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A Psychologist's Thoughts on Clinical Practice, Behavior, and Life

When the Mind Ignores What the Body Knows

Thirty-years ago I was asked to treat an eight-year-old child who, stricken with leukemia, had been discharged from the hospital to die at home. Though fearing the emotional turmoil, I felt unable to refuse the request, feeling that he needed someone.

 

The boy looked terrible at our first meeting, holding a white enamel tray lest he vomit. I introduced him to "our friends," the stuffed animals in my office (Bertram Bear and Darrell Dog and Barry Bird and Gregory Gorilla) while we played a board game. He looked healthy at the following sessions, not bringing a tray, and playing and interacting with our friends comparably to my other young patients. He seemed so normal that I embraced the frequent delusion that his doctors were wrong and he wasn't dying. Then one day, when he became too ill to travel, I went to his home and spoke with his parents in the kitchen while he lay in bed.

 

Despite my heavy work schedule and preoccupation with him since we met, I felt nothing when he died but my body reacted differently. Though continually healthy, I immediately developed an unpredictable explosive diarrhea which made me unable to perform my duty as expert witness in court. Medical tests found nothing wrong and when the diarrhea ended two months later, I sensed it was gone forever and it never returned. Had my body tried to expel the poisoning stress through diarrhea? I wondered. A primitive reaction explained by psychosomatic medicine which holds that what cannot be spoken will be expressed through the body.

 

Twenty-six-years later I was referred for treatment an adult who, after extensive surgery, was being heavily medicated by his doctor for pain and self-medicating himself with forbidden alcohol and cigarettes. Having become a troublesome hanger-out in her office, she referred him to me "for therapy." A first glance told me he was dying. He had no interest in therapy, I didn't see him for long, and my increased blood pressure lasted as briefly. A week later, without conscious intent, I spontaneously spoke of the boy who departed life too soon, leaving his parents and me and our friends to grieve. Then I did cry.

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Treating PTSD With Hypnosis

I was a member of the American Society of Clinical Hypnosis for many years and, while a hospital administrator, got pains in my neck at the end of the day. A year later I interpreted this as reflecting some of my employees being a pain in the neck which they were. An ASCH entire journal issue was on cancer and hypnosis and I used one of the article's research protocols (the article related stress to the immune system and the tendency to develop cancer) to make a ten-minute tape which I then used twice and, low and behold, my neck pain disappeared.

 

Years later, when a nurse at my (stressful) job found that my blood pressure was high, an internist I had known since adolescence recommended that I take it as often as possible, there being no way that I would take medication. I did, used the self-hypnotic relaxation CD repeatedly daily and graphed my readings. My blood pressure readings gradually went down over several months to superb readings (low 120s over low 70s or better) and have remained so. I'm a great believer in the efficacy of hypnosis, considering it not a learned reaction but fostering the entrance into a different physiological state, this "drop" being experienced by many. Napping using self-hypnosis is far more restful too, a 1/2 hour nap, upon awakening, feeling like a several hour ordinary period of sleep.

 

I've since used the tape (now a CD and on my Android phone) daily and given it to all of my adult patients without charge for relaxation, though hypnosis is useful for far more. I regard hypnosis as mostly best for physical conditions such as alleviating the pain of childbirth, burns, and back ache; to lower high blood pressure along with the use of a digital blood pressure measuring device as a biofeedback mechanism; for sleep difficulty; to reduce the stress of asthmatic children so they're less likely to have an asthma attack, and with similar issues.

 

On the whole, apart from relieving stress and anxiety, I believe that hypnosis, and mostly the teaching of self-hypnotic technique which is quick, isn't particularly useful when coping with specific trauma. Here, psychological education about its nature and psychodynamic interpretation of the trauma residue would be most beneficial. It is also far safer than the use of medication.

 

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Adding to the Terror of PTSD Symptoms

While nightmares and flashbacks are frightening enough, another symptom is worse: agitated (anxiety-laden) depression which can seem never-ending. This feeling of being alone and helpless arouses from infancy, a period when the child is completely dependent on their parents for survival. Gradually, the child's mind creates an image of an all-nurturing parent who, when  Read More 
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PTSD and Soldier Panic

The experience of panic, which often occurs in PTSD sufferers, is the feeling of confronting overwhelming danger even if none exists. The prototype for this is the infant’s state of helplessness when intense anxiety is experienced over which they have no control.
During development, the child learns to use their anxiety in a  Read More 
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How Post-Traumatic Stress Disorder (PTSD) Affects the Body

“Allostasis” reflects the body’s normal ability to function despite stress. The “allostatic load” is the hidden price paid when the person is under continuing stress. This causes alteration (dysregulation) of the body’s stress-response system, reducing its customary, adequate processes of containment. Thus, individuals who have been exposed to traumatic stress tend to  Read More 
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Psychotherapists Who Will Likely Fail in Their Treatment of Soldiers Suffering From PTSD

1. Therapists possess varying society derived attitudes toward the military ranging from gratitude and respect to abhorrence and scorn. Those therapists holding the latter views would be unsuccessful.
2. Therapists who believe that veterans seeking treatment for PTSD do so primarily to gain compensation.
3. Therapists who hold the view that soldiers, rather than being patriotic, are blood-lusting savages who relish war  Read More 
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Reasons Why Soldiers Can Grow to Love War

1. It is a time of great intensity when feelings are heightened and life takes on new meaning.
2. During wartime, sports terminology such as “winning” and “losing” are used, battle thus being experienced as a game.
3. War allows soldiers great freedom to behave without fear of punishment, even to engage in acts which are ordinarily  Read More 
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Post-Tramatic Stress Disorder Explained Briefly

Post-Traumatic Stress Disorder (PTSD) symptoms reflect the mind's healthy attempt to heal itself, to re-integrate and, in this way, to regain the adequacy of functioning that it possessed before experiencing unbearable stress. PTSD also reflects that the mind has limited capacities.
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