Scattered pieces

When I was seeing Bob, she asked me to complete a list of 10 things that I enjoyed involving the senses or activities. This exercise was aimed at improving my body awareness and giving options for distraction or grounding when I am stressed. I’m really struggling at the moment, so I thought this would be a good time to share my homework and remind myself of the options available to me… It also will force me to try and expand my lists in the hopes of eventually reach 10 items for at least one of the senses.

Additions based on commenters suggestions in italics – Thank you :)

I added to each of the columns by writing it out here :) I can do this, can’t I?

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Now playing: Cat Stevens – Moonshadow
via FoxyTunes

Yesterday the safety of the respite house came under question. We left to spend the day with the mother, mainly to test how well we are. It turns out we’re still not all that grounded or well…

When we returned we found that a new client had arrived at the respite house. This was fine, they are female and seemingly non-threatening. So we went down to our room to drop off some things, only to find that someone had been in and used our art supplies. The young ones were so upset about this boundary violation. Little Michelle came forward and looked around in tears. This may seem like an over-reaction considering nothing had been destroyed, but it was the young ones who had their things moved and used. M was prepared for our iPod to have been stolen, and it would have had less impact if that’s what had happened. The iPod is mainly for the teens and adults, we could have coped better than the invasion on the young ones things.

Then at night the new client went on a severe binging and purging cycle. It was awful for her, she’d felt so positive during the day. For us it was a huge trigger. We have food issues as well, not to the level of the new client, but her pain and acting out was enough to trigger us through the roof.

So our safe house doesn’t feel so safe anymore. We know it was the carers grandson who used our art things, we know the mother is trying and we know the new client is trying to work through their problems. But we feel so small and scared. We feel like we’ve taken a huge step backwards.

Tried a system reboot, but got…

I’m trying something new – I’m submitting some artwork to the latest Blog Carnival Against Child Abuse.  The works below have great meaning for some within the system.  I’m a little hesitant about submitting them, but want to support the carnival and the cause it is paying attention to this month – World Day for the Prevention of Child Abuse.

Nightmares by castorgirl on Polyvore.com

This is one of our common nightmares… trying to escape from a feeling of drowning and being pulled toward a monster or clown.

Layers by castorgirl on Polyvore.com

Layers of dirt, abuse and pain pile up to create a warped view of the world.

Story in her eyes by castorgirl on Polyvore.com

What story do the abusers see in their victims eyes?
Do they see anything, or are they scared to look?
I wonder if the look in a victims eyes has ever haunted them or kept them awake at night?

I’ve just come from an appointment with Jo.  Jo is a physically similar to us in many ways, which made it hard when we walked in today and found her with her arm in a sling, a foot brace on her right foot, bruises on her arms and a black eye.  We were already a little fragile, but that sent us over the edge.  It was impossible to stop transferring her injuries to how it was with us when we were with the husband.  She assured us that she had been hurt in a fall caused by her wearing high heels which she was unfamiliar with…  But inside the young ones were screaming that someone had pushed her.  Even after further assurance, they still didn’t believe her – we used to make excuses and say that the bruises were for all sorts of reasons.

We couldn’t cope with her in all of the bandages, so blocked her from our vision.  When we get particularly stressed about something visual, that object becomes blurred in our vision.  So Jo became a dark blur in the upper left corner, of what became a narrower and narrower field of vision.  We had to leave, we couldn’t stay.  We were dissociating and switching all over the place.  M was trying to bring a sense of calm to the system by blocking out and stamping down the memories again, but it was too late… the memories were triggered and running rampant.

We felt so guilty for making her injuries about us and our triggers.  We were worried for her, but the overwhelming message came about us being hurt.  Feeling so pathetic and weak for not showing someone the care that they needed.

We’re now sitting at work freaking… we usually wear our headphones and listen to music when we’re like this, but each time the cords touch our neck we’re triggered into thinking his hands are around our neck again.  We can’t stop shaking and jumping at each sound or flash of light.  Only four more hours before we can go home to the safety of the house…

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Now playing: Brooke Fraser – Lifeline
via FoxyTunes

I recently commented on an entry of Ivory’s, and included information from an article titled A failure of curiosity by Janet Migdow.  Unfortunately this article isn’t available freely, but I’ll describe the content here for those who are interested.  It’s an article that has stayed with me for many months, it offers an interesting insight into the therapeutic relationship between an intelligent woman diagnosed with DID and a therapist who is willing to examine their own processes and thoughts.

The first part of the article gives the therapists background – her drive to help people, her natural curiosity that was evident from childhood and her desire not to lose that curiosity.  She writes:

“I have always seen curiosity as the quintessential characteristic of a good clinician. I have never thought curiosity alone would make the consummate clinician. I simply think that, without a burning curiosity, becoming a therapist is a useless endeavor.”

(Migdow, 2008, p. 46).

Midgow describes the client as “Dr. B., a Caucasian, fifty-six-year-old, uppermiddle-class, professional woman of mild manners and distinguished bearing” (Migdow, 2008, p. 48), diagnosed with DID.  She had been a client for 6 years and over that time had stabilised to the point of becoming more aware of the parts and increasing her functioning.  Part way through their journey together, Dr. B. starting turning up late for sessions.  This lateness coincided with the topic of the sessions becoming more banal, with Dr. B. deflecting any attempts to probe deeper into the issues at hand.  Migdow describes this sort of deflecting as hypnotic - as a person who has done this sort of deflecting, I understand what she is talking about, it becomes hypnotic for the person doing the deflecting as well.

It was at this point, that Migdow recognised that she was bored.  She had gone from a place of deep respect for her client, to a place of boredom.  Migdow looked for issues within her own life to have brought her to this place, but identifies that the dissociative fragments encourage detachment from the issues.  This detachment allows Dr. B.’s skill with social chit-chat to maneuver the topic away from anything too deep (or scary).

After forcing Dr. B. to be aware of an incident where she is showing obvious signs of distress, it is revealed that it is the dissociative system is protecting both the client and the therapist from the events of the past.  The secrets were still being so carefully protected from everyone, with this chit-chat seen as the best method to continue all diversion from the truth.  Dr. B. had never realised that this was another of the systems defenses and had always associated it with there being “something wrong with my brain” (Migdow, 2008, p. 51).

Migdow (2008, p. 52) explains the sensation as:

“… you feel like a door cracks open in your mind, you experience yourself as noticing something familiar and then you forget not only what you noticed but the fact that you noticed anything at all. You feel frightened of what you glimpsed and frightened that your own mind seems elusive.”

The explanation for lulling both the therapist and client is found… she isn’t bored, or boring… she has an incredibly protective system that thought the secrets and safety of the host must be maintained in any way possible.  This became a turning point in the therapeutic relationship… one where the right road was found, but the telling was hard (butchered Dante quote).

This article has at times given me hope – it helps me to understand that some of the waffle that I do is possibly aimed at self-protection.  I often find myself losing getting lost in the twists and turns of a conversation within therapy, but I’ve always associated this with me being stupid and not being able to keep up.  The article also helps me when I’m in the denial, this could be another diversionary technique to stop me from delving too deep into the past.  I know that my self-injury could be seen as either a diversion or a scream for help…

So much of what we do is aimed at trying to uncover our truth, but that is a hard road that has been protected for many years.  This article shows how one therapist realised that the road was constantly being passed by and only with strength and knowledge can we go down it.

As a note, while this article particularly dealt with the relationship with a person with DID, I think that it could be translated to almost any therapeutic relationship.

Reference

Migdow, J. (2008). Failure of curiosity. Psychoanalytic Social Work, 15(1), 43-52. doi:10.1080/15228870802111781.

I noticed a very odd thing yesterday while playing FarmTown on FaceBook…  My issues with having a large personal space, seem to translate to my online avatars.  In FarmTown, you can go to market to sell your produce and see if someone wants to hire you to harvest their crops or plow their fields.  If you’re waiting to be employed, your avatar can be “standing” with a number of other avatars for a period of time.  There is a certain amount of psychology that goes into the strategies behind being hired – the “spammer”, where you repeatedly ask to be hired; the “dancer”, where you move around or get your avatar to dance on the spot; or the “loner”, where you get your avatar in a spot alone so they’re easily noticed.  I’ve always adopted the “loner” strategy, and have always attributed this to my game strategy.  I now realise there might be something more to it.  I can sometimes cope with another avatar being near or overlapping mine for a short period of time, but never long – even my ugly little avatar must have a large personal space.  For those of you who think I’m being cruel about the relative ugliness of the avatar, you obviously haven’t seen FarmTown graphics – they’re UGLY!

I wonder if this is an indication that I’ve been playing the game too long and are therefore personalising it too much, or whether I have extreme boundary issues.  When Carol (previous therapist) asked me about arranging the room in a way that I felt comfortable, we did an exercise about personal space.  In order for us to feel even mildly comfortable, we had to be in one corner of the room and she had to be in the opposite corner.  We would’ve preferred for her to be outside the room, but that wasn’t feasible.  During therapy with Carol, we’d often end up on the floor tucked around behind a cabinet that she had – this was mainly when the young ones were present.  They often felt a need to hide and create physical barriers between us and Carol.  During sessions with Liz when the young ones are present, there is still a pull to sit on the floor in the corner, but we’re too scared to do it in case it makes us look too odd.

We felt that need to sit in the corner today during our session with Liz, Aimee and SO were strongly present and felt like hiding.  It was a rough session in many ways – the main topics of conversation were denial and self-injury.  It brought up a very odd concept of how to cope with the denial.  We’d tried to construct a basic timeline of events to try and create some order out of the memories, but had found it too difficult to write them down.  We got about four events written, but then the derealisation started.  As this way of coping and “getting the memories out” hadn’t worked, Liz suggested something which is too bizarre for my very literal brain – think the memories or whatever is bothering me onto a piece of paper, fold it up and give it to Liz to keep.  This will mean that we don’t have to worry about those pieces of information again as they are being kept safe and separate from us.  To us this didn’t make sense…  How do you “think” something onto a piece of paper without writing it down?  How does giving Liz that piece of paper signify anything?  It was all too abstract and alternative for our very concrete, narrow way of thinking.

A therapist once told us that our education was lacking because we hadn’t studied any of the Arts.  That’s true, we don’t understand the beauty in art, music or philosophy.  In many ways we deliberately avoid studying them, because if the intellectuals amongst us get hold of the ideas they have this tendency to strip away the magic and enjoyment.  So we take photos because they’re fun… we listen to Beethoven, Foo Fighters, Brooke Fraser or any music because it moves us at the time… But when it comes to having to think through an abstract idea, we need the intellectual ones to come on board with some assistance.  This is fine, unless they get faced with something which they can’t dissect or reason through logically, then it sort of gets lost in their cynicism…

This came through our twitter feed via CakeWrecks today.  It made us smile.

We don’t like the song so much, it’s more about the fun they obviously had making the clip :)

Please note that this may trigger.

The husband of our cynical friend was buried today.  It was an amazing service which showed how much he was loved by those around him.  The eulogies were funny and heartfelt.  Our friend held up well throughout the funeral, she cried and was supported by her youngest daughter… the love within the family was obvious and honest.  One of the graphic designers at work did a montage of photos of his life, it was amazing to see how much he had changed, but not changed over the years – the laughter in his eyes was there all the way through.

We were close to not going to the funeral, we don’t find funerals easy things to attend.  They tend to overwhelm us with too many messages… but we were fine today.  Our friend also said she was looking for us when we went to give her a hug afterwards, so I’m glad we went.  She deserves all the support she can get.

After the funeral there was a wake held at a working men’s club.  We didn’t particularly want to go to this as we knew there would be lots of people, but everyone from work pressured us into going.  We were fine driving there and parking… it was when we got to the door that the trouble began.  This club is like many throughout New Zealand, they have a similar feel and design – a big open space with table for standing and drinking at while you watch the big screen TV, and another area for dining.  The smell of alcohol greets you at the door.  What also greeted me at the door was the first flashback.

The father managed a working men’s club as we were growing up.  Our lives revolved around that club, sport and alcohol.  We were abused at that club.  We were forced to drink alcohol for the first time in that club.  Some of us still live in that club within our head, they’re stuck there.  Walking into the club today triggered them all…

M took control as best she could, but she has problems with alcohol – she uses it to drown out the noise in the head.  As we walked to the bar all we could hear is the noise of the crowd becoming fainter and the internal screaming getting louder and louder.

“Raspberry and chips… raspberry and chips… raspberry and chips…”

This is all M could hear, so she orders a drink to drown out the sound.  The screaming gets louder as she takes the first sip of beer.  She always drinks beer as it makes us drunk quicker.  The first beer doesn’t deaden the screaming, time for another…

Random flashes, snippets and sounds from the past come through… some good, some not so good, some horrific.  Still the screaming…

“Raspberry and chips… raspberry and chips… raspberry and chips…”

M tries deep breathing, but that doesn’t calm the noise…  Time for another drink.  No one around us is aware of anything going on.  M answers all the questions and shows an interest in everything as she continues to drink. I don’t know how much she drank, it’s always hard to tell as the dissociation seems to mask the effects of the alcohol… or maybe we’re just immune to the effects, I’m not sure.

We all know what “Raspberry and chips” means… it was a reward for being a good girl after the abuse.  We hate raspberry soda and potato chips…

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Now playing: Crowded House – Better be home soon
via FoxyTunes

“Unfit for work…” those words sting, they really do.  They’re the words used to explain why I won’t be able to work for the next 12 days.  They’re part of the standard form that the doctor fills in, so it’s nothing personal, but it means failure to some of us.  We know that our functioning at work has been so poor that there was no other choice, but it still cuts us to the core of what many of us perceive as our self-worth.  M in particular, is struggling with being put off work, yet she was the one who made the appointment and mentioned the problems we were having, knowing full well that enforced sick leave was the likely outcome.  M couldn’t hand the medical certificate over in person – it would be like admitting failure and having to face the disappointment of those around us; so we left it on the team leaders desk with an email message apologising for the inconvenience we were causing.  Some of us consider this the wimps way out… failing to face up to our responsibilities and the repercussions of our actions.

This morning we got a text message from our cynical work friend asking how we were.  I wasn’t sure how to respond, I know that in some ways I’m trying to protect her – she’s got enough on her plate without hearing my sob story.  So I sugar-coated what was happening.  No one at work was expecting us to have this time off, so it probably came as a shock.  I suppose this is one example of how we can appear so high functioning, but really be a total and utter mess.  What I fear the most is the reaction when we get back to work… will people alienate us, want to hug us, avoid talking about it?  At their core, the people that I work with are good and kind people, but they don’t understand mental health issues.  This means that I will odds are lie about what has happened when I get back to work, I’ll find some acceptable lie that doesn’t make them squirm.

This week we’ve also seen Jo and Liz…

Jo became quite worried about our safety after we did a collage with her.  It can be quite amusing on one level to see Jo’s art work which is all about love and happiness, while ours is dark and full of violence.  We both had mindless woman’s magazines to use as base material for the collage.  I had words like key, disappear, invisible… Jo had love and rainbow.  I had a picture of a puppet running through a door… Jo had a smiling woman on the beach.  She was concerned about our safety to the point of contacting Liz.  Poor Liz also now realises how much we were testing her when we first started seeing her – with Jo we go with the flow, but with Liz we resisted and argued at the beginning.  This wasn’t deliberate, but rather an unconscious way to see whether Liz was going to be able to help us heal and put up with what we could throw at her.

When we saw Liz, it was what I would consider a disaster.  Little Michelle came forward and made it almost impossible for us to speak.  She has such a problem with words and forming them that it’s like she is stuttering, but I don’t think it’s a true stutter, I think it’s more about not wanting to tell the secrets.  At one point, we were stuck on one sentence, and in particular one word… “I’m not special“.  We were so incapable of saying the word special, that we ended up having to write it down.  Little Michelle stuttered through explaining that she wasn’t “that word” to anyone, because if you were “that word” you then got hurt.  She wanted to runaway so that the pain would stop.  Liz offered to runaway with her, but Little Michelle said that no one else was allowed to come.  All the time this was going on, there were ones in the background yelling that she was telling lies and it’s all rubbish.  This was the first time the messages about it all being lies were so closely tied to someone saying anything.  Little Michelle shared no abusive events, but her presence alone was enough to stir-up the denial and nay-sayers.  That probably means something in psychology land, but to us it just felt crazy.

So we have 11 more days before we are allowed back to work…  We’re meant to relax and unwind…  This is terrifying!  Work is our structure, our safety.  Suddenly we’re meant to do this thing called relaxation and rest.  We’ve actively avoided doing either of those things for about 20 years…  Today we survived by going down to the gardens and taking pictures with the new lens’ we got the other day.  Not sure how we’re going to cope with another 11 days of this.

Here’s a random photo we took today…

Cherry blossom

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Now playing: Shihad – Pacifier
via FoxyTunes