Entherapalgia

There is a particular emotional state, which through my years as both a therapist and a client of therapy I have come to recognize as a distinct state that we don’t seem to have a name for. It happens in the milliseconds following the experience of getting something we’ve needed for a significant length of time, almost in tandem with the needed relief. I’ve decided to begin calling it entherapalgia, meaning “the pain within healing.”

Somatically-speaking, it tends to show up as an opening sensation in the chest and/or stomach, often accompanied by a little gasp and a sigh that brings some muscle relaxation. Sometimes that relaxation is the softening feeling that precedes crying. Similarly, entherapalgia can feel like a sigh of relief and a punch in the stomach in tandem. As you might imagine if you can feel into those particular sensations, it can be difficult to tolerate.

Because it involves a lot of vulnerability, we will sometimes tense up when we predict that an experience will evoke the feeling of entherapalgia, or we try to clamp down on it once it’s begun. Both pleasure and pain share one entry point in vulnerability, so even though staying open is how we heal, it doesn’t always feel safe enough to do so.

Since I began using this word for myself and my clients, I’ve found that it’s quite helpful to expect healing to be a little painful. Why shouldn’t it be? Physical healing almost always is, especially when what we’re healing is something that we’ve been organizing ourselves around for a long time (my posture-correcting physical therapy comes to mind). When something pleasurable or relieving makes contact with something that hurts, of course we’d feel both. It’s an extra challenging one to be sure, as it seems that the experience of being vulnerable doesn’t really get easier, just more familiar. Though familiarity does bring some amount of comfort.

Part of the beauty of somatic work is in making space for healing by learning and practicing how to experience pain in a tolerable way. The aim is always for experiences to be embodied rather than solely intellectual, and the intellect and senses can be helpfully bridged with the right words. So I hope this term and its framing can be a support in our ever-progressing process of learning how to be vulnerable.

Shame Overload

Shame fills the little hollow cavity that vulnerability creates.
-Kate Sheehan

Kate is my therapist. She said this to me in session when I was struggling to make sense of an emotional reaction I’d had. I think it’s a perfect articulation of the somatic experience of shame, and it was especially useful to me in that moment, because I hadn’t yet become aware that shame is what I was feeling. And that’s the thing about shame. It is so good at its job that you don’t even know it’s there. I think that’s exactly what’s happening in our country right now. It’s an ugly process the way it’s being held within our current political structure, but people are bringing it into the therapy room and it tends to go pretty damn well there. So let’s look at why and how, and get moving on resolving this on the cultural level.

Let’s begin by giving shame a face so that we can keep our eyes right on it, which is what shame both hates and needs. Shame is extreme discomfort caused by the feeling of not being ok with oneself. This discomfort stems from a chasm between how a person is seeing themselves or believing themselves to be seen, and how they believe they are supposed to be according to their own standards or societal ones. I often go to the words of Brené Brown for guidance here, and her distinction between guilt and shame is particularly handy: where guilt is “I did something bad,” shame is, “I am bad.” Somatically-speaking, it is the desire to hide when feeling more than a tolerable amount of discomfort with being seen. When we feel shame, we are often motivated to hide at any cost- sometimes literally, sometimes behind thoughts and words. Most painful and most insidious is that shame can be so good at getting us to hide that we will sometimes hide from ourselves. Typing #metoo into the town hall that is social media has been a way to bring ourselves back out into the light, and into the light we are bringing the shame that forced us into darkness. That affords us an incredible opportunity to face and dispel toxicity. But the gravity around shame is strong.

Allow me to disclaim right here that this article does not contain anything graphic, but I am going to discuss various aspects of sexual trauma and that alone can evoke difficult sensations and emotions. Please go slow in reading, and use your intuition to take care of yourself in what ever way you might need. What I’ll be focused on here is the role shame is playing within the #MeToo Movement and how to manage shame outside of the therapy setting, because we are struggling like crazy with resolving our collective experience of it. And thank goodness, because we are long, long overdue.

Brown writes that “shame gets it power from being unspeakable.” I would bet that that’s hugely why it’s taken us so long to begin to look at these topics that evoke so much shame, and why we’re having such a wretched time with it. Working with shame means regularly walking the line between tolerability and traumatization. That is exactly why trauma work requires a trained and practiced professional. And yet here we are having to work it out within our social-political structure.

So let’s get into what shame needs. In the therapeutic setting, shame surfaces the most often around intimacy and sexuality, and especially around sexual or physical trauma. This is because the body and its contact with others is the most potent medium through which we experience ourselves and the world. When these experiences go poorly, especially if they go poorly many times and/or are traumatic enough, shame begins to take up space within them. If we are quite young when these difficult or traumatic experiences happen, shame is particularly likely to rush in as a way to protect us. It is, in fact, a penultimate resort- the last stop before dissociating entirely. Sometimes it simply becomes a launching pad into exactly that. We can’t avoid feeling, but we can avoid feeling what we’re feeling. It’s a brilliant mechanism when we have nothing else at our disposal, and the protective part is something to keep. The work is in replacing shame with other forms of protection, so that feeling can become safe again.

In somatic work, we work directly with the experience of being seen in the literal sense. When in the therapy space a client and I are onto shame and its sneaky little game, we begin to look at the nature of our eye contact, at how much space is between us in the room, whether I’m facing them directly or I’m at an angle, what sort of physical contact might be helpful, if any- all these ways in which we can contact each other in the room. What we’re doing is finding out together what’s needed in order to have safe, comfortable, authentic connection, which is the antidote to shame. From there we continue to practice listening and responding to the body as we work to stay in contact with ourselves and each other.

Let’s deepen this a bit further with an example of how shame typically shows up around sexuality, since it’s sexual content we’re dealing with in our cultural struggle right now. In the therapy room, the experience usually goes something like this: a person realizes that naming something sexual is necessary within what we’re exploring (that is in itself a feat to be celebrated since shame will keep us quiet for a long time). This might be a fantasy or desire, a masturbatory habit, a frightening encounter, or even just a casual remark with sexual content. Even if there’s conscious awareness of how it could help, the disclosure might be followed by sensations of shame. Shame needs no invitation from us. So a person might begin to feel things like: a sinking sensation, pressure in the chest, closing one’s eyes, covering the face, feeling cold, feeling numb, feeling floaty or fuzzy, feeling confused. These sensations overlap heavily with the symptoms of dissociation, and that makes sense, right? Shame is about hiding, and dissociating is a very effective way to hide by hiding from what you’re feeling. For that same reason, anger has a high chance of surfacing in this space. It will sometimes surface when shame is being evoked, and sometimes it will rush in to replace the experience of shame after it’s begun to be felt. Feeling angry is especially common for people who were raised not to show any vulnerability. They don’t know what to do the feeling when it surfaces, so they feel angry at whoever or whatever made them aware of feeling it. I find it really helpful to know how common this is, because it helps me to respond appropriately. Let’s spend another moment on that.

One of the aspects of shame that seems to me to be the least understood is that it will surface entirely on its own. It doesn’t need to be drawn out or added to. Because it’s a protective mechanism of the autonomic nervous system, it pops up automatically. So what’s needed most for the experience of shame to become useful is for it to be safe to become vulnerable. I like to think of shame, and guilt too, like an alarm bell; it lets us know that there’s something to pay attention to. The struggle almost always comes in the response. We have to know how to pay the right sort of attention to shame to create a proper holding environment for resolving what ever is being highlighted by the shame. This is exactly what makes it so incredible when a person who has been a victim of sexual violence is able to speak up for themselves despite a high likelihood of being shamed. They are doing for themselves in that moment something that very few of us can do: create the space to be vulnerable, open up our chests, and keep them open by shrouding them with respect, kindness, and acceptance as we are pummeled with anything but.

I wanted to get this piece of writing out and into your inboxes and feeds, so I’m publishing it in its current form. I keep starting into other components of this dynamic we have around shame, but it’s getting too big for one article. I know what that drive is in me, which also motivates me to stop here for now: I want to help you create a safe holding space for yourself right this very moment, so that you can get on with the beautiful experience of being free to feel. But shame can’t be rushed out the door too quickly, or it comes back louder. The work is only done well at a steady pace. So I’ll keep at it and give you more pieces as soon as I am able to paint them, but I’ll leave you with the name of one particular portrait.

It is incredibly important to this process that we end the stigma around mental health, which contributes to the perpetuation of a hierarchical structure. Right now we’re working with an especially ugly version of patriarchy, but any hierarchical structure is problematic unless (or probably even if) we know how to be truly fair with anyone who we encounter. And this is not to diminish the agonizingly harmful effects of Patriarchy in itself; the problem is cyclical. Patriarchy perpetuates mental illness and the failure to address mental illness serves to maintain Patriarchal structures. If you want to dive further into understanding this in its complexity, I highly recommend the writing of James Baldwin, Audre Lorde, and Laurie Penny. They will show you how necessary it is to understand not just basic but complex principles of psychology and sociology. Low emotional intelligence is a severe hindrance to critical thinking. I happen to believe that emotional intelligence should be a core curriculum subject beginning in the first grade. Naturally there are many people out there teaching children how to notice and make use of their sensations and emotions. Yet what we’re seeing right now is in part an effect of a collectively low ability to address our intrapsychic worlds, so we know that we have to keep working at this. It’s a skill that needs to be more widespread and practiced far earlier in life, so as you move back out into the world after reading this, know that you can have an immediate, steady impact on all of this by being a proponent of mental health literacy.

show your bleeding heart: A Guest Post from Tulasi Adeva

Tulasi Adeva is a therapeutic mentor and embodiment facilitator who lives and works in beautiful Hanalei, Hawaii.

I had the honor of working with her at the Oakland Center for Holistic Counseling. She has a fiercely open and clear heart, and I was often speechless when I would hear her talk about the way she knows people and the world. She is often able to articulate what is deep down inside of us all, and this article is no exception. She wrote this beautiful, perfect piece in response to what happened in Orlando this week, and I have the honor of sharing with you here. This applies to everything, and I believe it’s terribly important to realize how vital this work is. I challenge you to allow her words into your body. Try them on and see what shifts, or what would need to.

“maybe vulnerability is the greatest key we hold to our collective healing. not vulnerability held close like in a poker game we are trying to win, but vulnerability revealed, vulnerability laid out for those around us to see.

this is not an easy thing. as humans we grow good at being guarded. we learn all too well how to hold our emotional cards close in. we learn to navigate the hazardous terrain of relationships by defending and protecting. the brain is so sophisticated and complex it manages our whole strategy in such a way that it feels like a second skin, like this is just the way it is.

but when you hold a baby in your hands, a fresh being newly breathing air, you know that our essential nature is vulnerability. and with vulnerability comes unconditional love. with vulnerability comes our capacity to trust. with vulnerability comes our capacity to fully be all the way here.

because let’s be real. this being alive is VULNERABLE.

we may try to hide away, and defend against, in order to protect ourselves, but that protection cuts us off from what we truly want… to be seen, acknowledged, appreciated, LOVED.

we are a complex system of beliefs and cultural conditioning. we are a store house of generational trauma and instinctual survival. amidst all this we are evolving at such a rapid rate, individually and collectively, that we don’t entirely know how to keep up. we are boiling inside.

with our deep desire. with our own fears. with confusion. with pain. with rage. with longing. with heartache. with a calling for more.

without a firm grip on our inner compass, a deep connection to our own heart, a tender acknowledgement of our own vulnerability we get locked into a stance of defense. we resist what is.

we want to hold on to what we know, we want to have it all figured out so we can avoid risk (vulnerability) and play it safe.

part of my teaching is about feeling what’s here to be felt. going all the way in. this is not an easy task, often it feels like the pain or discomfort will never end. but inevitably on the other side we meet our vulnerability, our tenderness, our hearts. and there we come to know ourselves more completely.

there is a teaching in relationship work to take 100% responsibility for what is going on in a relationship. in akido when practicing with another the resistance you feel, is your own. both of these teachings are pointing us toward self responsibility, personal accountability, toward a recognition that how we move and what we choose to do impacts the space and outcome of what unfolds.

but as david whyte says we have to take the close in step. before we can take 100% responsibility, before we can identify the perceived resistance in another as our own we have to know ourselves. i mean really get to know ourselves. look in the mirror and look deep. what are we hiding, what have we tucked away, what don’t we want others to know and see?

our pain is the catalyst for our creative expansion if we have the courage to face it and the willingness to see what’s there to be seen. when we meet and greet our own vulnerability it opens up space, it opens up compassion, it opens up a renewed relationship with responsibility – to ourselves and the world around us.

because no matter how we come in, what we’ve been told, each one of us is a sovereign being with a calling and a purpose for being here at this time. but until we get that, we are flying blind in a selfish charade of pleasure seeking and self protection.

amidst all that the world is reflecting back to us these days it is so easy to be broken hearted– especially if you are in touch with your own tenderness, with your own vulnerability. on countless occasions the intensity i have seen or felt or heard has knocked me to my knees. i’ve wanted to scream but i have kept my mouth shut. i have wanted to cry and so i did behind closed doors. i have wanted to pretend that this was not real and not going on, so i would look the other way and let life go on.
to be a vulnerable human being means to walk through the world with your heart broken open. it means to hold it bleeding in your hands because it’s yours and it’s rhythm matters. to be vulnerable means to be courageous… to move and live with heart. it means we must see ourselves- the light and the dark. it means we acknowledge who we are – divine beings with a greater purose and fallible humans figuring it all out. it means that we appreciate the path before us – the one we have chosen, with all the challenges and triumphs it provides, for this life is our teacher calling us back home to our whole-hearted-ness. it means we bring forward love – for ourselves and for each other, as often as possible, just as we would love that brand new, completely vulnerable baby.

when we are in touch with our own vulnerability and we see it in another, we are opened, connected, changed. today i watched a raw filmed video of a woman speaking the potent truth of something that touched and moved her deeply. she shared the healing of a vulnerability she has been carrying most of her life. and though it was not my story, i felt her in hers. though it was not my story i felt the healing happening. though it was not my story i understood that her healing is my healing for we are never alone and on our own, we are both that baby, we are both vulnerable to all that is unfolding.

lately every sign i see is a call for deepening. a soul dive beneath the surface of the way things seem and the labels and stories we can read. it is a tap root connection to the truth of our own soul. it is a willingness to be vulnerable and speak from that place, to share from that place, to lead from that place.

this world is changing. so rapidly. every day. there is so much more to it than big money and good branding and how many likes your posts receive. it is a life or death battle for the earth, for humanity, for heart. and the only way i can see to get through to the other side is to be all in. take your heart out in your hands and show it to the world.

what if we were courageous enough to be raw and real? what if we no longer held ourselves back? what if we practiced compassion for ourselves and each other, even when we disagree, because we remember and honor vulnerability?

i am still learning. i am practicing. i am afraid that you will hurt me, not see me, not care. i am afraid you will say it doesn’t matter, that i don’t matter and that i shouldn’t share. i fumble all the time. i do not have it all figured out. but when i tend to that still small voice within, i know i am 100% responsible for all of this and my voice matters, my heart wants to be felt. i am letting all of us down when i don’t let the truth of own vulnerability come out.

and so i offer it to you. i offer you a seat here with me, in a wide open space where all that needs to be said can be said. where all that you feel is a welcome expression of the truth of your experience, where all that i feel is a welcome expression of mine. and in this field i know we will meet and see each other again for the first time and remember that we are one. we are tender, vulnerable, open hearted love.

here we will change the world.”

Find Tulasi and her incredible work here.

Originally posted by Tulasi Adeva on June 14th, 2016. Source: http://www.rockyourjuicylife.com/inspire/2016/6/14/show-your-bleeding-heart. Reposted with permission from Tulasi Adeva.