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What Does "processing Trauma" Really Mean?

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Processing and integration may be related.

I was told long ago that when traumas are occurring, we throw these unwanted memories (most of them visceral/non-verbal) and "throw them in the closet," slamming the door shut. We then throw everything in there that is a trigger, avoiding triggers as much as possible.

Later, when healing is underway (healing in the form of integrating the life narrative, looking for the missing pieces to make sense of life) bits come falling out and hit us. The memories are fragmented and unprocessed in that they were never properly stored, never coded, never labeled, never rehearsed. Normal memories are stored differently and in different parts of the brain. They are accessed differently.

Flashbacks and other strange occurrences seem like bits of the trauma time falling out of the closet and hitting me full on. Rather than view these totally unpleasant experiences as totally bad, I have learned to accept them and allow them to run through, like a tape, while I observe and totally accept the ride, terrible as it may be. Part of me remains the observer and really analyzes what I am doing/feeling.

For example, much of what I have have accessed is the time right after the attacks, when I feel devastated emotionally and instinctively want my mother. I am suspended in the time of wanting my mother to come and make me feel safe again, but she never does.

Rather than remain "stuck" crying and wanting my rescuer to be my mother, I reach out to my carer and consciously "allow" this person to be the one that I wanted to come save me. I tell myself that he is my carer, and that I should allow him to comfort me NOW, even though the trauma was 30 years ago. This has occurred three times. Each time I had to convince myself that it was a good idea to allow this person to function as my spiritual mother, and accept that my real mother is NEVER going to be there for me. This has allowed those flashbacks to stop coming and demanding her presence.

So it looks different for everyone, depending on a lot of things, but I think a key element is to allow the memories to come. I have allowed them to take me on the ride during which there are parts when I do want to die. I come through that part of the ride to the part where I look to love to save me, and there I have power to activate love now. I thus, change the ending of the story, to a happy ending in the present. This has helped me quite a bit. I am not cured. I just processed that part. There is so much more.

I believe in ACT therapy for PTSD not CBT because for me personally, I have had to move through re-experiencing with acceptance. I have had to stop avoidance and running away. Sometimes I needed to relive the emotional content, understand and anaylze my experience to gain a new perspective while also getting very close to it. This, to me, feels like both zooming in and out, in quick succession (or maybe at the same time) in order to gain mastery over whatever has come up for me. Most of all, I respect whatever comes and my emotional responses. I allow it. I don't fight it any more. I am not afraid of it like I used to be. I allow my carer to watch me crumble into a million pieces and be reduced to what I call Chimp state of fear. I become a frightened animal. He can handle it. I can handle it, and we know it will pass.

I have not been able to trust a therapist for this kind of processing. It is far too intimate. I have been with my H. carer for more than half my life, and he is the only one I feel I can trust like that. And trusting him has been the only healing I put my faith in.

He and my kids are my motivation, and maybe, my soul. I was willing to "go back to that time" and relive it, process it, to be better and more alive for them.

It is going into the closet or allowing stuff to come out. However, I have had dreams in which I weigh what I'm willing to face. There is more I've hidden in there that I just don't want to process. I don't see a guarantee that if I face it, it will matter or do any good. But if it comes up, I feel it coming, I try to just let it come if I can, and warn my carer.

For me, processing is personal and at home, and only my career has seen what it looks like to an observer. Before I had him to help me understand and verbalize to afterward, I only could just cry without knowing why. Endless pain and tears. I was stuck there until I had this relationship and trust.

I don't say it's a cure, but I appreciate it whatever it is.

Muse
 
Motivation is also mysterious. What makes stuff come up in the first place?

I recently read that the body is itself motivated. The "numen" is the essence in the body that desires healing and integration to occur. The body is the mediator of the experience, the track upon which we ride this crazy ride called life. It was the thing mostly threatened.

Healing and care of the body seems to play a role in the processing process. In other words, I have to process my traumas "in my body" as it were. Being in my nice warm tub seems a safe, womb-like place to do my processing. There is a need to mother oneself and to seek out a new "mother" to connect to. This requires a bond of trust and respect.

I am glad you have this therapist. We all have this thing PTSD. Each one of us, in healing, is part of our collective healing of PTSD. Each step you take is healing to everyone; I believe we are all connected by life.

Thank you for the thread, and sorry for double posting and having two responses.

Muse
 
Thanks so much for sharing your experiences Muse, that was very impactful to me and is yet more proof of the fact that everyone's journey to processing and to "healing" - whatever constitutes that for the individual - is so very unique and personal. Reading your account reminded me of something my therapist says often, with reference to Judith Sherman... that being that the greatest damage is done within human relationships, and they are the forum through which the healing must therefore occur. I believe this to be true... as frightening and confusing as that belief often is.

I am so so glad you have your H - the best therapist you could ever wish for.

I also agree that processing must take place in the body and not just in the mind. This was a reality I was unaware of for a long time, and then fiercely rejected and fought against when I did become aware of it. But it's true. For me, it is the warmth of the sun that plays the same role as your hot tub - the warmth and nurturance of a pseudo parental safe figure that sometimes feels like the gentle hug of a caregiver. I know that sounds extreme, and I rarely experience it as consciously or directly as that, but I know that what draws me to seek the sun and long hours of peaceful stillness in its warmth, is the same instinct for safety and soothing that were never satisfied to me by a parent.

I am currently in a push-pull relationship with the concept of acceptance as it's demonstrated through ACT. My therapist is encouraging me to work with many of the ACT skills and tools and while I was, typical of myself, initially resistant and almost terrified by the prospect, I am moving 2 steps forward and 1 step backward in terms of being able to accept this philosophy and to put it into action. That probably mirrors my stopstart journey of acceptance in general, and the fact that for me, the processing journey still isn't clear to me.

Lots more to say, but no words to articulate it right now. Really love everyone's contributions to this thread, it has a life of its own for me and is likely to for a long time.

Maddog
 
Hi MD,

I relate to the shame stuff. I have done a fair amount of reading on shame as it seemed to me that it was almost the essence of me. At one point I felt I was made up of shame, self hatred + empathy-for-others and nothing else. Just a void. That was before I thought I may have trauma in my life so it is interesting you brought this up. It made me think.

One of the things shame says is that we are somehow "wrong" down to a cellular level. If shame does what it should then it helps our social skills as it tells us when we are out of line with the expectations of our culture etc.

The problem arises when we have absorbed messages early on that tell us that we are entirely wrong at the core. That nothing we do could make us "right".

a book which stated that it is impossible to process trauma until the shame has been processed.
And I think when it comes to processing trauma it probably partly comes down to being unable to put responsibility where it really belongs and holding onto the belief (its more than a belief) that we are to blame. Where all the rage and despair is aimed inwards. And so an aspect of healing is stuck.

I also imagine the self hatred was adaptive at one point. Where expressing outwardly could make us vulnerable. Where there is a survival element to internalising those feelings rather than expressing them outwards. And how those ways of finctioning can become deeply entrenched and are activated whenever we feel at risk, threatened or that feelings about others start surfacing.

I don't know if I see it as stopping all movement but rather that it is like attempting to drive with the brakes on. I so see how it would block healing. I have read how true healing only comes when we have processed the feelings that belong aimed at others (anger etc) and have found self compassion.

For example even so called "forgiveness" can keep us trapped and compound shame if we have not worked through those feelings first. I HATE it when I see that f word being pushed on people. I think everyone has to find their own path with it and it can just backfires and fuel shame and self hatred.

So I think part of what makes up the shame is all the old indoctrination, the absorption of feelings that don't belong aimed at ourselves and old entrenched ways of coping.

And there are many reasons it is hard to budge of course. Our caretakers form our conscience early on. That forms our inner "parent".



that you don't really see it happening, but often recognize it only in hindsight.
I think this is very, very 'true!! It certainly is for me. And I can't always hold onto it when I find it so it comes in waves. Like all progress.

But I know too that there are aspects of my trauma memories that are less intrusive for me now, and certain cognitive distortions and negative beliefs that have changed and solidified to a reasonable degree for me, which all help me to balance and rationalise my thinking quicker and more effectively than I used to. I have much greater insight into my past and its effects on me, and so am more able to identify my own distortions and maladaptive patterns and to take steps to deal with them.

I'm more able to talk and confront my difficulties than I used to be, frequent emotional triggering aside of course, and I have many more tools in my toolbox for managing challenges than I did, and am becoming much better and more confident at using them and knowing which ones to use and when.
These are wonderful successes! I do think it would be miraculous if you were not struggling at present though. I think present feelings of danger will always interfere with how we can deal with the past and how we feel about ourselves. I suspect those steps that feel like regression are just temporary if we can find a way to deal with the present and let things settle again. I truly do not believe that we loose progress. There are just very many factors that contribute to how we are functioning in the present so it is not always evident. Crisis in the present can also precipitate greater healing and processing of aspects of damage that we have not managed to get at before. Its as if they uncover different levels of past wounds.


the greatest damage is done within human relationships, and they are the forum through which the healing must therefore occur. I believe this to be true... as frightening and confusing as that belief often is.
I see how relevant this is for me. And I think that is why any positive connection with others can be healing in a way that nothing else.

For me, it is the warmth of the sun that plays the same role as your hot tub
For me it is my fluffy blanket. And I am so very grateful that I can do that type of self comforting. I have only been able to in the last 2 years or so.

In the past, and often still in the present, I can find self compassion or compassion from others as threatening. And it can set off even more self hatred and shame. Such a healthy response! :p I am still grateful for it and on some level I know I need it. It just feels "wrong". But it has also slowly helped to teach me to be kinder to myself. I guess it needs to be modelled.

The only thing that has really made an impact on my self hatred and shame has been Radical Acceptance and the aspect of mindfulness that teaches acceptance of emotions rather than fighting them. Its truly changed my life even though it felt horribly counter intuitive.
 
I was so relieved that I did not have to 'tell my story' in detail. I too wonder how others manage it. I am so glad I did not need to.
My experience is 180 in the other direction from yours Lucycat. I do not feel it has harmed me in any way. Yeah it was painful to revisit the stories but a positive outcome with reprocessing. I have to be honest I just tell all right down to the nitty gritty and explicit details. I often feel embarrassed but yet free to have said it out loud during my EMDR sessions. I always have my eyes closed so I have no idea what my therapists reaction is. I never look at her. I really really trust her. She did tell me that my case was the most intense repetitive sexual and emotional abuse case she had ever processed. LOL Could be cause I tell all!
tb
 
Therapybankrupt: Please tell us how this works

Hi Sheila! I have just gotten back to this thread. As I said in my above post in response to Lucy cats response. I tell all! I use the hand and ear EMDR. If you can read the book by Francine Shipiro ( Getting past your past) It will give you all the information you need . We followed the basic format for preparation and processing as explained in the book. I have been front loaded and prepared for work with multiple traumas. So it is possible and does work. I have been in therapy now over a year. I am hopeful I will be done in Six months with EMDR. Most of the major work has been done with the processing. My T and I have seen great improvements in many areas of concern for healthy survival and improvement in self esteem. Not there yet but not far away either!

I just close my eyes during processing and a story happens. I let my brain do the work I force nothing. Sometimes it has been things I had amnesia with. Childhood sexual abuse and rape during a surgical procedure in the hospital were the two forgotten memories. Many other known traumas have been processed and successfully reprocessed. During reprocessing sometimes my mind re-writes the story giving it a different ending. Usually it is what I wished I could have done and said in that instance. I physically hurt or tell the person in an attempt to fight back or get even as the new ending. Other times I just go through grieving for a few days. We always process the emotion connected with the trauma. ( Shame, Fear, Guilt etc.)

Some times I get body memories that were attached to the trauma and those have to be re-processed also. They can be pleasurable or painful but nonstop is not good. You need to know you keep processing after the session is over and you need to take care of yourself. Sometimes it is exhausting other times I can go do things afterwards. Most times it takes a day to three days and I recognize the work is continuing. You also can get back in to process right away if you are having trouble ,pain or distress. I advise to contact the therapist at any discomfort you feel you can not handle by yourself. There is no need to suffer. I am never alone I have my therapist number and I have had to call and she always answers and gives me direction, comfort, tools or an emergency appointment,

I sometimes want this over yesterday. Your brain will do it when it is ready and when you try to hurry it does not work. It is a matter of relinquishing all control of the trauma. In my case because of the multiple trauma. I also had to do Inner child work. The secrets were kept by the inner child and the amnesia was lifted after acknowledgment and work with the children. This for me was symbolic not an alter situation and has subsided since the processing of the amnesia trauma. I hope this helps!

tb
 
tb, How far back in time do you go (to what age)? I ask this because one of my therapies seemed to have brought me back to about 6 months of age, but my judgement of that age may be off, I don't know. That is why I ask. Thanks for all this info, it helps.
 
tb, How far back in time do you go

Sheila the first trauma was at 3 years old. I always had a vision of being very small in a blue dress and it would make me feel odd. I found a picture at my moms and I was three years old in that dress. Amazing stuff huh! Sheila are you doing processing and reprocessing?
tb
 
Wish I could believe that those feelings/beliefs of worthlessness were not real.

Movin On your beliefs never change unless you yourself find a way to distance yourself or change the belief system. The beliefs usually have been with us forever and it takes some hard work and time. I think this might be a window into your thought processes and could be the key to healing for you. I could not do this myself. It was only through the EMDR which put a distance between the trauma related emotions and my memories.

Once that was accomplished I could look at things more objectively. Many discussions and hours in therapy and my Ts constant helping me to see how I needed to change the emotions and story before I could be free from it . I put in a lot of hard work. When I opened up to it I could start to see and notice triggers and situations I was putting myself in. Anger comes with this stage so if you listen to your anger you can learn about your true self. What can I change or do so I do not feel this way all the time?

You see there is no magic wand or cure. It is time, patients, hard work, letting go, willingness to be open to change, a combination of therapies, medication and trust with an excellent Therapist that has seen me through to this progressive journey. I am not done yet. I am at the listening to my true self stage at this time and changing boundaries ,how I handle myself, how I treat myself, what I expect of others and learning how to just plain live for me. Its all new to me. I am trying to find out who I am now and what makes me happy.

I am distanced from the pain of traumas and the shackles of the emotions related. I am getting better with leaps and bounds. Yes there is set backs but everyone has ups and downs. This is not just unique to PSTD. Its being human! I wish healing for all of you who read this!

tb
 
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