Helping Doctors Cope With Patient Death

Doctors could benefit from support to help them cope with the trauma of patient death, says a psychologist speaking at the Death, Dying & Disposal conference organized by the University of Bath in the UK.

In a preliminary study, Dr Elaine Kasket from London Metropolitan University carried out detailed interviews with eight US physicians about their experiences of death. Half of those she spoke to wept as they recounted stories of traumatic death they had experienced as physicians, even though some of these events had occurred as much as 30 years ago.

“There is an unwritten rule for doctors that suggests it is not wise or possible for them to feel emotions over a patient’s death because there is always another patient to help,” said Dr Kasket.

“Whilst this detachment might help when presented with a patient with a severe injury, I question how well it serves them in the longer term.

“This emotional detachment is socially ingrained through medical school, and the cultures in both the UK and US medical establishments would see a physician’s emotional response to death as a sign of weakness and even incompetence.

“It feeds into this popular image of the physician as some kind of superhuman ultimate rescuer of human life; unable to do his or her job if they give in to or even acknowledge their emotions.

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Intention Is Important

Toddlers perceive our intentions

Toddlers perceive our intentions better than we may think.

“Even a dog knows the difference between being kicked and being stumbled over.” — Oliver Wendell Holmes

And so, it seems do toddlers. A study out of Queen’s University has demonstrated that children as young as 21 months can differentiate the intentions of those around them.

Psychology professor Valerie Kuhlmeier and PhD student Kristen Dunfield found that toddlers are more likely to help someone who has made an effort to help them, even if that person was unable to accomplish the toddler’s desired outcome. In a series of three experiments, the researchers discovered that it was the thought that counted for the toddlers, not the end result.

What does this mean to those of us who are past our toddler stage? (a purely subjective call in my case at least)

I think it means that clients investigating early childhood “memories” (in hypnosis, for example), might be served to also investigate the intentions of those around them. This can easily be accomplished through surrogate or proxy healing in which the client/subject imagines being the other person involved in the early childhood event(s) being investigated. In Rapid Eye Technology it is common for RET Technicians to invoke proxy, especially during the Inner Child Stages work to capture the thoughts of those around the client during early childhood – I recommend to RET Technicians that they focus some attention to the intentions of those others rather than just on what they thought or did.

“Intention is everything.” (might be truer than we think)

Study source: Psychological Science

Clean Up to Feel Good

Clearing out the emotional charge around childhood memories significantly impacted their sense of well being and gave them better access to feelings of pleasure - particularly sexual pleasure.

Clearing out the emotional charge around childhood memories significantly impacted their sense of well being and gave them better access to feelings of pleasure – particularly sexual pleasure.

During my clinical practice years, about half of the clients I saw for help with feelings of depression also reported incidents of childhood abuse and/or trauma. There may have been more who experienced adversity but did not report it.

In every instance, clearing out the emotional charge around those childhood memories significantly impacted their sense of well being and gave them better access to feelings of pleasure – particularly sexual pleasure.

Now a study from Harvard University seems to support my experience. In their study, they were able to demonstrate a direct link between childhood adversity and adult pleasure in the reward centers of study subjects’ brains.

This is significant in that it adds validity to the idea that clearing out childhood emotional charge can impact current adult pleasure – including sexual pleasure.

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Resilience – Evolutionary Advantage

Although I sprayed them every year they'd just come back stronger. They had become resilient.

Although I sprayed them every year they’d just come back stronger. They had become resilient.

There is a spot in our backyard garden where the same weeds pop up every spring – and which I spray each spring. Over time, the spray seems to be lessening its effect on them and now, the weeds simply cannot be killed using those sprays I’ve used before – they have survived and learned to be resilient.

For years I’ve believed that victimhood is the key to therapeutic inaction and failure. Clients who believe they are the victim of abuse feel powerless and helpless against the intense feelings that boil within them. “I can’t help it – I was beaten as a child. It’s DADDY’S fault I’m fat!”

What if you were to look at yourself instead as a survivor imbued with a strength called resilience? Rather than feeling helpless and hopeless, might you feel more empowered? And what if you were to learn that by putting your strength to work for you, you might actually make your life work better? What if you considered resilience an evolutionary gift rather than a problem needing correction?

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Non-pharmaceutical Fear Erasure?

Fearful memories can be rewritten.

Fearful memories can be rewritten.

Researchers at New York University have demonstrated scientifically that a specific fearful memory can be rewritten in the brain without the use of drugs – purely behaviorally. Of course, alternative practitioners like hypnotherapists and Rapid Eye Technicians have seen this over and over and are sold on the fact that fearful memories can be rewritten (in NLP it’s called “Reframing”).

Basing their theories on mouse and rat subjects, the researchers, led by Elizabeth Phelps, Ph.D., and Joseph LeDoux, Ph.D., of NYU, grantees of the National Institutes of Health’s National Institute of Mental Health (NIMH), have demonstrated their training process on human subjects with positive results. The hope is to replace drug therapies with behavioral ones for anxiety and PTSD specifically – and perhaps others after some trials.

The research shows that there is a critical window of opportunity for change – within 6 hours of the recall of a traumatic memory. Once the “file” is open, specific behavioral techniques can be used to rewrite the memory back into the brain without the fear portion – with long-lasting results. The researchers also found that it was not necessary to recall specifics within a memory – just the emotional elements and the “gist” of the traumatic memory – in order to rewrite it. That’s the phenomenological findings of thousands of Rapid Eye Technicians, who basically tell their clients, “It’s not necessary to relive the events in order to release their energy and reframe [rewrite] those memories…”

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