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Van Der Kolk On Mindfulness And Why It May Cause Dissociation

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shimmerz

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I stumbled upon an article about Van der Kolks "Putting neuroplasticity into clinical practice with neurofeedback: rewiring the brains of children and adults who lack safety, self-regulation, capacity for play, and executive functioning"

Now THAT really resonated. It is a really interesting read if anyone is interested. Really validated a ton of things for me.

He mentions that perhaps mindfulness is NOT always a good thing and needs to be worked up to for those of us who dissociate heavily. He says a ton of other relevant things as well. Just thought I would share.

https://healingfromthefreeze.wordpr...us-nerve-and-the-difficulty-with-mindfulness/
 
@shimmerz - Thanks for the link. That was fascinating.

I have been able to do some mindfulness work for awhile now and have started to attend a group meditation class (three times so far). It makes me wonder how my (PTSD) experience of it is different than others'.
I"m always surprised by how much I am feeling in my body when I take a few moments to get quiet and check.

I've done acupuncture for four years now and EMDR for one. It seems to be building tolerance for being able to "feel" myself better. I'm still not sure how much is blocked off.

I know others on the forum have said how terrible it feels to try to meditate. Opens the door to too much.
 
Very interesting!

I think it shows that no matter what the therapy, treatment, or skill is------that we all must determine if it's right for us personally.

I know mindfulness is pushed heavily, almost as the end all and be all of healing-----(almost!)

I can personally handle certain mindfulness practices, but others send me off the rails.

I think that it's important to find what works for us, and if something doesn't help (or makes us worse), then we should have the power to say "thanks, but no thanks" without having a therapist or doctor or anyone else telling us that it's something we need to (must) do in order to heal.

Maaaan-----! Just thinking about certain parts of mindfulness have spiked my anxiety!
 
@shimmerz Thank you thank you and thank you so much for posting this.

I have been speaking to the person I do some body work with about this for while.

Basically I starred meditating six years ago, attended several MBCT,MBSR courses had a daily practice - was walking or sitting for three hour a day. I even trained as basic teacher and started using it in my work. It changed my life!
It was probably one of the best periods in my adult life. I started get more into buddhist ideas - spending a lot of time on long silent retreats. Once again all very insighful experiences.

Then the following started to happen:

At some point I moved from sitting with to sitting on feelings and the practice became a form of denial. It was very subtle.

I was using non-attachment and withdrawing/silence to actually avoid the insight/lessons in the feeling and was quite unaware of it for a while.

Reflecting on it, at some point the practice got me in contact with some very deep and painful feeling/sensation - I do believe that this is inevitable with long term practice, the surface thrashing ends and we find ourselves much deeper in our emotional body - I wasn't necessarily able to connect it (body memory) with anything - as can often be the case with the more 'feely' form of flashback, I didn't even know it was happening but I knew how to 'use' the practice to sit on it all. I say 'use' because in my view part of this has to do with the skillfulness of the practitioner and this is when having a teacher you're close to can help.

After nearly a year and a bit of not having a structured practice to stopping. I am just starting to re engage but in a totally different way.

Hope that made sense and this didn't feel like a hi jack. I just wanted to contribute my sharing my personal experience of this. Was excited to see the post/article. Thanks again.
 
Fascinating....but not surprising.

First...the author of this article is local to me! How cool :)

Before my T could teach me to recognize my body and the sensations that I had, it took a great amount of time and special care. We seriously started with the smalles, most insignificant feeling and sensation and had to grow from their. The slightest mention of how I felt or how something in my body felt or was reacting to what was being said, sent me into a full freak out. Shut...done...walls...up...freak out!

No way could he reach me and no way was I safe for mindfulness. That was years down the road!

Geez, I've come a long way...
 
I cannot do any sort of mindfulness yet, at all. My therapist is starting on one thing at a time. We started with thoughts, months and months of just simply becoming aware of what they were. Then months and months on identifying ONE feeling, just one. Before a few weeks ago (today its all out the window), I could allow thoughts come and identify them and allow feelings to come and identify and sit with them, investigate them but neither thoughts nor feelings would pass on, which was an issue. We havent touched on body sensations, Id go insane...INSANE, if I picked out one body sensation.

I also cannot stay present & grounded, I disassociate fast. I cannot meditate.

Mindfulness is rather frustrating and almost impossible for me and I havent read the link yet but can completely see how mindfulness can make you disassociate, for sure!
 
Bessel always does build up techniques for his clients and sees what works and doesn't work for them, which highly depends on how they can stay in the present with themselves.

But he does highly recommend mindfulness.
 
If you read it closely he statss that many people can't be present in the body because of their fear of physical and emotional responses and THAT is why any sort of mindfulness is not always good and must be worked up to, not that mindfulness practices don't always work or can't work for some, or so on.
 
I think the point of this thread is more along the lines of "you're not a freak if mindfulness isn't wonderful for your healing"--------

It seems that whenever mindfulness threads like this are started and there is validation for those who have problems with meditation, someone jumps right in with the kool-aid to "prove" that mindfulness really is the holy grail of healing.

Yes, I remember that mindfulness thread from January which was on this same topic. The mindfulness kool aid drinkers put me through the ringer and pretty much told me I was flat out wrong. I really don't understand why other people are refuting MY personal experience. If meditation works for others, then great-------but don't tell me that it works for all. Nothing on the face of this planet works for everyone!

I've been fooled before by those treatments that are touted as 100% positive with no negative effects. It's a farce------nothing works that well.
 
The actual talk that this blog post references doesn't seem to be available free, but I wanted to undersand from the horse's mouth what van der Kolk had said, so I found a paper "CLINICAL IMPLICATIONS OF NEUROSCIENCE" at Link Removed

Three excerpts, from near the end seem relevant this thread The first certainly reflects my experience of attempting mindfulness, and often of attempting to look within myself in any way. I want to flee from what should be calm observation, because it seems dangerous and threatening. Like so much else, it confirms that I am innately WRONG. Avoidance seems the safest solution.

" traumatized individuals, as a rule, have great difficulty attending to their inner sensations and perceptions—when asked to focus on internal sensations they tend to feel overwhelmed, or deny having an inner sense of themselves. When they try to meditate they often report becoming overwhelmed by being confronted with residues of trauma-related perceptions, sensations, and emotions: they report of feeling disgusted with themselves, helpless, panicked, or experiencing trauma-related images and physical sensations. Trauma victims tend to have a negative body image as far as they are concerned, the less attention they pay to their bodies, and thereby, their internal sensations, the better."

But I don't think he was saying that mindfulness in itself is a bad thing - he goes on to say

"treatment of traumatic stress may need to include becoming mindful: that is, learning to become a careful observer of the ebb and flow of internal experience, and noticing whatever thoughts, feelings, body sensations, and impulses emerge. In order to deal with the past, it is helpful for traumatized people to learn to activate their capacity for introspection and develop a deep curiosity about their internal experience. "

I think the key here is the phrase "careful observer". Somehow there must be a way to watch this rather than to be re-participating in it. I don't know what that is, I certainly haven't encountered it. I think this is where the dissociation comes in, and I think for me there are two successive stages of it. As I look within, first I dissociate from the here and now to go back into those old "trauma-related perceptions, sensations, and emotions". Then in order to avoid that perceived danger I dissociate from the whole experience and drift away. Attempting mindfulness ends up with me being wholly un-Mindful.

He does seem to offer hope, that if we can be fully present through Mindfulness we can start to overwrite the old records.

"traumatized people often lose the effective use of fight or flight defences and respond to perceived threat with immobilization. Attention to inner experience can help them to reorient themselves to the present by learning to attend to nontraumatic stimuli. This can open them up to attending to new, non-traumatic experiences and learning from them, rather than reliving the past over and over again, without modification by subsequent information."

For myself, I need to think about how to apply this to the Qui Gong I'm encountering as part of Tai Chi. Our Chinese instructor can be hard to fully understand, but she has tried to explain that Qui Gong is more meditative, and often tells us to "Aware the body" and to I thought the drifty state I was entering into was an indication of doing it right, but I realise that once again I am not staying present with the movements and what I am feeling. Challenging.
 
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