Sulabha 'Su' Abhyankar, MSW, LCSW
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Why Do We Hurt Each Other

4/15/2015

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Every day we hear in the news about atrocious actions of assault, abuse and murder. We watch as people behave toward each other in ways that make them both feel dismissed, humiliated, hurt, rejected and inferior. Using weapons, money, power/position to exercise control over others and show them that they are in charge. I have always wondered about the human need to look better than others; the need to feel superior and more successful. Why do we have to walk all over others in order to feel better about ourselves? And do we really and truly feel better?

 In the daily life of an average person (simple level), nothing dramatic necessarily happens yet the whole day might be filled with interactions based on insecurity, jealousy, anger, envy and greed. At the end of the day when the sun goes down, lights are dimmed, and one is not on life‘s stage performing for the benefit of others, does that person feel content with the way he handled his life that day?

Reflecting back on the interactions for the day and taking an inventory of the treatment of others, would he be able to answer the following questions with a clear conscience?

Did I speak warmly to my children this morning? Did I show them patience and care? Did I hug them tightly before school drop off?
  • How was I on the road driving today? Did I allow someone to change lanes ahead of me?
  • How did I treat my coworkers today? Was I rude and short? Did I try to impress them or kiss up to them or look down on them with judgment?
  •  Did I intimidate my subordinates to show them who their boss is? Or did I appreciate and validate their efforts and hard work?
  • Did I make professional decisions based on preserving my ego or did I do what was right and appropriate?
  • How did I treat the security guard at the front gate and the intern delivering mail? Was I cold and irritable or did I smile and show them respect as a fellow human being?
 Does the con-artist/thief/attacker (more complex level) ever ask themselves if they hurt someone with their actions? Do they ever reflect or introspect? Many may say it is unnecessary to take the time to reflect; life has its ups and downs and one does whatever it takes to survive. It may work to survive, but behaving in an abusive way does not help anyone thrive.

The same struggles to survive are reflected in the way businesses and companies (macro level) treat their employees, the way governments treat their citizens, and the way countries behave toward each other. Look at what is going on in businesses today. The motto has become: work more and work longer hours to prove your loyalty and commitment and you can keep your job.  Fear-driven employees work under intimidation of losing their jobs. Look at countries negotiating oil, weapons deals, and monopolizing the economic world by hoarding resources. Special interest groups around the world are exercising their autocratic power and killing people because they have different ideologies, faith, race, or way of living.

The reason I believe such aggression happens is because there is something lacking in all these entities: it is compassion towards others and towards themselves. When we are not compassionate toward ourselves or moved by our own pain, struggles and triumphs, how can we possibly be compassionate toward others? Is it even possible for us to connect with someone else's suffering if we cannot connect with our own? If we are critical and harsh with ourselves, will we judge and condemn others in the same way? 

Our society is heading toward wanting more and more and feeling helpless and powerless to get it all. The critical inner voice is getting louder and even abusive, shaming the self for the inability to “have it all.” That same voice then criticizes others for “having it all” and then feelings of inadequacy and jealousy are heightened. It is no wonder people react to this inner critic by competing and trying to disarm the person who “has it all.” Without self-compassion we cannot enjoy someone else’s success or support them as they thrive.

 If we want to stop hurting others and change this dynamic within ourselves, the first step is to build self-compassion. According to Dr. Kristin Neff, self-compassion means treating yourself the same way as you would treat someone you care about. She talks about three components of self compassion:

1.     Self-Kindness

Self-kindness is acknowledging that, “I am going through some rough times and this is hard. I need to support myself and not shame myself. I will work through this and it will be okay.” Self-kindness is not minimizing your problems by saying to yourself, “stop being so weak or melodramatic; this is no big deal” and it is not maximizing your problems by saying, “this always happens to me, I am always the victim. Nobody can be trusted. I am stuck.”

2.     Common Humanity

All humans suffer and we all have a shared experience of struggles and pain.

3.     Mindfulness

Giving our issues or problems their due respect and attention (not minimizing or maximizing them) so we can move on and let go of the past that is holding us hostage and depriving ourselves of opportunities to connect with others and achieve our goals.

Dr. Kristin Neff’s research on self-compassion teaches us valuable lessons. Please visit her website www.selfcompassion.org to learn more.

My mentor, Dr. Dorothy Baldwin Satten, used to say, “Real is better than perfect.” I believe that too. Being real and authentic means not hiding behind inadequacies and insecurities. Being real connects us to others despite their imperfections, making us all acceptable as flawed human beings. This gives us space to grow, improve and recover from our mistakes. It helps to rid of the isolation one can feel being victimized or experiencing tragic happenings.
 
Often times we hear people say, “If I don’t feel sorry for myself, who will?” It is ok to allow ourselves some time to feel sorry but the most important part is to take healthy action and not remain stuck. This is not self-pity. Pity involves separating from others with the belief that “my pain is unique.” By elevating ourselves to a level unreachable by others, we then believe we are entitled to hurt others because we are hurting. If I feel wronged or my principles are not accepted; whether it is about religion, abortion, gay rights, race, income or gender equality; I have a right to protest by hurting you. This egocentric arrogance has created an entitlement, which we now see repeatedly in our society. It starts within a family where family members hurt each other using money or love to gain power and hold each other hostage.

If each family, community, nation or special interest group focused on taking care of their own needs in a respectful, dignified manner, accepted their limitations that not everyone thinks in the same way, and accepted that others had a right to their own choices as they themselves had, then that compassion would result in the belief, “We are different, because we have different philosophies, ideologies but we are equals.” We can co-exist, “agreeing to disagree.” People would have a respectful tolerance to others’ religions, views on pro-choice or pro-life and gender identity. Then nations would not deny civil rights to their own people and special interest groups would not show their power through terrorizing acts. Each individual involved would have self-compassion and would not have the desperation to act out insecurities.

So if each of us desires to bring change to the world, we have to do what Mahatma Gandhi said, “Be the change you want to see in the world.” Self- compassion starts with mindfully watching what we say to ourselves and the way we treat ourselves. Actions of kindness towards ourselves will defeat the ego and egoistic beliefs. That in turn will change our attitude toward others. Compassion for ourselves will evoke compassion for others. It will create a ripple effect and imagine what can happen as we each reach out warmly to each other. Can we finally experience world peace? I am an optimist, I suppose. I will do my part and practice self-compassion and contribute a drop in the ocean of human kindness. Will you?


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Compassion Fatigue Part 2: Nurturing the Nurturer

4/8/2015

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How to Rejuvenate, Re-Establish and Maintain Balance

Here is my five step plan to avoiding compassion fatigue as a psychotherapist or other health care professional. I know from my years of experience as a trauma therapist, that self care and following these guidelines are key to being able to continue to do the important work and not suffer from burnout.

STEP 1:  MONITOR THE FOLLOWING AREAS IN YOUR LIFE BY ASKING:

  • Am I feeling physically, emotionally and spiritually depleted? Am I experiencing disturbances in my sleep, changes in appetite, lack of control over emotions, trouble concentrating, numbing, disconnectedness or aloneness?
  •  Is there distance or lack of intimacy in my personal relationships? Do I feel a void in my life?
  •  How often do I feel ineffective vs effective in my work?
  •  Am I procrastinating, or experiencing a distracted mind or missing appointments and assignments?
  •  Do I feel  helpless, powerless or vulnerable (notice the consistency)?

STEP 2:  ASK FOR HELP


If your answer was ‘yes’ to several of the above, then it is time to ask for help. Helpers tend to believe they are strong and can handle a lot. Asking for help is difficult. It is easy for the helper to put their needs on the backburner to care for others first. This “Do as I say not as I do” approach only makes the helper appear unreliable and unauthentic.  

Take the first step of talking to your family members, peers and supervisors about how you are affected and what you need to feel supported.  

STEP 3:  ACCEPT THE HELP

You have and deserve the right to protect yourself from the negative and toxic impact of trauma work. This belief is vital to manage self-esteem and self-worth about deserving a good life. Establishing this healthy boundary is necessary for personal and professional growth. It does not mean you are weak, stupid or incapable. It means you are human and as susceptible to being traumatized as anyone working in the helping field.

STEP 4: TAKE ACTION AT WORK

  • Make sure you stretch, drink water, practice a few breathing and mindfulness exercises between client appointments. This helps to break the continuous flow of traumatic information to the brain, giving it a break from getting overloaded with traumatic material. The break gives your body an opportunity to recharge and focus on the next appointment.

  • Writing notes between appointments gives you time to manage your emotions and collect your thoughts. Writing notes also helps to finish documentation in a timely manner, reducing your stress of “keeping up” with caseload.

  • Lunch breaks are important to nourish your body, socialize with co-workers, go for a walk, and discuss events unrelated to your work. It will help to restore faith and hope that you are an important part in bringing change, creating new perceptions and motivating others to take charge of their lives.

  • Examine if you are taking on too much at work. There are times when we take on more and more responsibilities, expecting unrealistic results from ourselves. We do that to show our loyalty to the company, hoping to impress upon them that we are valuable to them. We may be threatened by the competence of our colleagues and push ourselves in taking on more to prove our worthiness. In such situations it is important to listen to your gut and intuition. Deep in the core of your being, in your belly there is a sensation, a voice that speaks quietly to you. Go for a walk or sit quietly in a room without distractions. Take some deep breaths and meditate your attention on your gut. You will be able to answer questions whether you are overdoing it. Are you fearful of losing your job, not getting a promotion? Are your decisions based on insecurities, or do you have reasonable time and energy to take on new tasks? Do you have the skill set you have to take on this assignment? Recognizing the root reasons for your choices will help reduce your anxiety. It will give you the choice to choose wisely, figure out strategies to improve your performance or accept yourself at the level you are functioning without criticizing yourself.

STEP 5: TAKE ACTION AT HOME
  • Communicate with family members the level of stress in your job.
  • Distribute chores, responsibilities.
  • Find a hobby and commit some time each week to it.
  • Exercise. It stimulates both sides of our brain to work together and builds coping skills.
  • Laughter. Watch or read funny anecdotes. Laughter helps the brain regulate the stress hormones cortisol and epinephrine. There is a link between laughter and the production of anti-bodies and endorphins, the body’s natural pain killers. Even the expectation that something funny is coming suffices to bring about positive effects, per Dr. Lee Berk, an immunologist from Loma Linda University.
  • Holding, hugging family members, friends and pets reinforces our relationships. Research has shown that touch is essential to bonding, improves our sense of safety and reduces stress hormones.
  • Baths, massages, yoga are various ways to relax our muscles and it affects mind, body and spirit in positive, energizing manners.
  • Pets are wonderful stress busters. Playing with, exercising with them gives your brain a break from constant cognitive processing.
  • Listening to music is another way to relax.
  • Sleep hygiene is important. Before going to bed, do not read or watch intense, disturbing material. A light hearted article or a sitcom on TV prepares you better for a restful night.
  • Maintain financial health. Healthy financial decisions might require you to postpone buying things that you want, but don’t need. Living within your means will support your emotional and physical wellbeing by not becoming stressed with unreasonable debts. When you have good financial health, you are can live by your principles and choose the kind and place of employment that honors your sense of self-worth. It improves your self -esteem and empowers you with more options.

TO READ MORE ABOUT COMPASSION FATIGUE:

There are many excellent books on the topic of compassion fatigue.  I have suggested a few to start the process of change.

Transforming the Pain: A Workbook on Vicarious Traumatization by Karen Saakvitne & Laurie Anne Pearlman.

Help for the Helper by Babette Rothschild.

Compassion Fatigue Workbook by Francoise Mathieu.

Compassion Fatigue: Coping with Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized by Charles Figley.

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