chroic pain - Back in Control https://backincontrol.com/tag/chroic-pain/ The DOC (Direct your Own Care) Project Sun, 26 Feb 2023 23:47:44 +0000 en-US hourly 1 Why are New Year’s Resolutions So Hard to Keep? https://backincontrol.com/why-are-new-years-resolutions-so-hard-to-keep-2/ Sun, 26 Feb 2023 23:45:59 +0000 https://backincontrol.com/?p=22646

  Each new year, many of us spend time figuring out how we’ll make it better and also to really complete some projects that we have been putting off, maybe for decades. Few of us are able to accomplish a fraction of what we envision. Why? It’s because our unconscious … Read More

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Each new year, many of us spend time figuring out how we’ll make it better and also to really complete some projects that we have been putting off, maybe for decades. Few of us are able to accomplish a fraction of what we envision. Why? It’s because our unconscious behavioral patterns are so powerful and are going to win over our rational mind.

ACE study

This process has been documented in the now famous and replicated “ACE” study performed on about 17,000 Kaiser patients in the mid-1990’s. (1) ACE stands for, “adverse childhood experiences.” Eight then ten questions were answered by the cohort and then the population’s health was looked at compared to the severity of the ACE score. The following questions were asked:

Abuse

  • Emotional – recurrent threats, humiliation (11%)
  • Physical – beating, not spanking (28%)
  • Contact sexual abuse (28% women, 16% men, 22% overall)

Household dysfunction

  • Mother treated violently (13%)
  • Household member was alcoholic or drug user (27%)
  • Household member was imprisoned (6%)
  • Household member was chronically depressed, suicidal, mentally ill, or in a psychiatric hospital (17%)
  • Not raised by both biological parents (23%)

Neglect

  • Physical (10%)
  • Emotional (15%)

This study was done on a sample of middle-class Kaiser patients and chronic pain was not taken into account. What is shocking is that only a third of the group had and ACE score of 0 and over a third had a score of 3 or more. It would be anticipated that these numbers would be worse in a lower income group, as there would be more stress and also in a group suffering from chronic pain. The higher the ACE score, the greater the negative impact on a person’s health. Aced out

“Damaged”

My ACE score is 4. At one point a friend of mine gave me a book, Damaged, which related the story of a young man who was so abused that he was never able to pull out of his tailspin. It was his way of saying to me, “You’re going to have to live with all of this internal chaos. You’re not going to be able to surmount your childhood abuse.” I know it was a well-intentioned move, but I was devastated, to say the least. I am sure the feeling it wasn’t too far off from what many of you have experienced when your physician tells you that everything has been done and you’re going to live with the pain. Many of you have also discovered through your self-healing journey that this simply isn’t true.

The health consequences are clear and severe as the ACE score climbs. They include:

  • Early mortality
  • Obesity
  • Substance abuse
  • Anxiety/ depression
  • Teen promiscuity
  • Attempted suicide
  • Early smoking/ heart and lung disease
  • High risk health behaviors
  • Abusive behavior within their own families

What really caught my attention about this study is that it arose out of an intense weight loss program that was quite successful in helping the participants lose a large amount of weight. Yet the most successful ones were the most likely to drop out. It turns out that obesity does serve a function and the higher the ACE score, the more likely they were to return to their prior eating patterns.

Mental or physical health – which is more critical?

Good intentions

“The Road to Hell is Paved with Good Intentions”. This phrase is defined as, “Merely intending to do good, without actually doing it, is of no value.” (2)

I have years of my own resolutions that I have made and not followed through on. That has changed and I now follow through more often. However, it isn’t because of more will power or determination. It’s because I “gave up” and settled into what is real for me. My reality is that my core patterns revolve around being a victim. I was a victim and it was reinforced every day, until I became aware of being a victim was. I couldn’t solve what I wasn’t aware of. Although I made a lot of progress in 2002 after I began to use the expressive writing exercise, it wasn’t until I even learned the word, “victim”, did I begin to truly heal. I certainly had no clue that the word applied to me. In my mind, I had been “enlightened” for years, as I had done a lot of personal work.

By settling into what was and is for me, I’ve been able to move forward. I did the Hoffman process in 2009, which gave me even more clarity. It was there I learned that the victim role is permanent and will continue to manifest itself in more and more subtle ways, especially when I work even harder to disguise it and remain “enlightened”.

I had another insight as to why I was able to re-create my life. I recently read a book, How Emotions are Madeby Lisa Feldman Barrett. She runs a neuroscience research lab and presents data explaining the formation of human consciousness. Every millisecond we are interpreting sensory input to make sense out of environment, including thought and concepts. They become imbedded in our brains and are our version of reality. The are as real to us as the chair you are sitting in. You are programmed by your past. I was initially discouraged about this idea until she pointed out that from this second forward you have a choice about how you want to program your nervous system. Repetition is key and I found it encouraging that I have that much choice about my life and what reality I want to create.

Awareness

A while ago another level of awareness arose in me. It was that essentially my whole being was created around truly being victim. I had been trying to fix and solve it for decades. However, if victim part of me “disappeared”, I would cease to exist as me. When I finally learned that the answer was to assimilate it, I’ve been able to create a reality that is rich, functional, productive, rewarding and a lot of fun. Solving the unsolvable

I would suggest that one resolution that’s more possible to keep is simply committing to becoming more aware. It isn’t possible to solve anything unless you understand the nature of the issues. I spent over three decades doing battle with adversaries that I didn’t know or see. I just kept fighting and fighting. Settling in and “being” takes much less effort. Paradoxically, you will have more energy to actually accomplish your dreams.

 

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  1. Felitti VJ, Anda Rf, Nordenberg D, et al. The relationship of adult health status to childhood abuse and household dysfunction. American Journal of Preventive Medicine (1998); 14:245-258.
  2. The New Dictionary of Cultural Literacy, Third Edition, Houghton Mifflin Company, 2005.

 

 

 

 

 

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Beyond Forgiveness–Compassion for Those Who Hurt You https://backincontrol.com/beyond-forgiveness-compassion-for-those-who-hurt-you/ Sun, 23 Feb 2020 22:20:03 +0000 https://backincontrol.com/?p=17565

Ongoing anger is an absolute block to moving forward and living a truly enjoyable life. You are stuck to past. As anger is a reflection of higher elevations of stress hormones, sustained levels of them will also make you sick. The list of stress-related diseases is long and they are serious. … Read More

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Ongoing anger is an absolute block to moving forward and living a truly enjoyable life. You are stuck to past. As anger is a reflection of higher elevations of stress hormones, sustained levels of them will also make you sick. The list of stress-related diseases is long and they are serious. The essence of healing from mental or physical pain is learning methods to optimize your body’s chemistry to that of a play profile. There is a profound effect on every cell in your body (50 trillion of them). This occurs in the presence of deep compassion.

There are several factors to consider with regards to forgiveness:

  • It is not an intellectual exercise. You have to be able to feel and acknowledge the depth of your anger before you can let go.
  • You will always possess anger. You are not going to get rid of it. It is a survival reaction. Forgiveness is an ongoing daily practice.
  • It is critical to become aware of and let go of your deepest wounds. Forgiving smaller wrongs is helpful, but is not going to really alter your body’s chemistry. Global ongoing anger is deadly.
  • The final step of forgiveness is generating deep compassion for the person or situation that hurt you. You might be thinking at this moment, “No way!!” It is not a matter of liking this person, but do you really want to continue to give control of your quality of life to who you rightly despise?
  • Deep compassion will move your brain activity off of the pain circuits and create a wonderful chemical environment. Why would you not want to exist in this state?
  • BTW, it is common, if not the rule, that people become addicted to their pain and being in the victim role. It is irrational and the biggest block to healing. If you are already reacting to these first few sentences, you are in this role. I know because I was one of those people for most of my life.

Empathy/ compassion

The Oxford dictionary defines empathy as, “the ability to understand and share the feelings of another.” It is a core component of nurturing human relationships. If you don’t have some sense of how someone close to you is feeling, you can’t interact with them in a meaningful way. You might as well be in another room. The capacity to feel empathy is an inherent part of the human experience because from an evolutionary perspective, it was the species of humans who learned to cooperate that had the highest likelihood of survival.

 

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Compassion is the next step in healthy relationships that follows empathy. You first have to have the ability to see a situation through the other person’s eyes with an understanding of what it might be like to be in a similar circumstance. Compassion is a desire to help out. Nurturing compassion has two parts: 1) engaging in practices that engender empathy, and 2) removal of any interference connecting you with your own compassion.

The disconnect–anger

The problem is that when you are consumed with frustration and anger, it is only about you and it is not possible to be aware of other’s needs. So, the foundational step of empathy is compromised. You might feel you have empathy in spite of being upset. You might–after you calm down. But often people in pain are constantly frustrated and many of their relationships are based on bonding with other people who are angry. It seems like a close relationship with intimate conversations around suffering. But do you really know the person beneath the pain? It is a vicious cycle and one of the reasons why it is so important to never discuss your pain or medical care with anyone except your providers – ever!!

We all have a deep need to help those around us. But when you are angry, compassion goes right out the window. It is the interference that needs to be dealt with before you can feel compassion and engage in helpful acts. Only then are you able to implement practices to increase your empathy–starting with awareness.

Brenda

Patients freed of pain often want to give back—and in a big way. Brenda was a patient who became paraplegic from an unfortunate series of events surrounding spine surgery. She wasn’t happy before the complication occurred and certainly not after it. Using the methods she learned in the book, Forgive for Good (1) made a tremendous impact on her outlook, mood, and pain.

After she embraced true forgiveness, her overwhelming urge was to help others in wheelchairs who were suffering from chronic pain. She was happier in a wheelchair than she was walking, anxious, and angry. She then descended back into her Abyss of chronic pain for several years. I recently heard from her, and she had pulled herself back out. Once you’ve tasted true freedom, you’ll know how to return to it.

Nurturing Compassion

I have a few suggestions to consider, which might help you formulate your own ideas of how to give back.

  • Remain committed to your own journey. You can’t help others if you are not doing well.
  • Practice awareness. Remain aware of yours and others’ needs, listen carefully to others and try to see situations through their eyes.
  • Don’t discuss your pain, complain, give unasked-for advice or be critical. None of these are compassionate acts. It is a little harder than you might think, because all of us complain. It really isn’t that enjoyable.
  • Learn a compassion-based meditation practice. I don’t meditate easily and I have condensed my  practice to, “be nice” regardless of the situation. It is humbling to see how difficult this is.
  • Your highest priority is your immediate family. Even if you’re in pain, always treat them well.

It seems almost impossible to forgive those you have wronged you or commit evil deeds. It is indeed extremely challenging. The first step is to realize how much suffering they are experiencing that drives them to act so badly. They are living in a dark world and may not have ever known love or what it even looks like.

Also remember that you don’t have to like the person who has committed bad deeds. That is a much different energy than letting go and having compassion.

Anger will block compassion. It has to be processed first. There is no way around it. The way you can and will nurture compassion for you, is to develop it towards others around you. It is the step beyond forgiveness.

Moving Forward

A growing body of research is showing that most people won’t let go of the situation or person who wronged them. (2) Hanging on to resentment has been shown to increase pain and compromise one’s quality of life. (3) Forgiveness is correlated with less mental distress, pain, and an increased capacity to enjoy life. (4)

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Make a random list of ideas of ways to give back that are interesting to you–write them down. They can be small actions.

  • Pick the top five
  • Prioritize them.
  • Pick one.
  • Develop a focused plan.
  • Do it!

What is your vision of what you’d like your life to look like in one year/ five years?

  • Be as detailed as possible.
  • Learn organizational skills to implement your vision.
    • Getting Things Done (5) by David Allen is an excellent resource.

Creating your vision and moving forward with or without your pain requires compassion and a commitment to yourself. It is the surest way to leave your pain behind as you actively re-engage with an enjoyable life. It is your time to thrive!!

References

1.  Luskin, Fred. Forgive for Good. Harper Collins, New York, NY. 2002.

2.  Burns JW: Anger management style and hostility: Predicting symptom-specific physiological reactivity among chronic low back pain patients. J Behav Med (1997);  20:505-522.

3.  Burns JW, Johnson BJ, Devine J, Mahoney N, Prawl R. Anger management style and the prediction of treatment outcome among male and female chronic pain patients. Behav Res Ther (1998)l 36:1051-1062.

4.  Carson, JW, et al. Forgiveness and Chronic Low Back Pain: A Preliminary Study Examining the Relationship of Forgiveness to Pain, Anger, and Psychological Distress. The Journal of Pain (2005); 6: pp 84-91.

5.  Allen, David. Getting Things Done. Penguin Books, New York, NY, 2015.

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