Creating Healing Connection Vulnerability

[Music]

sometimes you have to sit in the mud

at times alone and at times together

i’m going to recite part of an essay a

grieving teen wrote

while the content is unique to this kid

the feelings are not

the alarm sounded at 7 30 am sharp

and my mother and i got up eager for the

days beginning

while getting ready to take a shower the

doorbell rang

and my mother went downstairs with my

aunt and uncle to see who was calling at

such an early hour

silence overtook the house then shrieks

and cries that sent shivers down my

spine

slowly i crept down the hall i heard sob

after sob

what was happening i was dazed

people huddled around each other my

stomach tightened

my father held my mother my brother rick

grasped my father why were they here

my aunt and uncle sat in the corner

tears ran down their eyes

yet they were silent their silence

rampaged in my heart

jeffrey was gone her poor baby her poor

helpless baby

he was a liar i knew my father was a

liar

he said it was true he was sorry

but he couldn’t find his baby he

disappeared

his brother just vanished my heart ached

how could it be true it was true

he said it was true i wished it weren’t

it hurt it really hurt i just wanted to

scream and hit my father

and he told until he told me the truth

i stopped crying i stopped shouting

my body stopped shaking i swallowed a

huge bubble

it encompassed my entire being my

breathing slowed

my body went numb i entered the world

that would now become my own

so this is an excerpt taken from my

college essay

that i wrote when i was a senior in high

school

it was in response to the quote hope is

the will to struggle against obstacles

even when they appear insuperable

this is what i remember about my brother

jeff’s death

my body holds those memories forever

imprinted in my heart

even though my cognitive memories from

that time in my life are very few

funny i can’t remember what i did

yesterday

but i remember every detail of that

tragic day

i was 13 when jeff died i was told that

i needed to be strong for my parents

but i didn’t know how i was an introvert

by nature

i put a lot of pressure on myself to do

well in school and

not make trouble at home like most

bereaved kids

i didn’t want to make anyone around me

family or friends

uncomfortable with my grief or add to

theirs especially my parents

i felt like my grief wasn’t as important

because i was just a kid

my poor parents had lost their son my

brother lost his best friend

sure jeff loved me but i was just the

little sister

my grief was nothing compared to theirs

that was how my story played in my head

obviously unconsciously i tried to stuff

down those feelings

but like all feelings when they get

bigger than us

they control us rather than us them

my family and friends often make fun of

me because i once tried explaining that

a coach for my son’s

team got really angry and got himself

kicked out of the game

because his feelings got bigger than him

and my friend kate started laughing and

said

you mean he lost his yep

our feelings are really powerful and

that impacts our behavior

because i took on the role of good girl

in my family who seemingly kept it all

together

i worked really hard to close off my

pain and confusion

and i tried to safely tuck it away alone

you see that’s the key word alone

as human beings we’re not wired to live

or experience life alone

we’re wired to live in relation to

others there’s a tremendous amount of

research

social behavioral and neurobiological

studies

that supports the importance of human

connection to facilitate well-being

so it’s no surprise that it leaked out

my pain leaked out

and it’s no surprise that it happened in

my teens and early twenties

bulimia and depression it needed to come

out

those were dark years for me but

thankfully my close friends recognized

it

and a dear friend had the strength and

courage to stand outside my door

and say that either i had to go tell my

mom or she would

that was the beginning of my next

chapter

years of therapy and creating a new

narrative

opening myself to vulnerability by

sharing myself more openly

something very powerful happened in one

session

i realized that my family i

was still whole just different

after becoming a social worker i spent

the next 20 years building programs that

foster resiliency

empower kids and families to sit in the

mud together

to know that while each of their

experiences are unique

even if they both experience the same

death of a parent or sibling

their grief is their own because their

relationship was their own

and at the same time being with others

who truly get it

allows them to feel less alone and

normalizes their feelings

together they can challenge their

natural and developmentally appropriate

beliefs

of feeling like the only one in the

world who gets it

i believe that the sense of being alone

in your pain whatever that pain stems

from

is one’s greatest health risk factor

emotionally and physically

i think the way to preventatively combat

vulnerability

is through human connections

vulnerability is often perceived as a

bad

thing i believe that it’s necessary to

thrive

through shared vulnerability we connect

and when we connect

we’re not alone jeff’s place is

committed to being a voice for the

prevalence and need for similar

prevention programs

i spent the last 10 years developing the

inventory of youth adaptation to loss

a strength-based resiliency-focused

outcome measure

to understand the feelings and social

supports experienced by bereaved youth

to develop an evidence base for

bereavement interventions

our hope is that the inventory will

highlight the need

to better address the overall well-being

of grieving youth

and to impact public policy change so

that prevention programs like jeff’s

place

are sustainable one out of 15 kids in

massachusetts will experience the death

of a parent or sibling before the age of

nationally one in 14 kids or 5.2 million

will experience that death based on the

2020

childhood bereavement estimation model

results

by age 25 that number more than doubled

to

13.2 million these kids are at risk for

negative health outcomes

including traumatic grief substance

abuse

lower self-esteem dropping out of school

and making unhealthy choices

and at a higher risk for mental health

disorders such as depression and anxiety

childhood bereavement is a major health

issue that matters

and it impacts all of us there are a lot

of grieving kids

and adults too who need support

and coping strategies to recognize the

grief

and growth factors related to loss

grief theory has evolved from early

psychodynamic and attachment theorists

who focused on grief in terms of

pathology within the individual

to more contemporary theories such as

the conceptual frameworks we ascribed to

at jeff’s place

strobe and shu introduced the dual

process model of adaptive coping with

bereavement

as a way to understand the differences

between what they term two stressors

loss oriented such as focusing on the

deceased and death events

and restoration oriented such as

learning new skills to adapt to the loss

their underlying belief is that

oscillation between both

is needed for healthy adaptation in

coping with bereavement

dpm marked a huge theoretical shift in

bereavement theory

by moving away from solely thinking

about the lost experience

and incorporating restoration-oriented

thoughts and activities

as part of the grief process while the

popular stage theory presented by dr

elizabeth kubler-ross

has become the pop culture way of

knowing about the grief process in the

united states

contemporary theorists predominantly

recognize

that grief is not linear or task

restricted

but rather healthy grieving is seen as

internalizing the loss and maintaining a

connection

i’ll be at a different one while the

death of my brother shaped every aspect

of my personal and professional

trajectory

it’s never defined me it took me many

decades to recognize

that we all have stories of pain none of

us are free from loss

we all experience the myriad of human

emotions

the joys fears heartache and hope

true change i believe comes from looking

within

and connecting with our innermost selves

as well as risking

our insecurities and trusting others to

accompany us

trust empowers us to be vulnerable and

connect

both with ourselves and with others

this fosters gratitude and i believe

transformation

i know sounds easy right i’m sorry to

tell you

it’s not one and done we sometimes have

this belief

that if we want change or something

badly enough

we’ll somehow just get it and if we get

it once

we’ll always get it believe me i’ve

tried this for example

last spring i gave up caffeine i was so

proud of myself

but more than satisfying my ego i

actually felt better

my stomach aches were gone i had more

energy than ever before

and i slept well for the first time in

ages

one night recently i didn’t sleep well

so i had tea in the afternoon

it tasted so good can i tell you i was

shocked the next day

that i had slept fitfully and i woke up

feeling exhausted and dragged much of

the day

now i’m fully aware that my body and

mind

don’t mix well with caffeine yet i made

the choice to drink the tea

the key is choice

and being mindful that i we are always

in choice

our belief systems create our life

narratives which in turn

shape our actions only if we choose to

alter the story

can we do so authentically and in a

lasting way

it’s freaking hard every

single day this is a lifelong practice

but the good news is that the more you

practice

the more habit forming it becomes these

programs that i’ve had the privilege to

help build

are simply models of how we can thrive

when we sit in the mud together

sometimes we need to sit reflectively in

the mud by ourselves

sometimes together but we need to sit in

the mud

we need to feel its thickness the weight

of it as we trudge through it

and we need to get dirty who can sit in

the mud with you

if you don’t have anyone i promise you

there are others who will sit with you

use your community resources find a

group or a therapist

or ask your doctor or a healthcare

professional your clergy

a colleague or a friend sitting in the

mud

sucks and at the same time

it’s the greatest gift i continue to

give myself that i never seem to fully

master

my relationship with grief healing and

vulnerability

has evolved since jeff’s death and it’s

brought meaningful connections

personally and professionally all of

these experiences

have enabled me to clarify my vision

that we

create healing through connection and

vulnerability

thank you for inviting me to share some

of my story

please come sit in the mud

you

[音乐]

有时你不得不

独自坐在泥泞中,有时一起坐在泥泞中,

我要背诵一篇悲伤的青少年写的文章的一部分,

而内容对这个孩子来说是独一无二的,

感觉并不是

7 点 30 分响起的警报 我很清醒

,我妈妈和我起床

渴望开始新的一天,

同时准备洗澡。

门铃响了

,我妈妈和我的

阿姨和叔叔下楼看看是谁在

这么早的时候打电话来,

屋子里一片寂静,然后尖叫起来

哭声让我的

脊椎

慢慢颤抖 我蹑手蹑脚地走下大厅 我听到一个

接一个的抽泣

发生了什么事 我很茫然

人们挤在一起 我的

胃收紧

我的父亲抱住了我的母亲 我的兄弟瑞克

抓住了我的父亲 为什么他们在这里

我的阿姨 坐在角落里的叔叔

泪流满面

但他们沉默了他们的

沉默在我心中

肆虐杰弗里走了她可怜的孩子她可怜的

无助的孩子

他是个骗子我知道我父亲是个

骗子

他说的 是真的他很抱歉

但他找不到他的孩子他

消失

了他的兄弟只是消失了我的心痛

这怎么可能是真的这是真的

他说这是真的我希望它不

痛真的很痛我只是想

尖叫并打我父亲

,他告诉我直到他告诉我真相

自己的,

所以这

是我高中四年级时写的大学论文的摘录,

这是对引用的回应希望是

与障碍作斗争的意志,

即使它们看起来无法克服

这就是我对我兄弟的记忆

杰夫的死

我的身体将那些记忆永远

铭刻在我的心中

,尽管

我生命中那段时间的认知记忆很少

有趣我不记得我昨天做了什么,

但我记得那个tr的每一个细节

杰夫去世时,我 13 岁的那一天,有人告诉

我,我需要为父母坚强,

但我不知道我是如何天生内向

的 我给自己施加了很大的压力,要

在学校做得好,

不要惹麻烦 像大多数失去

亲人的孩子一样在家

我不想让我周围的任何

人家人或朋友

对我的悲伤感到不舒服或增加

他们的悲伤,尤其是我的父母

我觉得我的悲伤并不那么重要,

因为我只是一个孩子,

我可怜的父母有 失去了他们的儿子 我的

兄弟失去了他最好的朋友

杰夫当然爱我,但我只是一个

小妹妹

与他们相比,我的悲伤微不足道

这就是我的故事在我脑海中的播放方式

显然是在不知不觉中我试图压抑

这些感受,

但就像所有的感受 他们

比我们更强大

他们控制我们而不是我们 他们

我的家人和朋友经常取笑

我,因为我曾经试图解释说

我儿子球队的教练

真的很生气,并且

因为他的感情而被踢出比赛 比他大

,我的朋友凯特开始笑着

你的意思是他失去了他的狗屎是的,

我们的感情真的很强大,

这会影响我们的行为,

因为我在我的家庭中扮演了好女孩的角色,

她似乎一直

在一起

我工作真的很努力 为了消除我的

痛苦和困惑

,我试图一个人安全地把它藏起来,

你看,这是一个关键词,

作为人类,我们不是天生就注定要

独自生活或体验生活,

我们天生就注定要与

他人相处,这是一个巨大的 大量的

研究

社会行为和神经生物学

研究支持人际关系对促进幸福的重要性,

所以它

泄露了我的痛苦

也就不足为奇了

柜对我来说是黑暗的岁月,但谢天谢地,我的亲密朋友认识到了这一点,一位亲爱的朋友有力量和勇气站在我的

门外说 要么我必须去告诉我

妈妈,要么她会

,这是我下一章

治疗年的开始,并创造了一个新的

叙述

,通过

更公开地分享自己,让自己变得脆弱,

在一次治疗中发生了一些非常强大的事情

我意识到我的家人

成为一名社会工作者后仍然完全不同 我

在接下来的 20 年里建立了

培养复原力的计划,

使孩子和家庭能够

一起坐在泥泞中

,知道虽然他们的每一次

经历都是独一无二的,

即使他们都经历了同样的

死亡 父母或兄弟姐妹,

他们的悲伤是他们自己的,因为他们的

关系是他们自己的

,同时与

真正理解它的其他人在一起可以

让他们感到不那么孤独,

并使他们的感受正常化

他们可以挑战他们

自然和发育适当

的感觉信念 世界上唯一一个

得到它的人

我相信

在你的痛苦中孤独的感觉 ain 源于

是一个人在情感上和身体上最大的健康风险因素

我认为预防性对抗

脆弱性的方法

是通过人际关系

脆弱性通常被认为是一件

坏事 我相信有必要

通过我们联系的共同脆弱性来茁壮成长

不仅仅是杰夫的位置

致力于为类似预防计划的

流行和需求发声

我在过去 10 年中开发

了青少年适应损失清单

失去亲人的青年所经历的

失去亲人的干预建立证据基础

我们希望该清单将

强调

需要更好地解决悲伤青年的整体福祉

并影响公共政策的变化,以便

像杰夫的地方这样的预防计划

是可持续的。 马萨诸塞州的 15 个孩子

将经历死亡

h 18 岁之前的父母或兄弟姐妹

根据

2020 年

儿童丧亲估计模型的

结果

,全国每 14 个孩子中就有一个或 520 万将经历这种死亡,到 25 岁时,这些孩子面临死亡风险的人数增加了一倍以上,达到

1320 万

负面的健康结果,

包括创伤性悲伤 药物

滥用

降低自尊心 辍学

和做出不健康的选择,

并且患

抑郁症和焦虑症等精神疾病的风险更高

童年丧亲是一个重要的健康

问题

,它影响着我们所有人 也有

很多悲伤的孩子

和成年人,他们需要支持

和应对策略来识别

与失去相关的悲伤和成长因素

悲伤理论已经从早期的

心理动力学和依恋理论家发展

为更现代的理论 比如

我们

在 jeff 的地方

strobe 和 shu 介绍的概念框架 ed

适应性应对丧亲的双重过程模型,

以此来

理解他们所说的两种压力源之间的差异

损失导向(例如关注

死者和死亡事件)

和恢复导向(例如

学习新技能以适应丧失

的潜在信念)

dpm 标志着丧亲

理论发生了巨大的理论转变,

不再仅仅

考虑失去的经历

,而是将面向恢复的

思想和

活动纳入悲伤过程的一部分,而

流行的 由 elizabeth kubler-ross 博士提出的阶段理论

已成为

了解美国悲伤过程的流行文化方式

当代理论家主要

认识

到悲伤不是线性的或任务

受限的

,而是健康的悲伤被视为

内化损失并维持

连接

我会在不同的 e 虽然

我兄弟的去世塑造

了我个人和职业

轨迹的方方面面,

但它从未定义过我,但我花了

几十年的时间

才认识到我们都有痛苦的故事

快乐 害怕 心痛 并希望

真正的改变来自

内心的审视和与我们内心深处的联系

以及冒险

我们的不安全感并相信他人

陪伴我们

信任使我们变得脆弱并

与自己和他人

建立联系这会培养感激之情 相信

转变

我知道听起来很容易对我很抱歉

告诉你

它不是一个已经完成的我们有时有

这样的信念

,如果我们想要改变或

非常糟糕的事情,

我们会以某种方式得到它,如果我们得到

它,

我们将永远 相信我,我已经

尝试过这个,例如

去年春天我戒掉了咖啡因,我

为自己感到骄傲,

但不仅仅是满足我的自我,我

实际上感觉好多

胃痛好了

我睡得不踏实的那一天,我醒来时

感到筋疲力尽,拖着

一天的大部分时间

现在我完全意识到我的身心

与咖啡因不能很好地混合但

我选择

喝茶关键是选择

和 请注意,我们总是

在选择,

我们的信仰体系创造了我们的生活

叙事,这反过来又

塑造了我们的行为,只有当我们选择

改变故事

时,我们才能以真实和

持久的方式

做到这一点 练习,

但好消息是,你

练习

得越多,养成的习惯就越多

有时我们自己一起在泥里,但我们需要

坐在泥里,

我们需要感受它的厚度

,当我们艰难地穿过它时

,我们需要弄脏它,如果你不这样做,谁能

和你一起坐在泥里

有人我向你保证

还有其他人会和你坐在一起

使用你的社区资源 找一个

团体或治疗师

或询问你的医生或医疗保健

专业人员 你的神职人员

坐在泥泞中的同事或朋友很

糟糕,同时

它是 我继续给自己最好的礼物

,我似乎从未完全

掌握

我与悲伤愈合和

脆弱性的关系

自杰夫去世以来,它

带来了有意义的

个人和专业联系所有

这些经历

都使我能够澄清我的愿景

,我们

通过 联系和

脆弱性

谢谢你邀请我分享

我的一些故事

请你坐在泥泞中