An Early Resolution

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NaBloPoMo 2017: Field Notes from a Life in Medicine—Last Post

It’s December 1 here in Chicago, but I have almost 2 hours before midnight in California, and 5 hours in Hawaii, so I’m still counting this post as on time.  Meh whatever, it’s my blog and I can do what I want—last post for NaBloPoMo 2017, woo hoooooooooo!!

Okay so, when was the last time you gave another driver the finger?  I can’t even remember myself, maybe high school?  Definitely by the end of college I had stopped, and I can honestly say I probably only ever did it a handful of times.  In college I was in a car with friends and the driver cheerily wagged his finger at another car that had cut us off.  He didn’t get angry, but rather acknowledged the rudeness with humor.  At least I thought it was humorous.  So I’ve been doing it ever since—but with varying degrees of good humor.

Last week I was driving to work (you know what’s coming).  As I approached an intersection about 1.5 car lengths behind the sedan in front of me, where we had no stop sign but the cross street did, I could see a car inching out at the corner.  I anticipated that it would try to make a turn after the car in front of me passed, thereby causing me to have to slow down.  Sure enough that’s what happened, and I wagged my finger.  I suppose my intent was to shame, I’m embarrassed to write.  If I were that driver, I might have felt ashamed, and also annoyed at the gesture.  He, in turn, showed me a stiff, straight middle finger, accompanied by an unmistakable expression of the very same message—eye contact and all.

That hurt my feelings, I’m also embarrassed to report.  Not quite sure why I’m embarrassed—because I kind of deserved it, or because we’re not supposed to let stuff like this get to us?  Whatever, it felt bad and I didn’t like it.  After reflecting over the next mile or so, I decided that from now on I will simply treat other drivers with kindness first, regardless of the crazy antics they perpetrate on the roads (and let me tell you, in Chicago it can get pretty crazy).  That is the resolution that makes me feel the best.  And now I’m even more embarrassed and ashamed because this is pretty much how my mom treats all drivers (all people, really) since I can remember.  Well, better late than never.

I’m trying to remember how I came to this conclusion, because it took like quick-drying super glue, and I have abided by it firmly ever since.  I tried to imagine myself in that driver’s place.  What would make me in such a hurry that I would intentionally inconvenience another driver, who has the right of way, to get going just a few seconds sooner?  Was he really late for work, or to see a sick relative in the hospital?  Was he just an impatient driver in general?  Regardless, was my finger wagging helpful to either of us?  Would it make him less likely to do the same thing again?  Maybe it would have been better if I had waved, offered some grace and generosity of spirit?  If I were him, I would certainly appreciate that more than a pompous finger wagging.

Exercising patience and generosity on the roads is easier said than done, though, am I right?  Surely I cannot be the only one challenged by this?  Now that I think more about it, maybe my embarrassment at feeling hurt by his gesture relates to the fact that society tells us in a lot of ways that we’re not supposed to treat other drivers as human—and thus not be affected by them.  Jockey for position, don’t let ‘em in, fuck ‘em.  Stupid gestures should mean nothing, because we’re simply expected to treat one another like garbage.  It feels like this when I let someone in my lane and they don’t wave.  No acknowledgement, no appreciation.  That doesn’t feel good, and it’s not who I am.

Long ago I realized that I almost never need to get anywhere so urgently that I need to cut people off or risk my safety, or that of my passengers, in the car.  Whenever I see someone signaling to get in my lane, I almost always make space for them.  I try to avoid entering intersections I cannot clear, because I hate when cars do that and cause gridlock, especially at rush hour.  But somehow I didn’t see the finger wag as contrary to these other acts of driving courtesy—in this respect I guess I was stuck in the ‘fuck ‘em’ mentality.  So it makes sense that after experiencing the other side, and so emphatically, I realized that the only thing to do for my integrity is to reject that behavior altogether.

So, no more finger wagging.  Maybe I’ll take a deep breath and find some other, more neutral expression?  It feels necessary to acknowledge my own frustration, but not necessarily to project it on the other person.  Maybe I need a mantra.  *Deep breath* “You be safe now.”  *Deep breath* “You do you, I’ll do me.”  *Deep breath* “Thank you for not hitting me.”  *Deep breath* “I remind myself that you are a fellow human being, and we are all here doing the best we can.”  Maybe a more succinct version of that last one.  I’ll work on it.  I’m sure I’ll be working on it for a long time yet.

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Thanks to all who have read along this month, it’s been fun!  Now onto holiday cards, each of which I will once again attempt to write by hand this year.  It just feels like the right thing to do, and I get to break out my fun colored pens.  In case I don’t make it back in time, Happy Holidays to all, and best wishes in 2018 and beyond!

Holding the Space for Our Suffering to Heal Us

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Hello again, dear friends.  Peace, love, and joy be with you on this, the autumnal equinox.

This post marks the conclusion of the Healing Through Connection Summer Series, 2016:  Holding the Space.  The story I will tell is important to me, and I love that it’s the series finale.  I wish I had posted on the last day of summer, but the first day of fall is okay, too.  Two days ago I was privileged to witness a whole lot of people, hold a whole lot of space, for a whole lot of suffering.  And I posit that we all came away better for it.  I invite you to sit back, get comfy, and take your time with this one.  I’m feeling particularly fulfilled as I sit to write, and I hope to convey the deep gladness I gained from the experience.

***

It was day three of the International Conference on Physician Health, in Boston.  I had anticipated this meeting giddily for nine months.  From the moment I heard the call for abstracts, through the iterative preparatory steps, to the final emails, texts, PowerPoints, and conference calls with collaborators, through the personal connections and learning, I was now positively beside myself with zeal.  It was everything I had hoped and more.  I was surrounded by colleagues from three continents, all gathered to share and unite around making our professional world more humane.  We explored ideas like awe, joy, mindfulness, empathy, presence, and vulnerability.  I had lived two glorious days in a cocoon of safety, love, and resonance.  I was among my people.

This day’s workshop focused on compassion, and aimed to tap its deepest reaches within each attendee.  The presenter prepared us for the exercise by describing his work with previous groups—CEOs breaking open in anger, shame, forgiveness, and finally compassion.  He asked that we hold the gravity of vulnerability with reverence and respect.  We understood the solemnness asked of us, and responded in kind.  This was the exercise:

On a blank 5×7 index card, write a personal story.  You will have five minutes.  The cards will be collected at your table, redistributed, and shared anonymously at another table.  Be aware that your writing may be shared aloud with the whole group, later in the exercise.  Instruction:  Write the story of a time in the past year that was really hard for you, when you suffered.  It could be personal or professional.

For a split second I felt a catching in my chest—‘Yikes!’  And in the next breath, ‘Bring it.’  I knew this tribe.  They would hold it for me, with me, no question.  And because I was also a tribe member, I would do it for them.  I looked forward to it, actually.  I wrote with surprisingly little effort, concisely yet in detail, about a particularly challenging relationship and my struggles with perfectionism.  How could my other relationships shine so brightly, feel so easy, and flow so freely, while this one so regularly caused me angst and turmoil?

At the end of five minutes my tablemates and I placed our cards in an envelope provided.  I felt oddly relieved, as though a great weight I carried all this year had been lifted.  The envelope was marked, then passed three or four times between tables, so we didn’t know where our cards ended up.  They were as letters in a corked bottle, cast into the ocean, released to an uncertain, but hopeful, fate.

Our presenter explained that at this time, the envelopes would normally be opened, and each of us would take one card and read it.  We were to hold it and its anonymous author in the space of compassion, then share with our tablemates.  We would help one another hold one another.  Then, if so moved, each table would choose one card to share with the larger group.  Our task was to connect, with ourselves and one another, to feel deeply now, to remind us how to do it out in the world.  This was where it would get real, we all knew.   And though he had warned us earlier about an unforeseen shortening of the workshop schedule, we did not see the abrupt end of the exercise coming.  He told us we would not have enough time to do the exercise justice, and so the envelopes would remain unopened this day.  He acknowledged the conflict we all felt, the urge to look.  But he stood firm that experiences like this cannot be rushed, and he respected the time constraints of the meeting.

The tension in the room was palpable, even as we all sat in silence.  It felt jarring, painful, anxious.  What would happen to the cards?  What about all that suffering contained in them, people’s hearts and lives scribed with intention to be seen, known, understood, and held?  Surely they would not just be thrown in the trash?  One colleague voiced so poignantly our core conflict:  We all wanted closure for this vulnerable exercise, and that need competed with honor for the time required to complete it.  Our leader gracefully acknowledged this truth, and solemnly held the space for us all to be present to its discomfort.

For a moment we felt stuck, we connection seekers.  I looked at our leader.  His expression conveyed nothing but humility and empathy.  His posture conveyed resolution.  Despite our deep longing, he refused to lead us into treacherously thorny fields, because he knew he did not have the time to bring us safely through to the other side.  But he also allowed us to process, invited us to consider how else we could collectively resolve our unease.

I wondered what would physically become of the cards.  Would he take them home with him?  Would he burn them in a reverent ceremony of sorts?  I knew he felt responsible for us and our predicament.  Would he read each one, hold each of us and all of our suffering, all by himself?  I felt immediate compassion for him, and hoped that he would not take that route; none of us would want that for him.

I wanted to suggest that we be given the option of each pulling one card, to hold in compassion privately, as we left the workshop.   But we were spread out in a big room, feeling separated from one another rather than connected, and I felt sheepish.

Within a minute or so we had decided to collect the envelopes together, stand surrounding them as if around an altar, and offer a benediction of sorts.  I could not shake the urge to reach out, to take one person’s suffering and hold it for them, love them, send energy of compassion and solidarity to them, whoever they may be.  I realized also that this was exactly what I wanted for my card, for my suffering.  And now that we stood shoulder to shoulder, at least physically if not emotionally proximal, I felt more comfortable to speak.  “I really want for someone to take my card and hold it for me, and I really want to do that for someone.”  Another attendee immediately looked me in the eye and said, “I’ll do it.”  The group consented; each of us would take a card at random, if we wanted.  I pulled one from the third envelope from the top of the pile.  I held it to my chest and returned to my seat.  I forgot all about my own card, and my anxiety evaporated.  I no longer cared if anyone saw mine; I had released it.  My task was to hold my colleague’s sorrow with my own heart, and wish with my whole being for their peace and healing.

I’m so proud of all of us.  We attended to so many needs that morning, all with respect and kindness.  The presenter set the tone for the workshop from the beginning and we all understood the learning objectives: Practice opening up to let the healing in and practice the inner work of holding another’s suffering with your own.  Connect with our shared humanity.  We all learned an important lesson in flexibility, creativity, collaboration, and acceptance.  We held space like champions.

I’m proud of myself for finally speaking up, for asking for what I needed.  That I was met with such generosity and tenderness speaks to the remarkable power of mutual understanding and compassion.  I took a deep breath and read the card in my hands.  My colleague’s story was short, about the 5 year anniversary of his/her father’s death, and memories of loss and helplessness.  Tears came when I read it.  I hugged the card and said a prayer for its writer.  I’ll keep the card someplace safe, and eventually release it in some respectful, peaceful way.

I don’t know if anyone pulled my card.  It’s okay.  Just the hope that someone might have seen it and given it some consideration is enough.  I learned the lesson I needed: Offering my pain for someone else to hold a while, and accepting another’s sorrow to hold for them, constitutes the cycle of healing.  We are not here to go it alone.  We need one another in the best ways.

Holding the Space for Shadow Behind the Light

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Have you ever been in an argument and suddenly realized the perfectly mean thing to say, that ultimate verbal weapon that would render your opponent categorically mute and ambush them into abject submission?  It’s an exhilaratingly powerful feeling, isn’t it?  What did you do?  Did you bite your tongue and take the high(er) road?  Did you blunt the skewer and lob something passive-aggressive instead?  Or did you let loose that ax with the full force of rage behind it, just to see what would happen?

***

I had another convergence experience last week, in a series of articles on my Facebook newsfeed.  It started when I saw this piece on reconciling the parts of ourselves which we subconsciously hate, in order to live more integrated, fulfilling lives, particularly in our relationships with others.  The author discusses Carl Jung’s core ideas, stating, “To heal a split in self, a person needs to work with their shadow and learn uncomfortable truths about themselves in the process. Our inner war is softened when we allow ourselves to be seen. Not just the side of ourselves that matches our intersubjective ideal — that is easy. We show those feathers prominently. No, we need to accept our failures and shortcomings too.”

Yes, I know.  It’s the Sh*tpile all over again.

The Remembrance

I attempted to read a book several years ago, Debbie Ford’s The Dark Side of the Light Chasers.  There is an exercise on page 69 of the 2010 paperback edition in which she lists a set of negative words, such as greedy, phony, cheap, lazy, wimp, fat, passive, coward, etc.  The instructions are as follows:  “Identify the words that have an emotional charge for you.  Say out loud, ‘I am ________.’  If you say it without any emotional charge, then move on to the next word.  Write down the words that you dislike or react to.  If you are not sure…ask yourself how you’d really feel if someone you respected called you this word.  If you’d be angry or upset, write it down.  Also…(think about) words that are not on this list that run your life or cause you pain.”  The list is almost two pages long.

Back around 2011 I did this exercise in earnest.  I wrote down words like controlling, bitchy, rigid, egocentric, better than, arrogant, defensive, judgmental, condescending, oversensitive, and many more.  I’m looking at the list right now, written on a napkin while I sat alone reading at lunch—so long and depressing.  Who knew I hated so many things about myself?  I got through another 40 pages of the book, as evidenced by the bookmark still wedged at the end of the chapter entitled, “Embracing Your Dark Side.”  All I remember is the profound, visceral discomfort I felt after that exercise, the unshakable fear and shame, and how I basically came home that day and picked a fight with my husband that lasted for two weeks.  Not my proudest moments on this journey of self-discovery….  I remember thinking, ‘This is f*ing hard.  How will I ever get on the other side of it all?’

These days, things feel very different.  I’ve done a lot (a lot) more inner work, studied and learned, and enlisted professional help to overcome my aversions to emotional vulnerability.  I’m thinking I could probably pick this book up again, redo the exercise, and have a very different experience.

The Emergence of a Thread

While I pondered this, another article came across my newsfeed, entitled, “What Nice Men Never Tell Nice Women.”  Basically it describes the internal tension between men’s competing impulses: “The nice man is democratic, egalitarian and deeply sympathetic to the feminist agenda – and yet in sexual fantasy, he loves the idea of being tyrannical, bullying and really very rough. He himself can’t understand the disjuncture between competing parts of his nature; he is spooked by the drastic switch in his value-system that occurs the very second after orgasm.”  Wow.

The article concludes with, “It’s clearly very hard for the partners of the nice to take on board the darker sides of their lovers. But if they are robust enough to dare to give them some attention, the result can be an extraordinary flowering of the relationship beyond anything yet experienced. However close we may be to someone because they have been nice to us, it’s as nothing next to the closeness we’ll achieve if we allow them to show us, without shaming or humiliating them, what really isn’t quite so nice about them.

“Out there, in the politer corners of society, nice guys are – without saying a thing, that’s not their style – waiting for nice women to start to gently take the weighty burden of their ‘badness’ off them. And, of course, vice versa too, for no gender has any monopoly on the sense of being bad.”  This last sentence gave me pause and hope.  It turned the tables and made it okay for women to also have a dark side, for us to also struggle with our ‘niceness.’

One of my friends commented, questioning, “So all men are either openly hostile and misogynistic, or are burying their dark feelings?”  I almost reflexively I replied, “I took the article as saying we all bury our dark feelings somewhat, and we can live fuller, healthier lives if we both acknowledge them and manage them effectively.”  Again, I found myself returning to this core idea of grappling with our inner demons.  By now I started to wonder about cosmic timing.  What has the re-emergence to teach me now?  We all have some base impulses, parts of ourselves that we would sooner deny than acknowledge, let alone show to the world.  I wrote about this, rather spontaneously and unexpectedly, at the beginning of the Blogging A to Z Challenge.  Little did I know then that this would become a recurring theme this summer.  It’s as if the universe urges me onward, perhaps sensing that my motivation to dig in my shitpile wanes, when I ought to be digging deeper, integrating more?  Isn’t this what I’m always preaching, to Own Your Shit?  Okay then, I thought, I will stay on the path.

The Dark Side of the Dark Side

The next article to converge on this shadow-themed week came in the form of tweets by a reporter from a Trump rally on August 18th.  People were saying Hillary Clinton should be executed, calling her a ‘f*ing witch,’ calling President Obama a ‘goddamn Muslim terrorist,’ saying ‘reporters need lobotomies, and maybe that’s what Trump will do after elected,’ wanting to ‘hurt the press,’ mentioning ‘a civil war if Trump loses,’ and it goes on.  It occurred to me that these are examples of us not managing our dark sides very well.  The article on Carl Jung and Debbie Ford’s book both embrace the idea of uncovering our less generous traits with compassion, and integrating them for a healthier whole.  These people’s behavior, by contrast, demonstrates the profound risks of allowing those darker impulses to overtake our consciousness, words, and actions.  The container of repression has its limits.  When someone outside applies incendiary words and rhetoric, the fire drives internal pressures beyond the container’s capacity.  If that person then provides a release valve in the form of a similarly aggravated group, well, violence and mayhem are born.

In my previous posts I have reminded myself to remember to look beyond the mob mentality, and listen for the individuals’ personal experiences.  I have to continuously remind myself that we must have more in common than not.  We are all human, after all, and we love our country.  So what could drive people to abandon all social norms of restraint, and unleash such profound loathing into the world?

I came across the final piece in the convergence on Sunday, which offers some insight.  Veteran journalist Joel Stein wrote this blog post exploring the nature of internet trolls.  In it he describes how despite the profoundly abhorrent things these people may write to their online prey, they are not the dregs of society that we may imagine.  He quotes a social media exec: “’The idea of the basement dweller drinking Mountain Dew and eating Doritos isn’t accurate,’ she says. ‘They (could) be a doctor, a lawyer, an inspirational speaker, a kindergarten teacher.  It’s more complex than just being good or bad… It’s not all men either; women do take part in it.’  There’s no real life indicator,” he writes.

Stein describes his experience confronting his own troll of two years, a 26 year-old, small-framed, female freelance writer who on multiple occasions tweeted that she wanted to “kick (his) ass.”  He invited her over Twitter to meet for lunch in order to confront her, and she cheerfully agreed over email.  Excuse me??  During the meal she admitted that she was just lashing out at what she perceived as his ‘smarminess,’ and told him outright, “’It’s clear I’m just projecting. The things I hate about you are the things I hate about myself.’”  And though she had been trolled worse than he, she experienced no sympathy that prevented her from doing it to him.  She expressed incredulity when he asked why she never carried out her threats to beat him up, even when she had the chance.  “’Why would I do that?’ she said. ‘The Internet is the realm of the coward. These are people who are all sound and no fury.’”

So more and more, in both large, impersonal groups and online, our dark sides are given free reign with few, if any, meaningful consequences.  Under cover of the mob and anonymity of the internet, we can freely relieve our repression.  But it comes without any insight, and there is no lasting benefit, for ourselves or those around us.  There is only offloading, a temporary pressure release, only to continue re-accumulating, with unpredictable and potentially very destructive outcomes.

This is not, I think, the manner in which Carl Jung envisioned us coming to grips with our shadow selves.  This is not integration.  Rather it is advanced separation— perpetual splitting of self from self and from others.

The Lesson

So what have I learned?  We all harbor coarse, corrupt, even barbaric tendencies.  We are descendants of cavemen, after all, and still hardwired as such in our limbic brains.  Still, most of us exercise discretion and civility in everyday life, and find ways to get along in society—we exert neocortical controls.  Every once in a while, though, something gets the best of us, catches us off guard, and the ugly slips out.  Sometimes it’s pretty scary ugly.

Once again, I conclude that shaming ourselves or one another for the repugnance is the opposite of helpful.  Just like the offloading behavior that incites our disapproval, automatic ad hominem negativity toward perpetrators of such words or acts only serves to further alienate them, adds fuel to the fomenting rage fires.  When we berate ourselves for our shortcomings, we make ourselves smaller and less resilient–more likely to react with rage rather than respond with gentleness.

In the end I think it’s about judgment.  We can and should judge which attitudes, policies, and behaviors we deem right and good.  At the same time we should exercise caution and extreme patience when we find ourselves judging ourselves and others on worthiness.  The default assumption must be that we are all worthy, that we all deserve a voice, no matter how vulgar and objectionable our words.  We must apply boundaries, and we should expect mutual respect and tolerance; we can find ways to deal with disrespect and intolerance that do not invalidate one another’s innate humanity.

As we each pursue our own inner work, dig in our respective shitpiles, we contribute to the life gardens of those around us, and lead by example.  It can be back- and sometimes spirit-breaking work.  But we must continue.  There is too much at stake for us to take the path of least resistance, the path of separation and alienation.  Let us stay on the more demanding and more rewarding path together, friends–the path of connection.  Let us hold one another up through the shadows, and seek always the light within each and all of us.