was first sexually abused by my cousin, and a majority of my relatives have taken the perpetrator's side. I have cried many times about everything and how my relatives gave no support or love to me as a kid when this all came out. Not one relative ever came up to that innocent little girl I was and said "I am sorry for what you went through" or "I am here for you." Instead they said hurtful things: "Oh he was young." "That is what kids do." "It is not like he was some older man you didn't know." Why does age make a difference? It is a sick way of thinking. Sexual abuse is sexual abuse. What is wrong with this picture? It brings tears to my eyes the way my relatives have reacted to this and cannot accept the truth. Denial is where they would rather stay.

When you have endure the worse situations, you build the courage and confidence to cope with any other situations.

Whatever awful things you go through, however miserable you feel, those feelings will pass. But don't think for one second you can't show them now anyway. Who does it help keeping them in?

When I was a child, an angel came to say, A true friend is coming my warrior to sweep you away, It won’t be easy the path because it leads through hell, But if you’re faithful, it will be the greatest story to tell, You will move God’s daughters to a place of hope, Your story will teach everyone there is nothing they can’t cope, You will suffer a lot, but not one tear will you waste, Because for all that you do for me, you will be graced, For I am bringing you someone that wants to travel your trail, Someone you already met when you passed through heaven’s veil, A warrior, a friend that whispers your heart’s song, Someone that will run with you and pull your spirit along, Don’t you see the timing was love's fated throw, Because I put you both there to help one another grow, I am the writer of all great stories your chapters were written by me, You suffered, you cried because I needed you to see, That your faith in my ending goes far beyond two, It was going to change more hearts than both of you knew, So hush my child and wait for my loving hand, The last chapter is not written and still in the sand, It is up to you to finish, before the tide washes it away, All that is in your heart, I’ve put there for you to say, This is not about winning, loss or pain, I made you the way you are because true love stories are insane, I wrote you in heaven as I sat on its sandy shore, You know with all of my heart I loved you both more, There is no better ending two people seeing each other's heart, Together your spirits will never drift apart, Because two kindred spirits is what I made you to be, The waves and beach crashing together because of-- ME.

She's finding it hard to cope - her hopes have been dashed, the future she dreamed about has gone and she's scared about that. There's nothing in its place. She wants you back. She doesn't want to let go of everything it meant to her.  Because the world seems horribly big and empty. Because the future is a very frightening concept when you'd previously planned on sharing it with someone. Because she's a girl, she's a romantic and she fears if she lets  go of her dream, she'll live a nightmare. Because she has a hope and she fears if she lets her hope go, who will she be? The effort, the pain of clinging on is preferable to the wide-open fear of letting go.

I can think of no wiser financial investment than in self-knowledge. It is the path to freedom, at many levels. By sorting through painful past experiences, irrational beliefs, and unacknowledged fears, people can become free of these chains and find healthier ways of coping than making money and consuming things.

Parts of you are phobic of anger and generally terrified and ashamed of angry dissociative parts. There is often tremendous conflict between anger-avoidant and anger-fixated parts of an individual. Thus, an internal and perpetual cycle of rage-shame-fear creates inner chaos and pain.

You never have to suffer because of, or be denatured by, another person, even someone you love.

PERHAPS THE GREATEST FACULTY our minds possess is the ability to cope with pain.

Knowing what you are doing while you are doing it is the essence of mindfulness practice.

I fix myself, even when it causes great pain to do so, because I know that I cannot fix the way the world sees me.

Love with open hands, with an open heart, knowing that what is given to you will die. It will change. Love anyway. You witness incredible pain in this life. Love anyway.

The moments of silence are gone. We run from them into the rush of unimportant things, so filled is the quiet with the painful whispers of all that goes unspoken. Busy-ness is our drug of choice, numbing our minds just enough to keep us from dwelling on all that we fear we can’t change. A compilation of coping mechanisms, we have become our fatigue. Unwilling or unable to cut ourselves free of this modern machine we have built, we’re dragged in its wake all too quickly toward our end. The virtue of a society’s culture is reflected in the physical, mental, and emotional health of its people. The time has come to part ways with all that is toxic, and preserve our quality of life.

The Stoics can teach you how to find a sense of purpose in life, how to face adversity, how to conquer anger within yourself, moderate your desires, experience healthy sources of joy, endure pain and illness patiently and with dignity, exhibit courage in the face of your anxieties, cope with loss, and perhaps even confront your own mortality while remaining as unperturbed as Socrates.

Many of us learned that keeping busy…kept us at a distance from our feelings...Some of us took the ways we busied ourselves—becoming overachievers & workaholics—as self esteem…But whenever our inner feeling did not match our outer surface, we were doing ourselves a disservice…If stopping to rest meant being barraged with this discrepancy, no wonder we were reluctant to cease our obsessive activity.

cultivating mindfulness is not unlike the process of eating. It would be absurd to propose that someone else eat for you. And when you go to a restaurant, you don’t eat the menu, mistaking it for the meal, nor are you nourished by listening to the waiter describe the food. You have to actually eat the food for it to nourish you. In the same way, you have to actually practice mindfulness, by which I mean cultivate it systematically in your own life, in order to reap its benefits and come to understand why it is so valuable.

Wounds to the flesh hurt but they heal fast. Wounds to the soul never go away. It’s how we cope with a pain that never dies that makes us the people we are. Daily, people demonstrate acts of courage just so they can get through to the night.

Somatic Symptoms: People with Complex PTSD often have medical unexplained physical symptoms such as abdominal pains, headaches, joint and muscle pain, stomach problems, and elimination problems. These people are sometimes most unfortunately mislabeled as hypochondriacs or as exaggerating their physical problems. But these problems are real, even though they may not be related to a specific physical diagnosis. Some dissociative parts are stuck in the past experiences that involved pain may intrude such that a person experiences unexplained pain or other physical symptoms. And more generally, chronic stress affects the body in all kinds of ways, just as it does the mind. In fact, the mind and body cannot be separated. Unfortunately, the connection between current physical symptoms and past traumatizing events is not always so clear to either the individual or the physician, at least for a while. At the same time we know that people who have suffered from serious medical, problems. It is therefore very important that you have physical problems checked out, to make sure you do not have a problem from which you need medical help.

The damaging part of learning to live your life in two parts , whether in reality or fantasy, cannot be underestimated. It is an infectious skill that you learned, one that would eventually spread beyond the bedroom of your life. Life wasn't ever what it seemed on the surface. Nothing could be trusted for what it appeared to be. After all, you weren't what you appeared to be. In learning to hide part of yourself, you lost the ability to trust anything or anyone fully. Without knowing it, you traded humane innocence for dry cynicism.

Despair was strength. Despair was the scab and the scar. The walled city in a time of plague. A closed fortification. A sure thing, because it was always safer, less painful to stop trying than it was to repeatedly try and fail. Failure-disappointment-was a poison in my blood. Despair was the antidote.

The Batcave is a monument… to his pain. The cave is more than his war room. He might think of it that way, all the tools and resources he’s assembled for his work. But that’s not it at all. The Batcave is a monument to his pain. And this morning, the way he’s hurting, it was the last place he would come.

For years, i lived my life, waiting for the other shoe to drop... i thought control was something i could have over my life. My goal was to live life, in such a way, that i would never again have to suffer any form of trauma or abuse that would remind me of my painful past. I was living life on a tightrope of tension. I was only happy when things went smoothly and came apart at the seams when i was thrown a curveball. NOW, i realize, that the key to happiness is surrendering to the illusion of control. And to trust that, no matter what happens to me, i have the infinite inner-wisdom and strength to find my way through.

Alcohol and drugs are not the problems; they are what people are using to help themselves cope with the problems. Those problems always have both physical and psychological components- anything from anemia, hypoglycemia, or a sluggish thyroid to attention deficient disorder, brain-wave pattern imbalances, or deep emotional pain.

Intense pain often pushed me to make changes. The pain of the eating disorder pushed me into recovering from eating-disordered behaviors, and then the emotional turmoil I experienced without those behaviors (not knowing how to cope with perfectionism, feelings, and life in general) took me even further, so that I ultimately found serenity.

She had worn the Morgenstern ring since Jace had left it for her, and sometimes she wondered why. Did she really want to be reminded of Valentine? And yet, at the same time, was it ever right to forget? You couldn't erase everything that caused you pain with its recollection. She didn't want to forget Max or Madeleine, or Hodge, or the Inquisitor, or even Sebastian. Every moment was valuable; even the bad ones.

A relationship between two people is made up, for the most part, of invisible things: memories, shared experiences, hopes and fears. When one person disappears, the other is left alone, as if holding a string with no kite. Memories can do a lot to sustain you, but the invisible stuff of the relationship is lost, even as unresolved issues remain: arguments never settled, kind words never uttered, things left un-said. They become like a splinter beneath the skin-unseen, but painful nevertheless. Until they're exposed, coping with the loss is impossible.

I don’t wake up in the morning and think, ‘Wow, I’m on a planet in the Milky Way, in infinite space, bestowed with the gift of consciousness, which I did not give myself, with the gift of language, with lungs that breathe and a heart that beats, none of which I gave myself, with no concrete understanding of the Great Mysteries, knowing only that I was born and will die and nothing of what’s on either side of this brief material and individualized glitch in the limitless expanse of eternity and, I feel, I feel love and pain and I have senses, what a glorious gift! I can relate, and create and serve others or I can lose myself in sensuality and pleasure. What a phenomenal mystery!’ Most days I just wake up feeling a bit anxious and plod a solemn, narrow path of survival, coping. ‘I’ll have a coffee’, ‘I’ll try not to reach for my phone as soon as I stir, simpering and begging like a bad dog at a table for some digital tidbit, some morsel of approval, a text, that’ll do

The pain did not subside, but Ivan Ilyich forced himself to think he was getting better. And he managed to deceive himself as long as nothing upset him. But no sooner did he have a nasty episode with his wife, a setback at work, or a bad hand at cards, than he immediately became acutely aware of his illness. In the past he had been able to cope with such adversities, confident that in no time at all he would set things right, get the upper hand, succeed, have a grand slam. Now every setback knocked the ground out from under him and reduced him to despair.

I try to explain how people react when overwhelmed by confusion and negative emotions. Some drink too much. Others overeat or beat their wives or kick the cat. And a surprising number hold their hands against a hot plate or slice open their skin with a razor blade. It's an extreme coping mechanism. They talk about their inner pain being turned outward. By giving it a physical manifestation they find it easier to deal with. (35)

There’s a kind of focusing effect that happens when you’re very ill. I saw it with my granddad, when he was slipping away. You stop caring about the big stuff. Your world shrinks down to very small concerns: the way your dressing gown cord presses uncomfortably against your ribs, the pain in your spine, the feel of a hand in yours. It’s that narrowing that enables you to cope, I suppose. The wider world stops mattering. And as you grow more and more ill, your world shrinks further, until the only thing that matters is just to keep on breathing.

Poetry and song lyrics might want us to believe that finding love is like uncovering buried treasure, but now I know the truth. There’s no joy or celebration in love. There are no happy endings. There is simply me and her and a crushing pain. What’s left after that? An entire life of mute should-haves and second-bests.

Dissociative identity disorder is conceptualized as a childhood onset, posttraumatic developmental disorder in which the child is unable to consolidate a unified sense of self. Detachment from emotional and physical pain during trauma can result in alterations in memory encoding and storage. In turn, this leads to fragmentation and compartmentalization of memory and impairments in retrieving memory.2,4,19 Exposure to early, usually repeated trauma results in the creation of discrete behavioral states that can persist and, over later development, become elaborated, ultimately developing into the alternate identities of dissociative identity disorder.

...Failure cannot be erased. It is built in to a life and helps us grow. Failure cannot be erased, but it can be understood. Most people carry around a load of feeling that they bury or pretend is not there because it is too painful and alarming to cope with or because it involved unbearable guilt. Anger against a parent, for example. I knew the tide of woe was rising, that woe that seizes me like anger, and is a form of anger, and I didn’t know what to do to stop it, so I got up and picked flowers, cooked my dinner, looked at the news, all the same usual routine that can ward off the devils or suddenly clear the air as when a thunderstorm seems to be coming and then dissipates….it always happens when there is a galaxy of problems that get knit together into one huge outcry against the sense of being abandoned or orphanhood…

There is a great loneliness of spirit today. We’re trying to live, we’re trying to cope in the face of what seems to be overwhelming evidence that who we are doesn’t matter, that there is no real hope for enough change, that the environment and human experience is deteriorating so rapidly and increasingly and massively. This is the context, psychically and spiritually, in which we are working today. This is how our lives are reflected to us. Meanwhile, we’re yearning for connection with each other, with ourselves, with the powers of nature, the possibilities of being alive. When that tension arises, we feel pain, we feel anguish at the very root of ourselves, and then we cover that over, that grief, that horror, with all kinds of distraction – with consumerism, with addictions, with anything that we can use to disconnect and to go away. We’ve been opening ourselves to the grief, to the knowing of what’s taking place, the loss of species, the destruction of the natural world, the unimaginable levels of social injustice and economic injustice that deprive so many human beings of basic opportunities. And as we open to the pain of that, there’s a possibility of embracing that pain and that grief in a way that it becomes a strength, a power to respond. There is the possibility that the energy that has been bound in the repression of it can now flow through us and energize us, make us clearer, more alive, more passionate, committed, courageous, determined people.

Dr. Webb says that life is so full of complications and confusion that humans oftentimes find it hard to cope. This leads to people throwing themselves in front of trains and spending all their money and not speaking to their relatives and never going home for Christmas and never eating anything with chocolate in it. Life, he says, doesn't have to be so bad all the time. We don't have to be so anxious about everything. We can just be. We can get up, anticipate that the day will probably have a few good moments and a few bad ones, and then just deal with it. Take it all in and deal as best as we can.

No. Depression is the unseen, unheard, silent killer. It is the pain that is too much to cope with, too hard to deal with and never understood. It is something that you can’t escape, no matter how hard you try it ALWAYS swallows you again. It constantly follows you around, like black smoke choking you from the inside out. Like a lion clawing at your heart and mind, eating pieces of you until there is nothing left.

By contrast, the individual with a character disorder lacks the ability to recognize that he has a problem and, if confronted with this possibility, would not consider himself responsible in the matter. Essentially, the only difficulties or pain the NPD person will be conscious of are those negative consequences that his behaviors bring about, especially in his relationships. Regardless of his culpability, the NPD person will blame everyone else or the circumstances of his life rather than acknowledge that he has a significant problem.

Studies on the phenomenon indicate that a person with a high tolerance for pain is likely to also have above-average capacity to cope with the stress of a job layoff or a cancer diagnosis, and this same person is more likely as well to have experienced a moderate amount of psychological trauma in his or her past. It would appear that a certain amount of misfortune is needed to toughen the mind against suffering and hardship, but excessive trauma leaves scar tissue.

He tried to decide if he was really ashamed of being afraid, and decided that he was not. Fear was there for a purpose. It was wired into any creature that had not completely turned its back on its evolutionary inheritance and so remade itself in whatever image it coveted. The more sophisticated you became, the less you relied on fear and pain to keep you alive; you could afford to ignore them because you had other means of coping with the consequences if things went badly.

Not knowing how to regulate their own painful, aversive feelings, such as shame and anger, makes people with BPD walking powder kegs. Because of their deficits, they tend to regulate emotional pain with actions that bring quick, short-term relief, such as cutting themselves (parasuicidal acts) using drugs or alcohol, shopping or overspending, binge eating, anorexia, gambling, or engaging in unsafe sex. The consequence of these behaviors is usually more emotional pain. Alternatively, they may cope by avoiding or dissociating from the trigger or the actual emotion they are feeling. Some people with BPD may have developed too much control of their emotional responses. They may be described as emotionally over-controlled or emotionally constipated.

Dr. R scratches out a note on his pad. "Losing you both was only the practice pain, wasn't it? For my mum and dad..." He puts his finger on his lips, his elbow at his chest, not racked with cancer. "Yes." "And when that happens, this will seem like nothing." He nods. "When it happens," he asks me, "what will get you through?" "Friends who love me." "And if your friends weren't there?" "Music through headphones." "And if the music stopped?" "A sermon by Rabbi Wolpe." "If there was no religion?" "The mountains and the sky." "If you leave California?" "Numbered streets to keep me walking." "If New York falls into the ocean?" Your voice in my head.

If…an infant, especially one born with a genetically-encoded altered neurophysiologic reactivity, does not have adequate experiences of being part of an open dynamic system with an emotionally responsive adult human, its corticolimbic organization will be poorly capable of coping with the stressful chaotic dynamics that are inherent in all human relationships. Such a system tends to become static and closed, and invested in defensive structures to guard against anticipated interactive assaults that potentially trigger disorganizing and emotionally painful psychobiological states. Due to its avoidance of novel situations and diminished capacity to cope with challenging situations, it does not expose itself to new socioemotional learning experiences that are required for the continuing experience-dependent growth of the right brain. This structural limitation, in turn, negatively impacts the future trajectory of self-organization.

The Dialectical Dilemma for the Patient The borderline individual is faced with an apparently irreconcilable dilemma. On the one hand, she has tremendous difficulties with self-regulation of affect and subsequent behavioral competence. She frequently but somewhat unpredictably needs a great deal of assistance, often feels helpless and hopeless, and is afraid of being left alone to fend for herself in a world where she has failed over and over again. Without the ability to predict and control her own well-being, she depends on her social environment to regulate her affect and behavior. On the other hand, she experiences intense shame at behaving dependently in a society that cannot tolerate dependency, and has learned to inhibit expressions of negative affect and helplessness whenever the affect is within controllable limits. Indeed, when in a positive mood, she may be exceptionally competent across a variety of situations. However, in the positive mood state she has difficulty predicting her own behavioral capabilities in a different mood, and thus communicates to others an ability to cope beyond her capabilities. Thus, the borderline individual, even though at times desperate for help, has great difficulty asking for help appropriately or communicating her needs. The inability to integrate or synthesize the notions of helplessness and competence, of noncontrol and control, and of needing and not needing help can lead to further emotional distress and dysfunctional behaviors. Believing that she is competent to “succeed,” the person may experience intense guilt about her presumed lack of motivation when she falls short of objectives. At other times, she experiences extreme anger at others for their lack of understanding and unrealistic expectations. Both the intense guilt and the intense anger can lead to dysfunctional behaviors, including suicide and parasuicide, aimed at reducing the painful emotional states. For the apparently competent person, suicidal behavior is sometimes the only means of communicating to others that she really can’t cope and needs help; that is, suicidal behavior is a cry for help. The behavior may also function as a means to get others to alter their unrealistic expectations—to “prove” to the world that she really cannot do what is expected.

There’s nothing. Nothing to hold on to while the current takes me. Whatever I might have had until today, I’ve lost. I feel my love for her, swelling; bloating into something that’s about to explode, like an abscess that’s been allowed to rot for too long, but the pain drowns it so completely I know I’m never coming back out. This feeling, that you’re choking and that your body is underwater, immersed in the ocean, a dense flood that overpowers your breathing abilities, and your will to survive gets drowned right along with it. And as I’m drowning I see her face and hear her voice—and it doesn’t give me hope, it terrifies me. I’m terrified because I know she’s going to be the death of me. I’m terrified because I know I won’t be able to cope. I’m terrified because the darkness is the only true friend I’ve ever had and if it wants to embrace me I don’t have the power to make it stop.

There was a girl, and her uncle sold her, wrote Mr. Ibis in his perfect copperplate handwriting. That is the tale; the rest is detail. There are stories that are true, in which each individual’s tale is unique and tragic, and the worst of the tragedy is that we have heard it before, and we cannot allow ourselves to feel it too deeply. We build a shell around it like an oyster dealing with a painful particle of grit, coating it with smooth pearl layers in order to cope. This is how we walk and talk and function, day in, day out, immune to others’ pain and loss. If it were to touch us it would cripple us or make saints of us; but, for the most part, it does not touch us. We cannot allow it to. Tonight, as you eat, reflect if you can: there are children starving in the world, starving in numbers larger than the mind can easily hold, up in the big numbers where an error of a million here, a million there, can be forgiven. It may be uncomfortable for you to reflect upon this or it may not, but still, you will eat. There are accounts which, if we open our hearts to them, will cut us too deeply. Look—here is a good man, good by his own lights and the lights of his friends: he is faithful and true to his wife, he adores and lavishes attention on his little children, he cares about his country, he does his job punctiliously, as best he can. So, efficiently and good-naturedly, he exterminates Jews: he appreciates the music that plays in the background to pacify them; he advises the Jews not to forget their identification numbers as they go into the showers—many people, he tells them, forget their numbers, and take the wrong clothes, when they come out of the showers. This calms the Jews: there will be life, they assure themselves, after the showers. And they are wrong. Our man supervises the detail taking the bodies to the ovens; and if there is anything he feels bad about, it is that he still allows the gassing of vermin to affect him. Were he a truly good man, he knows, he would feel nothing but joy, as the earth is cleansed of its pests. Leave him; he cuts too deep. He is too close to us and it hurts.

Hayes and his colleagues have distilled these insights into seven skills for coping with loss. In more than a thousand studies over thirty-five years, they’ve found that the acquisition of this skill set predicts whether people facing loss fall into anxiety, depression, trauma, substance abuse—or whether they thrive. The first five skills involve acceptance of the bitter. First, we need to acknowledge that a loss has occurred; second, to embrace the emotions that accompany it. Instead of trying to control the pain, or to distract ourselves with food, alcohol, or work, we should simply feel our hurt, sorrow, shock, anger. Third, we need to accept all our feelings, thoughts, and memories, even the unexpected and seemingly inappropriate ones, such as liberation, laughter, and relief. Fourth, we should expect that sometimes we’ll feel overwhelmed. And fifth, we should watch out for unhelpful thoughts, such as “I should be over this,” “It’s all my fault,” and “Life is unfair.” Indeed, the ability to accept difficult emotions—not just observe them, not just breathe through them, but actually, nonjudgmentally, accept them—has been linked repeatedly to long-term thriving.

Often, things are left unsaid. Everyone is guilty of thinking and feeling things... of loving or appreciating others... and of taking for granted that those others will just be there... to continue to share life's journey with... Then when one is gone... so quickly... all those things left unsaid... they matter more, because they were unspoken... Everyone fights their own battles inside themselves... often no one outside them even knows the wars that rage inside even those who they are closest to... I'd like to take the time, here and now, to tell all of you... those close to me, and those who aren't... those who matter so much... and those who have influenced me in even the smallest ways... all of you... that you matter. You are important. You are appreciated. Don't for a moment think otherwise. Don't, for even an instant, think or feel that you are not a wonder... a gift to the world... that makes it a better place to be... or that it would ever, in any way, be anything less than a tragedy for you to leave before your time.

Grief is a winding, nasty road that has no predictable course, and the best thing you can do as a friend is to show up for the ride. You cannot rush grief. Read that again, and let it soak in as you either walk through it or alongside someone who is in the midst of it. One of the best things you can do for friends who are suffering through loss is to remind them of this over and over. Don’t mention how other people have “coped so well” with their losses or how “it seems like so-and-so has come out of this better than you have.” I have heard from people who have heard these exact sentences, and while I have a feeling their friends wanted to encourage them into a place of recovery, they weren’t helped by such remarks. It stings to feel like your grief isn’t normal or that you aren’t recovering the way you should be. There is no normal. There is the loss, and there is the Lord. That balance dictates the season, not the changing leaves or the anniversaries of death. I love the way Gregory Floyd explains the delicate balance of hope and pain, “Our faith gives us the sure hope of seeing him again, but the hope does not take away the pain.”1

Another reason for Buddha’s emphasis on detachment may have been the turbulent times he lived in: Kings and city-states were making war, and people’s lives and fortunes could be burned up overnight. When life is unpredictable and dangerous (as it was for the Stoic philosophers, living under capricious Roman emperors), it might be foolish to seek happiness by controlling one’s external world. But now it is not. People living in wealthy democracies can set long-term goals and expect to meet them. We are immunized against disease, sheltered from storms, and insured against fire, theft, and collision. For the first time in human history, most people (in wealthy countries) will live past the age of seventy and will not see any of their children die before them. Although all of us will get unwanted surprises along the way, we’ll adapt and cope with nearly all of them, and many of us will believe we are better off for having suffered. So to cut off all attachments, to shun the pleasures of sensuality and triumph in an effort to escape the pains of loss and defeat—this now strikes me as an inappropriate response to the inevitable presence of some suffering in every life.

You said that it would be the two of us from now on, if this happened. That there would be no more Audrey, no other woman. That you’d come to me to be comforted, to be cared for.” He took great handfuls of her own wonderfully soft hair and framed her face in his lean hands. He bent to kiss her with breathless tenderness, savoring her warm mouth. “I will. Even if I don’t know that I can cope with that again,” he said huskily. “With lovemaking?” He took a long, long look at her. “You don’t know much about this,” he said finally. “There are…degrees of pleasure. Sometimes it’s good, sometimes it’s even great. Once in a lifetime or so, it’s sacred.” “I don’t understand.” “You were a virgin,” he whispered solemnly. “But we joined souls. I was inside you, but you were inside me, too.” He nuzzled her nose with his. “I remember wondering if a man could die of pleasure, just at the last. It was so good that it was almost painful.” She smiled. “I know. I love you,” she said softly. He looked away from her. His hands on her shoulders were bruising. “Sorry,” she murmured, pulling away. “You don’t want to hear that. But it’s a fact of life, like middens and projectile points and horizons in archaeology. I can’t help it, and it isn’t as if you didn’t already know. I couldn’t have slept with you only because I wanted you. Not with my past.” He knew that. He knew it to the soles of his feet. He was confused and afraid and overwhelmed by the passion they’d shared. It was an addictive, narcotic experience that left him shaken and uncertain for the first time in his life.

All at once he found his mind drawing a parallel between that destiny and his own existence; all at once questions of life arose before his vision, like owls in an ancient ruin flushed from sleep by a stray ray of sunlight. Somehow he felt pained and grieved at his arrested development, at the check which had taken place in his moral growth, at the weight which appeared to be pressing upon his every faculty. Also gnawing at his heart there was a sense of envy that others should be living a life so full and free, while all the time the narrow, pitiful little pathway of his own existence was being blocked by a great boulder. And in his hesitating soul there arose a torturing consciousness that many sides of his nature had never yet been stirred, that others had never even been touched, and that not one of them had attained complete formation. Yet with this there went an aching suspicion that, buried in his being, as in a tomb, there still remained a moribund element of sweetness and light, and that it was an element which, though hidden in his personality, as a nugget lies lurking in the bowels of the earth, might once have become minted into sterling coin. But the treasure was now overlaid with rubbish--was now thickly littered over with dust. 'Twas as though some one had stolen from him, and besmirched, the store of gifts with which life and the world had dowered him; so that always he would be prevented from entering life's field and sailing across it with the aid of intellect and of will. Yes, at the very start a secret enemy had laid a heavy hand upon him and diverted him from the road of human destiny. And now he seemed to be powerless to leave the swamps and wilds in favour of that road. All around him was a forest, and ever the recesses of his soul were growing dimmer and darker, and the path more and more tangled, while the consciousness of his condition kept awaking within him less and less frequently--to arouse only for a fleeting moment his slumbering faculties. Brain and volition alike had become paralysed, and, to all appearances, irrevocably--the events of his life had become whittled down to microscopical proportions. Yet even with them he was powerless to cope--he was powerless to pass from one of them to another. Consequently they bandied him to and fro like the waves of the ocean. Never was he able to oppose to any event elasticity of will; never was he able to conceive, as the result of any event, a reasoned-out impulse. Yet to confess this, even to himself, always cost him a bitter pang: his fruitless regrets for lost opportunities, coupled with burning reproaches of conscience, always pricked him like needles, and led him to strive to put away such reproaches and to discover a scapegoat.

In this world, as in our own, nearly all the chief means of production, nearly all the land, mines, factories, railways, ships, were controlled for private profit by a small minority of the population. These privileged individuals were able to force the masses to work for them on pain of starvation. The tragic farce inherent in such a system was already approaching. The owners directed the energy of the workers increasingly towards the production of more means of production rather than to the fulfilment of the needs of individual life. For machinery might bring profit to the owners; bread would not. With the increasing competition of machine with machine, profits declined, and therefore wages, and therefore effective demand for goods. Marketless products were destroyed, though bellies were unfed and backs unclad. Unemployment, disorder, and stern repression increased as the economic system disintegrated. A familiar story! As conditions deteriorated, and the movements of charity and state-charity became less and less able to cope with the increasing mass of unemployment and destitution, the new pariah-race became more and more psychologically useful to the hate-needs of the sacred, but still powerful, prosperous. The theory was spread that these wretched beings were the result of secret systematic race-pollution by riff-raff immigrants, and that they deserved no consideration whatever. They were therefore allowed only the basest forms of employment and the harshest conditions of work. When unemployment had become a serious social problem, practically the whole pariah stock was workless and destitute. It was of course easily believed that unemployment, far from being due to the decline of capitalism, was due to the worthlessness of the pariahs.

The person is both a self and a body, and from the beginning there is the confusion about where "he" really "is"-in the symbolic inner self or in the physical body. Each phenomenological realm is different. The inner self represents the freedom of thought, imagination, and the infinite reach of symbolism. the body represents determinism and boundness. The child gradually learns that his freedom as a unique being is dragged back by the body and its appendages which dictate "what" he is. For this reason sexuality is as much a problem for the adult as for the child: the physical solution to the problem of who we are and why we have emerged on this planet is no help-in fact, it is a terrible threat. It doesn't tell the person what he is deep down inside, what kind of distinctive gift he is to work upon the world. This is why it is so difficult to have sex without guilt: guilt is there because the body casts a shadow on the person's inner freedom, his "real self" that-through the act of sex-is being forced into a standardized, mechanical, biological role. Even worse, the inner self is not even being called into consideration at all; the body takes over completely for the total person, and this kind of guilt makes the inner self shrink and threaten to disappear. This is why a woman asks for assurance that the man wants "me" and "not only my body"; she is painfully conscious that her own distinctive inner personality can be dispensed with in the sexual act. If it is dispensed with, it doesn't count. The fact is that the man usually does want only the body, and the woman's total personality is reduced to a mere animal role. The existential paradox vanishes, and one has no distinctive humanity to protest. One creative way of coping with this is, of course, to allow it to happen and to go with it: what the psychoanalysts call "regression in the service of the ego." The person becomes, for a time, merely his physical self and so absolves the painfulness of the existential paradox and the guilt that goes with sex. Love is one great key to this kind of sexuality because it allows the collapse of the individual into the animal dimension without fear and guilt, but instead with trust and assurance that his distinctive inner freedom will not be negated by an animal surrender.

There are stories that are true, in which each individual’s tale is unique and tragic, and the worst of the tragedy is that we have heard it before, and we cannot allow ourselves to feel it too deeply. We build a shell around it like an oyster dealing with a painful particle of grit, coating it with smooth pearl layers in order to cope. This is how we walk and talk and function, day in, day out, immune to others’ pain and loss. If it were to touch us it would cripple us or make saints of us; but, for the most part, it does not touch us. We cannot allow it to. Tonight, as you eat, reflect if you can: there are children starving in the world, starving in numbers larger than the mind can easily hold, up in the big numbers where an error of a million here, a million there, can be forgiven. It may be uncomfortable for you to reflect upon this or it may not, but still, you will eat. There are accounts which, if we open our hearts to them, will cut us too deeply. Look—here is a good man, good by his own lights and the lights of his friends: he is faithful and true to his wife, he adores and lavishes attention on his little children, he cares about his country, he does his job punctiliously, as best he can. So, efficiently and good-naturedly, he exterminates Jews: he appreciates the music that plays in the background to pacify them; he advises the Jews not to forget their identification numbers as they go into the showers—many people, he tells them, forget their numbers, and take the wrong clothes, when they come out of the showers. This calms the Jews: there will be life, they assure themselves, after the showers. And they are wrong. Our man supervises the detail taking the bodies to the ovens; and if there is anything he feels bad about, it is that he still allows the gassing of vermin to affect him. Were he a truly good man, he knows, he would feel nothing but joy, as the earth is cleansed of its pests. Leave him; he cuts too deep. He is too close to us and it hurts.