“Thank you for your vulnerability, Dr. Marich.”
Since coming out unapologetically as a woman in recovery from a dissociative disorder in 2018, I’ve received so many messages and social media replies that begin with this greeting. Being “out” has many meanings and layers for me—I’ve never hidden the fact that I’m in recovery from alcoholism and drug addiction, even though my advisers in the mental health field cautioned me about the perils of broadcasting it. In 2015 I made the decision to come out in every area of my life—to my professional following and to my conservative family—as bisexual, even though I never kept it a secret from my friends. Inspired by a Robert Ackerman teaching, I realized that I could not be a healthy woman in long-term recovery unless honesty prevailed about everything. And this led me to coming out with the dissociative disorder. Dissociative disorders are still highly stigmatized and largely misunderstood in the mental health professions, let alone by the general public. So many clinicians are afraid of us destabilizing and if the public even recognizes what a dissociative disorder is, old school portrayals of multiple personality disorders as seen in the movies generally serve as the association. In reality we are just people with many parts that form to protect the core self or to meet a need, generally in response to trauma. Sometimes the parts play well with each other, other times they don’t. With each vulnerable step I’ve taken further out of the shame closet, especially as a public figure in my field, I’ve learned an important lesson about vulnerability—people are simultaneously in awe of it and terrified of its power.
In this piece, which I write on my eighteenth recovery anniversary, I share what being out in my position has taught me, and continues to teach me about vulnerability. Before deepening this exploration, let’s get on the same page about what vulnerability means. Even though Brené Brown has made the word vulnerability popular in her stellar work over the last decade, people do not seem aware of its true meaning. Vulnerability is not just something you can simply define by one of Brené’s often-memed quotes. Vulnerability is more than just taking a risk or putting yourself out there into the metaphorical arena. At its core, being vulnerable is about engaging in trauma work, aware that this healing work can and usually does cause more pain in the process. If you’ve ever taken a course with me or have read one of my books, you know that I am a language nerd, and that my working definition of trauma is any unhealed wound—physical, emotional, sexual, or spiritual. This simplified definition derives from the word origin of the English word trauma—it comes from the Greek word meaning wound. Well guess what? Vulnerability comes from the Latin vulnarare, meaning to wound; another form, vulnerabilis, means injurious or wounding.
While the pop psychology understanding of vulnerability implies that one might get hurt if they want to take risks to grow, I will go a step farther and contend that hurt of all kind is inevitable. Here’s the lesson I’ve learned in my processes of coming out: Vulnerability is facing our wounding head-on and then deciding what we’re going to do in response to its impact. Are we going to ignore the wounds and thus open ourselves up to being hurt even more, or will we take the chance of feeling the pain we’ve stuffed down all the way through in order to experience freedom on the other side? I will spare you the details of my entire trauma narrative, yet I'll paint enough of a picture to qualify. By age four it was clear to me that I was too sensitive to survive the life I’d been dealt. By age nine I was already thinking of ways to destroy myself because I didn’t feel safe either at home or at school, and by 19 I was in full-blown addiction, the ultimate response of a developing brain that was bonded to dissociation in order to survive. I was born suseptible; life made me increasingly more vulnerable. Hurt was my baseline, and even though I got sober at 23, it wasn’t until 25 that the chronic suicidal ideation largely dissipated. Had I kept all of this bottled in, assuming I would have survived past my thirties, I’d still be hurting, albeit in a much more pervasive way and I’d not be writing this today as a sober woman. Sharing the pain with others is imperative, and I first learned how to do this privately with an amazingly trauma-focused sponsor in a 12-step program, then through high quality trauma therapy. I agree with Brené’s fundamental teaching that shame cannot survive when it is shared in safe spaces.
So why choose to be so public? Isn’t that the opposite of a safe space? In many ways, yes. Even though speaking freely about one’s recovery can be encouraged in certain circles, there is still a faction of the mental health field that is extremely uncomfortable with the practice. A painful lesson I’ve learned is that some people, including other professionals, can be downright hateful with their comments, or dismiss me as someone who can’t be trusted because I am either too unstable or I make it all about me. Some of these comments have been shared directly with me, in public forums or at conferences. Others have suggested that what I have to share from my lived experience isn’t as valuable as what the literature can back up with numbers and protocols. And others get downright silent and squeamish when I talk about surviving a clinically significant dissociative disorder and all that accompanies it (e.g., suicidal ideation, self-injury, addiction). A great deal that has been said behind my back has also been relayed to me—particularly that I have no boundaries for sharing so much of my story, or that it’s dangerous that I’ve let myself be the client in EMDR demonstration videos, letting colleagues work on me.
I expected all of these criticisms when I wrote my coming out article in 2018. I have three very easy answers for these critics that I’ve realized in the two years of ardent advocacy work that’s followed: (a) academic work in dissociation is important, and so is lived experience—we lose our soul as clinical professionals when we minimize that, (b) I don’t share anything publicly that I haven’t first addressed privately; may I suggest you look at what bothers you the most about my disclosures and ask if this is revealing something unhealed in you, (c) why haven’t you let someone do a public demonstration on you? While I respect everyone’s right to privately work on what they need to, if you are a clinical trainer or public figure, showing your vulnerability, i.e., your wounds will always help to diffuse the horrific us vs. them divide that promotes mental health stigma in society. Add these all to the pile of lessons.
I am public for all of the people, especially other professionals, thanking me for being so open in my position of privilege about things that our field has kept shrouded in mystery and shame. Especially dissociation. This is a particularly powerful lesson I’ve learned about vulnerability—when you put yourself out there and take a further beating for it—people who are prepared to hear it will be challenged into healing action. I’ve bore witness to many professional “comings out” as someone with a dissociative disorder, often for the first time. There is so much fear that they will be misunderstood (at best) or terminated (at worst) in their settings or larger clinical communities if they speak freely. Many people with dissociative disorders keep their condition hidden from their partners and their families, scared of the ramifications. For many of us it’s just easier to label what we have as something else—like PTSD or a bipolar disorder.
Yet in reality, dissociative minds have a masterful capacity to solve complex puzzles—we are often the most brilliant thinkers and leaders in any of our chosen professions. We are the ones who, if unafraid, jump in there and get things done, watching the professional committees in our fields wax on philosophically and theoretically about what should be done. Our dissociative minds are made of heart and soul, and when that can be appreciated and worked with instead of denigrated, the world can and will be changed for the better. When I know that my public sharing can validate even one other person with a dissociative disorder or other condition that is accompanied by a great deal of dissociation, being vulnerable in the way I’ve chosen to be feels more than worth it. I live for the day when public vulnerability is accepted as the norm and not seen as something out of the ordinary; I work to make that future a reality. And while recognizing this mission as my life's work is one of the most important lessons of my coming out, it's not the most important.
Dissociation was the hardest "coming out" because of the stigma that surrounds it. My ex-husband threatened to use it against me. When he tried and failed, I was no longer afraid to speak up about the way my mind works. Going through that divorce and surviving these attempts to discredit me was severely wounding. Vulnerable feels like an insufficient word to describe the experience. While sharing the fruits of my healing so publicly seems to have helped others, being vulnerable in this way has been imperative to my own continued healing. Every time I share something publicly, I feel like I am baring my naked soul in a similar way that one might bare their naked body in public. Yet today I can look at that nakedness and appreciate the woman who is bearing it. And I hope that for as many years as I have left in this body, I will continue to “come out” and honor vulnerability in a way that challenges others while also strengthening my capacity to heal through the radical practice of being honest.
So here I am today…eighteen years sober, “adult years,” if you will. I am still sifting through the layers and healing them as they are revealed and peeled back. I remain a hopeless train wreck in the romantic relationship department. Every time I try to date, I’m reminded of what my late friend Denise S. used to tell me—our relational parts of our lives can be the last to heal because they were the first to get wounded. I stay in my own counseling to address these injuries, knowing that I’m headed in the direction of greater health. I am navigating the waters of our current social climate, and I take my role as an anti-racist professional committed to doing my part to end the sting of systemic racism. I also know that the greatest service I can provide is to continue to do my own trauma work and help others to do the same. That’s how I changed for the better as a human and as a citizen, yet I cannot rest on this progress. I’m currently taking a good, hard look at how I’ve benefited from the American system existing as it is. And I know that getting uncomfortable and yes, vulnerable, is required on my part to make a real difference. This may involve me losing more family members, more friends, and more colleagues. Being vulnerable has taught me and continues to teach me that when I put myself out there honestly, things will always work out as they are intended. And I will feel inevitably feel healthier and more restored to sanity in the process.
Photography and Body Art by Michael John Gargano
Too Cautious or Not Cautious Enough: Thoughts on the Need for Dissociation Training for EMDR Therapists by Teresa Allen, MFT
Since dissociation is the essence of trauma, it’s not possible to treat trauma without understanding dissociation. As EMDR therapists, we need to understand it. In my view, there are two opposite issues with EMDR therapists and dissociation, and therefore with how to approach education about it.
Some of us find dissociation intimidating and see it as too risky to work with, to the point of being spooked when it emerges in training practicums or in a session. Some of us refer out immediately when we see it. I’m calling this the Too Cautious group, sending clients to another clinician at the first indication of dissociative process, and thus missing an opportunity to help people with all that we know about the Adaptive Information Processing model and EMDR.
While some may be too cautious with dissociation, others know too little about it and so are not cautious enough. This group is not always aware of the potential risks that come with inadequate history taking and preparation. I’m calling this group the Not Cautious Enough group. While I realize there are different views on this subject, my belief is that premature, unprepared processing of memories can result in destabilization and put a client in serious jeopardy resulting in the need for significant therapeutic repair.
Both the Too Cautious group and the Not Cautious Enough group--all of us--need more information about working with persons with dissociative symptoms. What’s needed is training that normalizes and demystifies the subject, while at the same time informing us about ways to recognize and effectively work with it, using Adaptive Information Processing principles and EMDR Therapy Standard Protocol modifications.
Dissociation training should include direction in learning about our own dissociative tendencies and ego states. Reflecting and learning about ourselves in this way can help to make this important subject less “other.” In this way, we can approach learning about dissociation with much less fear. It is after all, something our brains were built to do. One problem is the question of what exactly is dissociation.
One group of authors in treating complex trauma, describes dissociation as “a continuum of non-realization: not real, not true, not mine, not me.” Kathy Steele identifies four ways dissociation is defined in the literature.
Steele points out that alterations in awareness and consciousness are treated with mindfulness; shutting down is treated with physical reactivation; and depersonalization (the most challenging) can be treated with mindfulness. Dissociation of self is treated with mindfulness, reactivation, and system, or “parts,” work.
So, I’m proposing that, as EMDR therapists, we find ourselves sometimes too put off by dissociation and think we cannot work with clients who dissociate. Or, in the opposite direction, a lack of caution with dissociative clients can lead to significant risk, since memory work might be done without proper preparation and stabilization.
Training about dissociation is needed for both groups of us--and everyone in between. The question is how to deliver training in a way that normalizes dissociation as something we all do, and in a way that empowers clinicians to feel we are competent in assessing and treating more serious dissociation and its many attendant issues. With proper preparation and modifications, EMDR Therapy and the Adaptive Information Processing model are powerful tools for helping persons with dissociative symptoms to heal and lead healthy lives. With adequate attention paid to preparation techniques and Standard Protocol modifications, we as EMDR therapists can more effectively treat clients with complex trauma backgrounds and dissociative symptoms.
Gonzalez, Anabel and Dolores, Mosquera, EMDR and Dissociation: The Progressive Approach, First Edition (Revised), 2012.
Knipe, Jim, EMDR Toolbox: Theory and Treatment of Complex PTSD and Dissociation, Second Edition, 2019.
“Dissociation: Sharing From a Personal Place, An Interview with Jamie Marich,” in Go With That, EMDRIA Magazine, June, 2019, pp. 5-6.
Jamie Marich, “Session 424: Demystifying and Humanizing Dissociation in EMDR Therapy Practice” EMDRIA Conference, 2019.
Kathy Steele, Suzette Boon, Onno Van der Hart, Treating Trauma-Related Dissociation: a Practical, Integrative Approach. W.W. Norton & Company, 2017, p. 4.Kathy Steele, “Advanced Issues: Chronic Shame, Resistance, and Traumatic Memory,” Presentation at EMDRIA Kansas City Regional Network, March 1-2, 2019, Kansas City.
Kathy Steele, Webinar on Dissociation, May 25, 2019.
Mosquera, Dolores, Working with Voices and Dissociative Parts Disorders, Institute for the Treatment of Trauma and Personality Disorders, 2019.
“EMDR Adult, Complex Trauma & Dissociation Specialist Intensive Program
An Integrative Progressive Approach to Developmental Trauma: Working with Complex PTSD and Dissociative Disorders,” Dolores Mosquera and Kathy Steele, Agate Institute, Phoenix, July, 2019.
True of false: Hinduism is a polytheistic religion.
If you grew up in an Abrahamic, Western context, chances are that you answered “True.” I was certainly taught that Hinduism is a polytheistic religion all the way through grade school and high school. Let’s set aside the word “religion” for the purposes of this piece because many would argue that Hinduism is not a religion at all, and the word itself is a rather new invention influenced by British colonial rule. Hinduism is a spiritual path best described by the teaching of sanatan dharma: truth is universal, timeless, and unchanging. A Hindu saint who influences me, Neem Karoli Baba (Maharaj-ji) taught Sub Ek, or "all one." The precepts that all major religions have in common is the essence of this truth, and followers of this teaching do not hold their path in supremacy above others. The rest is really just details, for we know that truth expresses itself in myriad ways. And in the tradition that we generally refer to as Hinduism, there is only one supreme God—the various “gods” like Krishna, Shiva, Sita, Ram, Ganesh, Kali, and Hanuman are simply manifestations of God; different threads through which Divinity is expressed. As scholar Eknath Easwaran explains in his commentary on The Bhagavad Gita, “From the earliest times, Hinduism has proclaimed one God while accommodating worship of him (or her, for to millions God is the Divine Mother) in many different names” (p. 22).
I adore this teaching, as a humanitarian whose heart breaks to see the devastation caused throughout history in the name of religion and fundamentalism. I also adore it as a person with a dissociative mind who sees the world through multiple lenses and angles. In this piece I hope to demonstrate how getting familiar with the Hindu gods can offer a beautiful systemic metaphor for people to explore their internal world. Yes, there is one God—in the Hindu tradition, God shows up in roughly 330 million ways (the approximate number of major and minor gods). Raised primarily as a Roman Catholic, it always seemed plausible to me that the Almighty could choose to manifest in human form, born of a woman, in the person of Jesus. And I do love Jesus the social rebel and adore that many people find God’s love through Jesus. I could just never get behind the teaching, at least with my whole heart, that Jesus died for my sins and that professing belief in him is the only way to salvation. So it’s safe to say that even as a child, sanatan dharma was alive within me.
I still hang out in Catholic circles, even though I dislike mainstream Catholic social teaching. I draw strength from many aspects of Catholicism and similar Christian paths, and I have a particular fondness for the saints. I adore the saints for a similar reason to why I love the Hindu gods; the saints represent the different ways that God shows up in the world. There are many saints whose lives and teachings have spoken to me, saints like Therese of Lisieux, Teresa of Avila, Hildegard of Bingen, Benedict, Anthony, Jude, Augustine, Ignatius, Maria Goretti, and St. John of the Cross. Not to mention those who are not officially “saints” according to the Vatican yet whose lives and writings inspire me, specifically Fr. Henri Nouwen and Fr. Thomas (Louis) Merton. I love them for their humanity and for the overcoming of struggle, owing all glory to the Divine.
You may be familiar with the concept of patron saints. For example, St. Anthony is the patron saint of lost objects, St. Jude is the patron saint of lost causes, and while she’s not been officially labeled this, for me St. Hildegard of Bingen is a patroness of the holistic and expressive arts. Catholics pray to saints who they feel most connected to or who most get their struggle, asking them to intervene before God. For me, the Hindu gods hold similar appeal; the major difference is that they are not intermediaries, they are actually parts or aspects of the One Divine presence. Ganesh, the mighty elephant, is known as the remover of obstacles. Sonu, one of my drivers on my pilgrimage to India shared with me, “Pray to Ganesh first; he removes the blocks that keep you from getting to everything else.” Like many people keep a rosary or medal hanging from their car mirror, he keeps a little Ganesh on his dashboard. Ganesh is an expression of the God, the Divine remover of obstacles.
In Hinduism, gods are often paired by their masculine and feminine qualities to represent the union of consciousness (masculine) and energy (feminine). For instance, you often see Krishna and Radha together, Shiva and Parvati, and my favorite holy couple, Sita and Ram. One of the most meaningful stories in the Hindu tradition is that of Sita (energy), Ram (consciousness), and Hanuman (the monkey god representing breath and the ability to shape shift. Once, the demon Ravana (who represents the ego mind) lured and captured Sita (energy) to exploit her for his own benefit. Ram called upon his devoted servant, the beloved Hanuman. Hanuman mustered the forces of his entire monkey army and they found Sita at the southern tip of India (symbolic because in our lower chakras is where we expel all of our life energy that we waste through worry and fear). They rescued her so she could be reunited with her beloved. Hanuman’s role in this story represents the power of the breath to reunite energy and consciousness. In this powerful fusion of energy and consciousness made possible by the breath, order is restored and we are deeply healed. It is amazing to me how Hanuman took on a large, angry form to destroy Ravana and the city of Lanka by fire; and yet he was able to assume a small, gentle form when he came to rescue mother Sita so she would not be afraid.
If you’ve read my work before on this blog, you know that I have a thing for Hanuman. To use Catholic language, I have a great devotion to him. Yes, his qualities displayed in the Sita-Ram story are a big part of why I love him. I am also drawn to the teaching of Hanuman as a bridge—because he is a monkey, he is the bridge between the human world and the animal world. And in my work I aspire to be a bridge. As a woman living with and healing from a dissociative disorder, all work on myself requires that I bridge the aspects of myself to live in wholeness. As a trauma survivor I draw great strength from Hanuman. As a miracle baby and incarnation of Shiva, born through the intervention of the wind God, others were threatened by Hanuman as his powers began to manifest in the form of a rather naughty toddler. The monkey king, Bali, threatened by Hanuman, devised a poisonous concoction of five metals to kill Hanuman. When Hanuman ingested the potion it only made him more brilliant, graceful, and powerful. A better metaphor for post-traumatic growth I have never heard. Jai Hanuman! Victory to Hanuman and victory to the Hanuman spirit within me.
Just like there are many parts of me, there are many gods that speak to my various parts. In addition to Hanuman I have great devotions to Saraswati, the goddess of music, art, and knowledge. Indeed her quality of knowledge, or Pragya, is the origin of the spiritual name I was given. I cannot think of a better goddess for an expressive artist to serve! Many other feminine expressions like Kali, Sita, Durga, and Lakshmi also give me strength. Just like Christianity uses the term trinity, Hinduism also makes use of a similar concept with the holy trinity of Brahma (the creator), Vishnu (the preserver) and Shiva (the destroyer) governing the necessary functions of life. On the feminine side, Parvati (fertility, love, beauty), Saraswati, and Lakshmi (wealth, fortune, and prosperity) compose a Tridev, or trinity. Whether you embrace these stories and qualities as spiritual teaching or as myth, there are numerous opportunities to notice where you experience resonance. Whether you are doing parts work for your own healing or with clients, the Hindu gods offer rich opportunities for helping one describe their own internal system with these metaphors and allegories. The stories are numerous and if you can step outside of your spiritual comfort zone and explore some of them, you may discover that they lead you closer to the oneness that is God because they can meet you as you are right now.
And isn’t one of the goals of parts work in healing trauma to honor and recognize the parts yet let them lead us to a sense of wholeness or integration? If the word integration is a sticking point for you—don’t use it. Indeed, many of us who’ve struggled with dissociative issues over the years can equate integration with a therapist’s desire to smash out or ignore what the parts have to say. So while the word integration may work for you, consider replacing it with wholeness or totality. This idea works similar to how the Hindu gods operate—many awesomely beautiful parts that compose one, unified whole. Even from this place of wholeness, the parts can be called upon when they are needed. And like in my internal system, one god/part (like Hanuman for me) may be the key to establishing balance and peace in the system.
There is one final aspect of Hindu teaching I wish to discuss here that you may also find useful in your own path of healing as it relates to parts. In the Hindu system the gods are constantly interconnecting and incarnating as other gods (e.g., Hanuman is an incarnation of Shiva, Ram is an incarnation of Vishnu, etc.) and this vibrancy serves the whole. A demon, like Ravana in the Hanuman story, is a part that thinks it is the whole - a part that tries to override the system for its own desires or survival. So the next time you talk about your demons, remember that you are not your demons. Like Ravana the ego mind, they are just an aspect of your experience that’s trying to overtake your entire system. Instead, consider learning to call upon other warriors to help you understand sanatan dharma--that truth is one. That we are not separate. And the largest most healing truth I’ve learned from studying Hinduism is that I am not my demons. I am not even my singular parts. Rather, learning about, connecting with, and healing my parts has allowed me to uncover the truth of who I really am, never separated from Divine presence. Even if working in the Hindu system like this doesn’t do it for you, I hope that you find something in your own faith tradition or in other areas of life (e.g., mythology, pop culture) that helps you to explore your internal world. May we all ultimately live in wholeness, honoring how every part is connected.
To read more:
Achuthananda, Swami (2013). Many many many gods of Hinduism: Culture, concepts, and controversies. Reliant.
Johari, H. (2016). Spiritual traditions of India coloring book. Destiny Books.
Markus, P. (2015). Love everyone: The transcendent wisdom of Neem Karoli Baba told through the stories of westerners whose lives he transformed. New York: HarperCollins Publishers.
Easwaran, E. (2007). The Bhagavad Gita—Translation and commentary by Eknath Easwaran (2nd ed). Tomales, CA: Blue Mountain Center for Meditation.
Institute for creative mindfulness
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