The Inner Voice Committee: My Counsel of Self

“Your inner critic is not usually this loud.”

Thank God for dear friends. Readers of this blog know my deep gratitude for Donna, who has lifted me out of funks now more times than I can count. Yesterday after a kickass (as in it kicked my ass) workout at Redefined Fitness and while inhaling our eggs and potatoes at Egg Harbor, she helped me work through my latest mental morass. ‘Breakthrough’ could be an understatement.

What are our inner voices? What do they tell us? What purpose do they serve?
I quote some of mine:
“I am fat. Other people must feel disgust when they look at me.”
“I am awesome: loving, connected, attuned, smart, holistic, and integrative.”
“I am not enough; must do more, be more, show more, lead more, leave more good behind.”
“I have too many gifts to have been earned–must have been a martyr in a past life–thus I must give back and pay forward.”
“I just love me.”
“I have really fucked up _______ and ________, omg.”

So much paradox! And it’s not quite noise or cacophony, more like a dissonant symphony, full of musicians committed to playing together but just not always on the same page or in the same key? Not totally worked out that metaphor yet. But another one emerged suddenly and strongly, and the ideas below flowed as if out of a fire hose:

My Inner Voices each have a persona, and they sit in conference at the round table of my being. In the 16 hours after brunch with Donna, I have now identified eight of them and given them names. I have gotten still and closed my eyes, feeling their energy. I sense their posture and see their wardrobe. The image of their presence at the table, individually and collectively, reframes my attitude toward them all, and I am both surprised and not at all of it. I shake my head in utter appreciation of my friend, for seeing me, whole and unbroken, if a bit unbalanced. Turns out my Gallup strengths show up a lot in my Voices: Input, Maximizer, Positivity, Connectedness, Learner.
Thank you, Donna, for your loving, honest, clear, and shining reflection of my self. I hope I do the same for you.

This will be long, my friends. It’s all for me–to document today so I may look back in the future and see where I was and how the path will have unfolded hence. I’m so excited.
And I wonder how it may stimulate your own Counsel of Self?

The Body Shamer
ENERGY: Low and negative. Fear, externally focused. Not calm, rather anxious. Low agency–fascinating! Not angry, but judgmental. Fearful of losing control, of irrevocable descent into fatness and all of the limitations thereof.
POSTURE: Small. Hunched but staring, as if from a dark corner–dark in general, almost nauseated; pointing.
WARDROBE: Darkly robed in rough, uncomfortable fabric.
AT THE TABLE: Sitting upright. Protective, like parents: Here to keep things in order, to monitor and hold me to account.

The Creator
ENERGY: BRIGHT, high. Pacing, bouncing, excited, eyes wide open–open open!!–grabby, loud, unconstrained, seeking, querying, integrating, exploring, inviting.
POSTURE: Tall, wide, constantly in motion, gesturing enthusiastically. Leaning in close, tight, then expanding in victory pose.
WARDROBE: Light fabrics, comfy, that move with her, sleeves pushed up. Flowy, light colored florals, maybe. Hair tied back neatly and practically, pretty.
AT THE TABLE: A bit more regulated. Sitting upright, alert, looking and listening for opportunities to jump on and start new projects–attuned to integration openings. Encouraging to others at the table.

The Learner/Scholar
ENERGY: Also bright, but much calmer than Creator. Studious. Curious. Slower, more cognitive, pulling on all files (well organized and deep) of past learning to apply to new information/knowledge. Serious yet open, smart, sharp, prides herself on seeing connections that others may miss. Confident and strong; powerful.
POSTURE: Upright, usually sitting–pen in mouth, hands flying over keyboard, perusing images, graphs, abstracts, articles.
WARDROBE: Work clothes. Well fitted and professional, bright tops and black bottoms, stylish but practical footwear.
AT THE TABLE: Sits back, content and confident to have made contributions in advance. Knows that learnings are there to access–like proud elder ready to watch others apply. This one surprised me as it emerged.

The Driver
ENERGY: Impatient, urgent, prodding; but also proud and encouraging–confident in me–knows my power and potential. Humming vibration of motivation, always in gear, never neutral.
POSTURE: Crouching? Always in ready position–to push, to tow, to squat, to DRIVE. Tense, contracted, high muscle tone, not relaxed.
WARDROBE: Workout clothes? Warm up suit like a coach? Or maybe Asian Grandma.
AT THE TABLE: Sits next to Body Shamer? They are both there to motivate, to hold accountable; they hold standards (but whose?). Alert, worried that the rest of the voices will slack and derail? Feels proud and satisfied as long as the conference persists, the dialogue, activity, and motion continue.

The Connector/Lover
ENERGY: LOVING. Open, kissy, huggy, sticky, curious, wants to know everybody deeply. Forceful with light and power, like Creator but directed at individual people rather than ideas and projects. The human origin of the happy/excited emoji string. Mantra is, “This person has something great to offer and I will find and amplify it!”
POSTURE: In. your. face, grinning. Bouncy high energy like Creator; standing, jumping, hugging, gesturing, and with wildly expressive facial expressions.
WARDROBE: Comfy clothes–oversized fleece, cardigans, big sleeves, black leggings. Envelop-you-and-me clothes, to cuddle and cradle coffee mugs together. Soft colors, fluffy socks, stuffies and plushies close by.
AT THE TABLE: SMILING. Bouncing to tell the story about the last amazing conversation and turn to Learner and Creator to see how to incorporate/integrate it with existing files about humanity and relationships, eagerly awaiting the ‘next assignment’ or opportunity to meet someone new. Giddiness barely contained.

The Carer
ENERGY: Serene. Calm. Not quite solemn but much better regulated than Creator and Connector. Adjacent to Learner? Work Cathy = Learner + Carer. Attentive, intent on listening, hearing, sensing, attuning. Open, welcoming, nonjudgmental. Empathic, not just empathetic. Like Connector but more focused and aimed deeper.
POSTURE: Leaning in, steady, high eye contact, but not invasive. Slow, close, sitting; not fidgety.
WARDROBE: Lunch clothes–between gym and work. Dressy yoga pants, comfy and flattering top, whatever allows for attention to be all on the other person.
AT THE TABLE: Calm like Learner, present and not that loud. Not that much to say; presence is known, felt, counted on. Learner and Carer chair the committee most of the time, I think.

The Crusader/Campaigner (ENFP of 16 Personalities)
ENERGY: HIGH. In motion, driving forward with purpose. Holds the ‘Our Relationships Save Us’ banner high and marches in front. Steady, no matter where she walks her presence is felt and known, encouraging and motivating–the cheerLEADER.
POSTURE: A little like Driver, crouching to rise up in conduction of the stadium wave, pacing the sidelines, pep talking and, of course, gesturing.
WARDROBE: Sporty, versatile, can be dressed up or down to go from work to give a talk to casual social event. Stretchy, bright fabrics, chunky heeled Dansko Mary Janes for marching in practical comfort and style.
AT THE TABLE: Like Creator looking for signs/opportunities to move the group, to integrate all voices in the direction of the Why and our Just Cause: to elevate all relationships we touch. Sees herself as the reminder of mission; operates the Bat Signal.

The Cynic
ENERGY: Male. Holding back, untrusting; a resistance. Sticky on the floor, high friction. Reserved, hesitant, almost disengaged–inhibited. Opposite energy of Connector and Creator. Narrow, cautious, not native to the group. Not unwelcome but not allowed to lead.
POSTURE: Quiet, upright but not forceful; alert and attentive, respectful. Listening for risk, ready to soothe and validate when other voices get despondent about connection thwarted or need a moment to vent and swear about how ‘people suck.’ Knows seat at table is guaranteed, valued, and purposeful; knows when to speak and not.
WARDROBE: Not mine. White button down dress shirt and gray trousers. Never changes, no color, bland.
AT THE TABLE: Straight and stiff, non-effusive. Quiet, but not afraid to speak; knows that his voice will be treated critically, not dismissed but heavily scrutinized. He can be humorous–the cutting, sarcastic, fatalistic variety. May have an alter ego who shows up as East Asian Woman Comedian?

The Committee/Counselors
ENERGY: Respectful, purposeful, collegial, all in the metaphorical boat, rowing in the same direction, their backs fully in it, no question.
Each voice holds its own space, self-regulating and interacting calmly, offering others the curiosity and openness that is my ethos.
AGENDA: Whatever occupies my consciousness at the time; one or more of the voices may be agitated and even in conflict. They come to the table ready to negotiate in good faith, assuming the best of one another, always on the same team. Ambivalent advocacy is okay; adversarial is not.
GOALS, METRICS, OUTCOMES: Align, Assign, Act, Assess, Repeat. Hey, A5R! 😀

Newly convened, I now get to decide how often my Inner Voice Committee/Counsel of Self will gather and commune hereafter.
This could be awesome.

Healing Through Connection Turns 10 This Month

Dear Friends,

Oh my goodness. It’s been a decade. Holy cow. I’m in the feels, people.

I published the very first post here on April 14, 2015, The Premise. Reading it again now (I can’t remember the last time I read it), I’m proud that I can still stand firmly and proudly behind every sentence. At that time, I had only begun to speak nationally on physician burnout and well-being, culminating in multiple memorable and rewarding collaborations until right before the pandemic. That work carries on now without my direct participation, still championed by colleagues whom I admire more than words can express. My own work in wellness has since touched other professions including design, law, and state and federal judiciaries. How humbling to be invited into these spaces; what a privilege. Every opportunity teaches me, broadens my perspective, and reinforces my Premise:

“Patients and physicians have control over one thing above all else: our relationship with each other.  Relationships live and die by communication.  Barriers on the obstacle course of patient-physician communication loom large and formidable. Our system fails us over and again. And it falls to each of us, not the system, to find our way to connection and healing relationships.”

I thought our healthcare system was broken a decade ago; and here we are, worse off still in too many ways to count. Now more than ever, it is our relationships that will save us. It’s another paradox, connection: So important and fundamental, such a necessity, and also kind of mundane. It can happen in the smallest of moments–a glance, a fleeting facial expression, a passing vibe, a shared language–which can be lifesaving and also taken for granted. It can also require collossal effort–tremendous self-restraint, courage, and tenacity–to achieve it across deep and complex conflict and separation. I submit that both/all forms of connection are equally valuable and necessary for us humans to thrive. The longer I live, learn, practice, and write, the more I believe this to my bones.

It did not occur to me until today to do something big and special for my 10th blog birthday. Honestly I had thought of sunsetting the whole thing before the renewal date rolled around last month. But since I had not made any plans or decisions, I paid the fee and here we are.

So let’s have some fun this month, eh?

I think I’ll try to post daily. Nothing too labor intensive, no obligations, no rules. It’s my birthday party and I’ll write if I want to. I have 100 drafts waiting to expand and engage, four occurring just in the space of this morning’s commute.

It really is all about Connection: This blog, medicine, health, wellness, relationships, life.

How ironic: The world feels more divided and polarized, separated and divergent now than I can remember in my lifetime. And yet in my life personally, I feel more connected to people everywhere now than ever. What is that about? How fascinating and wonderful! Let me attempt to explore it and share in the next 28 days, yes?

Healing Through Connection. Connecting in all possible ways, for the good of us all. It’s what we live for, I’m convinced. So let’s dive in, celebrate, and see what emerges! Oh, this could be fun. See you tomorrow!

Love,
Cathy

“You’re Fine.” Not.

I feel unwell.

–You’re fine.

No really, I’m not myself.

–You’re fine.

But my life is being disrupted by how I feel: Unwell. Not myself!

–But the tests are all normal. I can’t figure it out. Therefore you must be fine.

Why won’t you listen to me? It feels like you don’t care.

–[It’s not that I don’t care.]
–[My training has not taught me now to cope with things I cannot solve.]
–[The system rewards me for more encounters, more tests, and not necessarily more thought, presence, patience, empathy, compassion, or humility.]
–[The culture of my profession resists uncertainty, vulnerability, and holistic complexity.]

[Maybe I really am fine; am I just imagining the unwell?]

–[I wish I had time to sit with folks… to find and ask better questions, to observe, to really listen… to show the care that I felt called to give back when I started…]


I feel unwell.

–Please, tell me more…
–Hmmm. That’s interesting–some things fit together, others don’t.
–Here’s what I’m thinking; let’s do this; talk soon.

I’m still unwell. And here’s what’s happening now.

–Huh. Fascinating. Tests all look normal. Something doesn’t fit.
–Tell me more, again?
–This is not like you. We have not seen this before for you. I actually don’t see this in general. Huh. Then again, some of this fits exactly with how I know you.
–Okay next steps; talk soon.

Gaaah, still unwell! What is going on?

–I’m so sorry. Let’s review again, please?
–[What am I missing, not seeing? Do I need to get closer up or further back?]
–OK time to get help. [Who has a different perspective and can really broaden mine here?]

–You’re not fine.
–But how are you still okay? Let’s maintain that, and still work on the unwell.

–I’m here. With you. I’m not going anywhere. And we will keep getting other help.
–We will get through it.
–Together.