1. Yesterday I shared a wildly angry review of our film All The Rage in order to talk about how expectation is a form of resistance to what is - and that resistance creates suffering. This reaction is much more about this person’s sense of judgement than it is about our film.
2. It’s very easy to react strongly when someone comes to you in a rage. However, through practice we can learn how to respond rather than react. I think this practice is central to healing from trauma. We all gave trauma, but also hide it from ourselves. Trauma is scary.
3. Traumas big and small can lead us to have a defensive posture in the world. If we expect danger we will prepare for it. Unfortunately, we are often unaware of the ways in which we feel emotionally unsafe. The first step is to become more aware of how and why we are defensive.
4. Often times we feel anxious and don’t know why. This is a sign of trauma response. I remember starting to become aware of this when I went to college. I’d wake up nervous and ascribe it to an upcoming exam or paper. I often felt like I could not keep up. I did not understand
5. I had no way to articulate what was going on then, but I learned how to get it in check, and I also avoided situations where I feared living up to expectations. I have a lot of suspicion of all kinds of systems. I figured out how to avoid them in order to stay “safe”
6. I might get wildly anxious about a job, so I got ones with less expectation. I also found ways to connect with a lot of amazing and creative people who also distrust them. I understand systems are necessary but can see that they often become corrupted in understandable ways
7. Back to how to address the real problem- anxiety and defensiveness. Most of our sense of who we are is shaped by our experience. Many of our reactions in the world feel so automatic that to change them feels like trying to change who we are. That is all ego. Our ego defends
8. This automatic response is largely patterns learned through experience. Again, Trauma can make us feel unsafe. The big problem is that the part of our brain that feels so automatic can’t differentiate between a physical and an emotional threat.
9. If it perceives a physical and emotional threat in the same way it will prepare the body for conflict by releasing stress hormones. These hormones can help us escape from a bear or a mugger, but not from an emotion that terrifies us. This response can start to feel normal
10. When our emotional needs are not met as young children we learn to suppress them. For example you might have gotten punished or shamed for crying, so you learned that being sad is dangerous. You might have had an emotionally unavailable parent, so have trouble with emotions.
11. If having these emotions feels unsafe our brain will try to protect us from them. Dr John Sarno understood this and realized that the repression of emotions can be the cause of back pain. He postulated that the pain is a distraction from uncomfortable emotions.
12. We can also see it as the result of a defensive fear response. Some people might see it as a message from our body to pay attention to these emotions. One problem is that they are often so hidden from us that we can’t figure it out.
13. Once Dr Sarno realized that stress related to our emotions was the likely cause of the pain he was seeing, he developed a program of awareness that helped people learn to accept their emotions & lessen their fear of the symptoms. He called it TMS - tension myoneural syndrome
14. He began to work with psychotherapists, have all patients attend lectures on the cause, prescribed journaling, and got patients back to movement as soon as possible. He took a mind body approach at a time when the mind was dismissed within medicine. This led to his dismissal
15. Despite the profound success of his program his colleagues refused to pay attention. After World War 2 there was a collective effort to run from the trauma of that time. The first randomized control trial took place in 1948, and the RCT became the gold standard of science.
16. In general RCT’s did not include data concerning the emotions. This bio-technical approach took hold and all discussion of emotions was siphoned off to psychology- discussing emotions in relation to illness was seen as unscientific. To this day Sarno is seen as unscientific.
17. Things have begun to shift. Trauma awareness is becoming part of the cultural and medical lexicon. However trauma is complicated. It’s important to find ways of making it possible to help people move through their trauma. Still, becoming aware can lead to more defensiveness
18. One tool for addressing this on a personal level is to work on a practice of recognizing when we feel angry and taking ourselves out of a situation in order to be with the feeling. Remember, anger is often there to protect us from an emotion. We think someone “made us angry”
19. Once we start to see this we can dial down our reaction by noticing the emotion and learning to respond. Two great tools for this practice are “The Presence Process” by Michael Brown and “It’s Not Always Depression” by @HilaryJHendel which gives us the change triangle
20. hilaryjacobshendel.com/post/2018/07/1… here’s one post from her that gets into how certain emotions seemingly protect us from ones that feel unsafe - learning how to address this makes us able to respond rather than react. - the film review above was a rage reaction;the film “made” him mad
21. The difficulty of delving into our past trauma often makes us more reactive at first. We might argue that others are “triggering” a trauma response and feel enraged. Unfortunately, the ego will still try to protect us by attacking the threat. This can lead to more conflict.
22. When we can learn to step aside and process that automatic response without making the other person responsible it becomes more possible to respond in ways that make room for acceptance rather than resistance
23. None of this is simple or easy. However, as we do this difficult work we might find that other things do become easier. Acceptance doesn’t mean that we don’t address problems, but instead learn to face them with less resistance. We can turn a crisis into a “situation”
24. Acceptance also means understanding that these things take time, & often a lot of support. 1 trauma response is to not feel safe asking for help. Another might be an insatiable need of sympathy or support. Everyone has their own path to healing - empathy for ourselves is key
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I'm not a journalist. I am a filmmaker. For the past 20 years I have focused attention on the work of Dr John Sarno. In that time I have seen a shift in awareness concerning the import of our emotional response/reactions to the world in regards to our physical health.
I was looking into these issues as a filmmaker, but also as a patient of Dr Sarno, whose family has a long history with his work. I was not an "impartial observer". I was an observer who had a personal investment in understanding how our emotions affect our health.
My mother was a pioneer in the field of social work in regards to dealing with groups. As a woman in a male dominated field she faced significant obstacles but became the first female tenured professor in her school. When I was in Jr High she had breast cancer.
Dr Sarno was often dismissed for not doing randomized control trials of his work. Data only has value if we make sense of it. We can also make sense of the data and evidence that exists. rumur.com/if-stress-is-t…
When we observe patterns, like the idea that unaddressed trauma from childhood has negative health impacts, we can work to address that trauma to reduce those impacts. If addressing that trauma leads to alleviation of illness we can build our understanding. Dr Sarno did this.
He saw profound results. In our film “All The Rage” we looked at patterns of wealth disparity and saw that it rose at a rate similar to the rise in the pain epidemic. This fact does not “prove” a connection between pain and inequality but it does indicate it should be looked at.
Yesterday we shared this thread that made the point that Dr sarno was working in a trauma informed manner 40 years before the concept was articulated. Since his work was not understood by colleagues it was dismissed as “woo”, or not grounded in science.
In our film “All The Rage” we also made the connection between the rapid rise in the wealth gap and the rise in chronic pain. Some viewers were angry with this because they felt it made the film political. However, the film also makes it clear that…
poverty, and the stress of not having the resources to take care of one’s family has both social and emotional impacts. @DrBurkeHarris recognized this connection when she opened a clinic in an impoverished area of Oakland. She realized she was mostly seeing symptoms of stress.
4 years ago today my partners and I released a film, "All The Rage", that we had made about Dr John Sarno. It was also a very personal film. Unbeknownst to us he had passed away the previous day. We also had not realized that the day it opened would have been his 94th birthday.
The film took nearly 15 years to make because we couldn't find any support for the production, and we also couldn't figure out how to tell the story. Early in his career Dr Sarno became frustrated by the practices he had been taught for treating structural issues and pain.
When he looked for data and studies that supported these practices he found nothing compelling. He then examined his patients charts and found that 80% had a history of other ailments that were thought to have a mind body component (gut issues, skin issues, ulcers, and migraines)
1/I’m going to do a thread about the connection between Dr Sarno and the films Chinatown and Midnight Run. Further, I’ll make a connection between these stories and the import of cultural context, which shapes, and is shaped by media, as wee as how we interact with that media.
2/The other night we watched the film Chinatown with our 18-year-old daughter. One of her favorite films is Midnight Run. The two films share some similarities. Both feature an ex cop who was pushed out of service for challenging corruption. Both leads can be combative if pushed.
3/ both characters have stayed tenuously connected to policing by working as private detectives or bounty hunters. This leaves them in a kind of a purgatory of waiting. They both appear disillusioned, but still committed to justice. Yet, their work leaves them feeling incomplete
Happy New Year-
Let's start the new year right
The last line of our film about Dr. Sarno (who pioneered a mindbody approach to pain) is, "All of this because of one one simple idea, the fact that the mind and the body are intimately connected. That's it that's the whole story."
This concept is central to all mind body related work. The physical and the emotional are not separate. They are inextricably linked. If we understand that this is true, then we can agree that health care needs to address both emotional and physical processes.
This idea is often met with the confused resistance, hearing that physical symptoms are being dismissed as "all in one's head". This is not the case. However, it does mean that we can't ignore the powerful role of emotions in regards to our physical being.