Mar 29, 2016

Archive for the ‘PTSD’ Category

Parts

Posted at January 13th, 2014
Posted by Geoff Steurer
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Categories: Couples Pornography Addiction Recovery, General Sexual Addiction, Marriage, Partners of pornography addicts, Pornography Addiction, PTSD, self-care, Shame, St. George Utah Pornography Addiction Treatment, Trauma and pornography addiction
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Many years ago a car company, attempting to show the advantages of front wheel drive, aired a commercial showing an Alaskan dog sled team pushing its sled rather than pulling it. Of course, the sled moved nowhere and the dogs and sled were tangled in a chaotic mess. As a therapist specializing in the treatment of addiction and trauma, I frequently meet individuals being pushed from behind by their past experiences.

The problem with being pushed from behind is three-fold. First, they often don’t get where they want to go. Second, they often experience internal chaos, much like the sled and its dogs. Third, because the push is from behind, it is difficult to know what is pushing them. This then begs the question “what is pushing me and why does my life feel so chaotic?”

I would like to briefly answer this question and outline a framework that is helpful to me when working with clients stuck in addiction and trauma.

Within each of us are various parts of the self, or “ego”, that determine our experiences and how we manage them. These parts can be divided into 3 categories:

Exiles

Exiles are the parts of us that carry the burdens of the hurts and traumas we experience. The exile is developed at the time of the painful event and remains in the state in which it was developed. The exile is often young, powerless and vulnerable. The exile typically appears when triggered by external events, however, it may also show up in dreams or other random thoughts. When this occurs we often feel anger toward the individual(s) or event(s) that have caused the exile to surface. What makes the appearance of the exile painful is that it often leads to a reliving of the original traumatic experience.

Because the exile is young, our responses may feel very young. A trauma that occurs at the age of twelve will lock itself in the body’s memory system complete with information about how the body responded to it at that time. Despite advances in maturity on multiple levels, when an adult’s 12 year-old exile is triggered we may expect to see them respond in much the same way that a 12 year-old would respond. This may be confusing to an individual who would otherwise manage themselves differently and may even lead to further trauma depending on the severity of the reaction.

Manager

The manager has two primary objectives. First, it protects the rest of the system (you) from being overwhelmed by the burden carried within the wounded exile. Second, the manager seeks to protect the exile from being hurt again.

Managers are often critical of the self and use negativity to motivate or to keep threats at bay. They may seek to keep everything calm and reduce the threat of abandonment through subservience. Doing what other people want of them for the purpose of not rocking the boat or calling attention to their vulnerability. They may seek to remain busy to drown out the pain of perceived or real threats to their safety and security. An example of the Manager in action is seen in the fight or flight responses of primal panic that comes when people perceive threats to their primary attachments.

Managers are fierce warriors, doing what they believe to be right and good for the system. However, as they fight they often become overwhelmed by fatigue. When this occurs, there are two options available to the system: 1) allow the exile or, 2) enter into the third category, the Firefighter.

Firefighter

The Firefighter’s role is to extinguish the flames of pain within both the Exile and the Manager. This is done often through the use of impulsive, compulsive, and addictive behaviors, such as pornography use, sexual acting out, over or under eating, and over spending. The Firefighter’s intent is to extinguish flames but, instead, fans the flames and makes things worse.

As each of the parts seeks to discharge their individual responsibilities, chaos is created. The primary goal of therapy, therefore, is to create cooperation between these various parts and to allow the “self” (the core of the person that holds all of their values) to be in charge.

Each part has its place. They are not seeking to harm the other parts, only to keep the system in a state of calm and balance. What forms in this reactive state is an “intentions are pure but methods flawed” conundrum of epic proportions. Trauma and addiction recovery, therefore, must focus attention on all of these areas.

Allowing the Manager to relax requires feelings of safety, confidence, and respect in the core self and those called upon to help (partners, therapists, group members, etc.). Allowing the Exile to process its burden often times requires individual therapy and specific trauma processing interventions. The burdens carried by the Exiles can be diminished and lose their influence. Firefighters have a difficult time letting go, they are looking for any end every opportunity to leave the tedium of the firehouse to race down busy streets lights and sirens blazing. There is a bit of a rush in it, but primary in the mind of the Firefighter is whether or not they will be able to extinguish the flames before they destroy the whole system. Through the use of meditation practices, reaching out to others, insights regarding the burdens carried by the system, and a host of other therapeutic activities, the Firefighter can be both appreciated for their efforts to serve and protect the system as well as understand that the system will not be destroyed by a little flare up now and then. This will allow some breathing room between trigger and acting out and serve to maintain a higher level of safety and security.

By understanding these parts of self, one can better organize their recovery efforts. Each part needs to be understood, appreciated, and influenced by the core self. Thus, like the dog sled team, we can be pulled rather than pushed. Being pulled means that we are in greater control and can clearly see the influence that each member of the team, including our internal parts, has on the direction we are going. We can then register our own decisions and direct our lives toward healthy living.

References

Introduction to the Internal Family Systems Model by Richard C. Schwartz, Ph.D. (2001)

Of The Heart

Posted at June 20th, 2013
Posted by Geoff Steurer
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Categories: General Sexual Addiction, Protecting Families from Pornography, PTSD, Shame, St. George Utah Pornography Addiction Treatment, Uncategorized
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In recovery work, we learn a lot about toxic shame. Toxic shame is the feeling that we are deeply flawed, inadequate, and therefore, unworthy of being accepted and loved. Toxic shame is like being plunged into darkness, with a very limited view of yourself and your abilities. Even worse, it hijacks your sense of being accepted, and so you resort to staying in the dark versus reaching for connection. Like being stuck in deep mud, it takes work to be pulled out and redirected when we are in shame. There is another form of self-evaluation that is much more productive and gives rise to a desire for change. This feeling is called guilt. When we feel guilt, we are aware that our actions do not match our values. Unlike shame that makes us feel inadequate and stuck, guilt spurs a sense that we are motivated for change. Guilt is a connecting emotion: When we feel guilt, we know that our actions are incongruent with our values. So does addiction affect our ability to feel guilty? Yes, it does, but the good news is that as recovery takes place, we re-connect to our values and to empathy. It becomes easier to access a sense of guilt when a mistake is made, and we feel more capable of getting back on track. When we feel the shift of our values and a stronger sense of empathy and compassion, we call this a change of heart. You’ve probably heard the adage, “you can’t serve two masters.” Well, without a heart change, or a change of being, it becomes impossible to make a long-term change in what we are doing. Allow your heart change to happen. It will mean saying goodbye to things like lust, bitter resentment, shame, isolation, and unworthiness. It will mean embracing connection, congruency, acceptance, and that you are worthy of something better. Dr. Mark Laaser explained it this way, “In healing from sexual addiction, if all we do is defend, we grow tired and discouraged. We must also build into our lives new behaviors, attitudes, relationships, and spirituality. We are building new lives, new marriages, and we are always searching for new and deeper ways to connect to God and others. We need to be just as accountable to do the good- rebuilding- as we are accountable to refrain from doing the behaviors we hate.” Wishing you the very best in your recovery! – Amy Cluff, LCSW

How to help someone betrayed by pornography

Posted at May 22nd, 2010
Posted by Geoff Steurer
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Categories: General Sexual Addiction, Partners of pornography addicts, Pornography Addiction, PTSD, Trauma and pornography addiction
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If you know someone who has been betrayed by a partner’s pornography use, you’ve probably wondered how to best help them through this relational trauma. In my years of counseling injured partners, I’ve heard quite a range of comments and advice passed along by concerned family members, church leaders, and even counselors.

It’s helpful to recognize that the injured partner is really grieving a loss of what they knew to be real. They are grieving the loss of predictability and safety. And, most of all, they are grieving the injury to the delicate attachment bond between them and their partner. This isn’t something that is going to heal after a couple of supportive conversations. Instead, it’s going to require what Dorothy Becvar calls “the ministry of presence” from those who want to assist.

Being present with someone isn’t easy for most of us. We usually want to say something - do something - anything to stop the pain!

Since the broken bond creates unspeakable panic and loneliness, the most helpful thing someone can do is stay close to the injured partner. That presence and connection helps soothe the fear of being alone and disconnected.

Consider the following thought from Henri Nouwen:

“Being with a friend in great pain is not easy. It makes us uncomfortable. We do not know what to do or what to say, and we worry about how to respond to what we hear. Our temptation is to say things that come more out of our own fear than out of our care for the person in pain. Sometimes we say things like “Well, you’re doing a lot better than yesterday,” or “You will soon be your old self again,” or “I’m sure you will get over this.” But often we know that what we’re saying is not true, and our friends know it too. We do not have to play games with each other. We can simply say: “I am your friend, I am happy to be with you.” We can say that in words or with touch or with loving silence. Sometimes it is good to say: “You don’t have to talk. I am here with you, thinking of you, praying for you, loving you.”

It’s easy for our own pain and discomfort to get in the way. When this happens, the individual who is hurting often feels overlooked. Instead, trust that your care, concern, and presence will help your friend or loved one experience a secure base. When we have a secure base, we can make hard decisions and face difficult challenges with more courage.

Posttraumatic Stress Disorder and addiction

Posted at June 7th, 2009
Posted by Geoff Steurer
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Categories: Partners of pornography addicts, PTSD, Trauma and pornography addiction
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Here is an excellent educational video on posttraumatic stress disorder (PTSD). Virtually every partner who discovers her husband’s or boyfriend’s use of pornography experiences symptoms of PTSD. Women experience feelings of anxiety, shock, anger, numbing, intrusive thoughts, panic, and other symptoms that disrupt their lives. This video explains the seriousness of PTSD and the need to seek help for this condition. The good news is that it’s treatable. Partners need a chance to tell their stories in a safe and supportive environment. 12-step groups and group therapy are two excellent ways to help partners find support and direction to help them heal their symptoms. One of the most powerful ways to help partners heal their trauma symptoms is for their husband or boyfriend to commit to full recovery and over time learn how to hear her pain and learn how to stay emotionally connected to her. This is very soothing to her and lets her know that she’s going to be safe. This can be difficult and often requires professional help, as the addict is both a source of pain and comfort for her. If the partner has experienced previous traumas in her life, such as abuse or abandonment, she will have more difficult recovering from the impact of his sexual addiction without some professional intervention.

Many men who struggle with sexual addiction are also trauma survivors. Many of them are abuse survivors and many have been physically and/or emotionally abandoned in their families. The addiction creates trauma as well since the addicts experience tremendous powerlessness and consequences. Understanding trauma and it’s impact on our brains, bodies, and relationships to others is a critical part of individual and couples recovery.