Prisoner Self-Help

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Archive for the tag “mental health”

Fear of Emotions

by Masha Bennett http://www.practicalhappiness.co.uk

Most of us are scared of our emotions. Some of them may seem unacceptable, wrong, even dangerous. We spend a lot of time and energy on suppressing these emotions, hiding them even from ourselves and definitely from other people.

It is not surprising that our emotional world can seem confusing, challenging, and sometimes threatening. Our parents could only teach us what they knew themselves – and many of our parents and grandparents had also learnt to be scared and ashamed of their feelings. Knowingly, and most often unknowingly, they pass this learning onto us. They cannot give what they have not got. And we will pass this fear and shame around emotions to our children, unless we heal, unless we learn otherwise.

The truth is that every emotion has a function, a useful purpose in our mind/body system. Emotions give us vital information on what is happening in our world, and how we need to act in response to it. It is just a signal from our body, from our nervous system. For example, running a high temperature means that there is inflammation in the body, and you need more rest to allow the immune system to fight it. When you are thirsty, your body is letting you know that you are getting de-hydrated. When you feel your bladder is full, it is a clear sign that it needs to be relieved. These are common and understandable signals from your body, that demand certain action.

When emotions arise, they also carry information, just like the physiological signals above. When we feel scared, it is a signal of a real or possible danger, which helps us to keep ourselves safe. The difficult bit is that often the danger can reside not in the present, but in the past – in our memories, flashbacks, dreams of the traumatic or frightening things, maybe from a long time ago. And sometimes the fear can be in the future – in our worries and thoughts about the things that could go wrong. In both cases, our nervous system may respond with fear and anxiety, as if the danger is current and real – even if it is long gone, or is just an idea of something that could happen in the future.

Oil painting - Crying for Mother Earth

When we feel sad, it usually indicates a loss of some kind. If the loss is significant (for example, loss of a person close to you, your home, your liberty), the body will actually need to adjust its physiology to adapt to the new situation or environment without that person, or a job. This can result in slowing down, loss of appetite, apathy, disturbed sleep, and other symptoms that are associated with grief and depression.

Anger is one of the most misunderstood and maligned emotions. In itself, there is nothing wrong with feeling angry. It is a signal to let you know that someone or something has crossed an important boundary, or that a value you hold dear has been infringed upon. Sometimes feeling the anger may feel overwhelming and frightening. Sometimes the way we act upon our anger can cause terrible consequences, where we may harm others or ourselves. However, the response to the emotion is not the emotion itself, and we can learn to understand and manage our anger in a way that is healing, protective and creative. After all, many projects and charities that have been set up to fight injustice, discrimination, cruelty, indifference, are likely to have started off as someone’s anger, as rightful indignation about some wrong in the world.Oil Painting - Oya Goddess of the Storm

When we cannot fully feel, understand and accept our emotions, they tend to come out anyway, often in unexpected and damaging ways, no matter how much we learn to suppress them. These emotions may come out as explosive outbursts, or as panic attacks. They may show themselves as physical symptoms, or depressed mood. We may feel unbearable shame about having those “unacceptable” feelings, and shame itself acts as a “wet blanket” and stops us from feeling, connecting with people, and taking the right actions.

This short video explain how to notice and name the emotion you are experiencing, and how it may be helpful.

To conclude, here is a poem from the 13th century Persian poet Rumi, The Guest House.

This being human is a guest house.
Every morning a new arrival.

A joy, a depression, a meanness,
some momentary awareness comes
as an unexpected visitor.

Welcome and entertain them all!
Even if they’re a crowd of sorrows,
who violently sweep your house
empty of its furniture,
still, treat each guest honourably.
He may be clearing you out
for some new delight.

The dark thought, the shame, the malice,
meet them at the door laughing,
and invite them in.

Be grateful for whoever comes,
because each has been sent
as a guide from beyond.

(Translated by Coleman Barks)

The two paintings are by Masha Bennett – Crying for Mother Earth, and Oya, Goddess of the Storm

Masha Bennett is a UKCP registered psychotherapist in private practice, specialising in psychological trauma and addictions. She has worked for a number of years within the UK criminal justice system, including running a drug rehabilitation programme in a women’s prison, and offered psychotherapy to staff and patients in the National Health Service. Masha teaches trauma awareness, therapeutic and self-help tools to professionals and general public and has delivered training across Europe, Asia and Middle East. Her website is  www.practicalhappiness.co.uk.

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The Butterfly Hug

by Masha Bennett www.practicalhappiness.co.uk

EMDR (Eye Movement Desensitisation & Reprocessing) is a complex and powerful therapy that is used to treat Post Traumatic Stress, anxiety and some other mental health issues. Unfortunately it can only be safely used by specially trained mental health professionals and at the moment is rarely available in prisons. However, the so-called Butterfly Hug is one small tool in EMDR toolbox that can safely be used by anyone (even children) for self-help. You can try the Butterfly Hug to soothe yourself when you feel anxious, uncertain or fearful. Similarly to the full EMDR procedure, this tool employs bi-lateral stimulation, i.e. stimulation of the two sides of our brain, which is thought to help process trauma and calm anxious feelings.

This is how to do the Butterfly Hug. Whilst sitting up with your back straight, cross your arms across your chest, as if you are giving yourself a hug, with your right hand resting on your left upper arm, and your left hand on your right upper arm. (It doesn’t matter which arm is on top.) Observe any feelings of anxiety, fear or upset in yourself, and tap your hands on your arms alternately – left, right, left, right – at whatever speed is comfortable for you.

After tapping for a minute or two, stop and take a deep breath. Notice how you are feeling – are you a little calmer, somewhat relaxed, a bit more comfortable? Just notice whatever feelings or sensations you are experiencing, and continue tapping until you feel as calm as you would like to be.

Picture for Facebook Blue Butterfly

Butterfly is an ancient symbol of transformation

If you don’t notice any change, try tapping for a little bit longer and you may feel it then. You can do the Butterfly Hug for as long as you like, and as many times a day as you like. You can do it on your own, together with a friend or with a group of people.

This method was created by EMDR therapists who worked with children in the aftermath a natural disaster in Mexico City in 1998.

The Butterfly Hug is a useful tool but it will not work for everyone every time. If for any reason you begin to feel worse, please stop tapping and try calming yourself down by using any other methods that are available to you.

Another simple way to do bi-lateral stimulation (which should have a similar effect to the Butterfly Hug) is to pass a small ball or even a pebble from one hand to another repeatedly – it appears that almost any type of repeated left-right stimulation of our body is likely to have a balancing and soothing effect.

Here is a short video demonstrating the Butterfly Hug.

Masha Bennett is a UKCP registered psychotherapist in private practice, specialising in psychological trauma and addictions. She has worked for a number of years within the UK criminal justice system, including running a drug rehabilitation programme in a women’s prison, and offered psychotherapy to staff and patients in the National Health Service. Masha teaches trauma awareness, therapeutic and self-help tools to professionals and general public and has delivered training across Europe, Asia and Middle East. Her website is  www.practicalhappiness.co.uk.

Useful links and references

EMDR Association UK & Ireland

EMDR Europe

EMDR International Association

Nancy Napier’s website

Coping with Self-harm

by Masha Bennett www.practicalhappiness.co.uk

Among approximately 86,000 prisoners in UK jails in 2011, there were over 24,500 recorded incidents of self harm that year, affecting just under 7,000 prisoners. The good news is that the figures for women self-harming in prison are seemingly going down – with women comprising only 5% of inmates, in previous years they often accounted for almost half of self-harm incidents, and for 2011 it is just over one third of them. (We should bear in mind that these figures refer just to those instances of self harm which were recorded – it is likely that many went unnoticed, as many people who self harm try to hide it – despite the popular belief that they do it for attention.)

A quote from my good colleague and friend Dr Mike Smith of Crazy Diamond“Self harm is one of the most misunderstood and heartlessly represented  areas of British healthcare…  Traditional psychiatric responses to selfharm are to see it as an illness, a deviancy, attention seeking, hysteria, weak mindedness or suicidal intent. As a selfharmer, or as someone who works with someone who self-harms, it is readily apparent that none of the above models have any roots in reality.”

There are many reasons why someone may self-harm, and it is simplistic to assume that the individual who injures himself is “attention seeking”. Much of self-harm is hidden, and whilst some people may hurt themselves to communicate their distress to others, this is only one of the possible motivations. Self-harm can be a strategy to cope with unbearable emotional/ psychological pain, a way to survive, to release overwhelming emotion, to punish self, to gain some control when feeling out of controls, to re-gain feelings when numb or disassociated, or can have several functions at the same time (and the sufferer is not necessarily aware of these functions).

Image courtesy of David Castillo Dominici / FreeDigitalPhotos.net

Image courtesy of David Castillo Dominici / FreeDigitalPhotos.net

Self-harm is commonly associated with the following mental health issues: Post Traumatic Stress Disorder (especially trauma associated with childhood abuse and neglect); Dissociative Identity Disorder (Multiple Personality); Eating Disorders; Substance Dependency; Clinical Depression; Personality Disorders.

However, you may not have a mental health diagnosis but still have the urge to injure yourself. It is a widespread problem, and you may have heard of a few well-known people who have been affected, including Diana Princess of Wales, Kelly Holmes (UK athlete), Bradd Pitt and Angelina Jolie (US actors) and Sia Furler (Australian singer) whose beautiful song “Breathe Me”  refers to her own experience of self-harm – even for celebrities with money, status and freedom, self-injury is a painful, distressing and traumatic issue. Self-harmers who find themselves in jail may find that the urge becomes much worse – and some only start injuring themselves when imprisoned as a way to cope with their distress.

Some forms of self-injury or self-harm are socially acceptable and some are even fashionable in the western society, such as tattooing, piercing, cosmetic surgery, overeating, binge-drinking, dysfunctional relationships. Many professionals mix up self-harm and attempted suicide, whereas there is a big difference between the two. There are a lot of myths and stigma around self-harm, but generally it can be understood is a coping mechanism for emotional and psychological pain, used to soothe and tranquilize unbearable feelings.

Below are some ideas for people who want to cope better with the urges to self-injure, with some possible alternatives and strategies which you could, if you choose to do so, use to prevent yourself from hurting yourself. Depending on the type of emotion/feeling which creates the urge to injure yourself (which could be rage, grief, fear, numbness, feeling out of control etc.) different things may work at different times. Some of these activities may simply act as distracters, others have a soothing and healing effect, some allow to express overwhelming emotions safely, and some others allow to experience a limited degree of physical pain (e.g. when someone who feels numb and injures themselves in order to actually feel something) without actually causing injury.

Of course in a prison the choice of activities you could do easily is likely to be restricted as you may not have access to equipment or space required, and your privacy may be very limited. However I tried to include at least some things that would be possible for most people even in prison. Some of these can be done very quickly, and some will require time and a bit of practice:

  • Break some sticks
  • Choose a random object and list 30 different uses for it
  • Clean your room
  • Create a secret code
  • Crush an empty plastic bottle
  • Do some vigorous exercise
  • Draw a picture
  • Draw an outline of your own body and colour in the areas where you feel strong feelings
  • Draw on the place you want to cut with a red pen
  • Draw your own comic
  • Go for a walk (if you can)
  • Have a rant
  • Hit a punchbag/pillow/cushion
  • Hum a tune
  • Imagine a special box or container where you can hide away your troubles
  • Imagine yourself as your favourite superhero and create a story about yourself
  • Learn a martial art
  • Learn acupressure points for calming down
  • Learn grounding techniques
  • Learn mind training games and do them in your head
  • Learn relaxation techniques
  • Look at a tree (touch the bark if you can) and imagine having a conversation with it
  • Look at stars
  • Look for pictures in the clouds
  • Make a wish list
  • Make your out-breath longer than your in-breath
  • Meditate
  • Play a real or imaginary musical instrument
  • Play music
  • Pray
  • Re-arrange your room
  • Remember your favourite joke
  • Remember the best moment from your favourite comedy
  • Rip up a cardboard box
  • Rip up an old T-shirt that you don’t need
  • Sing an upbeat tune
  • Snap your wrist with a rubber band
  • Squeeze a stress ball
  • Squeeze ice hard (if you can get it)
  • Stomp around in heavy shoes
  • Take a shower and imagine the water washing away the pain and bad feelings
  • Talk to a Listener (in UK, a prisoner trained by Samaritans to counsel other prisoners)
  • Talk to a member of staff you can trust
  • Tear some old papers you don’t need into shreds
  • Throw a pillow at the wall
  • Visualise different colours of the rainbow one by one, and notice what effect each colour has on you
  • Visualise your favourite place in nature and imagine being there
  • Visualise an imaginary Healing Room (where you can have  magical equipment and potions that would make you feel better)
  • Watch birds out of the window
  • Watch your favourite comedy
  • Write a letter
  • Write a list of things you are grateful for
  • Write a poem or story
  • Write a song
  • Write down your feelings

An important note for prison staff, carers and professionals – please remember that the self-harm in itself is not the problem, it is a coping mechanism for another problem, so don’t be punitive or force the self-harmer to stop the behaviour (unless of course it poses an immediate and serious risk to their life).
The best you can do is to support them in a non-judgmental way, to help them understand the emotional reasons for self-harming behaviour, and encourage them to seek appropriate support and professional help – if psychotherapy or group therapy is available, consider making a referral, discussing this with the individual.

Masha Bennett is a UKCP registered psychotherapist and a trainer of EFT (Emotional Freedom Techniques). She has worked for a number of years within the criminal justice system, including running a drug rehabilitation programme in a women’s prison, and currently combines work in the UK National Health Service with her private therapy and training practice. Masha teaches EFT, trauma awareness and self-help tools to professionals and general public across 10 countries in Europe, Asia and Middle East. Her website is www.practicalhappiness.co.uk.

References

UK Ministry of Justice – Safety In Custody.

National Self-Injury Awareness Day (2000). Self-injury: Beyond the Myths.

Townsend, M. (2012). Women prisoners: self-harm, suicide attempts and the struggle for survival. The Observer, 11 February 2012.

Sources of information and support

A helpful booklet on Self-Harm published by the UK mental health charity Mind.

National Association for People Abused in Childhood is a UK charity offering support and information for people who suffered any type childhood abuse.

Bristol Crisis Service for Women  is a UK organisation that supports girls and women in distress nation-wide, in particular those who self harm.

Mosaic Minds  is a primarily internet based organization founded by a group of dissociative survivors of childhood trauma and their loved ones.

Survivors UK  is a charity offering help for men who have been sexually abused or raped.

PODS (Positive Outcomes for Dissociative Survivors) is UK organisation providing support, information and training for people suffering with dissociative disorders.

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