Unshame: healing trauma-based shame through psychotherapy

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Now that I've finished, feel... emotionally flayed, but also grateful, seen, vindicated. I admire very much how she's able to be so intensely vulnerable in the hope of helping others. I mean, this woman gets me, down to the marrow without exception. Also in the book Carolyn covers forgiveness, self compassion and vulnerability. It is humbling being allowed to witness her thinking and movement towards these states. Summary As a psychotherapist I benefited most from reading how Carolyn grappled with her thoughts, and the insights that arose. I did a lot of reflecting regarding the therapy I offer my clients, reaffirming that trusting process is both important for therapist and client. It is not a book which adds to knowledge that is already available, such as the work of Babette Rothschild in particular, but it does demonstrate it working in practice. So from one survivor to another, THANK YOU, Carolyn for being brave enough to bare your soul like this - and in print, no less! - I am so sorry, thankful and proud of you. I am a survivor of Sexual Assault, both in my childhood and as an adult. I have trouble calling it r*pe because that word is too cold and clinical to describe the emotional, mental and physical devastation of the act(s) that changed my life not once, but twice.

The VIA Strengths assessment tool is available at: www.viacharacter.org Transcript: ‘Shame, unshame and who you really are’ Great book– Read this inspiring book a few months ago and bought another copy to gift to someone else. The most helpful and insightful book on how to help someone who has experienced trauma I have ever read.” And shame is triggered just by being in therapy. You’re sat three feet away from another human being, who might reject you, who might abandon you, who might hate you or hurt you … and this person is in a position of power over you … and so it activates our primal defences. We’re prone to experiencing shame in that kind of environment. So we come to therapy maybe to work through our shame issues, even if we don’t call them that, but then the therapy itself activates our shame. So it’s a bit of a catch-22. My journey out of shame therefore has mirrored my journey out of trauma, and actually I’d say that largely they are the same thing. Trauma sends us out of the green zone into amber or red. Shame likewise sends out of the green zone, usually into red. They are both ways in which our nervous system is dysregulated. The answer to both is regulation – someone who’s in the green zone and able to stay in the green zone, coming alongside us and using their ‘regulated-ness’ to help to regulate our nervous system – so that we can integrate what’s happened to us; so that we can have an integrated sense of self.

How do we recover from trauma?

Incredible– What an incredible book. I feel it should be mandatory reading for every therapist seeking to support people dealing with trauma. My understanding has been massively broadened. It gives practical insight into how to be with someone traumatised. Thank you to the writer. So inspirational and brave.” One of the things I’m particularly interested in is, who are we when we strip away the trauma? Quite understandably, the trauma can be so overwhelming – as it was for me – that we live our lives looking through its lens. It’s like the air around us – we can’t see it, we just breathe it in and everything we see and hear and perceive is carried through it as a medium. And so we have a trauma-centric view of ourselves. I think this is what drives the need for many people with DID to reify their parts – to make them more real than they are, to elaborate them and live their lives through their parts. I think it makes perfect sense. Awesome– People you need to read this book! A fantastic insight into trauma shame and the therapy room. The honesty of this book hits you straight in the heart.” But neither is DID who I am, because that is defining myself by the trauma I have experienced, and that’s not right either. The abuse is something that happened to me, but it does not define who I am. DID is how my brain automatically and naturally responded to that abuse, but it does not define who I am. I am – I always have been – more than my trauma, and more than my response to that trauma. I’m a human being. So the two very much go together in my opinion, and they go together in my book as well. The words that are said, so to speak, in the therapy setting in the book, are highly psychoeducational at one level. So I’m using the book to explain some of these concepts, by narrating how I came to understand them in the first place. But then I’m also framing that within the context of the supportive therapeutic relationship, and the repeated moments of attunement – and misattunement – that went on between us as two human beings.

And not every chapter is explicitly about shame, because that’s exactly what therapy is like. Shame was our constant companion, as it were – the third person in the room, every single session. But I didn’t always identify it as shame, and we didn’t actually talk about shame directly all that often, because to do so just tended to trigger me into more shame. Instead, shame is in the dynamic between the client and the therapist. It’s the need to not be seen, not be heard, not be noticed. To not cause a fuss. To not get into trouble. And at the same time there’s this unquantifiable need to be seen and heard and noticed and connected with. I cannot write from the clients or survivor’s perspective. I feel all peoples experiences will be different. One message to take home is as a survivor you have not done anything wrong. Nothing, absolutely nothing. Resources My new book ‘ Unshame’ really looks at shame in the context of the therapy room. Because I really wanted to write a book about shame, but it’s difficult to write one head-on, so to speak. The danger is that if we talk directly about shame, then even at an unconscious level, we think, ‘I don’t want to know about this. It’s too uncomfortable.’ And shame just doesn’t operate in a left-brain, words-based, concepts-based way. Shame is a relational thing. It’s a right-brain, body-based, neurobiological feeling type thing. So the challenge is how to write a book about shame whilst tapping into the right brain. Because, as I explore at length on my course, shame doesn’t respond well to words. We don’t tend to resolve shame by just changing our mind about it. Very rarely do we just realise that we have nothing to be ashamed of, and then hey presto the shame is gone. Because shame is far more rooted in our bodies than it is in our brains.

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I think shame is principally shifted via right-brain mechanisms – compassionate presence, empathy, attunement. But we’re not just right-brain people. We have both hemispheres for a reason, and they support each other. So when we use psychoeducation, which is principally focused on the left side of our brain, when we learn about shame, about the three zones of the trauma traffic light and how shame resides principally in the red zone … when we learn the strategies of abusers, who are acting ‘shamelessly’ to transfer the shame and responsibility of their abuse to their victims … when we understand these concepts, it can really support us to be open to right-brain experiences. And so in ‘ Unshame’ I basically tell a story. There are twenty chapters, relating to twenty therapy sessions. We talk about lots of different things in those sessions or chapters, but all along there’s this narrative description of how shame feels. What it’s like to experience compassion. What is experienced as shaming. So I’m trying, just a little bit, to bring it alive with words that are evocative and at times hopefully beautiful, rather than a dry academic textbook type approach. In this podcast, I talk about the crippling isolation of shame, and how to move beyond it. I talk about how shame is a survival strategy which tries to keep us from being hurt. But in moving towards ‘Unshame’ – the title of my new book – we need to find out who we really are and live from that place of deep self-compassion. But I think that’s shame speaking, and that one of the ways out of shame is to really fall in love with who you are. To really know who you are. Because shame says, ‘You’re not enough. You’re not good enough. You’re bad. You’re unacceptable. You won’t be liked as you are.’ And unshame says, ‘I’m okay just as I am. I AM good enough. I AM acceptable. I am me, and it’s okay to be me.’ The Body Remembers- The psycho-physiology of trauma and trauma treatment By Babette Rothschild. W.W Norton and Company LTD (2000)

And for me it was fascinating too because again it was so spot on. So my top strengths are creativity, love of learning, humour and curiosity. I read a lot, I write a lot, I learn a lot, and I laugh a lot – that’s pretty accurate! And it has nothing to do with trauma. So I’m a person separate from my trauma – that was absolutely fundamental for me to understand, and for me to be able to start building on those strengths and appreciating myself for them, rather than always looking at what’s wrong with me, how defective I am, how messed up, how broken. Carolyn briefly refers to grounding techniques and the different zones of arousal, green (no arousal, able to be logical), amber (the nervous system getting aroused, emotional and less clarity of thought) to red (aroused, likely to dissociate, or freeze). These ideas are described in greater detail in her teaching videos and seminars.( Positive Outcomes for Dissociative Survivors/PODS )

In this episode

I tore through it in twenty four hours, sobbed several times, nodded in agreement, squared up defensively, and heartily applauded her all at the same time. And so shame steps in to keep us safe from it. Shame says, ‘You don’t know what you’re talking about. You don’t know enough to write this book or deliver this course or record this podcast. You’re not interesting enough or original enough or clever enough or qualified enough. Who do you think you are? Brené Brown? Better not get too big for your boots. Better not get out of your box. You’re not good enough.’ But what I know, having been on the receiving end of it, is that therapy can be highly effective in resolving trauma, in disarming shame. My life is completely different as a result of it – as a result of being on the receiving end of compassion and empathy week in, week out.

Probably my main insight, at least for myself, is that shame isn’t all bad. It’s something that we think of as debilitating and ugly and just destructive, and it is those things, but it’s those things for a reason. Really, shame is just trying to protect us and keep us safe. It’s beating us up for a reason. It lies to us to try to keep us from being hurt. So it’s been a really busy few months, mainly focused around launching a new course ‘Working with Shame’ and also, connected to that, my new book ‘Unshame: healing trauma-based shame through psychotherapy‘. So really I’ve spent the last six months immersed in the shame research, and immersed in my own process of figuring out what shame is, how it’s affected me, its links with trauma, and how we can move out of the crippling isolation of shame: How can we overcome the self-hatred and self-loathing which really gets in the way of us doing anything, enjoying anything, being anything.

Overview

Nowadays I no longer experience the world in quite such a fragmented way, because of the healing journey I’ve been on, which I summarise elsewhere as ‘regulation and integration’, but the fact that I no longer satisfy diagnostic criteria doesn’t make me different as a human being. I am someone who has experienced chronic, extreme abuse in childhood, and I’ve had to work really hard to regulate the impact of that on me, to integrate that trauma to form a coherent sense of self and my own history. But that doesn’t make me more than or less than. If we reduce the baseline down to our humanness, we lose that sense of hierarchy and superiority or inferiority which is based in shame. It’s a very vulnerable book and that in itself is part of the journey to ‘unshame’. Shame tries to keep us safe, but a large part of the antidote to shame is courage. Courage to be who we are, and to be seen. Courage to be despised or criticised or rejected, if that’s what happens. But although we risk that, the reward, when it goes right, is connection – connection with the right people. The reward for me, writing this book, is all the people who have commented and said that it’s like I’m inside their head, that it could be a transcript of their therapy session, that they thought it was just them, and that as a result of reading it they feel less alone and actually less ashamed.