Monday, August 18, 2014

Reflecting on Who We Are and How It Impacts Survivors

When providing trauma- informed services to survivors of domestic and sexual violence it important we ensure that we are doing whatever we can to keep from re-victimizing the survivor or engaging in behaviors that may be reminiscent of past abuse.  Through actively engaging in a reflective practice on our own and during supervision we may be able to recognize those conditions within ourselves that get in the way of being able to provide safe, empathetic, and empowering assistance.
We often talk about the experiences of survivors in a way that takes into account the trauma in their lives.  We ask “how do the effects of trauma get in the way or impact the person’s ability to be able to move forward?”  This practice of reflecting on the experience of the survivor can move an advocate from focusing on what is “wrong” with a person to recognizing the impact of trauma and finding ways to reduce the impact and/or engaging with the person in a way that empowers them to be able to move beyond the trauma.
Terri Pease, Ph.D., of the National Center on Domestic Violence, Trauma and Mental Health talks about reflective practice.  She quotes Jeree Pawl, past board president of Zero to Three, to remind us that “who we are is as important as what we do” in our relationships with survivors.  She stresses the importance of reflecting on the impact that survivors have on our lives and the history that we bring into our relationships with them. 
I am often called to provide insight into the actions of a woman in shelter or a woman who is seeking services from a court advocate.  The advocate wants me to explain what is happening with the woman from a trauma-informed standpoint and help her find something different to do to help.  Another step I like to take, though, is to ask “how is this interaction affecting you?”  In other words, can you take a moment to reflect on what may be coming up for you as you work with this survivor?  Many times the challenges of working with survivors can stir up some emotions that we may find difficult to keep from being reflected in our actions.
If the victim is particularly challenging and expresses herself with anger, an advocate may find that she resists working with the victim.  The victim may be engaging in some survival skills that are often labeled as lying, manipulating or attention seeking.  If an advocate can take a few moments on her own or in supervision to reflect on what this is bringing up for the advocate, then it may help to improve the relationship with the survivor.  For example, I know that due to my own past I have difficulty when I am in the presence of extreme anger that feels like it may be directed toward me.  Over the years I have learned to recognize when my own history is starting to blur my interactions and I, hopefully, am able to breathe my way through and not take the survivor’s anger personally.  Additionally, many advocates, including myself, feel helpless when they are unable to meet all the needs of the survivors.  This may feel like frustration with the survivor and it will be reflected in our interactions with her unless we realize that our helplessness has to do with the greater picture and our own fear of not being able to do enough. 
Advocates, in the face of tapped out services within their communities, often feel overwhelmed by the needs of the survivors and feel if they cannot meet them all then they are not good advocates.  Yes, it is hard when the needed services are not available, but we cannot do it all.  We do all that we can and at the end of the day we need to be able to take care of ourselves so that we don’t burn out and become frustrated with the women who are reaching out to us.  An awareness of who we are and what we bring to our work is critical to being able to sustain our relationships with survivors and to being able to be trauma-responsive.    



Painting by Richard Edward Miller

Monday, August 4, 2014

Take a Breath

I was reading a book about trekking through the Himalayas last week.  As part of my self-care I like to make sure that I read things that don’t pertain to anything I do as part of my work life.  However, there were a few paragraphs that jumped out as me as being very important for advocates and survivors. 
The writer was describing how difficult it is to hike at high altitudes.  The oxygen is thin at those altitudes and the effort of climbing over rocks with a heavy backpack can make one feel that she just won’t be able to make it to the next hospitality stop.  The views can also take one’s breath away.  The writer went on to describe a trick that high altitude trekkers use when the going gets tough.  They breathe.  They take ten steps and stop to take ten very deep breaths and then take ten more steps and repeat.  It may feel like slow going but at the end of the day the goal is reached.
I tried it out.  I was biking in unfamiliar territory one day.  I had mapped the route ahead of time but had not paid attention to the fact that there was a half mile stretch that was uphill on a gravel road.  I decided I would need to walk it.  Normally I would force myself to just trudge up the hill and stop when I was out of breath and probably in pain.  I would be red-faced, sweating, and gasping for air.  However, on that day I decided to try the breathing technique they use in the Himalayas.  It was just a New Hampshire hill and not K2 so I modified the technique a little.  I counted fifty steps and then stopped to take ten deep cleansing breaths whether I felt I needed the or not.  I found that not only did I make it to the top of the hill without gasping for air but that I felt pretty good when it was all done.  At the time I was stopping to breath I thought it was just slowing me down, but then I realized that by taking the time to stop and breath I was less likely to need a longer rest period once I reached the top. 
I talked to two different groups of advocates last week and I asked them why they felt they couldn’t do self-care.  The number one reason was “I don’t have time.”  Many felt that they were too exhausted at the end of the day to do anything and some felt that it would be selfish to take time away from family members in order to take care of themselves. 
Advocates often feel like they are trying to climb mountains.  There are obstacles and demands on energy that can make one feel like she will never reach the goal.  When we are under stress we actually do not breathe as well.  Our breaths can become shallow and we take in less oxygen, causing us to tire more quickly and lose the ability to focus.   If mindful  breathing can be a part of your  day it may help to dispel some of the exhaustion that can go along with doing this work.  Take a breath before you pick up the phone.  Take a few breaths before you open a door, as you shift between tasks, or before you get out of your car.  Find some way to remind yourself to do so.  There are plenty of apps on the market or there is even a bracelet you can buy that vibrates to remind you to take a moment to breath.  This blogger has a number of techniques she uses to remind herself to take a break:  http://healingwhole.blogspot.com/2011/05/take-break-create-mindfulness-reminders.html

Remember, though, self care is as important to being able to do your job as it is to have nice clothes to wear to court or have gas in your car to get there.  Find ways to incorporate it into your day or you may find yourself clinging to the side of the mountain.  


The pictures in this post were taken in Tibet in 2007.  Mount Everest is over my left shoulder in the above picture.