Showing posts with label Sumedha Centre. Show all posts
Showing posts with label Sumedha Centre. Show all posts

Sunday, July 18, 2021

Psyche & Soul 55: Midlife XII ATONEMENT (AT-ONE-MENT)

Podcast link:

https://anchor.fm/boscom/episodes/2-55-Psyche--Soul--117-e14h1df

Hello, this is Jose Parappully, Salesian priest and clinical psychologist at Sumedha Centre for Psychospiritual Wellbeing at Jeolikote, Uttarakhand with another edition of Psyche & Soul.

In this edition, I present another midlife challenge: atonement.

Integrity that we explored and reflected upon in the previous podcast calls for atonement, understood as at-one-ment, becoming one, becoming whole.

 An essential challenge here is to work through and heal from the painful feelings and experiences we have carried with us into midlife.

 At-one-ment involves reconciliation - making peace with self, with others and may be also God, something that most of us find a real challenge.

 Reconciliation

To experience atonement, we must come to terms first of all with guilt over our own wrong doings. We need to forgive ourselves for our foolish choices and decisions, for messing up our lives, and turning a deaf ear to the deepest longings of our soul.

We need to let go our grievances against others for the real or imagined damage they have done to us. We need to forgive and reconcile with people who we feel put us on the wrong track or stood in the way of fulfilment of our dreams.

In the pursuit of our ambitions and misplaced priorities we might have been unfaithful to our promises to others, to husbands and wives or to God as religious men and women. We are challenged to right these wrongs, forgive ourselves and others, as well as ask forgiveness. We are called to reconcile, to reach out to others and end our alienation.

Reconciliation is a challenge for most of us. Some of us are able to achieve it, some of us do not. Some of us do not want to reconcile, preferring to carry our hurt, anger and resentment, seeing our stubbornness and pride as badges of strength.


Antony and Rajan were very close friends who set up a business together. The business thrived for a few years. Then profits declined, the ledger was showing big losses. After a careful internal auditing it was discovered that Rajan had been siphoning off money on various spurious accounts. Antony was very angry and upset. He angrily confronted Rajan and resigned from the company and decided not to have anything to do with Rajan or his family. This situation went on for a quite a few years. During a spiritual retreat Antony had a conversion experience. The words of the preacher on forgiveness touched him deeply. Though painful, Antony decided to forgive Rajan and reconcile with him.

Sr. Prabha had been the principal of a higher secondary school for several years. She had worked hard to bring the school to a standard of excellence and everyone was very happy with her. Ten years after she had taken over, her Provincial wanted to give her a transfer. Her considerable talents were needed elsewhere. Prabha talked the Provincial out of it.  Another three years passed. There was now a new Provincial who also decided to transfer Prabha, who tried to talk her too out of it. She shared with the new Provincial all the plans she had to take the school to still  greater heights, and that there were a number of works she had initiated that needed her attention. However, the Provincial stuck to her decision. Prabha obeyed and took up her new assignment, angry and resentful. She also stopped talking to her Provincial, and continues to avoid her even now when that Provincial has finished her term of office.

Antony realized the futility of holding on to his anger and was able to let go and make peace. Prabha was unable. She is still holding on to her hurt and resentment which keeps her fragmented, splintered within herself, alienated from others. No reconciliation, no atonement, no integrity.

Acceptance

Atonement is manifest also in the greater acceptance of the paradoxes of life, between good and evil, failure and success; in the giving up of our rigid and unbending opinions, and greater openness to contrary views; in becoming more sober and less impulsive in our judgments and our behaviour; in the willingness to acknowledge and accept more easily that we have been wrong on many matters and in many situations.  

 Atonement is manifest in the capacity to accept and tolerate ambivalence, conflict and failure. We no longer have the compulsion to be always perfect. We become more accepting of our limitations as well as appreciating our strengths and our accomplishments.

Inclusiveness

Atonement also calls for becoming more ‘catholic’- more universal, more inclusive, making space for everything and everyone in our heart, learning to cross narrow boundaries. We exclude nothing and no one, rather we embrace and include all, breaking down walls, broadening our perspectives and expanding our horizons.

 This acceptance and inclusion apply also to parts of our own selves and our personal history that we have despised or rejected.

Mourning

Atonement calls for mourning. Mourning is grief over unrealized dreams and lost opportunities, foolish decisions and roads not taken. It is coming to terms with our mistakes, failures and disappointments, letting go and moving on.

In authentic mourning, we process the past and discover who we are as a result of our experiences. We realise we cannot undo past events or the foolish choices and decisions we made, or the wrongs that others have done to us. We accept them and their consequences for us, who we have become as a result, and move on with life.

 We have to mourn those aspects of our personality we were unable to develop because of past choices or circumstances. We have to deal with the disparity between who we are and who we had dreamed of becoming— that is, mourn the person we have not, and now may never become.

 Shanti was brilliant in school. She had dreamed of becoming a doctor. But when she completed her school finals, she felt a call to become a religious. She felt she could fulfil both her dreams – be a religious nun, as well as a doctor. She became a nun; but her dream of becoming a doctor was never realized. After taking her religious vows, her superiors wanted her to be in education. She was deeply disappointed. But she obeyed, though with some initial resentment. She qualified in the educational field, obtaining a PhD, the only one in her congregation to do so. She has accomplished much as a well-recognized and appreciated educator. She still feels a tinge of sadness when she recalls her unfulfilled dream, but she is also grateful when she recalls how many lives she has touched as an educator.


Mourning is not regret. In regret we remain tied to a non-existent past, revelling in the “If only…” wishing things were different. Historical events cannot be wished away. All our wishing to the contrary will not make an iota of difference to the fact that something happened, however unfortunate it was.  But we can change our attitudes toward what happened. We can accept what has happened as part of our history, as something about which we today can do nothing and move on with our lives focusing on the present and the future. This is mourning. This is what Shanti did.

The Challenge of Atonement

As psychologist Daniel Levinson observes, failure to undertake this challenge of atonement can move us into late adulthood, bitter and resentful about perceived or real injuries, as “angry Martyrs,” our energy sapped by rage and self-righteous indignation. On the other, when we experience atonement we move toward the sunset of our lives enjoying peace and serenity.

I conclude with William Kraft’s description of the challenge of atonement: “…middle agers are challenged to reflect on life and to bring integrity into their relationships with themselves, others, and the world. Out of guilt, they come to forgive themselves and others. Out of depression, they come to a deeper fulfilment. Out of limits, they come to experience the unlimited. Out of resentment, they affirm their dignity and learn to be compassionate and forgiving. Out of anger, they become gentle and touching. This is the age of atonement, the time to become one with self and others. (Spiritual Growth in Adolescence and Adulthood, 1983, p. 21).

Reflection Exercise

·         What aspects of Atonement described here have you engaged in? Which do you still need to engage in? Which of them do you find difficult to engage in? Why?

Prayer

The story of Joseph and his brothers in the Old Testament (Genesis Chapter 42-45) is classic case of atonement – forgiveness and reconciliation and moving on.

The young Joseph is sold into slavery by his jealous brothers. Later Joseph becomes the premier of Egypt and when a famine ravages their land his brothers are forced to go to Egypt and beg for grains from Joseph who recognised them. He is able to let go of the cruel injustice they had inflicted on him and treat them with love and affection and given them the grain needed. Not only, he invited them and their father to stay with him in Egypt.

What does this story evoke in us?  We could spend a few moments with our God, talking to God about our challenges related to atonement and seek his help to do the needful, so that we can move into the second half of   life less burdened by resentments and anger, and in serenity and peace.

 Have a blessed, safe and healthy weekend.

Thank you for listening/reading.

Pictures: Courtesy google Images

 Jose Parappully SDB, PhD

sumedhacentre@gmail.com



Sunday, March 21, 2021

Psyche & Soul 38 : POSTTRAUMATIC STRESS DISRODER (PTSD)

 Podcast link:

https://anchor.fm/boscom/episodes/2-38-Psyche--Soul--84-et443k

 

Hello, this is Jose Parappully, Salesian priest and clinical psychologist at Sumedha Centre for Psychospiritual Wellbeing at Jeolikote, Uttarakhand, with another edition of Psyche & Soul.

 

In this edition I shall explore Post Traumatic Stress Disorder, commonly known as PTSD: causes, symptoms and treatment..

What Is PTSD?

Posttraumatic stress disorder (PTSD) is a serious mental condition that can develop after a person has experienced or witnessed an intensely traumatic or terrifying event in which there was serious physical or emotional harm or threat, accompanied by intense fear, helplessness, or horror. Such events include sexual or physical assault, the unexpected death of a loved one, an accident, or natural disaster. 

Most people who experience a traumatic event will have reactions that may include shock, anger, nervousness, fear, and even guilt. These reactions keep the person suffering from it from going about their life in a normal expected way.

When a person goes through something traumatic, his or her brain triggers a “flight-or-fight” which raises the stress levels in the body. Most people recover on their own after a while, but some remain in hyper-aroused state and develop posttraumatic stress disorder.

PTSD Symptoms

The Symptoms of PTSD often are grouped into four main categories:

Reliving: This is the most common symptom of PTSD. People with PTSD repeatedly relive the traumatic ordeal in a very vivid and distressing way. Anything that reminds them of the event triggers intense distress and physiological reactions. This includes flashbacks where the person acts or feels as if the event were recurring in the here-and-now; nightmares about the event; and repetitive and distressing intrusive images or other sensory impressions from the event.

Avoidance: The person with PTSD may avoid people, places, thoughts, or situations that may remind them of the trauma. They often try hard, sometimes desperately, to push memories of the event out of their mind but these memories tend to intrude into consciousness unbidden.

On the other hand, many ruminate excessively about the event, questioning about why the event happened to them, about how it could have been prevented, or about how they could take revenge.

Hyperarousal: PTSD sufferers also experience symptoms of hyperarousal including hypervigilance for threat, exaggerated startle responses, irritability, and outbursts of anger or crying, and difficulty concentrating, and sleep problems. They can be "jumpy" or easily startled. The person may also suffer physical symptoms, such as increased blood pressure and heart rate, rapid breathing, muscle tension, nausea, and diarrhea.

Emotional Numbing: This includes lack of ability to experience feelings, feeling detached from other people, giving up previously significant activities, and amnesia for significant parts of the event. Since it is hard for the person only to numb only a particular distressing signal, they tend to numb all feelings and show themselves to be somewhat feelings. Nothing touches them emotionally. They are characterised by hat is known as flat affect.

Variations in Risk

Everyone reacts to traumatic events differently. Each person is unique in their ability to manage fear, stress and the threat posed by a traumatic event or situation. For that reason, not everyone who experiences a trauma will develop PTSD. Also, the type of help and support a person receives from friends, family members, and professionals following the trauma may impact the development of PTSD or the severity of symptoms.

A person is more likely to develop PTSD after a traumatic event if he or she has a history of other mental health problems, has blood relatives with mental health problems, or has a history of alcohol or drug abuse.

Symptoms of PTSD often develop immediately after the traumatic event but in some the onset of symptoms may be delayed. Women are more likely to develop PTSD than men. This may be due to the fact that women are more likely to be victims of domestic violence, abuse, and rape, all of which are very traumatic and quite frequent in our society.

PTSD is a treatable disorder even when problems present many years after the traumatic event.

PTSD Treatment

The goal of PTSD treatment is to reduce the emotional and physical symptoms, to improve daily functioning, and to help the person better manage the consequences of the event that triggered the disorder. Treatment for PTSD may involve medication, psychotherapy or both.

Medication

Doctors use certain antidepressant medications to treat PTSD -- to control the feelings of anxiety and its associated symptoms. Certain blood pressure medicines are also sometimes used to control particular symptoms

Psychotherapy

Psychotherapy for PTSD involves helping the person learn skills to manage symptoms and develop ways of coping. Therapy also aims to teach the person and their family about the disorder, and help the person work through the fears associated with the traumatic event. A variety of psychotherapy approaches are used to treat people with PTSD, including:



·         Cognitive behavioral therapy, which involves learning to recognize and change thought patterns that lead to troublesome emotions, feelings, and behavior.

·         Exposure therapy, a type of behavioral therapy that involves having the person relive the traumatic event, or exposing the person to objects or situations that cause anxiety. This is done in a well-controlled and safe environment. Exposure therapy helps the person confront the fear of dealing with the event or approaching the situation and gradually become more comfortable with events and situations that are frightening and causing anxiety.

·         Psychodynamic therapy  focuses on helping the person examine personal values and the emotional conflicts caused by the traumatic event.

·         Family therapy is useful because the behaviour of the person with PTSD can have an effect on other family members.

·         Group therapy helps by providing the person a trusting environment to share thoughts, fears, and feelings with other people who have experienced traumatic events.

·         Eye Desensitization and Reprocessing (EMDR) is an effective form of psychotherapy that is designed to alleviate distress associated with traumatic memories and other symptoms of PTSD.

PTSD Complications

PTSD can cause problems in every aspect of one’s life, including one’s job, relationships, health, and everyday activities. It may also make a person more likely to develop other mental health problems, such as: Depression and anxiety; drug or alcohol abuse; eating disorders, and suicidal thoughts and actions.

PTSD Recovery Outlook

Recovery from PTSD is a gradual and ongoing process. Symptoms of PTSD seldom disappear completely, but they can be controlled. Treatment can lead to fewer and less intense symptoms, as well as a greater ability to manage feelings related to the trauma. Treatment can help people learn to manage it more effectively.

Introspection and Prayer

PTSD can cause, as we saw above, much distress to those afflicted with the illness and their dear ones, friends and colleagues.

We could stay for a while with whatever the information provided in this podcast and our own experiences related to the disorder evoke in us, and turn to our compassionate God who has our health and wellbeing at heart, and pray for healing for ourselves and others, as well as for wisdom and guidance to deal with situations that the illness creates. We could alternately just sit silently before God in the awareness of the traumas we carry and allow God to heal and transform us.

 

Have pleasant weekend. Be safe. Be healthy. Be blessed.

Thank you for listening/reading.

Pictures: Courtesy google Images

Jose Parappully SDB, PHD

sumedhacentre@gmail.com 

 

 

 

Saturday, February 27, 2021

Psyche & Soul 35: SCHIZOPHRENIA - 2 - HALLUCINATIONS

 Podcast link:


https://anchor.fm/boscom/episodes/2-35-Psyche--Soul--77-er52ns


Hello, this is Jose Parappully, Salesian priest and clinical psychologist at Sumedha Centre for Psychospiritual Wellbeing at Jeolikote, Uttarakhand, with another edition of Psyche & Soul.

 

Last week I presented one major symptom of schizophrenia, namely, delusions. In this edition I shall explore hallucination and other symptoms.

Hallucinations

In hallucination the person experiences an auditory (hearing voices), visual (seeing imaginary sights), tactile (feeling sensations on the body), or olfactory (related to smells) sensation that has no basis in reality, that is, happening without an external stimulus. Auditory hallucinations are the most common.

The nature and content of both delusions and hallucinations are influenced by a person’s values and personal experiences. Thus, religious people often have delusions and hallucinations with a religious content. An illustrative example is that of Sr. Florence.

 

Sr. Florence’s community members noticed that she had been behaving oddly for some days. She spent most of the time in her room, not coming for community prayers and even meals. When she did spend time with community, she would talk about Jesus appearing to her and giving her messages for the Pope. She insisted that she had to go to Rome and give the message personally to the Pope. She was spending more time in her room because it is there that Jesus was appearing to her. The superior, who had some psychology background, suspected some mental derangement and wanted to take her to a doctor. But Florence insisted there was nothing wrong with her, but that she was a chosen person. Fortunately the superior remembered that Florence had complained of severe headaches sometime earlier. On pretext of taking her to see a doctor for her headaches, she tried again to get Florence to see a psychiatrist. One morning the superior went to Florence’s room to convince her to go to a doctor. She was surprised to see Florence kneeling in front of an empty chair in the corner, her face animated. “Sister, please kneel down. Jesus is sitting in that chair. Don’t you see him?” she said. … Florence was suffering from full-blown schizophrenia with visual and auditory hallucinations and having the grandiose delusion of being a specially chosen person by Jesus.

Catatonia

Those suffering from schizophrenia may also engage in bizarre posturing and inappropriate behaviour. In what is known as catatonic schizophrenia, a person, for example, may remain in a freeze position, with no movement at all, with a fixed stare, arms raised in an awkward position, and so on, for a very long time, resisting any attempt by others to stop them. There can be a complete lack of verbal or movement responses. On the other hand, the person may keep repeating the same gesture or movement for a long time meaninglessly. Classic portrayals of these are found in the movies “One Flew Over the Cuckoos’ Nest” and “Patch Adams.”

Disorganized Schizophrenia

In disorganized schizophrenia, a person may burst into laughter, grimaces, or giggles without an appropriate stimulus. Another example is of a person on the street talking to himself or herself, gesticulating to no one in particular, or directing the traffic even when a police person is doing it, sometimes imitating the police. Or, we may find the person looking up to the sky, gesticulating and castigating God. Persons affected by this form of schizophrenia may look markedly disheveled, dress in unusual manner, or display clearly inappropriate sexual behaviour in public. Their behaviours can also be unpredictable, suddenly becoming agitated, for example, swearing and screaming loudly.

Primary Dynamic: Distorted Cognition

The cognitive processes (perception, interpretation, judgment and so on) of persons suffering from schizophrenia are seriously impaired.  They may have trouble organizing their thoughts or making logical connections. Their mind tends to jump from one unrelated thought to another in a confusing and bewildering sequence. They may assign special meaning to seemingly everyday words, which only they understand. Those listening to them will have great difficulty in making sense of what they are trying to say. Delusions, hallucinations and behavioral difficulties, as also affective and emotional turbulence, have their roots in impaired cognitive processes. This cognitive impairment is the primary dynamic in schizophrenia.

 

Negative Symptoms

There are also what are known as “negative symptoms.” These are so called because they are an absence as much as a presence. These include inexpressive faces, blank looks, monotone and monosyllabic speech, seeming lack of interest in the world and other people, inability to feel pleasure or act spontaneously. Schizophrenia can exist only with these “negative” symptoms without the more florid “positive” symptoms described above. In this case, the term “simple schizophrenia” is sometimes used. These symptoms, though not as incapacitating as the positive symptoms, can affect occupational life and relationships. These negative symptoms are the main reason those who suffer from them find difficult to live independently, and manage everyday life.

Introspection and Prayer

The description of hallucinations and other symptoms of schizophrenia above will show us how these can be cause of much suffering and relational difficulties. May be we have come across people afflicted by the disorder. We may be living with family members or others who suffer from it, or taking care of them.

A number of persons presented ion the gospels as being possessed by demons and whom jeus healed, were probably suffering from schizophrenia or other mental illnesses. The Gerasene demoniac (Luke 8, 26-39) as possible example. We could recall one of these stories and focus on Jesus’ compassion for those suffering from these illnesses and his eagerness to heal them.

 

We could then stay for a while with whatever the information provided in this podcast and Jesus’ healing stories evoke in us and share these with that same Jesus who is with us in the here and now extending to each of us the same compassion, or in the presence of  our compassionate God – seeking healing for ourselves and others.

Have pleasant weekend. Be safe. Be healthy. Be blessed.

Thank you for listening/reading.


Pcitures: Courtesy Google Images

Jose Parappully SDB, PHD

sumedhacentre@gmail.com