Recovery From Pain Quotes

Compared to bipolar's magic, reality seems a raw deal. It's not just the boredom that makes recovery so difficult, it's the slow dawning pain that comes with sanity - the realization of illnesss, the humiliating scenes, the blown money and friendships and confidence. Depression seems almost inevitable. The pendulum swings back from transcendence in shards, a bloody, dangerous mess. Crazy high is better than crazy low. So we gamble, dump the pills, and stick it to the control freaks and doctors. They don't understand, we say. They just don't get it. They'll never be artists.

One of the greatest evils is the foolishness of a good man. For the giving man to withhold helping someone in order to first assure personal fortification is not selfish, but to elude needless self-destruction; martyrdom is only practical when the thought is to die, else a good man faces the consequence of digging a hole from which he cannot escape, and truly helps no one in the long run.

A lot of things are inherent in life -change, birth, death, aging, illness, accidents, calamities, and losses of all kinds- but these events don't have to be the cause of ongoing suffering. Yes, these events cause grief and sadness, but grief and sadness pass, like everything else, and are replaced with other experiences. The ego, however, clings to negative thoughts and feelings and, as a result, magnifies, intensifies, and sustains those emotions while the ego overlooks the subtle feelings of joy, gratitude, excitement, adventure, love, and peace that come from Essence. If we dwelt on these positive states as much as we generally dwell on our negative thoughts and painful emotions, our lives would be transformed.

I couldn’t trust my own emotions. Which emotional reactions were justified, if any? And which ones were tainted by the mental illness of BPD? I found myself fiercely guarding and limiting my emotional reactions, chastising myself for possible distortions and motivations. People who had known me years ago would barely recognize me now. I had become quiet and withdrawn in social settings, no longer the life of the party. After all, how could I know if my boisterous humor were spontaneous or just a borderline desire to be the center of attention? I could no longer trust any of my heart felt beliefs and opinions on politics, religion, or life. The debate queen had withered. I found myself looking at every single side of an issue unable to come to any conclusions for fear they might be tainted. My lifelong ability to be assertive had turned into a constant state of passivity.

We are all damaged. We have all been hurt. We have all had to learn painful lessons. We are all recovering from some mistake, loss, betrayal, abuse, injustice or misfortune. All of life is a process of recovery that never ends. We each must find ways to accept and move through the pain and to pick ourselves back up. For each pang of grief, depression, doubt or despair there is an inverse toward renewal coming to you in time. Each tragedy is an announcement that some good will indeed come in time. Be patient with yourself.

Many partners of addicts have told me they feel bad about themselves for staying in the relationship because of the betrayal they’ve experienced. They imagine that the people who know their past judge them to be stupid for staying with the person who’s caused them so much pain. I often counter this thinking, explaining that leaving may seem quick and easy because they can pretend they’re okay and the problem has disappeared. However, if you leave your relationship, you’ll be stuck with your pain and sorrow without the person you loved to help you sort it out. Why is this true? Because even though it feels as if your pain comes from your partner, it’s actually coming from inside you.

It is very tempting to take the side of the perpetrator. All the perpetrator asks is that the bystander do nothing. He appeals to the universal desire to see, hear, and speak no evil. The victim, on the contrary, asks the bystander to share the burden of pain. The victim demands action, engagement, and remembering.

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.

I have no power at all over people, places and things, and if I ever for a moment mistakenly believe that I do, and act as if I do, pain is on its way.

when traumatic events are of human design, those who bear witness are caught in the conflict between victim and perpetrator. All the perpetrator asks is that the bystander do nothing. He appeals to the universal desire to see, hear, and speak no evil. The victim, on the contrary, asks the bystander to share the burden of pain. The victim demands action, engagement and remembering.

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.

Rising from the ashes, I am born again, powerful, exultant, majestic through all the pain.

Beyond extreme examples of running from pain, we’ve lost the ability to tolerate even minor forms of discomfort. We’re constantly seeking to distract ourselves from the present moment, to be entertained.

I knew well enough that one could fracture one’s legs and arms and recover afterward, but I did not know that you could fracture the brain in your head and recover from that too.

When you feel at sea in an abyss of emotions, reconnecting to the beauty of your soul can be difficult, but it is never impossible.

Maybe I needed that somebody else could cry over my pain, to become able to cry over it myself. Nobody ever cried or was moved when I suffered as a child. (Lisa)

The instinct that drives compulsion is universal. It is an attempt to solve the problem of disconnection, alienation, tepid despair... the problem is ultimately 'being human' in an environment that is curiously ill-equipped to deal with the challenges that entails.

We need this help from the outside because we don't know how to to do this for ourselves. We start with a deep deficit—a chasm really—when it comes to understanding and being tolerant of ourselves, and that's even before we go forth to do battle with the rest of the world. As soon as someone judges, criticizes, dismisses, or ignores, the cycle of pain and reactivity ramps up, compounded by shame, remorse, and rejection. The act of validation, simply saying, 'I can see things from your perspective,' can short-circuit that emotional detour.

Her behaviors turn her psychic pain, which she fears is not legitimate, into physical pain, which is indisputably real".

Lessons of the balance. 1. The relentless pursuit of pleasure and avoidance of pain, leads to pain. 2. Recovery begins with abstinence 3. Abstinence rests the brains reward pathway and with it our capacity to take joy and simpler pleasures. 4. Self-binding creates literal and metacognitive space between desire and consumption, a modern necessity in our dopamine overloaded world. 5. Medications can restore homeostasis, but consider what we lose by medicating away our pain. 6. Pressing on the pain side, resets our balance to the side of pleasure. 7. Beware of getting addicted to pain. 8. Radical honesty promotes awareness, enhances intimacy and fosters a plenty mindset. 9. Prosocial shame affirms that we belong to the human tribe. 10. Instead of running away from the world, we can find escape by immersing ourselves in it.

You don't have to preserve your pain in order to prove that it was real.

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

Suicidal pain includes the feeling that one has lost all capacity to effect emotional change. The agony is excruciating and looks as if it will never end. There is the feeling of having been beaten down for a very long time. There are feelings of agitation, emptiness, and incoherence. 'Snap out of it and get on with your life,' sounds like a demand to high jump ten feet.

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.

As much as I loathed pain, progress did not seem to come without it.

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

How can something still feel so painful after twenty-eight years, I asked myself. Is there no recovery from the traumas of our youth?

Nothing you did could have changed anything. And that being angry and blaming yourself for not being able to control the past or the future is only going to hurt worse. If you keep thinking like this, you will only be re-inventing pain. Heaven would tell you that it’s just a little rain. And it’s not the rain that kills you, it’s the pain of wanting to control the sun.

Healing isn’t just about pain. It’s about learning to love yourself. As you move from feeling like a victim to being a proud survivor, you will have glimmers of hope, pride and satisfaction. Those are natural by-products of healing.

Resist remaining in any level of denial. The truth is painful to see, but necessary.

Self-destructive behaviors do not exist because there is a force within us that tries to hasten our return to an inorganic state; they exist because they provide short-term relief from pain that threatens to become intolerable.

Keep up your faith to go high and fly, even after so many pains and sorrow. You can turn from a caterpillar to a butterfly. Life gives you a second change: a call to grow.

Recovery comes from experiencing the pain fully,

Life cracks us into unrecognizable shards of former incarnations. Slivers of our hurt and our pain and our shame nestles next to fragments of our truth, our divinity, our fierce reclamation of power. It is this very brokenness that allows us to knit together, kaleidoscope style. And we spin and shift and turn to the light until we appear brilliant, lit from within. Suddenly we are revealed; unexpected beauty born directly from brokenness. We have to be willing to break in order to become.

By protecting our children from adversity, have we made them deathly afraid of it? By bolstering their self-esteem with false praise and a lack of real-world consequences, have we made them less tolerant, more entitled, and ignorant of their own character defects? By giving in to their every desire, have we encouraged a new age of hedonism?

Family secrets can go back for generations. They can be about suicides, homicides, incest, abortions, addictions, public loss of face, financial disaster, etc. All the secrets get acted out. This is the power of toxic shame. The pain and suffering of shame generate automatic and unconscious defenses. Freud called these defenses by various names: denial, idealization of parents, repression of emotions and dissociation from emotions. What is important to note is that we can’t know what we don’t know. Denial, idealization, repression and dissociation are unconscious survival mechanisms. Because they are unconscious, we lose touch with the shame, hurt and pain they cover up. We cannot heal what we cannot feel. So without recovery, our toxic shame gets carried for generations.

A counsellor at the treatment centre where I got clean, herself a woman in recovery, surprised me when she said, ‘How clever of you to find drugs. Well done, you found a way to keep yourself alive.’ This made me feel quite tearful. I suppose because this woman, Jackie, didn’t judge me or tell me I was stupid or tubthumpingly declare that ‘drugs kill’. No, she told me that I had done well by finding something that made being me bearable… To be acknowledged as a person who was in pain and fighting to survive in my own muddled-up and misguided way made me feel optimistic and understood. It is an example of the compassion addicts need from one another in order to change.

When we criticize the suicidal for being selfish, we are actually criticizing them for not enduring their pain with grace and good manners. These are nice qualities; we may be correct to reproach average citizens for not having them. But to expect everyone in pain to have them is unrealistic. Bearing pain quietly is what moralists call a supererogatory act--an act that is above the call of duty. Expecting everyone to who is suicidal to behave in a way that is morally above average is simply abusive.

The condition in extreme is identifiable but the less obvious version of addiction is still painful and arguably worse because we simply adapt to living in pain.

A pain in the leg means ‘don’t put pressure on this leg’; a pain in the mind means ‘change the way you live’.

The beauty of being shattered is how the shards become our character and our marks of distinction. This is how we are refined by our pain. When the storm rips you to pieces, you get to decide how to put yourself back together again. The storm gives us the gift of our defining choices. You will be a different person after the storm, because the storm will heal you from your perfection. People who stay perfect and unblemished never really get to live fully or deeply. You will not be the same after the storms of life; you will be stronger, wiser and more alive than ever before!

Defrosting is excruciatingly painful. You have been numb for so long. As feeling comes back to your soul, you start to tingle, and it’s uncomfortable and strange. But then the tingles start feeling like daggers. Sadness, loss, fear, anger, anxiety—all of these things that you have been numbing with the booze—you feel them for the first time. And it’s horrific at first, to tell you the damn truth. But welcoming the pain and refusing to escape from it is the only way to recovery. You can’t go around it, you can’t go over it, you have to

I’m not interested in Bob Marley telling me to ‘lively up’ myself. The only music that satisfies me is Nine Inch Nails and Trent Reznor’s voice crying through industrial rhytms. In the August evenings, I lie on my bed with earphones, letting his laments roll through me like unrepentant thunderstorms. I envy the courage that carries his voice into the world. He doesn’t berate himself for pain and anger; he howls. And this delights me, even though I feel ashamed when my own rage comes to the surface. My anger doesn’t signify courage; it’s just more confirmation that I’m bad.

During sexual abuse, children feel and incorporate the rage, pain, shame, and sense of perversion that the perpetrator is projecting. They take these feelings into the very core of themselves, and they are badly traumatized by the emotions surrounding the assault, as well as by the assault itself.

Do human beings have an infinite amount of energy with which to resist death? It is kinder and more accurate to say that they fought until they had no more fight left in them.

Moskowitz defined chronic pain as “learned pain.” Chronic pain not only indicates illness; it is itself an illness. The body’s alarm system is stuck in the “on” position, because the person has been unable to remedy the cause of an acute pain, and the central nervous system has become damaged.

Our need to be "greater than" or "less than" has been a defense against toxic shame. A shameful act was committed upon us. The perpetrator walked away, leaving us with the shame. We absorbed the notion that we are somehow defective. To cover for this we constructed a false self, a masked self. And it is this self that is the overachiever or the dunce, the tramp or the puritan, the powermonger or the pathetic loser.

If you keep your heart open, that same pain can become a purifying pain, a strengthening pain. If we choose forgiveness over bitterness, that pain can heal instead of hurt. Instead of a pain that divides, it can be a pain that binds. Instead of a pain that breaks us down, it can be a pain that builds us up.

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.

It is entirely possible to feel someone’s pain, acknowledge their suffering, hold it in our hands and support them with our presence without depleting ourselves, without clouding our judgment. But only if we are honest about our own feelings.

The suicidal lead shame-drenched lives.

Like Sylvia Plath, Natalie Jeanne Champagne invites you so close to the pain and agony of her life of mental illness and addiction, which leaves you gasping from shock and laughing moments later: this is both the beauty and unique nature of her storytelling. With brilliance and courage, the author's brave and candid chronicle travels where no other memoir about mental illness and addiction has gone before. The Third Sunrise is an incredible triumph and Natalie Jeanne Champagne is without a doubt the most important new voice in this genre.

Snap out it' is abusive. It kicks people when they are down. It makes people in pain feel more hopeless, more powerless, more frustrated, more estranged from humanity. It says, 'I don't want to be bothered with your pain any longer.' For people not in great pain, "Snap out of it" may be helpful advice if they have trouble getting going in the morning. For the despairing, however, it has no positive and many negative consequences. None of the conditions associated with suicide can be snapped out of.

Facing the truth about those we have loved (e.g., our parents, siblings, a treasured friend, or a spiritual leader) is unbelievably hard, but there is no glory in clinging to a lie because the truth is too painful to accept.   One

Former pleasures meant nothing to me anymore. Life was a series of tasks to be endured, and even the simplest ones were painfully arduous. It took everything I could muster to cook a meal, wash the dishes, or do the laundry. My income was virtually nonexistent. My occupation was therapy.

Reduce the effort whenever possible. The use of force is the opposite of awareness; learning does not take place when we are straining. The principle should not be no pain, no gain. Rather, it should be if strain, no gain. Feldenkrais thought the use of willpower (of which he obviously had plenty) was not helpful in developing awareness.

It is morally impossible to remain neutral in this conflict. The bystander is forced to take sides. It is very tempting to take the side of the perpetrator. All the perpetrator asks is that the bystander do nothing. He appeals to the universal desire to see, hear and speak no evil. The victim, on the contrary, asks the bystander to share the burden of pain. The victim demands action, engagement and remembering... In order to escape accountability for his crimes, the perpetrator does everything in his power to promote forgetting. Secrecy and silence are the perpetrator's first line of defense. If secrecy fails, the perpetrator attacks the credibility of his victim. If he cannot silence her absolutely, he tries to make sure that no one listens. To this end, he marshals an impressive array of arguments, from the most blatant denial to the most sophisticated and elegant rationalization. After every atrocity one can expect to hear the same predictable apologies: it never happened, the victim lies, the victim exaggerates, the victim brought it upon herself; and in any case it is time to forget the past and move on. The more powerful the perpetrator, the greater is his prerogative to name and define reality, and the more completely his arguments prevail.

Healing was a terrifying and painful experience and my life was as full of struggle and heartache as it had always been. Several years after I started therapy, I began to feel happy. I was stunned. I hadn't realized that the point of all this work on myself was to feel good. I thought it was just one more struggle in a long line of struggles. It took a while before I got used to the idea that my life had changed, that I felt happy, that I was actually content. Learning to tolerate feeling good is one of the nicest parts of healing.

Live BOLDLY! ......because no one ever told you healing is a life long process.

The brain can shut pain off because the actual function of acute pain is not to torment us but to alert us to danger.

There comes a time. The pain of existence transcends the fear of change. There comes a time.

I started crying. "When will it stop hurting?" "I don't know. I wish I could tell you. I wish I could take the pain away. But it will get better and easier for you over time.

Shame is the uncomfortable or painful feeling that we experience when we realize that a part of us is defective, bad, incomplete, rotten, phony, inadequate or a failure. In contrast to guilt, where we feel bad from doing something wrong, we feel shame from being something wrong or bad. Thus guilt seems to be correctable or forgivable, whereas there seems to be no way out of shame.

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

In yet another paradox, bulimia nervosa serves as both an expression of feelings and a defense against experiencing feelings, particularly shame, anger, loneliness, sadness, envy, and guilt. A person with bulimia nervosa fear, whether consciously or unconsciously, that painful feelings would be unbearable, even annihilating".

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.

Despair, grief, and depression are not things that people can simply stop, any more than someone can will an end to a toothache or the pain of withdrawal. Acutely suicidal people have lost all sense of having power over their pain. To tell them to magically acquire will power is like asking a crippled person to race against a champion. It does not help them do the thing in question; it just makes them feel worse.

We cannot outrun our past trauma. We can’t bury it and think that we will be fine. We cannot skip the essential stage of processing, accepting, and doing the hard, yet necessary trauma recovery work. There’s a body-mind connection. Trauma can manifest itself into chronic physical pain, cancer, inflammation, auto-immune conditions, depression, anxiety, PTSD, Complex PTSD, addictions, and ongoing medical conditions.

As you recover, you will feel more conscious of your surroundings. Freed from the ‘fog’ of your pain, fear, and confusion, you will awaken and see the world revealed as never before. You will begin to observe things, especially yourself. You will be aware of what you do and why you do it. You will begin to observe your own behavior and attitudes.

Recovering is a process of coming to experience a sense of self. More precisely, it is a process of learning to sense one's self, to attune to one's subjective physical, psychic, and social self- experience. These woman's core sense of shame and their difficulty tolerating painful emotions had led them to avoid turning their attention inward to their internal sense of things. In recovering, they "came to their senses" and learned to trust their sensed experience, in particular their sense of "enoughness"".

Are there things about yourself which you have never told anyone? Way back upon the creaky floors of your childhood, in your solitude, the shadows of your private mind, the things you’ve done and said and thought that compound and contain you: shameful things, sexual things, often solitary acts, but sometimes not, sometimes agonizing stabs of cruelty you’ve inflicted on people you love, or the moments where reality itself seemed to tear as they looked into your eyes and told you ‘you are nothing’. And for a moment you stand there adjusting to the pain, the pain that someone could say that to you, and what that must mean about who you are.

And pain is relative; My particulars may be "better" of "worse" than the patient next to me, but individually our biological framework limits our ability to tolerate suffering; that is what brings us to out knees, flips the switch of our depression, and forces us to retreat from the rest of the world. That is what we have in common.

Memory repression thrives in shame, secrecy, and shock. The shame and degradation experienced during sexual assault is profound, especially for children who have no concept of what is happening to them or why. Sexual abuse is so bizarre and horrible that the frightened child feels compelled to bury the event deep inside his or her mind.

In the grief that comes with recognizing what happened to us, we often feel there is nowhere to turn for solace…We do things to keep it away, such as becoming overly busy or using drugs or alcohol to numb our feelings. When we are caught up in resistance, we do not feel hope, but when we surrender to our sadness fully, hope trickles in.

These kisses hurt--not from roughness, but because she could feel all his pain.

No one can carry that pain out from you nor can anyone heal for you.

If someone suffers enough pain and abuse, his volitional capacities will diminish to nothing.

To be subjected to pain that threatens to exceed coping resources is not something that people choose.

I let go of false hope. I let go of the hope that they would transform in favour of working on my own transformation. I let go of the hope that they would HEAR me. I let go of the hope that they would SEE me. Instead of my hope being in THEM, I listened to me. I heard me, I saw me, I validated my own pain and I began to emerge from the broken life I had been living.

I have discovered that we, codependents, are very hard to treat. I resisted doing anything people suggested that might have gotten me into recovery sooner. It wasn`t until I experienced enough pain to become willing to do anything to change that I would try their suggestions.

Suicidal pain includes the feeling that one has lost all capacity to effect emotional change. The agony is excruciating and looks as if it will never end. There is the feeling of having been beaten down for a very long time. There are feelings of agitation, emptiness, and incoherence. "Snap out of it and get on with your life," sounds like a demand to high jump ten feet.

The circles of shame are vicious. Painful feelings of shame help cause people to be depressed and suicidal, these in turn become shameful aspects of the self. Being angry does not necessarily cause more anger, being envious does not necessarily cause more envy (though once we envy, we can also envy someone's lack of envy), but, in our culture at least, shame (and envy and self-pity) are things to be ashamed about. The two common feelings of suicide are hopelessness and powerlessness; each is shameful, and this additional experience of shame adds pain on pain. A man who despairs because he feels his prospects of having a family are hopeless also feels he will never lose the feeling of shame over being wifeless and childless. To be powerless to change one's life in ways that others can is cause to feel ashamed of one's powerlessness.

They took something from me, and if I don't get it back on my own, it won't matter. It won't be mine." "They?" "Trent. All of them. They made me a victim. ... Help me be something else again.

Marianne Williamson wrote, “It takes courage . . . to endure the sharp pains of self-discovery rather than choose to take the dull pain of unconsciousness that would last the rest of our lives.

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.

In therapy, when pathological defenses start to crumble, the patient lets in more material from their background that they've been defending against. Suddenly, memories emerge that were unavailable at the beginning of the therapy. When Laura had been intent on defending her father, she'd blocked many of her negative memories of him; but now, after two years of therapy, those painful memories began to flow like hot lava.

So many modern diseases, including heart disease, depression, cancer, Alzheimer’s, and all the autoimmune diseases (such as rheumatoid arthritis and lupus), occur in part because our body’s immune systems produce excess chronic inflammation. In chronic inflammation, the immune system stays on too long and may even begin to attack the body’s own tissues, as though they were outside invaders. The causes of chronic inflammation are many, including diet and, of course, the countless chemical toxins that become embedded in the body. Chronically inflamed bodies produce chemicals, called pro-inflammatory cytokines, which contribute to pain and inflammation.

Just like joy and pain coexist, so can discomfort and humor. Which is why you gotta buckle up buttercup, because I can go from comedy to tragedy in three seconds flat. And that’s not damaged or not normal. I hope culturally we can continue to normalize the idea that being a survivor is so much more common than anyone realizes and we all deserve to be heard, but more importantly are deserving of a recovery full of love, laughter, and light.

You never do fully recover “You.” You will never have another relationship exactly like the one we had. You will become more for the loss of me and you will move forward into a New You. The You I helped you to become. All you can do now is to begin to create the beautiful New You that has been born from your love and from your loss.

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!

Recovery does not refer to an absence of pain or struggle. Rather, recovery is marked by the transition from anguish to suffering. In anguish the paralyzed man and I lived without hope. We experienced anguish as futile pain, pain that revolved in circles, pain that bore no possibility other than more pain, and pain that lead nowhere. However, when we became hopeful, our anguish was transformed into` true suffering. True suffering is marked by an inner peace, i.e., although we still felt great pain, we also experienced a peace in knowing that this pain was leading us forward into a new future.

In the past, my brain could only compute perfection or failure—nothing in between. So words like competent, acceptable, satisfactory, and good enough fell into the failure category. Even above average meant failure if I received an 88 out of 100 percent on an exam, I felt that I failed. The fact is most things in life are not absolutes and have components of both good and bad. I used to think in absolute terms a lot: all, every, or never. I would all of the food (that is, binge), and then I would restrict every meal and to never eat again. This type of thinking extended outside of the food arena as well: I had to get all of the answers right on a test; I had to be in every extracurricular activity […] The ‘if it’s not perfect, I quit’ approach to life is a treacherous way to live. […] I hadn’t established a baseline of competence: What gets the job done? What is good enough? Finding good enough takes trial and error. For those of us who are perfectionists, the error part of trial and error can stop us dead in our tracks. We would rather keep chasing perfection than risk possibly making a mistake. I was able to change my behavior only when the pain of perfectionism became greater than the pain of making an error. […] Today good enough means that I’m okay just the way I am. I play my position in the world. I catch the ball when it is thrown my way. I don’t always have to make the crowd go wild or get a standing ovation. It’s good enough to just catch the ball or even to do my best to catch it. Good enough means that I finally enjoy playing the game.

Meditation is a powerful practice which can help us to heal our emotional pain. To observe our thoughts and feelings requires willingness and gentleness. We cannot be rigid and harsh on ourselves and hope to feel serene. We have to be willing to go easy on ourselves. The only way to be present and gain the benefits of mindfulness is to love ourselves unconditionally. This is a gradual process.

Some scientists were conducting an experiment, he said, trying to gauge the impact of abuse on children. Ducks, like people, develop bonds between mother and young. They call it imprinting. So the scientists set out to test how that imprint bond would be affected by abuse. The control group was a real mother duck and her ducklings. For the experimental group, the scientist used a mechanical duck they had created - feathers, sound, and all - which would, at timed intervals, peck the ducklings with its mechanical beak. A painful peck, one a real duck would not give. They varied these groups. Each group was pecked with a different level of frequency. And then they watched the ducklings grow and imprint bond with their mother. Over time, he went on, the ducklings in the control group would waddle along behind their mother. But as they grew, there would be more distance between them. They'd wander and explore. The ducklings with the pecking mechanical mother, though, followed much more closely. Even the scientists were stunned to discover that the group that bonded and followed most closely was the one that had been pecked repeatedly with the greatest frequency. The more the ducklings were pecked and abused, the more closely they followed. The scientist repeated the experiment and got the same results.

Even if we accept the view that biochemical imbalances may contribute to depression and suicide, it is a mistake to assume that the biochemical aspect of the problem is entirely within the victim. It is also partly within the physiological makeup of the people around the suicide.

One day, we wake up to the narcissist’s cunning masquerade. We watch their fake mask slip off their face. Everything becomes crystal clear. We see right through their phony disguise. To anyone who’s dealt with the pain and torment of a narcissist, a silver lining is a sign of hope. Hope that someday you can break free from the abuse. Hope to rebuild a better life. Hope to find comfort and peace within. Hope to recover from your trauma. Hope to embrace a brighter future. We can no longer unsee their hideous charade. We accept how lethal a malignant narcissist is. We actively set healthy boundaries. We walk away from hurtful relationships. Like the Phoenix, we rise above the fiery ashes. We stand up, dust ourselves off, and march forward.

Survivors do themselves a huge favor when they do not make excuses for harmful actions. An important question for targets: Would you treat someone the way you’ve been treated? If the answer is no, then the abuse is easier to recognize. Resist remaining in any level of denial. The truth is painful to see, but necessary.

Her eyes bled from venomous anger... Her flower had been gruesomely deflowered... Her life had slowly turned into a blunder... There was no more thinking further.... She would rather become a Foetus murderer Than end up a "hopeless" mother.... Of course, she found peace in the former Until later years of emotional trauma Oh, the foetus hunt was forever! The only thing you should abort is the thought of aborting your baby. Stop the hate and violence against innocent children.

While in principle groups for survivors are a good idea, in practice it soon becomes apparent that to organize a successful group is no simple matter. Groups that start out with hope and promise can dissolve acrimoniously, causing pain and disappointment to all involved. The destructive potential of groups is equal to their therapeutic promise. The role of the group leader carries with it a risk of the irresponsible exercise of authority. Conflicts that erupt among group members can all too easily re-create the dynamics of the traumatic event, with group members assuming the roles of perpetrator, accomplice, bystander, victim, and rescuer. Such conflicts can be hurtful to individual participants and can lead to the group’s demise. In order to be successful, a group must have a clear and focused understanding of its therapeutic task and a structure that protects all participants adequately against the dangers of traumatic reenactment. Though groups may vary widely in composition and structure, these basic conditions must be fulfilled without exception. Commonality with other people carries with it all the meanings of the word common. It means belonging to a society, having a public role, being part of that which is universal. It means having a feeling of familiarity, of being known, of communion. It means taking part in the customary, the commonplace, the ordinary, and the everyday. It also carries with it a feeling of smallness, or insignificance, a sense that one’s own troubles are ‘as a drop of rain in the sea.’ The survivor who has achieved commonality with others can rest from her labors. Her recovery is accomplished; all that remains before her is her life.

Writing therapy is my form of healing. Try and detach yourself from painful memories by infusing characters and then stepping back.

The Diagnosis and Misdiagnosis of Back Pain by Julie Zimmerman,

Did you know the following surprising facts? “Surgery has been found to be helpful in only 1 in 100 cases of low back pain.

Bill Moyers’ book and public television series, Healing and the Mind, was another milestone along the road to a better public understanding of this concept.

God often allows the natural consequences of our poor choices to play out. The miracle is that he brings good out of our pain by using it to demonstrate his goodness and grace.

The depressed and the suicidal are often lonely and inhibited. Discussions of inhibition in this context usually emphasize fear of rejection.

A posted quote is nothing more than a window into a person's soul.

Realm swayed and put his hand over his heart, watching after her. A sharp pain from knowing that you want something you don't deserve. That you can never have again.

Your reward for your hard work in recovery is that you come headlong into the pain that you were trying to get away from with drugs.

I have gained wisdom from leaning into my pain, in not allowing the hounds of hell to snap at my heels anymore. Now I turn around, call them by name, and let them know I am prepared to fight.

Getting in touch with our frozen grief can be a sacred act. Grief work is healing. Grieving allows us to make peace with the past and the present. Grieving helps us to come out of hiding and unravels our masks and false self. We grow stronger and wiser when we get in touch with our original pain. We are no longer chained to our traumatic buried feelings and memories—we are liberated.

If we ignore our abuse and trauma, it will continue to reveal itself to us. It may be subtle or it may be intense. Trauma can show up in our sleep. We may battle insomnia and nightmares. We can experience physical pain and emotional distress. We may struggle with anxiety and depression. Or we may suffer hypervigilance, dissociation, and Complex PTSD/PTSD. We may have flashbacks. We may battle triggers. Or we can suddenly be slammed with fight, flight, freeze, or fawn mode. Each of these signs are a normal trauma response. Even if we are unaware that it’s linked to our emotional trauma.

I am strong and on the road to recovery away from the place that caused so much pain. I am free. I am a bird whose broken wing is now mended and I am able to escape the steel cage I was once trapped in.

You know, anger has a bad rap,” I ventured. “Anger is the fuel you use to drive up feelings of hurt and pain from your unconscious. It’s how people tell others that they’re displeased with their behaviour.

The only one of the early investigators who carried the exploration of hysteria to its logical conclusion was Breuer's patient Anna O. After Breuer abandoned her, she apparently remained ill for several years. And then she recovered. The mute hysteric who had invented the "talking cure" found her voice and her sanity, in the women's liberation movement. Under a pseudonym, Paul Berthold, she translated into German the classic treatise by Mary Wollstonecraft, A Vindication of the Rights of Women, and authored a play, Women's Rights. Under her own name, Bertha Papenheim became a prominent feminist social worker, intellectual, and organizer. In the course of a long and fruitful career she directed an orphanage for girls, founded a feminist organization for Jewish women and traveled throughout Europe and the Middle East to campaign against the sexual exploitation of women and children. Her dedication, energy and commitment were legendary. In the words of a colleague, 'A volcano lived in this woman... Her fight against the abuse of women and children was almost a physically felt pain for her.' At her death, the philosopher Martin Buber commemorated her: 'I not only admired her but loved her, and will love her until the day I die. There are people of spirit and there are people of passion, both less common than one might think. Rarer still are the people of spirit and passion. But rarest of all is a passionate spirit. Bertha Pappenheim was a woman with just such a spirit.

In a state of grace with myself, I do not abandon myself when the going gets tough or should others find me antithetical in any way in their frames of reference. Loyalty means care and kindness at all times, and particularly when they are needed to reduce the pain of difficult times. I never, absolutely never, side with anyone who is against my welfare. I aid nobody who detracts from my dignity, who makes me feel less than human either through subhuman onslaughts or superhuman demands. I fight or avoid people whose effect is ultimately destructive to my validity as a person, or who in any way dilute my ability to take myself seriously.

When you have a baby, there will be plenty more pain. The pain of recovery, no matter how you give birth. The pain of nursing. The pain of not fitting into any of your old clothes. The pain of not even fitting into your maternity jeans. The pain of hearing your baby cry and not knowing how to fix it. The pain of wondering whether your partner still finds you attractive. The pain of arguing with your husband while your child is in the other room. The pain of knowing that you witnessed the very first moment of this beautiful person’s life, and that one day, hopefully at least a hundred years from now, there will inevitably be a last moment.

A cesspool of past wounds has created men who have worked hard to protect themselves from revisiting emotional pain by learning not to feel. In fact, they have done such an excellent job in erecting protective walls they are not fully aware of the depth of their brokenness. But, if they believe their issue starts and ends with their addictive behaviors, they – and their clinicians – are sadly mistaken. -- "Why Men Struggle to Love

Do you have any idea why you might be feeling better?” “No, not really,” I said curtly. Better wasn’t even the word for how I felt. There wasn’t a word for it. It was more that things too small to mention—laughter in the hall at school, a live gecko scurrying in a tank in the science lab—made me feel happy one moment and the next like crying. Sometimes, in the evenings, a damp, gritty wind blew in the windows from Park Avenue, just as the rush hour traffic was thinning and the city was emptying for the night; it was rainy, trees leafing out, spring deepening into summer; and the forlorn cry of horns on the street, the dank smell of the wet pavement had an electricity about it, a sense of crowds and static, lonely secretaries and fat guys with bags of carry-out, everywhere the ungainly sadness of creatures pushing and struggling to live. For weeks, I’d been frozen, sealed-off; now, in the shower, I would turn up the water as hard as it would go and howl, silently. Everything was raw and painful and confusing and wrong and yet it was as if I’d been dragged from freezing water through a break in the ice, into sun and blazing cold.

Deepening awareness and nonjudgmental acceptance of one’s thoughts fosters a new relationship with them, creating the space to purposefully shift mental focus away from the ruminative thought patterns that pave the road to suffering.

The brain stem is the portion of the brain that controls basic functions like breathing, sleeping, heart rate, consciousness, and pain sensitivity. Damage it and recovery is impossible. Miracles don’t happen after this area is injured.

An injured man would heal in time, and his pain would gradually diminish and ultimately disappear, because injury was a part of the human condition. A man was born to be hurt from time to time, and the mechanism for recovery was born with him.

I learned that I'd never be free from pain but I could be free from the fear of pain, and that was enough. [...] The fire of pain won't consume me. I can burn and burn and live. I can live on fire. I am fireproof. Second: I can use pain to become.

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!

Both the suicidal and non-suicidal are often angry with others. One way to discharge this anger is to fantasize about violent revenge. The insults of daily life often cause fantasies of revenge to flare up and quickly subside. The people with these fantasies usually do not act on them; they are not motives or goals. They are involuntary responses to perceived insult—ways of coping with rage. The suicidal, whether or not they attempt, suffer tremendous and persistent pain and anger. That this pain should find its way into their fantasies and dreams is no surprise. This ideation is not a motive for action; it is an alternative to action. Fantasizing about suicide is an effort to delay or avoid suicide, not the activity of formulating a motive, goal, or intention. Fantasies doubtlessly succeed in preventing many attempts.

The process of recovering from addictiveness happens at a deeper level of consciousness and through feeling our pain without using old addictive fixes. There is no escaping that getting in touch with our original pain is the touchstone to mental, emotional and spiritual wellbeing.

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

Isms’ are described as transference of addictive patterns of dysfunctional behaviour, passed down from generation to generation. For instance, if a mother was an alcoholic who never made it into recovery, her behaviour would leave a mark on her children, husband, etc. Unless her adult children join some sort of recovery programme and adopt the mindfulness practice, they will have very similar behaviour traits to their mother but minus the alcohol abuse. There is a strong possibility that they will become codependent and form relationships with other codependents or alcoholics.

As he analyzed the areas that fire in chronic pain, he observed that many of those areas also process thoughts, sensations, images, memories, movements, emotions, and beliefs—when they are not processing pain. That observation explained why, when we are in pain, we can’t concentrate or think well; why we have sensory problems and often can’t tolerate certain sounds or light; why we can’t move more gracefully; and why we can’t control our emotions very well and become irritable and have emotional outbursts. The areas that regulate these activities have been hijacked to process the pain signal.

Jealousy and possessiveness in romantic relationships often destroy trust and mutual respect. Very often a jealous partner is re-enacting his pain from childhood. If he was emotionally and physically abandoned in childhood, he may be prone to jealousy in a romantic relationship. If a teenage girl was betrayed by her first love, and consequently was emotionally scarred, she may develop jealousy regarding future romantic relationships. Jealousy in a romantic relationship is based on control and possessiveness. A person suffering from jealousy unconsciously believes she is going to lose something or someone she does not own. The partner is afraid of losing her partner. She views him as an object, a possession. No one is a possession of another. The idea that we own or partly own our lovers, even if the sense of ‘ownership’ is purely emotional, is a delusion which brings suffering in its wake.

our survival instinct, which influences the body and mind, is really just the unrealistic expectation that life is always pleasurable and never painful. Our bodies naturally crave pleasure, which we think equals happiness, safety, and survival. We hate pain, which we think equals unhappiness and death.

The sudden and uncalled for coldness with which you treated me just before I left last night, both surprised and deeply hurt me - surprised because I could not have believed that such sullen and inflexible obstinacy could exist in the breast of any girl in whose heart love had found place; and hurt me, because I feel for you more than I have ever professed and feel a slight from you more than I care to tell. My object in writing to you is this: if hasty temper produces this strange behaviour, acknowledge it when I give you the opportunity - not once or twice, but again and again. If a feeling of you know not what - a capricious restlessness of you can't tell what, and a desire to tease, you don't know why, give rise to it - overcome it; it will never make you more amiable, I more fond or either of us, more happy. Depend upon it, whatever be the cause of your unkindness - whatever gives rise to these wayward fancies - that what you do not take the trouble to conceal from a Lover's eyes, will be frequently acted before those of a husband's. I know as well, as if I were by your side at this moment, that your present impulse on reading this letter is one of anger - pride perhaps, or to use a word more current with your sex - 'spirit'. My dear girl, I have not the most remote intention of awakening any such feeling, and I implore you, not to entertain it for an instant.... I have written these few lines in haste, but not anger.... If you knew but half the anxiety with which I watched your recent illness, the joy with which I hailed your recovery, and the eagerness with which I would promote your happiness, you could more readily understand the extent of the pain so easily inflicted, but so difficult to be forgotten. - Excerpts from a letter by Charles Dickens to his fiancee of three weeks, 1835

Pain is a fire. That’s true for all of the people, some of the time. If you’ve never had to stand in that fire, be patient: Your turn is coming. Whether the pain is physical or purely mental doesn’t really matter—it turns out that your brain reacts to it the same way, lighting up many of the same centers of perception. Some brainy types in lab coats proved that one fairly recently. The suffering from a broken heart is similar to that from a gunshot wound, in terms of how our minds react over the long term. It all hurts. When you have to live with that hurt, with that pain, when there’s no way to turn it off or get away from it, you start to make adjustments. Your choices in how you deal with your pain determine the course of your recovery. That’s why people who go through a difficult ordeal sometimes come out stronger, and sometimes they come out broken—but they always come out… Changed. Pain is a fire.

I never lie down at night but I know that in the course of that day he has alleviated pain and soothed some fellow-creature in the time of need. I know that from the beds of those who were past recovery, thanks have often, often gone up, in the last hour, for his patient ministration. Is not this to be rich?

My mother is a certainty. I can count on the watercolour pain in her voice when she calls to say she hasn't heard from me in months. The precarious laughter as she comes from the kitchen, when I finally do appear on her doorstep, the laughter that says I might be a chickadee that's alighted unexpectedly on her thumb.

Are there things about yourself which you have never told anyone? Way back upon the creaky floors of your childhood, in your solitude, the shadows of your private mind, the things you’ve done and said and thought that compound and contain you: shameful things, sexual things, often solitary acts, but sometimes not, sometimes agonizing stabs of cruelty you’ve inflicted on people you love, or the moments where reality itself seemed to tear as they looked into your eyes and told you ‘you are nothing’. And for a moment you stand there adjusting to the pain, the pain that someone could say that to you, and what that must mean about who you are. Or what it means to be cruel, to have hurt someone, to feel the cords of love that bind, split and flail and to fall away, into yourself, engulfed but absolutely alone. And you do what humans do: you accept and you adapt. You build the pain into the story of who you are until it isn’t pain anymore, it’s just another piece of who you are.

Separating from Family Issues: January 4 We can draw a healthy line, a healthy boundary, between ourselves and our nuclear family. We can separate ourselves from their issues. Some of us may have family members who are addicted to alcohol and other drugs and who are not in recovery from their addiction. Some of us may have family members who have unresolved codependency issues. Family members may be addicted to misery, pain, suffering, martyrdom, and victimization. We may have family members who have unresolved abuse issues or unresolved family of origin issues. We may have family members who are addicted to work, eating, or sex. Our family may be completely enmeshed, or we may have a disconnected family in which the members have little contact. We may be like our family. We may love our family. But we are separate human beings with individual rights and issues. One of our primary rights is to begin feeling better and recovering, whether or not others in the family choose to do the same. We do not have to feel guilty about finding happiness and a life that works. And we do not have to take on our family’s issues as our own to be loyal and to show we love them. Often when we begin taking care of ourselves, family members will reverberate with overt and covert attempts to pull us back into the old system and roles. We do not have to go. Their attempts to pull us back are their issues. Taking care of ourselves and becoming healthy and happy does not mean we do not love them. It means we’re addressing our issues. We do not have to judge them because they have issues; nor do we have to allow them to do anything they would like to us just because they are family. We are free now, free to take care of ourselves with family members. Our freedom starts when we stop denying their issues, and politely, but assertively, hand their stuff back to them—where it belongs—and deal with our own issues. Today, I will separate myself from family members. I am a separate human being, even though I belong to a unit called a family. I have a right to my own issues and growth; my family members have a right to their issues and a right to choose where and when they will deal with these issues. I can learn to detach in love from my family members and their issues. I am willing to work through all necessary feelings in order to accomplish this.

Fewer than one-quarter of heroin addicts who receive abstinence-only counseling and support remain clean two or more years. The recovery rate is higher, roughly 40 to 60 percent, among those who get counseling, support group, and medication-assisted treatment such as methadone, buprenorphine, or naltrexone. “We know from other countries that when people stick with treatment, outcomes can be even better than fifty percent,” Lembke, the addiction specialist, told me. But most people in the United States don’t have access to good opioid-addiction treatment, she said, acknowledging the plethora of cash-only MAT clinics that resemble pill-mill pain clinics as well as rehabs that remain staunchly anti-MAT.

Throwing yourselves into recovery doesn’t mean hiding from grief, pain, misery, aching. It just means you go with the present experience—when these emotions come, you open up to them and let them in—but you choose to get up in the morning and get out in the knowledge that, if you want to win this fight for survival, you’ve got to step up and take control.

Depression starts from a deeply rooted idea, that as a human being, you are a sinner. Even if you are agnostic, atheistic, or a mystic, sin is a belief that you have violated some internal law of ethics, which causes an inability to regain your divine state of love. It is Fault. Disobedience to a higher power, god, or archetype is another definition from separation of peace of mind. Even if the god or archetype cannot be proven, it still exists in your mind, thus fault is real in your mind. It's the idea that you have broken an internal rule that separates you from delivery of a promise. This creates depression, which is a long standing feeling of pain due to permanent loss. It is not short term loss. It is complete loss that can never be returned. When you birthed yourself into this reality, you were vast, elegant, exquisite, intelligent, infinite, and beautiful beyond understanding. You came into this time and space matrix to gain a soul, and that required a lot of experience. Experience is painful. Experience is expansive. Close the door by accepting the loss.

Emoting is when we cry, anger out, or verbally ventilate the energy of an inner emotional experience. Feeling, on the other hand, is the inactive process of staying present to internal emotional experience without reacting. In recovery then, feeling is surrendering to our internal experiences of pain without judging or resisting them, and without emoting them out.

This poses a real challenge for recovery. Once you recognize that posttraumatic reactions started off as efforts to save your life, you may gather the courage to face your inner music (or cacophony), but you will need help to do so. You have to find someone you can trust enough to accompany you, someone who can safely hold your feelings and help you listen to the painful messages from your emotional brain. You need a guide who is not afraid of your terror and who can contain your darkest rage, someone who can safeguard the wholeness of you while you explore the fragmented experiences that you had to keep secret from yourself for so long. Most traumatized individuals need an anchor and a great deal of coaching to do this work.

Recovering from the trauma inflicted by our narcissistic mother (or father/spouse/partner) takes time and effort. For some, it can take decades to understand, process, and unpack it. Healing isn’t a marathon. Rather, it’s a daily journey. We gain more insight. We educate ourselves. We process our painful abuse. We know that we are worthy of being loved, respected, and cared for.

I thought you were dead,” I say. “It almost killed me.” “Did it?” His voice is neutral. “You made a pretty fast recovery.” “No. You don’t understand.” My throat is tight; I feel as though I’m being strangled. “I couldn’t keep hoping, and then waking up every day and finding out it wasn’t true, and you were still gone. I—I wasn’t strong enough.” He is quiet for a second. It’s too dark to see his expression: He is standing in shadow again, but I can sense that he is staring at me. Finally he says, “When they took me to the Crypts, I thought they were going to kill me. They didn’t even bother. They just left me to die. They threw me in a cell and locked the door.” “Alex.” The strangled feeling has moved from my throat to my chest, and without realizing it, I have begun to cry. I move toward him. I want to run my hands through his hair and kiss his forehead and each of his eyelids and take away the memory of what he has seen. But he steps backward, out of reach. “I didn’t die. I don’t know how. I should have. I’d lost plenty of blood. They were just as surprised as I was. After that it became a kind of game—to see how much I could stand. To see how much they could do to me before I’d—” He breaks off abruptly. I can’t hear any more; don’t want to know, don’t want it to be true, can’t stand to think of what they did to him there. I take another step forward and reach for his chest and shoulders in the dark. This time, he doesn’t push me away. But he doesn’t embrace me either. He stands there, cold, still, like a statue. “Alex.” I repeat his name like a prayer, like a magic spell that will make everything okay again. I run my hands up his chest and to his chin. “I’m so sorry. I’m so, so sorry.” Suddenly he jerks backward, simultaneously finding my wrists and pulling them down to my sides. “There were days I would rather they have killed me.” He doesn’t drop my wrists; he squeezes them tightly, pinning my arms, keeping me immobilized. His voice is low, urgent, and so full of anger it pains me even more than his grip. “There were days I asked for it—prayed for it when I went to sleep. The belief that I would see you again, that I could find you—the hope for it—was the only thing that kept me going.” He releases me and takes another step backward. “So no. I don’t understand.

Serotonin, a brain neurotransmitter, is known to be low in some depressions; studies show that normal sunlight causes the body to release serotonin, which is one reason people living far from the equator feel rejuvenated and in a good mood on sunny holidays. Laser light also releases serotonin, as well as other important brain chemicals, such as endorphins, which lower pain, and acetylcholine, which is essential for learning—and which might help an injured brain relearn mental abilities that have been lost. Kahn, Naeser, and the Harvard group believe that laser light affects the cerebrospinal fluid as well. Kahn believes that the cerebral spinal fluid and the blood vessels carry the photons into the brain, where they influence the brain cells, as they might other cells. The scientific research on this pathway is in its infancy.

People who often talk about showing a ‘stiff upper lip’ are choosing to suffer in silence, isolating themselves from others and destroying a chance to be authentic and sincere. I have spent time with many male recovering addicts who have healed as a result of talking about their emotional pain and depression. Some of them fought in the first and second wars in Iraq; they are physically hard men and are certainly not ‘weak’.

When the tumult of war shall cease, and the tempest of present passions be succeeded by calm reflection, or when those, who, surviving its fury, shall inherit from you a legacy of debts and misfortunes, when the yearly revenue scarcely be able to discharge the interest of the one, and no possible remedy be left for the other, ideas far different from the present will arise, and embitter the remembrance of former follies. A mind disarmed of its rage feels no pleasure in contemplating a frantic quarrel. Sickness of thought, the sure consequence of conduct like yours, leaves no ability for enjoyment, no relish for resentment; and though, like a man in a fit, you feel not the injury of the struggle, nor distinguish between strength and disease, the weakness will nevertheless be proportioned to the violence, and the sense of pain increase with the recovery.

It is not a lack of morality or any deep character flaw that creates addiction; it is almost always just a lot of pain and a lack of tolerance or compassion for this pain that get us stuck in the repetitive and habitual patterns of drinking, drugging, overeating, or whatever actions our addictions take. In some cases the underlying causes are not as clear, but the suffering that addiction creates is always obvious and undeniable.

The emotional pain hurts so much that we defend against them by the various unhealthy ego defenses described in Chapter 8, thus shutting the feelings out, away from our awareness. Doing so allows us to survive, although at a price. We become progressively numb. Out of touch. False. When we are thus not our Real Self, we do not grow mentally, emotionally, and spiritually. Not only do we feel stifled and un-alive, but we also often feel frustrated and confused. We are in a victim stance. We are unaware of our total self, and we feel as though others, “the system,” and the world are “doing it to us,” as if we are their victim, at their mercy. A way out of this victim stance and its pain is to begin to identify and to experience our feelings. An effective way to facilitate knowing and experiencing our feelings is to talk about them with safe and supportive people.

I want to write a thinkpiece about what you did to me. I want to write a critical analysis about the way you put your hands to my throat, the way you threw me against the partition wall. I want to extract a dose of worldly wisdom for all women to sap the power from that pain and into abstraction so we can all live again; I want what you did to be a statistic, I want you to be a memory, I don’t want you to be those hands on my throat.

In one sense the cause of suicide is simple: overwhelming pain. This overwhelming pain, however, is the aggregate of thousands of pains. Any hurt that we have ever suffered, if it remains consciously or unconsciously lodged within us, can contribute to suicide. This may range from being an incest victim 50 years ago, to losing a job 10 years ago, to having a car battery stolen yesterday. The pains come from everywhere: ill-health, family, peers, school, work, community, caregivers. For each suicide there was a finite point at which this aggregate became too much. Although "The straw that broke the back," is frequently an accurate metaphor, no one pain is ever the cause of suicide. Suicidal pain is decomposable into thousands of pains, and nearly all of these pains are decomposable into painful constituents. Sexual abuse, job loss, and personal theft each have numerous painful constituents. The search for the single cause is a fundamentally wrongheaded approach to the understanding and prevention of suicide. It is inaccurate to say simply that pain causes suicide, since a level of pain that is lethal for one person may not be lethal for someone with greater resources. Similarly, deficiency in resources cannot be regarded as the cause of suicide, since two people may have equal resources and unequal pain. Our resources may also come from everywhere; even such trivial distractions as going to a movie can contribute to coping with suicidal pain.

We know that our best days aren't behind us. We know that America is the country that freed millions of people in the last hundred years alone. We are the people who changed the world. . . . We are only a simple change of mind-set from being that nation again. . . . Start telling yourself, "I don't need the government to do it for me." . . . The first step in recovery is to admit you have a problem. So say it. . . . Rest assured that others more timid than you will join in the fight, but they wait for you.

The number one cause of PTSD in the United States is motor vehicle accidents.14 As many as 25 to 33 percent of people show signs of PTSD—such as sleep disturbances, heightened anxiety, hypervigilance, nightmares, and avoidant behavior—30 days after an accident. It’s so common that 2.5 million to 7 million people in the United States suffer from it. Their risk of substance abuse is five times greater than normal. And well over half of people in car accidents (60 to 66 percent) have chronic pain, just like Emily did.15

Although we can expect pain as part of being human, suffering is a different story. One part of a path to recovery is to allow your painful feelings to be as they are. You already know from experience that it is not possible to get rid of painful feelings. So what can you do? Practice mindfulness. Mindfulness helps you work with this habit of trying to solve the problem of emotional pain by avoiding it—that is, trying to ignore it or make it go away. Mindfulness is a way to relate differently to emotional pain. Mindfulness can help you focus your

If the social stress is physical, sexual, or emotional abuse, the way to treat the depression is to stop the abuse. Unfortunately, advocates of the biochemical treatment of depression have gone along with the view of academic theory and popular culture that the problem is entirely within the skull of the victim. Enthusiasm for biochemical treatment and research is partly due to the fact that it helps perpetuate the myth that suicide and depression should be treated by changing the victim, not by changing ourselves. As long as we have a narrow view of the causes of biochemical imbalance, such as limiting it to innate genetic defects, we can practice denial on the social complicity in the causation of suicide. The narrow view does nothing to help reduce pain and increase resources for the millions of people whose problems do not respond to medications. It also deprives us of an opportunity for progress in a much broader area for social reform. The dynamics behind the oppression of the suicidal is similar to the dynamics of other forms of injustice; progress in one area can support progress in other areas.

Lord, here's what we need today, right away, or as soon as we can get it: we need world peace, prosperity, security, life without risk, pleasure without pain, happiness without cost, and discipleship with no cross. That's why we're here, at church, to get our needs met. Our church tries to be user-friendly and seeker sensitive. That's why on Sundays we serve espresso with a dash of amaretto before our services, a little caffeine boost until we get to the main point of our worship: the prayer requests. So like we were saying, we need a quick recovery from gall bladder surgery, an effortless cataract removal, a happy marriage, obedient and chaste kids, and a reason to get out of bed in the morning. If you love us, you'll meet our needs. Now then, is there something that we could do for you? You're thirsty? Well, if you're the Messiah, why don't you fix yourself a divine drink? We've got needs of our own, thank you. It's our job to have need; it's your job to meet need. For this and all other needs, spoken and unspoken, felt and unfelt, incipient and obvious, personal and corporate, immediate and long term, we pray. Amen.  

This syndrome is a distant cousin to Post-Traumatic Stress Disorder, or PTSD. What makes PBS different from PTSD is the sense of disbelief one gets from PBS. How could someone who loved me hate me so deeply? How could I stay and subject myself to all that pain despite all my education and awareness? Remember the error message—the brain can’t compute bizarre behavior right away, but after some time, it can look back and parse through the details. But that’s rarely a neutral process. It can create an inability to focus and a foggy mental state that keeps the victim stumbling through their day.

Shame is the uncomfortable or painful feeling that we experience when we realize that a part of us is defective, bad, incomplete, rotten, phony, inadequate or a failure. In contrast to guilt, where we feel bad from doing something wrong, we feel shame from being something wrong or bad. Thus guilt seems to be correctable or forgivable, whereas there seems to be no way out of shame. Our Child Within or True Self feels the shame and can express it, in a healthy way, to safe and supportive people. Our false self, on the other hand, pretends not to have the shame, and would never tell anyone about it.

In 2017, I was invited to lead a mindfulness workshop and guide a live meditation on Mingus Mountain, Arizona, to over 100 men and women at a recovery retreat. On the eve of my workshop, I had the opportunity to join in a men's twelve-step meeting, which took place by the campfire in Prescott National Park Forest, with at least 40 men recovering from childhood grief and trauma. The meeting grounded us in what was a large retreat with many unfamiliar faces. I was the only mixed-race Brit, surrounded by mostly white middle-class American men (baby boomers and Generation X), yet our common bond of validating each other's wounds in recovery utterly transcended any differences of nationality, race and heritage. We shared our pain and hope in a non-shaming environment, listening and allowing every man to have his say without interruption. At the end of the meeting we stood up in a large circle and recited the serenity prayer: "God grant me the serenity to accept the people I cannot change, the courage to change the one I can, and the wisdom to know that one is me". After the meeting closed, I felt that I belonged and I was enthusiastic about the retreat, even though I was thousands of miles away from England.

Wall and Melzack showed how a chronic injury not only makes the cells in the pain system fire more easily but can also cause our pain maps to enlarge their “receptive field” (the area of the body’s surface that they map for), so that we begin to feel pain over a larger area of our body’s surface. This was happening to Moskowitz, whose neck pain was spreading to both sides of his neck. Wall and Melzack also showed that as maps enlarge, pain signals in one map can “spill” into adjacent pain maps. Then we may develop referred pain, when we are hurt in one body part but feel the pain in another, some distance away.

Vulnerability: January 8 Some of us may have made a decision that no one was ever going to hurt us again. We may automatically go on “feelings freeze mode” when faced with emotional pain. Or, we may terminate a relationship the first time we feel hurt. Hurt feelings are a part of life, relationships, and recovery. It is understandable that we don’t want to feel any more pain. Many of us have had more than our share. In fact, at some time in our life, we may have been overwhelmed, crushed, or stopped in our tracks by the amount of pain we felt. We may not have had the resources to cope with our pain or take care of ourselves. That was yesterday. Today, we don’t have to be so frightened of pain. It does not have to overwhelm us. We are becoming strong enough to deal with hurt feelings. And we don’t have to become martyrs, claiming that hurt feelings and suffering are all there is to life. We need only allow ourselves to feel vulnerable enough to feel hurt, when that’s appropriate, and take responsibility for our feelings, behaviors, and what we need to do to take care of ourselves. We don’t have to analyze or justify our feelings. We need to feel them, and try not to let them control our behavior. Maybe our pain is showing us we need to set a boundary; maybe it’s showing us we’re going in a wrong direction; maybe it’s triggering a deep healing process. It’s okay to feel hurt; it’s okay to cry; it’s okay to heal; it’s okay to move on to the next feeling, when it’s time. Our willingness and capacity to feel hurt will eventually be matched by our willingness and capacity to feel joy. Being in recovery does not mean immunity from pain; it means learning to take loving care of ourselves when we are in pain. Today, I will not strike out at those who cause me pain. I will feel my emotions and take responsibility for them. I will accept hurt feelings as part of being in relationships. I am willing to surrender to the pain as well as the joy in life.

The first step toward recovery is the choice to face reality. In many ways, the symptoms that survivors experience are the body and mind’s way of forcing you to look at what happened. Memories of sexual trauma seem to rocket around the brains of survivors, refusing to be at rest and constantly putting themselves at the forefront of the survivors‘ minds. The body also holds trauma that expresses itself in many ways. The body of mind work together to force survivors to relate directly to their past experiences. That is, to have a relationship to the past that is free of denial, repression, or distortion. This is a painful process, but it’s the only way forward.

have learned that trauma can steal everything from you that is most precious and rip joy right out of your life. But, paradoxically, it can also make you stronger and wiser, and connect you more deeply to other people than you ever imagined by enabling you to touch their misfortunes and integrate their losses and pain with your own. If a person can grow through unthinkable trauma and loss, perhaps a nation may, too. If you are one of millions of Americans who have suffered, in these hard days of plague, violence, and climate emergency, a trauma and rupture like the ones we have experienced in our family, I bid you and your family deep healing and recovery for the battles

Admitting the need for help may also compound the survivor's sense of defeat. The therapists Inger Agger and Soren Jensen, who work with political refugees, describe the case of K, a torture survivor with severe post-traumatic symptoms who adamantly insisted that he had no psychological problems: "K...did not understand why he was to talk with a therapist. His problems were medical: the reason why he did not sleep at night was due to the pain in his legs and feet. He was asked by the therapist...about his political background, and K told him that he was a Marxist and that he had read about Freud and he did not believe in any of that stuff: how could his pain go away by talking to a therapist?

Some sense that to repress feelings of their childhood is to poison the very well-springs of life; they know that though repression may have been necessary for the child's survival—otherwise she might literally have died from the pain—maintaining repression in adult life inevitably has destructive consequences. But in the absence of any other alternative, they regard such consequences as a necessary evil. They don't know that it is indeed possible to resolve childhood repression safely and without danger, and learn to live with the truth. Not all at once. Not by recourse to violent interventions. But slowly, step by step, and with respect for their own system's defense mechanisms, recovery is possible.

When I first stopped trying to fix other people, I turned my attention to 'curing' myself. I was in a hurry to get this healing process over. I wanted immediate recovery from the effects of growing up in a family riddled with alcoholism and from being married to an alcoholic. I looked forward to the day I would graduate from Al-Anon and get on with my life. As year two and year three passed, I was still in the program. I began to despair as the character defects I had worked so long to overcome came back to haunt me, particularly during times of stress and during periods when I didn't attend meetings. I have severe arthritis in my joints. To cope with my condition, I have to assess my body each day and patiently respond to its needs. Some days I need a warm bath to get going in the morning. On other days I apply a medicated rub to the painful areas. Yet other days some light stretching and exercise help to loosen me up. I'ave accepted that my arthritis will never go away. It's a condition I manage daily with consistent, on-going care. One day I made a connection between my medical condition and my struggle with recovery. I began to look at myself as having 'arthritis of the personality,' requiring patient, continuous care to keep me from 'stiffening' into old habits and attitudes. This care includes attending meetings, reading Al-Anon literature, calling my sponsor, and engaging in service. Now, as long as I practice patience, recovery is a manageable and adventurous process instead of an arduously sought end point.

440,000 residents were scattered all around the country. But New Orleans did survive. And years later, it continues to recover — building by building, house by house, tree by tree, road by road, family by family. Seventy-five percent of residents have returned. To many visitors, the city seems as vibrant as it always was, with unforgettable music and food, beautiful buildings and gardens, and streets that bustle with energy unlike any other city in America. But in some of the poorest and hardest-hit neighborhoods, recovery has been painfully slow. If Barry were to come back to the Lower Ninth Ward today, he would see few of his neighbors smiling down from their porches. Much of the Lower Nine is still abandoned. Only 19 percent of that neighborhood’s residents have returned.

By being real, it is free to grow. And while our false self forgets, our Real Self remembers our Oneness with others and with the Universe. Yet for most of us, our Real Self is also our private self. Who knows why we chose not to share? Perhaps it is a fear of being hurt or being rejected. Some have estimated that we show our True Self to others on average for only about 15 minutes each day. For whatever reasons, we tend to keep that part of us private. When we “come from” or when we are our True Self, we feel alive. We may feel pain in the form of hurt, sadness, guilt or anger, but we nonetheless feel alive. Or we may feel joy, in the form of contentment, happiness, inspiration or even ecstasy. Overall, we tend to feel current, complete, finished, appropriate, real, whole and sane.

Something they seem to omit to mention in Boston AA when you're new and out of your skull with desperation and ready to eliminate your map and they tell you how it'll all get better and better as you abstain and recover: they somehow omit to mention that the way it gets better and you get better is through pain. Not around pain, or in spite of it. They leave this out, talking instead about Gratitude and Release from Compulsion. There's serious pain in being sober, though, you find out, after time. Then now that you're clean and don't even much want Substances and feeling like you want to both cry and stomp somebody into goo with pain, these Boston AAs start in on telling you you're right where you're supposed to be and telling you to remember the pointless pain of active addiction and telling you that at least this sober pain now has a purpose. At least this pain means you're going somewhere, they say, instead of the repetitive gerbil-wheel of addictive pain. They neglect to tell you that after the urge to get high magically vanishes and you've been Substanceless for maybe six or eight months, you'll begin to start to 'Get In Touch' with why it was that you used Substances in the first place. You'll start to feel why it was you got dependent on what was, when you get right down to it, an anesthetic. 'Getting In Touch With Your Feelings' is another quilted-sampler-type cliche that ends up masking something ghastly deep and real, it turns out. [178: A more abstract but truer epigram that White Flaggers with a lot of sober time sometimes change this to goes something like: 'Don't worry about getting in touch with your feelings, they'll get in touch with you.’] It starts to turn out that the vapider the AA cliche, the sharper the canines of the real truth it covers.

The value of sensuality is that it provides you with pleasure from the pain of itself. Sensuality touches you with pain, but at the same time, it offers you a solution for that same pain. It’s just like racketeering: “Okay, if you pay me, I’ll make your problems go away, problems that I put on you so that you will pay me”. So you get extorted by your own sensuality, your own desires. Sensual desires hurt, and giving in to them will remove that hurt and reward you with more pleasure. It’s a win-win. Or so it seems, until you realize that the true win is to not be pressured by the desires in the first place. The win is not having to pay the racketeering thugs for your safety; the win is to not have the thugs pressure you at all. The more you give in to the pressure of sensuality, the more you will have to give in since its nature can never be changed. The Nature of sensuality is that it hurts, burns, and pressures you.

On the Republican side, the emotional bonds of family launched a major social organization led by nietos, the Association for the Recovery of Historical Memory. Late in 2000 Emilio Silva and Santiago Macías began a personal search for the unmarked graves of their Republican ancestors. [...] Descendants of executed Republicans told a journalist that “without the body, the pain never ceases.” “Never,” she reported, “have they spoken of vengeance, of revenge, or of anything that resembles that. In an exhumation, they never raise their eyes from the ground. They are not thinking of reopening wounds, but of closing, for once, their own.” This journalist, Natalia Junquera, also quoted a distinguished professor of psychiatry who said, “The hatred dies, it is extinguished, but the necessity of putting a name to the dead, of honoring them, no. There always comes a moment in which one has to put an end to this interminable trauma.” [63]

This book will help you learn to practice mindfulness by teaching you two skills—awareness and compassion. These skills are like wings. Just as a bird or an airplane needs two wings to fly, you need these two skills to help you travel on your journey to recovery. I described mindfulness earlier as steady, open, and kind awareness. In order to take in our moment-to-moment experience with kind awareness, we must cultivate self-compassion. Dr. Kristin Neff (2003) defines self-compassion as an attitude of kindness toward ourselves, especially when suffering from painful experiences such as trauma. An important part of self-compassion is the understanding that life’s hardships and emotional pain are part of being human. They are not a personal failure. Instead of being harshly self-critical, we extend understanding and comfort to ourselves. Another important part of self-compassion is accepting that all human beings are in the same boat—none of us is perfect, and we all wish to be happy. If

Imagine the daughter of a narcissistic father as an example. She grows up chronically violated and abused at home, perhaps bullied by her peers as well. Her burgeoning low self-esteem, disruptions in identity and problems with emotional regulation causes her to live a life filled with terror. This is a terror that is stored in the body and literally shapes her brain. It is also what makes her brain extra vulnerable and susceptible to the effects of trauma in adulthood.                              Being verbally, emotionally and sometimes even physically beaten down, the child of a narcissistic parent learns that there is no safe place for her in the world. The symptoms of trauma emerge: disassociation to survive and escape her day-to-day existence, addictions that cause her to self-sabotage, maybe even self-harm to cope with the pain of being unloved, neglected and mistreated. Her pervasive sense of worthlessness and toxic shame, as well as subconscious programming, then cause her to become more easily attached to emotional predators in adulthood. In her repeated search for a rescuer, she instead finds those who chronically diminish her just like her earliest abusers. Of course, her resilience, adept skill set in adapting to chaotic environments and ability to “bounce back” was also birthed in early childhood. This is also seen as an “asset” to toxic partners because it means she will be more likely to stay within the abuse cycle in order to attempt to make things “work.” She then suffers not just from early childhood trauma, but from multiple re-victimizations in adulthood until, with the right support, she addresses her core wounds and begins to break the cycle step by step. Before she can break the cycle, she must first give herself the space and time to recover. A break from establishing new relationships is often essential during this time; No Contact (or Low Contact from her abusers in more complicated situations such as co-parenting) is also vital to the healing journey, to prevent compounding any existing traumas.

As I let it out, layer by layer, Dr. Driscoll helped with the bumps and valleys. He knew just how much to draw out of me and how much I could handle. He is such an expert in his profession. He told me that the guilt I was feeling was not guilt, but regret. Guilt is a good thing. It is a mechanism by which we shouldn't make the same mistake twice. If you do something questionable, then the next chance you get to do it, guilt should stop you. I had no guilt. I had regrets, many regrets, but no guilt. It took some convincing, but he prevailed. There was always a nagging in my head, that if only I had had the guts to kill Neary myself, it would have stopped him from harming others, but that was not to be as a small boy. It does hurt that, maybe, just maybe, if I had carried out one of my many plans to kill him and myself then I could have saved victims younger than I. As victims come forward from almost all the churches where he served—and some are twenty—five plus years my junior—I feel that they would have been spared, if only I hadn't chickened out as a boy. Therein lies the answer; I was a little boy, a ten—year—old boy. Other victims of Neary were as young as six.

A postscript on Ryan: Ryan did recover, but he was left permanently blind. His girlfriend Kelly stayed by his side through his recovery, and they soon married. I’m happy to say that we all became good friends. Ryan had an indomitable spirit that infected everyone he met. He used to say that he suspected God had chosen him to be wounded, rather than someone else, because He knew he could bear it. If so, it was an excellent choice, for Ryan inspired many others to deal with their own handicaps as he dealt with his. He went hunting with the help of friends and special devices. His wound inspired the logo Chris would later use for his company; it was a way for Chris to continue honoring him. Ryan and his wife were expecting their first child in 2009 when Ryan went into the hospital for what seemed like a routine operation, part of follow-up treatment for his wounds. Tragically, he ended up dying. I remember looking at his wife at the funeral, so brave yet so devastated, and wondering to myself how we could live in such a cruel world. My enduring vision of Ryan is outside one of the hospitals where he was recovering from an operation. He was in his wheelchair with some of the Team guys. Head bandaged and clearly in pain, he asked to be pointed toward the American flag that flew in the hospital yard; once there, he held his hand up in a long and poignant salute, still a patriot.

Denial helps the bystander. . . We would rather not know about terror or be confronted with evil. . . But the victim, too, cannot bear to believe. She may bury or dissociate from or disown her pain. She may drink or take drugs, or become unwittingly promiscuous. Compelled to repeat the violation again and again. . . The impact of the violation drips lazily down, like that clock in Dalí's painting, pooling in the form of shame. She may remember the facts that transpired, but the outline is blurry. There is a haze in the brain, and the facts are detached from feeling. Certain sounds or scents may terrify the victim. But she may not notice her fear. . . For a very long time, I had forgotten or dissociated or forgotten the source of my terrors. To be raped or abused or threatened with violent death, to be treated as an object in a perpetrator's dream, rather than the subject of your own – these are bad enough. But when observers become complicit in the victim's desire to forget, they become perpetrators, too. This is why traumatized groups sometimes fare better than traumatized individuals. When the feeling of terror is shared, victims have a harder time forgetting what occurred or denying their terror. In the camps, what mattered most. . .was whether there were witnesses willing to share the burden of overwhelming emotion. Talking about what occurred with other survivors or witnesses was an essential part of recovery. . . When authorities disbelieve the victim, when bystanders refute what they cannot bear to know, they rob the victim of normal existence on the earth. Bystander and victim collude in denial or forgetting, and in so doing, repeat the abuse. . . In this new world, the victim can no longer trust the evidence of her senses. Something seems to have happened, but what? The ground disappears. This is the alchemy of denial. Terror, rage, and pain are replaced with free floating shame. The victim will begin to wonder, 'what did I do?' She will begin to believe 'I must have done something bad.' But the sensation of shame is shameful itself. So we dissociate that, too. In the end, a victim who has suffered the denial of others will come to see herself as a liar. The terrible truth is that once a person has been raped or abused, she seems to acquire a scent or a frequency that makes her an irresistible target for abusers. She may be haunted by a feeling of ungroundedness, by periods of hypervigilance. If she is lucky, as I was, she may find or fall into a career where hypervigilance is useful. Though, it is unlikely to be useful in her personal life. . . The dizziness brought on by the denial of others is often worse than the original crime. When I think about what denial does, I can understand why some victims, thank God a small number, take out a gun and find someone to shoot or maul or rape, sometimes in their own homes.

To start the process of healing and recovery from addiction, the first thing we must do is accept how our addictions cause suffering in us and in the ones we love. We begin by understanding that addiction always creates suffering. Suffering is greed, hatred, and delusion. For the addict it may manifest as: Suffering is the stress created by craving for more. Suffering is never having enough to feel satisfied. Suffering is stealing to support your addiction. Suffering is lying to hide your addiction. Suffering is feeling ashamed of one’s actions. Suffering is feeling unworthy. Suffering is living in fear of the consequences of one’s actions. Suffering is the feelings of anger and resentment. Suffering is hurting other people. Suffering is hurting yourself. Suffering is the feeling of being isolated and alone. Suffering is the feeling of hatred toward oneself or others. Suffering is jealousy and envy. Suffering is feeling less than, inferior, or beneath others. Suffering is feeling superior, better than, or above others. Suffering is greedy, needy, and selfish. Suffering is the thought that I cannot be happy until I get. . . . Suffering is the anguish and misery of being addicted. All these feelings are unnecessary suffering caused by an imbalance between our instinctual drive for happiness and our instinctual need for survival. It is also very important to remember that the end of suffering does not mean the end of pain or difficulties, just the end of creating unnecessary suffering in our lives.

Over To Candleford Chapter XXVIII: Growing Pains "This accumulated depression of months slid from her at last in a moment. She had run out into the fields one day in a pet and was standing on a small stone bridge looking down on brown running water flecked with cream-coloured foam. It was a dull November day with grey sky and mist. The little brook was scarcely more than a trench to drain the fields; but overhanging it were thorn bushes with a lacework of leafless twigs; ivy had sent trails down the steep banks to dip in the stream, and from every thorn on the leafless twigs and from every point of the ivy leaves water hung in bright drops, like beads. A flock of starlings had whirred up from the bushes at her approach and the clip, clop of a cart-horse's hoofs could be heard on the nearest road, but these were the only sounds. Of the hamlet, only a few hundred yards away, she could hear no sound, or see as much as a chimney-pot, walled in as she was by the mist. Laura looked and looked again. The small scene, so commonplace and yet so lovely, delighted her." It was so near the homes men and yet so far removed from their thoughts. The fresh green moss, the glistening ivy, and the reddish twigs with their sparkling drops seemed to have been made for her alone and the hurrying, foam-flecked water seemed to have some message for her. She felt suddenly uplifted. The things which had troubled her troubled her no more. She did not reason. She had already done plenty of reasoning. Too much, perhaps. She simply stood there and let it all sink in until she felt that her own small affairs did not matter. Whatever happened to her, this, and thousands of other such small, lovely sights would remain and people would come suddenly upon them and look and be glad. A wave of pure happiness pervaded her being, and, although it soon receded, it carried away with it her burden of care. Her first reaction was to laugh aloud at herself. What a fool she had been to make so much of so little.

Some days the world feels too hard and heavy, too much violence, too much pain, too much, too much, too much, and no way to make any of it make sense. Some days the people we love the most are enduring deep horror and loss and fear and trauma and pain and there's not a damn thing we can do, not really - and we're left sitting with some crazy helplessness and anger and grief without anywhere that feels big enough to hold it all. Some days you don't know if you want to scream the rage or cry the grief or run to the ocean or collapse in a puddle on the floor or sink into a too-hot bath or go back to bed or lose your mind for a little while, because holding it together takes more than you've got. Some days you feel like you'd do just about anything to have someone show up at your door for no other reason but to deliver an endless hug because reactivated trauma is a bitch, even when it's not your own, and because we all need more hugs, even on the good days—and some days are as far as hell from good as you can imagine. Some days you buy yourself the pale pink roses because you need a reminder of beauty, and you make yourself cup after cup of tea and finally let yourself cry, hard. You take the invite to go out to dinner and laugh and forget for a while. You pay attention, with deep gratitude, to the spaces that feel safe enough to open fully into, and to the people that show up to fill those spaces. You do what you can even though it feels like way too little and not near enough and not anything really in the grand scheme of things, and you say a prayer of thanks for the people give without knowing even why they are giving and a blessing for the grace of connections that are strong enough for that. Whatever you're doing right now, send a wave of love out into the universe. The biggest and brightest one you've got. Send protection, and healing, and fire, and light, and love and love and love and love. I can't tell you where you're sending it, but I know there's enough hurt and hard in the world right now, that whatever direction it goes and wherever it lands, it will rest with someone who needs it.

Rape has been described by victim advocate and former police officer Tom Tremblay as “the most violent crime a person can survive.”10 Those who have not been sexually assaulted can perhaps most clearly understand the experience of a survivor by thinking of them as having survived an attempted murder that used sex as the weapon. Sexual violence often doesn’t look like what we think of as “violence”—only rarely is there a gun or knife; often there isn’t even “aggression” as we typically think of it. There is coercion and the removal of the targeted person’s choice about what will happen next. Survivors don’t “fight” because the threat is too immediate and inescapable; their bodies choose “freeze” because it’s the stress response that maximizes the chances of staying alive . . . or of dying without pain. Trauma isn’t always caused by one specific incident. It can also emerge in response to persistent distress or ongoing abuse, like a relationship where sex is unwanted, though it may be technically “consensual” because the targeted person says yes in order to avoid being hurt or feels trapped in the relationship or is otherwise coerced. In that context, a survivor’s body gradually learns that it can’t escape and it can’t fight; freeze becomes the default stress response because of the learned pattern of shutdown as the best way to guarantee survival. Each person’s experience of survival is unique, but it often includes a kind of disengaged unreality. And afterward, that illusion of unreality gradually degrades, disintegrating under the weight of physical existence and burdened memory. The tentative recognition that this thing has actually happened incrementally unlocks the panic and rage that couldn’t find their way to the surface before, buried as they were under the overmastering mandate to survive. But survival is not recovery; survival happens automatically, sometimes even against the survivor’s will. Recovery requires an environment of relative security and the ability to separate the physiology of freeze from the experience of fear, so that the panic and the rage can discharge, completing their cycles at last.

The last time I saw Collin was in 1917, at the foot of Mort-Homme. Before the great slaughter, Collin’d been an avid angler. On that day, he was standing at the hole, watching maggots swarm among blow flies on two boys that we couldn’t retrieve for burial without putting our own lives at risk. And there, at the loop hole, he thought of his bamboo rods, his flies and the new reel he hadn’t even tried out yet. Collin was imaging himself on the riverbank, wine cooling in the current his stash of worms in a little metal box and a maggot on his hook, writhing like… Holy shit. Were the corpses getting to him? Collin. The poor guy didn’t even have time to sort out his thoughts. In that split second, he was turned into a slab of bloody meat. A white hot hook drilled right through him and churned through his guts, which spilled out of a hole in his belly. He was cleared out of the first aid station. The major did triage. Stomach wounds weren’t worth the trouble. There were all going to die anyway, and besides, he wasn’t equipped to deal with them. Behind the aid station, next to a pile of wood crosses, there was a heap of body parts and shapeless, oozing human debris laid out on stretchers, stirred only be passing rats and clusters of large white maggots. But on their last run, the stretcher bearers carried him out after all… Old Collin was still alive. From the aid station to the ambulance and from the ambulance to the hospital, all he could remember was his fall into that pit, with maggots swarming over the open wound he had become from head to toe… Come to think of it, where was his head? And what about his feet? In the ambulance, the bumps were so awful and the pain so intense that it would have been a relief to pass out. But he didn’t. He was still alive, writhing on his hook. They carved up old Collin good. They fixed him as best they could, but his hands and legs were gone. So much for fishing. Later, they pinned a medal on him, right there in that putrid recovery room. And later still, they explained to him about gangrene and bandages packed with larvae that feed on death tissue. He owed them his life. From one amputation and operation to the next – thirty-eight in all – the docs finally got him “back on his feet”. But by then, the war was long over.

I woke in bed, sweating and breathing heavily. It was the third time I’d had this nightmare: reliving that horrible feeling of falling, out of control, toward the ground. I was now on month two of just lying there prone, supposedly recovering. But I wasn’t getting any better. In fact, if anything, my back felt worse. I couldn’t move and was getting angrier and angrier inside. Angry at myself; angry at everything. I was angry because I was shit-scared. My plans, my dreams for the future hung in shreds. Nothing was certain any more. I didn’t know if I’d be able to stay with the SAS. I didn’t even know if I’d recover at all. Lying unable to move, sweating with frustration, my way of escaping was in my mind. I still had so much that I dreamt of doing. I looked around my bedroom, and the old picture I had of Mount Everest seemed to peer down. Dad’s and my crazy dream. It had become what so many dreams become--just that--nothing more, nothing less. Covered in dust. Never a reality. And Everest felt further beyond the realms of possibility than ever. Weeks later, and still in my brace, I struggled over to the picture and took it down. People often say to me that I must have been so positive to recover from a broken back, but that would be a lie. It was the darkest, most horrible time I can remember. I had lost my sparkle and spirit, and that is so much of who I am. And once you lost that spirit, it is hard to recover. And once you lose that spirit, it is hard to recover. I didn’t even know whether I would be strong enough to walk again--let alone climb or soldier again. And as to the big question of the rest of my life? That was looking messy from where I was. Instead, all my bottomless, young confidence was gone. I had no idea how much I was going to be able to do physically--and that was so hard. So much of my identity was in the physical. Now I just felt exposed and vulnerable. Not being able to bend down to tie your shoelaces or twist to clean your backside without acute and severe pain leaves you feeling hopeless. In the SAS I had both purpose and comrades. Alone in my room at home, I felt like I had neither. That can be the hardest battle we ever fight. It is more commonly called despair. That recovery was going to be just as big a mountain to climb as the physical one. What I didn’t realize was that it would be a mountain, the mountain, that would be at the heart of my recovery. Everest: the biggest, baddest mountain in the world.

The second aspect of the moral appeal of the inner-child movement is consolation. Life is full of setbacks. People we love reject us. We don't get the jobs we want. We get bad grades. Our children don't need us anymore. We drink too much. We have no money. We are mediocre. We lose. We get sick. When we fail, we look for consolation, one form of which is to see the setback as something other than failure-to interpret it in a way that does not hurt as much as failure hurts. Being a victim, blaming someone else, or even blaming the system is a powerful and increasingly widespread form of consolation. It softens many of life's blows. Such shifts of blame have a glorious past. Alcoholics Anonymous made the lives of millions of alcoholics more bearable by giving them the dignity of a “disease” to replace the ignominy of “failure,” “immorality,” or “evil.” Even more important was the civil rights movement. From the Civil War to the early 1950s, black people in America did badly-by every statistic. How did this get explained? “Stupid,” “lazy,” and “immoral” were the words shouted by demagogues or whispered by the white gentry. Nineteen fifty-four marks the year when these explanations began to lose their power. In Brown v. Board of Education, the Supreme Court held that racial segregation in schools was illegal. People began to explain black failure as “inadequate education,” “discrimination,” and “unequal opportunity.” These new explanations are literally uplifting. In technical terms, the old explanations—stupidity and laziness—are personal, permanent, and pervasive. They lower self-esteem; they produce passivity, helplessness, and hopelessness. If you were black and you believed them, they were self-fulfilling. The new explanations—discrimination, bad schools, lean opportunities are impersonal, changeable, and less pervasive. They don't deflate self-esteem (in fact, they produce anger instead). They lead to action to change things. They give hope. The recovery movement enlarges on these precedents. Recovery gives you a whole series of new and more consoling explanations for setbacks. Personal troubles, you're told, do not result as feared from your own sloth, insensitivity, selfishness, dishonesty, self-indulgence, stupidity, or lust. No, they stem from the way you were mistreated as a child. You can blame your parents, your brother, your teachers, your minister, as well as your sex and race and age. These kinds of explanations make you feel better. They shift the blame to others, thereby raising self-esteem and feelings of self-worth. They lower guilt and shame. To experience this shift in perspective is like seeing shafts of sunlight slice through the clouds after endless cold, gray days. We have become victims, “survivors” of abuse, rather than “failures” and “losers.” This helps us get along better with others. We are now underdogs, trying to fight our way back from misfortune. In our gentle society, everyone roots for the underdog. No one dares speak ill of victims anymore. The usual wages of failure—contempt and pity—are transmuted into support and compassion. So the inner-child premises are deep in their appeal: They are democratic, they are consoling, they raise our self-esteem, and they gain us new friends. Small wonder so many people in pain espouse them.

When we are sold perfume, we are accustomed to also being sold the idea of a life we will never have. Coty's Chypre enabled Guerlain to create Mitsouko; Coty's Emeraude of 1921 was the bedrock on which Shalimar was built and Coty's L'Origan become the godmother of L'heure bleue, also by Guerlain. Some people dedicate themselves to making life beautiful. With instinctual good taste, magpie tendencies and a flair for color, they weave painfully exquisite tableaux, defining the look of an era. Paul Poiret was one such person. After his success, he went bust in 1929 and had to sell his leftover clothing stock as rags. Swept out of the picture by a new generation of designers, his style too ornate and Aladdinesque, Poiret ended his days as a street painter and died in poverty. It was Poiret who saw that symbolic nomenclature could turn us into frenzied followers, transforming our desire to own a perfume into desperation. The beauty industry has always been brilliant at turning insecurities into commercial opportunities. Readers could buy the cologne to relax during times of anxiety or revive themselves from strain. Particularly in the 1930s, releases came thick and fast, intended to give the impression of bounty, the provision of beauty to all women in the nation. Giving perfumes as a gift even came under the Soviet definition of kulturnost or "cultured behavior", including to aunts and teachers on International Women's Day. Mitsouko is a heartening scent to war when alone or rather, when not wanting to feel lonely. Using fragrance as part of a considered daily ritual, the territorial marking of our possessions and because it offers us a retrospective sense of naughtiness. You can never tell who is going to be a Nr. 5 wearer. No. 5 has the precision of well-cut clothes and that special appeal which comes from a clean, bare room free of the knick-knacks that would otherwise give away its age. Its versatility may well be connected to its abstraction. Gardenia perfumes are not usually the more esoteric or intellectual on the shelves but exist for those times when we demand simply to smell gorgeous. You can depend on the perfume industry to make light of the world's woes. No matter how bad things get, few obstacles can block the shimmer and glitz of a new fragrance. Perfume became so fashionable as a means of reinvention and recovery that the neurology department at Columbia University experimented with the administration of jasmine and tuberose perfumes, in conjunction with symphony music, to treat anxiety, hysteria and nightmares. Scent enthusiasts cared less for the nuances of a composition and more for the impact a scent would have in society. In Ancient Rome, the Stoics were concerned about the use of fragrance by women as a mask for seducing men or as a vehicle of deception. The Roman satirist Juvenal talked of women buying scent with adultery in mind and such fears were still around in the 1940s and they are here with us today. Similarly, in crime fiction, fragrance is often the thing that gives the perpetrator away. Specifically in film noir, scent gets associated with misdemeanors. With Opium, the drugs tag was simply the bait. What YSL was really marketing, with some genius, was perfume as me time: a daily opportunity to get languid and to care sod-all about anything or anyone else.

Without taking use of ox or man, Or of creature as Mary desired, Without spinning thread of silk or of satin, Without sowing, without harrowing, without reaping, Without rowing, without games, without fishing, Without going to the hunting hill, Without trimming arrows on the Lord's Day, Without cleaning byre, without threshing corn, Without kiln, without mill on the Lord's Day. Whosoever would keep the Lord's Day, Even would it be to him and lasting, From setting of sun on Saturday Till rising of sun on Monday.17 Beltaine remained the central festival in the cycle of the agricultural pastoral year, the season of light, the time of growth. It was then that the sheep and cattle would be driven up to the summer pastures, the “shielings” in Scotland, the “hafods” in Wales. This was a virtual migration since these might be six or eight or even twelve or fourteen miles away, and it often meant crossing land that was rough and rugged or full of swamps, even sometimes having to swim across channels or rivers. The procession included the men carrying spades, ropes, and other things that might be needed to repair their summer huts, while the women carried the bedding, meal, and dairy utensils. As they went, there were songs to be sung on the journey, a dedicatory hymn to the Trinity and to the most familiar of the saints, Michael, Bride, and Columba, respectively the protector, the woman who knew about dairies, the guardian of their cattle—and, of course, to Mary herself, who on this occasion they address as mother of the White Lamb: Valiant Michael of the white steeds, Who subdued the Dragon of blood, For love of God, for pains of Mary's Son, Spread

If I let Gallowglass just pluck out my pain like a dead tooth, then I wouldn’t learn nothin’ from all those years on the needle. Eventually, I’d just find a way to fuck up all over again, twice as bad. Sometimes it’s our scars that hold us together, Noah.

Years ago, I received a call from a paramedic I had known for a long, long time. He was a true believer; a provider in it to do good more than to do well. By the tone of his voice, I could tell he was in some serious trouble. His voice did not lie. He was. It seemed that some years earlier he had suffered an injury off the job. The injury resulted in several surgeries and months of painful recovery, physical rehabilitation, and pain medicine. It started as an as-needed remedy for intense pain but before long became a physical necessity. When the actual pain no longer necessitated the monthly refills, the feigned pain took over. When that excuse had run its course, new injuries and favors from friends took over. The cycle had begun. Back at work, he became adept at leading his double life; on the job he was clean, sober, and clear-headed, but off-duty the pills took over. The decline was slow, but steady. It would not be long before he would lose all control. One day, on a call with the entire crew, he found himself in the home of a patient whose medicine cupboard was a veritable treasure trove of pain killing goodies. Jackpot! While logging all of the medicines, it was easy to drop a full bottle of a certain pain killer into his pocket, and he did…completely undetected. The patient was transported, and the scene was cleared, and his addiction would be fed for a little while longer. Nobody would ever know. However, as he exited the scene with his supervisor, he was struck with a blunt and harsh realization: This is not who I am and it’s not who I want to be! While still at the curbside, in front of the patient’s home, he pulled the bottle from his pocket, handed it to his supervisor, and admitted sincerely: “I have a problem. I need help.” His supervisor considered the heartfelt and painfully honest plea for help, but the paramedic was summarily fired from a job where he had an impeccable record of exemplary service for nearly two decades. He was stripped of his Paramedic license and reported to local authorities and was charged with multiple felonies by the District Attorney. That was the response from his supervisor and the rest of the morally superior lemmings up the chain of command. He asked for help, and they fucked him…because they were afraid of what actually helping him might look like to the outside world. Not once was he offered treatment or an ounce of compassion. He asked for help; now he was looking at serious prison time. This brings us to the frightened and helpless tone in his voice when he called me. Thankfully, his story ends with the proper treatment: A new career and the entire criminal case being dismissed (he had a great lawyer). Unfortunately, similar stories continue to play out in agencies, both public and private, all across America and they do not, or will not, end so well.

First, I am thrilled that paramedics are finally getting the respect they deserve for being the professionals they can be. The scope of practice is expanding, and patient care modalities are improving, seemingly by the minute. Patient outcomes are also improving as a result, and EMS is passing through puberty and forging into adulthood. On the other hand, autonomy in the hands of the “lesser-motivated,” can be a very dangerous thing. You know as well as I do that there are still plenty of providers who operate from a subjective, complacent, and downright lazy place. Combined with the ever-expanding autonomy, that provider just became more dangerous than he or she ever has been – to the patients and to you. Autonomy in patient care places more pressure for excellence on the provider charged with delivering it, and also on the partner and crew members on scene. Since the base hospital is not involved like it once was, they are likewise less responsible for the errors and omissions of the medics on the scene. Now more than ever, crew members are being held to answer for the mistakes and follies of their coworkers; now more than ever, EMS providers are working without a net. What’s next? I predict (and hope) emergency medical Darwinism is going to force some painful and necessary changes. First, increasing autonomy is going to result in the better and best providing superior patient care. More personal ownership of the results is going to manifest in outcomes such as increased cardiac arrest survival rates, faster and more complete stroke recovery, and significantly better outcomes for STEMI patients, all leading to the brass ring: EMS as a profession, not just a job. On the flip side of that coin, you will see consequences for the not-so-good and completely awful providers. There will be higher instances of licensure action, internal discipline, and wash-out. Unfortunately, all those things will stem from generally preventable negative patient outcomes. The danger for the better provider will be in the penumbra; the murky, gray area of time when providers are self-categorizing. Specifically, the better provider who is aware of the dangerously poor provider but does nothing to fix or flush him or her, is almost certain to be caught up in a bad situation caused by sloppy, complacent, or ultimately negligent patient care that should have been corrected or stopped. The answer is as simple as it is difficult. If you are reading this, it is more likely because you are one of the better, more committed, more professional providers. This transition is up to you. You must dig deep and find the strength necessary to face the issue and force the change; you have to demand more from yourself and from those around you. You must have the willingness to help those providers who want it – and respond to those who need it, but don’t want it – with tough love by showing them the door. In the end, EMS will only ever be as good as you make it. If you lay silent through its evolution, you forfeit the right to complain when it crumbles around you.

My belief in God was not obtained through some rousing hymns or moving sermon. My faith was burnished hard through pain and trials whose depth was unimaginable and from which recovery seemed impossible. And it was in those most desperate of places that God moved from being a cheerful idea of hymns and sermons to the Master of the unimaginable and the Healer of the impossible.

Infrared light therapy stimulates production of collagen, ribonucleic acid (RNA), ATP, and deoxyribonucleic acid (DNA), which enhances the body’s cellular repair rejuvenation systems, providing relief from pain and shortening recovery time.

During his illness he had spent every minute of consciousness calling upon God, every second of every minute. Ya Allah whose servant lies bleeding do not abandon me now after watching over me so long. Ya Allah show me some sign, some small mark of your favour, that I may find in myself the strength to cure my ills. O God most beneficent most merciful, be with me in this my time of need, my most grievous need. Then it occurred to him that he was being punished, and for a time that made it possible to suffer the pain, but after a time he got angry. Enough, God, his unspoken words demanded, why must I die when I have not killed, are you vengeance or are you love? The anger with God carried him through another day, but then it faded, and in its place there came a terrible emptiness, an isolation, as he realized he was talking to thin air, that there was nobody there at all, and then he felt more foolish than ever in his life, and he began to plead into the emptiness, ya Allah, just be there, damn it, just be. But he felt nothing, nothing nothing, and then one day he found that he no longer needed there to be anything to feel. On that day of metamorphosis the illness changed and his recovery began. And to prove to himself the non-existence of God, he now stood in the dining-hall of the city’s most famous hotel, with pigs falling out of his face. He looked up from his plate to find a woman watching him. Her hair was so fair that it was almost white, and her skin possessed the colour and translucency of mountain ice. She laughed at him and turned away. ‘Don’t you get it?’ he shouted after her, spewing sausage fragments from the corners of his mouth. ‘No thunderbolt. That’s the point.’ She came back to stand in front of him. ‘You’re alive,’ she told him. ‘You got your life back. That’s the point.

This gives a whole new meaning to ‘family mobbing.’ According to author and survivor, Stephanie A. Sellers, Ph.D, who wrote the book, Daughters Healing from Family Mobbing: Stories and Approaches to Recovery from Shunning, Aggression, and Family Violence, “Family Mobbing is a group act of aggression that targets a family member. It can be typified by a single act of violence or a pattern of abuse over years. Whether isolated or long-term, mobbing enforces the family’s domination and control over another. As family members continue to tyrannize their target, the aggressive group may expand to include friends, neighbors, business associates, and clergy. Family Mobbing encompasses varied acts of aggression that cannot be understood by examining one motivation or cause. The pattern of behavior always isolates one family member and inflicts as much emotional pain as possible. Unlike sibling rivalry, the intention is to establish superiority or to provoke fear and distress. Factors to consider include the motives, the degree of severity, a power of imbalance, victimization element, physical injuries, and trauma.

What is common to every narcissist is a lack of empathy, no matter where they fall on the spectrum. They are selfish, self-serving, manipulative, dishonest, and conniving. They take no responsibility for the awful things they do to people and blame others for all the chaos and pain they create.

My life as a patient changed the day I reread a letter by the nineteenth-century poet John Keats in which he offers a theory of what makes an artist great. At the the time of its writing, Keats had witnessed his mother die from tuberculosis, then a poorly understood disease with an unclear cause. Soon his brother Tom and later himself would die of the infection. In the letter, Keats - in his early twenties - tried to e plain to his brothers the special quality that differentiated a great artist form a merely good one. “Negative Capability,” as he terms it, is the quality “of being in uncertainties, Mysteries, doubts, without any irritable reaching after fact & reason.” I couldn’t escape the sense that Keats’s words about the necessity of “being in uncertainties” derived form his own experience of living with consumption’s impact on his family. In fact, his formulation of negative capability seemed to be a key to living well in the face of pain. It was a profound insight of the sort that comes from witnessing loss and suffering up close. (As the chronically ill know, to the alive *is* to be in uncertainty.) I was grateful for his words, because they reminded me that I wasn’t living off the known map of human experience. Rather, I had felt invisible in my illness, I realized, because American culture - and American medicine within it - largely strived to downplay the fact that we still know so little about illness. A doctor friend told me that in med school he was explicitly taught never to say “I don’t know” to a patient. Uncertainty was thought to open the door to lawsuits. In the place of uncertainty, Americans have catchphrases: *Just do it. What doesn’t kill you makes you stronger.* no wonder that as a patient I was bent on an “irritable reaching after fact & reason.” The shadowland I lived in, forced against my will into what Keats called the great “Penetralium of mystery,” was an uncomfortable and unsatisfying place, especially since I lived in a culture that Donita’s the importance of triumph over adversity - a culture that insists on recovery.

Great rage needs a great heart to hold it; great trauma needs a great heart to heal it. Athena’s many epithets include ‘the Great-Hearted’ and ‘She Who Saves.’ By placing Medusa’s severed head in the centre of her heart, I suggest that Athena is acting to ‘save’ Medusa, by containing her rage with love and compassion, so it can be witnessed, honoured and remembered. In the words of Bessel van der Kolk, ‘trauma almost invariably involves not being seen, not being recognized, and not being taken into account... sensing, naming, and identifying what is going on inside is the first step to recovery.’ The Gorgoneion in the centre of Athena’s heart reminds me of the Buddhist practice of tonglen, breathing in and out of the heart centre while holding an awareness of all the hurts and evils of this world. Tonglen is seen as a way to bring the balm of compassion to the worst and deepest wounds inflicted by humanity, and is considered an extremely difficult practice. To consciously witness the terrible pain, the collective and individual rage of the betrayed and wounded feminine, simply to hold it in the presence of divine love and compassion, requires tremendous strength and courage.

We are all damaged. We have all been hurt. We have all had to learn painful lessons. We are all recovering from some mistake, loss, betrayal, abuse, injustice or misfortune. All of life is a process of recovery that never ends. We each must find ways to accept and move through the pain and to pick ourselves back up.

What do we mean by recovery? Recovery means feeling better. Recovery means claiming your circumstances instead of your circumstances claiming you and your happiness. Recovery is finding new meaning for living, without the fear of being hurt again. Recovery is being able to enjoy fond memories without having them precipitate painful feelings of regret or remorse. Recovery is acknowledging that it is perfectly all right to feel sad from time to time and to talk about those feelings no matter how those around you react. Recovery is being able to forgive others when they say or do things that you know are based on their lack of knowledge about grief. Recovery is one day realizing that your ability to talk about the loss you’ve experienced is indeed normal and healthy.

Lessons of the Balance The relentless pursuit of pleasure (and avoidance of pain) leads to pain. Recovery begins with abstinence. Abstinence resets the brain’s reward pathway and with it our capacity to take joy in simpler pleasures. Self-binding creates literal and metacognitive space between desire and consumption, a modern necessity in our dopamine-overloaded world. Medications can restore homeostasis, but consider what we lose by medicating away our pain. Pressing on the pain side resets our balance to the side of pleasure. Beware of getting addicted to pain. Radical honesty promotes awareness, enhances intimacy, and fosters a plenty mindset. Prosocial shame affirms that we belong to the human tribe. Instead of running away from the world, we can find escape by immersing ourselves in it.

Instead of worrying if God is working out all things for your good, consider how your attitudes may be blocking you from seeing how God is already working things out for your good. Write down any attitudes or beliefs that get in the way of seeing how your pain is being worked out for your good.

**Verse 1:** There's a whisper in the willow, a sigh in the pine, A story of healing, line by line. The wounds we carry, hidden from sight, Begin to mend in the morning light. **Chorus:** Healing's a road, long and winding, Through the hills, a silver lining. With every step, the pain decreases, In the heart's quiet, we find our pieces. **Verse 2:** The river flows, it knows no end, Like the spirit's break, it starts to mend. The scars we wear, badges of the past, Become the strength that will forever last. **Chorus:** Healing's a journey, not a race, A gentle touch, a warm embrace. With time's soft hand, we start to see, In the mirror, who we're meant to be. **Bridge:** In the darkest night, there's a flame that glows, A seed of hope, that steadily grows. The pain we knew, starts to fade, In the tapestry of life, newly made. **Chorus:** Healing's a gift, it's ours to take, A new dawn's promise, as we awake. With each breath in, let go of grief, In healing's grace, we find relief. **Outro:** So here's to the broken, now on the mend, To the journey of healing, that never ends. May we all find peace, in the love we keep, In the quiet of healing, where the soul runs deep. May this song bring comfort and hope to anyone on the path to recovery and renewal.

Anything to stop the pain" might be a good subtitle for BPD.