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	<title>Words are Medicine &#187; God</title>
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		<title>Am I Mine?</title>
		<link>http://www.wordsaremedicine.com/2011/08/03/am-i-mine/</link>
		<comments>http://www.wordsaremedicine.com/2011/08/03/am-i-mine/#comments</comments>
		<pubDate>Wed, 03 Aug 2011 15:16:35 +0000</pubDate>
		<dc:creator>Judith Acosta</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Christian Counseling]]></category>
		<category><![CDATA[Faith-based Counseling]]></category>
		<category><![CDATA[Holistic Psychotherapy]]></category>
		<category><![CDATA[belonging]]></category>
		<category><![CDATA[Chesterton]]></category>
		<category><![CDATA[creation]]></category>
		<category><![CDATA[fear and control]]></category>
		<category><![CDATA[God]]></category>
		<category><![CDATA[grace]]></category>
		<category><![CDATA[Magic]]></category>
		<category><![CDATA[religion]]></category>
		<category><![CDATA[self-esteem]]></category>

		<guid isPermaLink="false">http://www.wordsaremedicine.com/?p=1349</guid>
		<description><![CDATA[<p><a  href="http://www.wordsaremedicine.com/wp-content/uploads/2011/08/03/am-i-mine/GOD2.jpg" class="thickbox no_icon" rel="gallery-1349" title="GOD2"><img class="alignleft size-medium wp-image-1354" style="margin: 5px 12px;" title="GOD2" src="http://www.wordsaremedicine.com/wp-content/uploads/2011/08/03/am-i-mine/GOD2-214x300.jpg" alt="" width="214" height="300" /></a>[Currently appearing in Huffington Post, Religion section.]</p>
<p>Am I?</p>
<p>Yesterday I sat watching a storm tumble in as they can do only in  this region of the country &#8212; catapulting, cranky and fast. There were  spiny shards of lightning, whipping sheets of rain you could see  approach from a distance of 30-40 miles, and a thunder roll that had  three large dogs shaking behind my legs.</p>
<p><a  href="http://www.wordsaremedicine.com/2011/08/03/am-i-mine/" class="more-link">Read more on Am I Mine?&#8230;</a></p>
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			<content:encoded><![CDATA[<p><a  href="http://www.wordsaremedicine.com/wp-content/uploads/2011/08/03/am-i-mine/GOD2.jpg" class="thickbox no_icon" rel="gallery-1349" title="GOD2"><img class="alignleft size-medium wp-image-1354" style="margin: 5px 12px;" title="GOD2" src="http://www.wordsaremedicine.com/wp-content/uploads/2011/08/03/am-i-mine/GOD2-214x300.jpg" alt="" width="214" height="300" /></a>[Currently appearing in Huffington Post, Religion section.]</p>
<p>Am I?</p>
<p>Yesterday I sat watching a storm tumble in as they can do only in  this region of the country &#8212; catapulting, cranky and fast. There were  spiny shards of lightning, whipping sheets of rain you could see  approach from a distance of 30-40 miles, and a thunder roll that had  three large dogs shaking behind my legs.</p>
<p>I was mesmerized. I gathered up the dogs and went inside to watch. It  was not a small storm. It brought hail, the noise of nightmares,  darkness and ferocity.</p>
<p>And I had this unbidden, strange, delicious thought: I am created. I am a <em>creation</em>.</p>
<p>It seemed more like a letter addressed to me than a self-generated idea  and what it appeared to be telling me was this simple and magnificent  thing: I am not my own. I no more created myself than the thunderhead  before me or the mountain with which it collided.</p>
<p>Now, to me &#8212; as much as to you &#8212; that is a very strange idea. It is  almost a cultural betrayal. Like everyone else, I have told myself many  times that I am very much my own. I have not only told myself, I have  repeatedly taught that idea to others. I was told to believe in myself,  so I cultivated that belief. I was told I am my thoughts, so I have  aimed to think well. I was particularly told to think well of myself and  have developed what is generally considered to be a healthy sense of  self esteem. I own my home. I have a career. I build friendships. I am  ME. I am MINE.</p>
<p>But then the storm said, &#034;Well, not exactly&#8230;&#034;</p>
<p>It went on to say that I was not my own, certainly not in the way I  had thought. It said I was God&#039;s. That, like the thunder, the lightning,  the birds taking refuge in the trees, I was <em>His</em> creation and  that it was all constantly unfolded, rolled into motion and kept in  existence by an act of Will that was not by any means mine.</p>
<p>Given how I was raised, trained and educated, I would have more than  expected that thought to be anathema to me. What do you mean I&#039;m not my  own??? It was an odd moment overall. But when I think back to other  moments of great understanding or fragments of Grace, I think much of  what has been shown to me has been odd. Some were real head tilters. I  imagine they made me look like my dogs do when I start talking to them.  And in some ways, those experiences weren&#039;t much different. It was as  though I was hearing a language I&#039;d never heard before except that I  could understand it &#8212; just not with my ears or my conscious mind. And  this was no different. It was very strange and very big. Much bigger  than my body, my mind, or anything else I considered proprietary.</p>
<p>Looking back I would&#039;ve normally expected myself to be either a bit  frightened or annoyed; it surprised me to find out that I was actually  relieved. If I was created, my existence not only had meaning, it was  personal.</p>
<p>I finally began to understand what &#034;<a href="../" target="_hplink">self-esteem</a>&#034;  alluded to but never gave me: a sense of belonging. In that storm, a  new truth was revealed; none of us &#8212; not me, not the dogs, not the  mountains or the rain &#8212; stood solely for ourselves. All of us in unison  pointed to Something Else, a Magic that was deeper than magic, a single  Breath that filled the lungs of all life. And all of it inhaled, hoping  for more. Self-esteem had never been enough.</p>
<p>Not for a moment in that reverie did I feel as though belonging to  Another had stripped me of the ability to choose. The moment came with  an invitation, not an ultimatum or a compulsion. I could continue to  rely on myself &#8212; or not. I felt perfectly free to choose what I did  next: ignore the message, dismiss it as unscientific, laugh at it, write  about it, sit with it. The possibilities presented themselves and later  that evening I chose (as you can see). And as I wrote, trying to sift  through the sensation (because it was quite physical) of being actively,  consciously and purposefully created, I found that it made me more than  I was, rather than less.</p>
<p><a  href="http://thenextosama.com/" target="_hplink"><strong>Fear And Control</strong></a></p>
<p>A bit of history might help you understand why this is such a great  relief for me and why I chose to write to you instead of to ignore the  experience.</p>
<p>Most of my life has been spent in fear, fighting fear or treating fear.  Of what? Of everything. Of death, of life, of loving, of losing, of  being well, of being sick. The why&#039;s are too numerous to go into here  (maybe another essay), but suffice it to say that it was exhausting, at  times incapacitating. It&#039;s been many years since then, but the body  memory can be recalled with ease.</p>
<p>The natural result of all that fear was &#8212; for me &#8212; the futile  attempt to control my circumstances. If I can &#034;just&#034; drive this way, or I  can &#034;just&#034; get him to do it that way, or if I can &#034;just&#034; keep my  schedule in &#034;just&#034; the right order, all will be well, I will be safe, I  will be loved.</p>
<p>Needless to say &#8212; and you all surely know this from your own  experience &#8212; it didn&#039;t work. I just spent more and more time trying to  ward off an army with a toothpick. Controlling didn&#039;t bring love, never  guaranteed safety (only the temporary illusion of it) and never made me  well. If anything it called forth the opposite: It made me annoying, it  put me in situations which I should have hastily avoided, and it  weakened me so that I took sick.</p>
<p>As I watched the storm I began to understand that the fear had the  power it did for so many years because I had felt utterly alone. Of  course, I wasn&#039;t alone &#8212; neither in the social sense, the psychological  one, nor the spiritual one. But I felt alone, on my own the way a  forsaken orphan does, one who mistakenly struggles against the world  with the full load of survival on his way too narrow shoulders. And  because of that I believed I had to manage everything. If I didn&#039;t, who  would? I was convinced that it was up to me.</p>
<p>That is the price of separateness. I was mine. But, then, with that, so was everything else.</p>
<p>I&#039;d like to share with you a wonderful idea. It comes from a book  entitled &#034;Orthodoxy&#034; by G.K. Chesterton. In one segment, he talks about  the Will that beckons us from behind every rock, breeze and berry tree,  and how the perceived repetition of nature (the sun that rises again and  again, the tides that rush in and out at the same time every year, the  exchange of synaptic chemistry in predictable ways) is due not to a  series of unimaginative scientific laws or a dull and insensate  lifelessness but to a conscious vibrancy, &#034;a rush of life.&#034;</p>
<p>He likens it to the way children kick their legs back and forth, back  and forth, enough to drive more sedated adults to distraction, not  because of an absence of vitality but because they have so much of it.  He recalls also (who hasn&#039;t done this?) the way children will happily  hear a story over and over and over, pulling on someone&#039;s shirt sleeve,  &#034;Read it again!&#034; The adult may be bored to tears, but the child is  enthralled every time.</p>
<p>Because of a child&#039;s unbridled enthusiasm for life, because they are  still unfettered in spirit, everything they see bares the stamp of the  Great Magician, all of living is an act of mystery, daring and surprise,  every day is prefaced by the curtain being pulled up to reveal a new  rabbit or an inexplicably empty box.</p>
<p>He says,</p>
<blockquote><p>&#034;It is possible that God says every morning, &#039;Do it again&#039;  to the sun; and every evening &#039;Do it again&#039; to the moon. It may not be  automatic necessity that makes all daisies alike; it may be that God  makes every daisy separately, but has never got tired of making them.  May be that He has the eternal appetite of infancy &#8230; our Father is  younger than we are.&#034;</p></blockquote>
<p>He goes on to reveal that he has always seen life as a story, and &#034;that if there is a story, there is a story teller.&#034;</p>
<p>I saw at least a bit of that story in the dark clouds and torrents of  rain yesterday and finally, finally got a sense of the Great Story  Teller Himself as he wet his thumb and turned the page and asked me,  &#034;Would you like to see what happens next?&#034;</p>
<p>And my heart leapt and my lips said &#034;Yes!&#034; glad beyond words that  finally I did not have to know the ending, that I could be a part of  something much grander and beloved than I ever could have if I had tried  to do the writing myself.</p>
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		<title>Stillness and Trusting in God? Yegads.</title>
		<link>http://www.wordsaremedicine.com/2010/04/11/stillness-and-trusting-in-god-yegads/</link>
		<comments>http://www.wordsaremedicine.com/2010/04/11/stillness-and-trusting-in-god-yegads/#comments</comments>
		<pubDate>Mon, 12 Apr 2010 00:28:18 +0000</pubDate>
		<dc:creator>Judith Acosta</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Christian Counseling]]></category>
		<category><![CDATA[Faith-based Counseling]]></category>
		<category><![CDATA[Holistic Psychotherapy]]></category>
		<category><![CDATA[homeopathy]]></category>
		<category><![CDATA[American culture]]></category>
		<category><![CDATA[God]]></category>
		<category><![CDATA[Psychotherapy]]></category>
		<category><![CDATA[stillness]]></category>

		<guid isPermaLink="false">http://www.wordsaremedicine.com/?p=986</guid>
		<description><![CDATA[<p><strong>Be Still &#38; Know That I Am God.</strong></p>
<p><em> </em></p>
<p><em>Be still…</em>It’s really such a simple request and such an impossibly difficult task for so many of us as we get older and more acculturated.  It certainly has been for me. I can barely talk on the phone for 15 minutes without washing the dishes or multi-tasking in some other way. America is a culture of action.  We <em>do. </em>We don’t <em>sit.<a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/04/11/stillness-and-trusting-in-god-yegads/ripples.gif" class="thickbox no_icon" rel="gallery-986" title="stillness and god"><img class="alignright size-thumbnail wp-image-989" title="stillness and god" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/04/11/stillness-and-trusting-in-god-yegads/ripples-150x150.gif" alt="" width="150" height="150" /></a><br />
</em></p>
<p><a  href="http://www.wordsaremedicine.com/2010/04/11/stillness-and-trusting-in-god-yegads/" class="more-link">Read more on Stillness and Trusting in God? Yegads&#8230;.</a></p>
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			<content:encoded><![CDATA[<p><strong>Be Still &amp; Know That I Am God.</strong></p>
<p><em> </em></p>
<p><em>Be still…</em>It’s really such a simple request and such an impossibly difficult task for so many of us as we get older and more acculturated.  It certainly has been for me. I can barely talk on the phone for 15 minutes without washing the dishes or multi-tasking in some other way. America is a culture of action.  We <em>do. </em>We don’t <em>sit.<a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/04/11/stillness-and-trusting-in-god-yegads/ripples.gif" class="thickbox no_icon" rel="gallery-986" title="stillness and god"><img class="alignright size-thumbnail wp-image-989" title="stillness and god" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/04/11/stillness-and-trusting-in-god-yegads/ripples-150x150.gif" alt="" width="150" height="150" /></a><br />
</em></p>
<p>The problem is that with constant busy-ness comes chronic spiritual insensibility. We can build things, accumulate things, and get from one point on a line to another faster than any other group of people on Earth. We are the cleverest, quickest, and most acquisitive culture in our planet’s history. But we see, feel, and understand less. We have collected data and sacrificed wisdom. We have built colossal glass cities and relinquished our sight.</p>
<p>By the time we are in high school, probably earlier, most of us are set into a rhythm of living. Our eyes are focused ahead and our peripheral vision shrinks with each passing year until we can barely see the tips on our own noses. And unless we can see not only ourselves but ourselves in context, the truth is that we can <em>know</em> very little. It becomes more and more difficult to see any evidence of God, no less know Him. Unless, of course, we’re in deep trouble and a sense of urgency is dramatically renewed.  As one Patriarch of the Russian Orthodox Church has said, “Unless there is thunder, people don’t make the sign of the cross.” The American equivalent: “Everyone believes in God in the trenches.”</p>
<p>Yet, we are continually surrounded by the evidence. We are in a world filled with miracles. Clues are in every corner of our lives. Amma, the Hugging Saint of India, exclaimed that God is everywhere: “If you ask me who is God, I tell you, you are my god. The lion is god. The flowers are god.” Yet most of us don’t see it. Or don’t recognize these clues as such if we do see them. Some of us just forget to look.  But miracles are not empirical. They do not present themselves in the linear, organized manner of double-blind studies. We try but we cannot collect miracle data to analyze. Most people think they will believe it when they see it, but the truth is that we see it when we believe it or are at least willing to entertain the possibility. This is what is meant in Mathew and why we must be as little children to see the truth in the evidence that is all around us.</p>
<p>Two experiences have illustrated to me the urgency of keeping my eyes and mind open.</p>
<p>The first experience occurred when I was 12 years old and I was allowed to take an after-school art class. It was a small, unpretentious event held in the backroom of an old woman’s apartment in the Bronx but it changed the way I saw everything. Instead of looking at a thing and seeing its function first (how it pertained to me, how I could use it, eat it, play with it), it now had a life and a charge all its own. I saw light, form, color, shade, placement in its surroundings. If I tilted my head this way or that, the thing—and all those aspects of it—also tilted. I was suddenly in relationship with the world in a new way.</p>
<p>The second was studying for nearly five years to become a homeopath after already being a <a  href="http://www.wordsaremedicince.com">psychotherapist </a>for about ten years. Classes would not start until we had all closed our eyes and sat still for a period of time, sometimes for as much as a half-hour. Even as I write this some years later, it hardly sounds like much—what’s a half-hour? But for me sitting still and letting myself be quiet so that I could <em>receive</em> impressions from my patients without actually <em>collecting </em>them, without any judgment or interference on my part was initially as easy as teaching a puppy not to run after a rabbit.  But by my last year (and it was a struggle every time) I began to notice something odd—I started to see more. Information was not just more available, it was clearer and more understandable. This, I began to understand, was where the miracles were to be found.</p>
<p>But understanding was far from enough for me. Humans are a complex and mixed bag of needs, desires and defects. Poised precariously between good and evil, heaven and hell, life and death, dangling between light and dark, the human heart is by nature a busy place, a shifting ground where there is both endless dance and relentless battle.</p>
<p>Stillness does not come easy for me.</p>
<p>I do not sit with much grace.</p>
<p>I have had to find a way to be still of heart and let my body move as it will. So, I do yoga. I walk in meditation and I pray as I hike. Sometimes on those hikes I talk. Sometimes I listen. Sometimes I’m hurt and fearful. Sometimes I’m grateful and delighted. All I can do is bring myself—all of me—to Him, assuming that He can handle it, the awe, the anger, the confusion, the good, the indifferent, all of it, all of me, from the loftiest impulses to the darkest corners of my soul. And what I found was unexpectedly simple: Finding God was like being married. You have to show up for the relationship. All of you. <em>Build it and they will come. </em>The same is true of God.</p>
<p>Be there and He will come.</p>
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		<title>On The Way to Becoming A Healer: The Journey of a Young Social Worker</title>
		<link>http://www.wordsaremedicine.com/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/</link>
		<comments>http://www.wordsaremedicine.com/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/#comments</comments>
		<pubDate>Sat, 06 Feb 2010 19:42:33 +0000</pubDate>
		<dc:creator>Judith Acosta</dc:creator>
				<category><![CDATA[Albuquerque Counseling]]></category>
		<category><![CDATA[Holistic Psychotherapy]]></category>
		<category><![CDATA[homeopathy]]></category>
		<category><![CDATA[Psychotherapy]]></category>
		<category><![CDATA[Verbal First Aid]]></category>
		<category><![CDATA[albuquerque]]></category>
		<category><![CDATA[God]]></category>
		<category><![CDATA[Hahnemann]]></category>
		<category><![CDATA[healing]]></category>
		<category><![CDATA[PICU]]></category>
		<category><![CDATA[presence]]></category>
		<category><![CDATA[social work]]></category>
		<category><![CDATA[social workers]]></category>
		<category><![CDATA[suffering]]></category>

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		<description><![CDATA[<p><em><span style="font-size: small;">(This article is dedicated to R.M. who inspired it. Thank you for reminding me of what we are supposed to be doing.)<strong> <a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/dove.jpg" class="thickbox no_icon" rel="gallery-937" title="healing and psychotherapy"><img class="size-thumbnail wp-image-938 alignright" style="margin-top: 5px; margin-bottom: 5px; margin-left: 10px; margin-right: 10px;" title="healing and psychotherapy" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/dove-150x150.jpg" alt="" width="150" height="150" /></a><br />
</strong></span></em></p>
<p>For some reason lately I have been seeing quite a number of brand new social workers for supervision, some of whom are still in graduate school. It has been a poignant and privileged rite of passage for me after all these years to be passing on what I’ve learned.</p>
<p><a  href="http://www.wordsaremedicine.com/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/" class="more-link">Read more on On The Way to Becoming A Healer: The Journey of a Young Social Worker&#8230;</a></p>
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			<content:encoded><![CDATA[<p><em><span style="font-size: small;">(This article is dedicated to R.M. who inspired it. Thank you for reminding me of what we are supposed to be doing.)<strong> <a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/dove.jpg" class="thickbox no_icon" rel="gallery-937" title="healing and psychotherapy"><img class="size-thumbnail wp-image-938 alignright" style="margin-top: 5px; margin-bottom: 5px; margin-left: 10px; margin-right: 10px;" title="healing and psychotherapy" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/dove-150x150.jpg" alt="" width="150" height="150" /></a><br />
</strong></span></em></p>
<p>For some reason lately I have been seeing quite a number of brand new social workers for supervision, some of whom are still in graduate school. It has been a poignant and privileged rite of passage for me after all these years to be passing on what I’ve learned.</p>
<p>One in particular touched me. She worked some time ago in a hospital emergency department in another state. As you might imagine, she bore witness to countless tragedies and sorrows, the worst of which was one little girl who had been beaten so severely by her mother’s boyfriend that they didn’t know if she would make it.</p>
<p>When she originally came on the ward she had been warned by the other professionals on staff to “watch her boundaries.” That’s a trigger point for social workers who, as a group, have been known to go the extra mile for patients and clients. This has become an “issue” for the profession as it has grown over the years and tried to maintain its status along with psychologists and physicians. What the well-meaning advisers meant was that she would be facing horror and that she needed to “detach” and “not bring it all home with her.” The real meaning: don’t get involved.</p>
<p>Those were their words. People warned me the same way when I started out.</p>
<p><a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/01_Elephant-Drinking.jpg" class="thickbox no_icon" rel="gallery-937" title="01_Elephant-Drinking"><img class="alignleft size-thumbnail wp-image-945" title="01_Elephant-Drinking" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/01_Elephant-Drinking-150x150.jpg" alt="" width="150" height="150" /></a>I have been a <a  href="http://www.wordsaremedicine.com/verbal-first-aid">psychotherapist </a>and crisis counselor for nearly 30 years. I have worked with rape victims, survivors of war, children who had been abducted by drug lords, parents who were abused by their own offspring, addicts who had been lost and left to die on the street, and a full retinue of the mildly neurotic. I have stared into the abyss with friends and colleagues at Ground Zero and had to breathe the acrid smell of death.</p>
<p>But what I have learned is that there are boundaries and there are<em> boundaries. </em>Some should be zealously guarded and some not so much. And whenever I have made a real difference I have <em>absolutely </em>become involved though not in the way you may imagine or some may fear.</p>
<p>I will explain through her story.</p>
<p>As the baby was being treated, she called the proper authorities, as was legally required. She watched as the mother and boyfriend were carted away. And she stood nearby as the baby, broken and battered, moaning in pain, was gently set to rest in a small bed in PICU.</p>
<p>She was told to go home, that she’d had a hard day, and to have a glass of wine. There was nothing more to do.</p>
<p>But something inside her rebelled at that: <em>there’s nothing more you can do.</em></p>
<p>And, against all the advice of authority, against all the warnings, she went into the PICU and sat with that little girl, breathing gently with her, resting her own fingers carefully in the child&#039;s small hands, smoothing the downy hair on the little girl&#039;s head, the one place that had gratefully been spared from the brute’s rant. She sat with her for hours until the little one was able to rest. She talked to her. She sang to her. She hoped for her. And then she reluctantly went home.</p>
<p>The case moved on from there and she doesn’t know what happened to her or the family. But there she was in my office, years later, wondering if she’d done something horrible by not letting go, by not listening to the advice of the nurses and administrators who told her to detach, to not take it home. “Did I make a terrible mistake?” she wanted to know.</p>
<p>Through tears as I listened to her and through tears as I write this, I said “No. You did everything right.”</p>
<p>She didn’t understand how she could be right and feel pain that way and disobey the warnings she’d been given. But I did. And I have found that when you do the right thing, there is often no way to sidestep the pain and sorrow that is common to us all. Nor should there be.</p>
<p><strong>Suffering and Professional Boundaries<a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/11dogs_650.jpg" class="thickbox no_icon" rel="gallery-937" title="11dogs_650"><img class="alignright size-thumbnail wp-image-950" title="11dogs_650" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/11dogs_650-150x150.jpg" alt="" width="150" height="150" /></a><br />
</strong></p>
<p>Social workers’ boundaries are important, but not in the way we might think.</p>
<p>I think there are actually two separate questions in this larger issue and it is a far more complicated topic than people might imagine.</p>
<p><span style="text-decoration: underline;">Boundary Question One:</span> How do we face suffering and not get lost in it? How do we help people in pain without absorbing it? How do we have empathy and compassion without becoming the patient? What do we do with suffering if we can&#039;t fix it?</p>
<p><span style="text-decoration: underline;">Boundary Question Two</span>: How do we treat people in a clinical setting and keep our focus on them rather than using the session or relationship as a way of working out our own lingering issues? How do we stay clear-sighted about the pathology and vigorous in our pursuit of  health and the well-being of our patients?</p>
<p>These are two separate issues and I believe that we often confuse them in clinical practice.</p>
<p>I hope I can answer them both briefly and simultaneously by drawing on my experience and explaining what I think is necessary in <em>any</em> healing relationship.</p>
<p>Over the years, despite accruing more and more “tools” for my clinical tool bag, despite learning more and more techniques and styles, I have actually simplified. One of my mentors in graduate school told me, “Learn them all well so you don&#039;t have to use any of them.” I didn’t know what she meant then, but I do now. She also told me, “Don’t for a second think it’s you doing the healing. It’s the love.”</p>
<p>So, the distillation is this:</p>
<ul>
<li>Presence and Pacing</li>
</ul>
<ul>
<li>Compassion      and empathy</li>
</ul>
<ul>
<li>Seeing      someone fully without bias and without projection</li>
</ul>
<ul>
<li>Spiritual      context</li>
</ul>
<p><strong>Presence and Pacing</strong></p>
<p>Presence is paramount. It is foundational. The ability to be fully present in the moment with whomever is there, with whatever situation confronts you, is to be adaptable, available, and genuinely healing. It addresses both Question One and Question Two in that being in the moment (as opposed to the past or the future) allows you to feel fully, be ready to do what is needed, and then move on to the next moment. When you are in the moment truly, you will be more adept clinically. You will know the situation at hand is not about you and that it will not last. You can fully feel and know that when you go home you will be fully present to the joy and life that is there.</p>
<p>This is not easy and it has taken me many years to learn. Being present has a caveat. It means we are there for all of it—the pain, the glory, the defeat, the sorrow, the loss, and the redemption. All of it.</p>
<p><a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/dog-kiss.jpg" class="thickbox no_icon" rel="gallery-937" title="CB106189"><img class="alignleft size-thumbnail wp-image-948" style="margin-top: 5px; margin-bottom: 5px; margin-left: 10px; margin-right: 10px;" title="CB106189" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/dog-kiss-150x150.jpg" alt="" width="150" height="150" /></a>Pacing is a term coined by Milton Erickson, M.D., the greatest hypnotherapist in American history. It  is also a technique I focus on quite a bit when I teach <a  href="http://www.verbalfirstaid.net">Verbal First Aid </a>to first responders, medical personnel and clinical professionals. It means to &#034;move with&#034; or &#034;walk along.&#034; It can include mirroring (to some extent) but I use it mostly to stress the act of <em>being</em> with another person. When a person is in pain and we are hoping to move them to a state of greater comfort, we do what is called pacing and leading. We pace their pain (<em>I can see your wound and your discomfort&#8230;)</em> and then lead them, sometimes one tiny step at a time, to healing (<em>&#8230;so as I hold your arm and apply this bandage, you can rest more comfortably and stop the bleeding). </em>Without the pacing, there can be no proper leading.</p>
<p><a  href="http://www.verbalfirstaidforchildren.com">Pacing </a>requires presence. Presence implies pacing. It is an emotional and spiritual partnership that may last anywhere from a few seconds at an accident scene or at an ER or go on for years in a psychotherapy setting.</p>
<p><strong>Compassion &amp; Empathy</strong></p>
<p>This is not the same thing as taking on another’s pain. It is a communion, an experience of commonality, not a sympathy or an absorption. It is also NOT a projection of our own feelings onto them and this is where our skill must be honed and refined over and over again. Sometimes it means feeling what someone else is feeling, but that doesn’t mean it’s ours. It is a subtle difference, but an important one.</p>
<p>Many of the patients that come to social workers have been hurt terribly. We may in fact be the first person in their lives to genuinely feel them. (S.W. Recall: Winnicott’s “The Good Enough Mother.”) This can be in and of itself enormously healing.</p>
<p>What I have come to both believe is that feeling is not the problem. Over-interpreting and/or ignoring feelings is the problem. And that’s where we—as healers—can get into serious logjams.</p>
<p>In fact, it is the social worker’s ability to feel fully (and know what to do with those feelings) that is the hub of all clinical work. If we can’t do it, how do we expect our patients to do it?</p>
<p><strong>Seeing Fully<a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/hand-holding-in-crib.jpg" class="thickbox no_icon" rel="gallery-937" title="hand holding in crib"><img class="alignleft size-full wp-image-942" style="margin-top: 5px; margin-bottom: 5px; margin-left: 10px; margin-right: 10px;" title="hand holding in crib" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/hand-holding-in-crib.jpg" alt="" width="126" height="135" /></a><br />
</strong></p>
<p>When I was in school for classical homeopathy, my teacher used to warn us, “If you can’t see your patient, you can’t heal him.” He spent five years talking to us about the power to <em>see.</em></p>
<p>I think this is true in any clinical setting. We open the door, a patient comes in and sits down. What do we see? What do we want to know? Can we see the hurt? What’s broken or bruised? What still works? How does it still manage to work?  These are the questions we want to ask and have answered.</p>
<p>Seeing someone truly may also entail some detachment, but not in the way it is used colloquially, which is to “not feel” what our patients are feeling. To see the truth means not get beguiled by façade. Most patients will come to us with a well-practiced façade in place, a mask they use to get through their lives—to hide pain, to forestall an accounting, to deceive and manipulate for one thing or another. We have to see past those deceptions, both conscious and unconscious. We have to see past the acquired skills and into the recesses of a person’s heart. We have to observe carefully. They may say they feel fine, but they can’t stop biting their nails. They protest over much about how calm they are, but their feet don’t stop tapping, they sigh repeatedly, or their eyes twitch.</p>
<p>As healers we are observers. Both of ourselves and our patients.</p>
<p><strong>Spiritual Context<a  href="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/024_016.jpg" class="thickbox no_icon" rel="gallery-937" title="God's View"><img class="alignright size-thumbnail wp-image-943" title="God's View" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/02/06/on-the-way-to-becoming-a-healer-the-journey-of-a-young-social-worker/024_016-150x150.jpg" alt="" width="150" height="150" /></a><br />
</strong></p>
<p>I cannot imagine doing this work at this point without two backups: One is the homeopathic philosophy and Materia Medica of Samuel Hahnemann and the second, most important one, is God. Suffering is intolerable (our own or anyone else’s) without some context within which we can hold it. Suffering or pain without meaning in a purposeless, random world is utterly intolerable. When there is meaning and purpose, even the worst pain becomes manageable.</p>
<p>Over the years, my work has become more about serving God (this is <em>not </em>about proselytizing by any means) than adhering to an agency code or a diagnostic manual, more about being present and truly healing than politically correct for the moment, more about truth and love than techniques.</p>
<p>I explained it to that young social worker that while others may not have understood what she did for that baby, God did. And the baby did. I am as sure of that as I am of the nose on my face. That baby heard her soothing voice, felt her calming breath and heartbeat, rested in her loving hands. Is there a better “technique” than that? I don’t think so. Those few hours she spent with that child may have changed the <a  href="http://www.wordsaremedicine.com/verbal-first-aid">trajectory of her entire healing</a> process.</p>
<p>I no longer aim for detachment, though I respect it. I no longer aim to fix every broken thing that is presented to me, though I very much want to alleviate suffering and disease. I no longer aim solely for technical skill, though I love learning.</p>
<p>What I am for is this: I aim to be present. I aim to see the truth. I aim to serve. Doing this work for so many years has required that I become more like a tube than a vessel. I do not “hold” other people’s pain, but I allow it flow through me and then up to God, Who can do with it what must be done, whatever that is so that peace and health and love are restored.</p>
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		<title>The Niceness of Wickedness</title>
		<link>http://www.wordsaremedicine.com/2010/01/20/the-niceness-of-wickedness/</link>
		<comments>http://www.wordsaremedicine.com/2010/01/20/the-niceness-of-wickedness/#comments</comments>
		<pubDate>Wed, 20 Jan 2010 18:08:02 +0000</pubDate>
		<dc:creator>Judith Acosta</dc:creator>
				<category><![CDATA[Christian Counseling]]></category>
		<category><![CDATA[Holistic Psychotherapy]]></category>
		<category><![CDATA[Verbal First Aid]]></category>
		<category><![CDATA[evil]]></category>
		<category><![CDATA[God]]></category>
		<category><![CDATA[good]]></category>
		<category><![CDATA[narcissism]]></category>
		<category><![CDATA[nice]]></category>

		<guid isPermaLink="false">http://www.wordsaremedicine.com/?p=875</guid>
		<description><![CDATA[<h1><a  rel="attachment wp-att-877" href="http://www.wordsaremedicine.com/2010/01/20/the-niceness-of-wickedness/travis/"><img class="alignright size-thumbnail wp-image-877" title="Travis" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/01/20/the-niceness-of-wickedness/Travis-150x150.jpg" alt="Travis" width="150" height="150" /></a><span style="font-weight: normal; font-size: 13px;">All of us can remember being told that someone we knew (or knew of) had gotten in trouble, been arrested for drug use, or in some way found with their pants literally or figuratively down. And we can all remember saying, “How could that be? He was so <em>nice!</em>”</span></h1>
<p><span style="text-decoration: underline;">Good People</span></p>
<p><a  href="http://www.wordsaremedicine.com/2010/01/20/the-niceness-of-wickedness/" class="more-link">Read more on The Niceness of Wickedness&#8230;</a></p>
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			<content:encoded><![CDATA[<h1><a  rel="attachment wp-att-877" href="http://www.wordsaremedicine.com/2010/01/20/the-niceness-of-wickedness/travis/"><img class="alignright size-thumbnail wp-image-877" title="Travis" src="http://www.wordsaremedicine.com/wp-content/uploads/2010/01/20/the-niceness-of-wickedness/Travis-150x150.jpg" alt="Travis" width="150" height="150" /></a><span style="font-weight: normal; font-size: 13px;">All of us can remember being told that someone we knew (or knew of) had gotten in trouble, been arrested for drug use, or in some way found with their pants literally or figuratively down. And we can all remember saying, “How could that be? He was so <em>nice!</em>”</span></h1>
<p><span style="text-decoration: underline;">Good People</span></p>
<p>They understand the battle against evil but never take pleasure in its defeat, rather sadness in its necessity.</p>
<p>They have consistent integrity.</p>
<p>They are appropriately (not helplessly or cunningly) selfless.</p>
<p>They are the last ones to see themselves as good and definitely the last ones to tell anyone they are.</p>
<p><span style="text-decoration: underline;">Super Nice People</span></p>
<p>They interact with a pseudo-intimacy, behaving as if they’d known you personally for years.</p>
<p>They relate to you on the surface and let you in only so far.</p>
<p>They do not respond to your needs but gloss over them in a way that makes you wonder whatever you needed <em>that</em> for.</p>
<p>They need to maintain a persona or a position in a social circle at all costs because how they are seen is more important than who they are.</p>
<p>They have no compunction about lying to get what they want so long as they are nice about it.</p>
<p>Niceness is conscious and deliberate. It is a social skill that is turned on and off, a vehicle for self-enhancement.</p>
<h3>Coexistence</h3>
<p>Perhaps it should not go without saying that a nice man may in fact be a very good man. Not all charm is a cover for sadism or cruelty, although very often it is. Good and nice <em>can</em> coexist. A good man may be quite charming and engaging. But not always. Only in the right circumstances and for the right reasons. In the choice between what is right and what is “nice”, a good man will choose what is right. He knows that true goodness is a Grace bestowed in brief moments. Sometimes a good man will say and do things that may offend, hurt someone’s feelings, or even lead to battle.</p>
<p>I imagine Chamberlain thought he was being quite nice with Hitler. I don’t believe anyone in Czechoslovakia would have thought it was very good.</p>
<p><strong>Sounding the Cultural Alarm: Discernment</strong></p>
<p><strong> </strong></p>
<p>In 1940 C.S. Lewis was already sounding the alarm about this radical change in modern society. He stated emphatically that kindness (or niceness) was not the measure of goodness, just as apparent cruelty was not the measure of evil. For as Russ Murray points out in his blogspot column on good vs. evil, (www.thekingpin68.blogspot.com), someone can be quite nice and have the most horrible of intentions, citing as an example how Judas betrayed Jesus with a kiss. Doctors do the opposite all the time: they reset dislocated shoulders, suture lacerated skin, and remove decayed teeth sometimes causing awful (albeit temporary) pain in order to facilitate proper healing. Is it nice? Hell, no. Is it good? Until we have better means, yes, it is very good.</p>
<p>Because our culture puts such a premium on niceness, charm, and pleasure, ordinary, good people are put at a disadvantage when it comes to discernment. A narcissist can appear quite innocent because she has so mastered the technique of ingratiation. So much so, that she can make you feel that you have somehow committed a terrible injustice by denying her X or Y or Z as she positions herself as the victim.</p>
<p>As Gavin De Becker points out, this failure to see behind the mask of niceness can make the difference between life and death. World-wide, the crime records attest to the danger. A woman who can’t say “no” to a nice stranger’s unsolicited offer to escort her to her car at night, even though she doesn’t like him, may wind up filing reports of assault, rape, and attempted murder. This is not to blame the victim, rather to point out how charming that charm can be and how carefully we need to pay attention to the differences.</p>
<p>So, what does a person do? How do you tell the difference?</p>
<p>When I teach <a  href="http://www.wordsaremedicine.com/verbal-first-aid">Verbal First Aid</a> to emergency workers, a communication protocol used to facilitate healing in traumatic situations, I ask them what they think their most important tool is. Inevitably the hands go up: the defibrillator, the oxygen tank, the Jaws of Life. I tell them: No. Your most important and most healing instrument is <em>you</em>.</p>
<p>What makes them—or any of us—healing is at least in part what makes us good: the ability to develop rapport, our integrity and compassion, our benevolent presence and support. To be healing (or good) one must respect the patient (or person) before him and do what is <em>necessary</em> even if it is not “nice” to deal with the disease or the injury. Part of what is necessary in Verbal First Aid, of course, is dealing with the patient honestly and with a gentle, but firm authority. Manipulating and healing are mutually exclusive.</p>
<p>The Bible defines Good for us as “an inherent rightness of being.” It never ever mentions niceness. It never equates it with beauty or talent. It never, ever mistakes it for showmanship. (Moses himself had a lisp and timidly refused his mandate by God to lead the Jews out of Egypt.)  If anything it warns us from the very beginning to beware of pretense.</p>
<p>We can start to tell the difference by remembering that there <em>is</em> a difference.</p>
<p>For full-length article, please see: <a  href="http://ezinearticles.com/?Nice,-But-Not-Good---Discernment-Skills-For-Modern-Americans&#038;id=3610725">http://ezinearticles.com/?Nice,-But-Not-Good&#8212;Discernment-Skills-For-Modern-Americans&amp;id=3610725</a></p>
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		<title>Letters on forgiveness</title>
		<link>http://www.wordsaremedicine.com/2009/08/21/letters-on-forgiveness/</link>
		<comments>http://www.wordsaremedicine.com/2009/08/21/letters-on-forgiveness/#comments</comments>
		<pubDate>Fri, 21 Aug 2009 19:16:13 +0000</pubDate>
		<dc:creator>Judith Acosta</dc:creator>
				<category><![CDATA[Christian Counseling]]></category>
		<category><![CDATA[Faith-based Counseling]]></category>
		<category><![CDATA[Holistic Psychotherapy]]></category>
		<category><![CDATA[Psychotherapy]]></category>
		<category><![CDATA[forgiveness]]></category>
		<category><![CDATA[God]]></category>
		<category><![CDATA[Religion and Psychotherapy]]></category>
		<category><![CDATA[sociopaths]]></category>
		<category><![CDATA[trauma]]></category>

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		<description><![CDATA[<p>My dear friend, Lucy, has been corresponding with me on the nature of forgiveness. One might reasonably ask what there is to talk about. You either forgive someone or don&#039;t. You either get forgiven or you don&#039;t.</p>
<p><a  href="http://www.wordsaremedicine.com/2009/08/21/letters-on-forgiveness/" class="more-link">Read more on Letters on forgiveness&#8230;</a></p>
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			<content:encoded><![CDATA[<p>My dear friend, Lucy, has been corresponding with me on the nature of forgiveness. One might reasonably ask what there is to talk about. You either forgive someone or don&#039;t. You either get forgiven or you don&#039;t.</p>
<p>And that is true on the most concrete level. But there are other levels, ones which we have been debating for a couple of weeks, now. What is forgiveness? What does it depend on? What impact does it have on Justice and vice versa? And what about Truth?  How does that affect both the nature of forgiveness and our ability to extend or receive it?</p>
<p>She has said that forgiveness is a phenomenon that by definition must be relegated to the personal. I have implied that it may be offered on a larger scale, e.g., nation to nation. Thus far, we have agreed to disagree.</p>
<p>Recently she sent me this excerpt from an article by Father Schall:</p>
<p>&#034;But it all depends on the willingness of the one who caused the injustices to repent and ask forgiveness. This is the divine limit. God cannot create man free and then take it away and leave the same being in existence. If this forgiveness is not in some way asked, even God can do nothing but pursue justice&#8230;&#034;</p>
<p>So, I wrote back explaining my sense that there is a difference between forgiveness and reconciliation although the latter cannot happen without the former. In order to reconcile with another person, or nation-to-nation, there must be a formal humbling, a repentance, a request for forgiveness. This is basic common sense. You can&#039;t reconcile with someone who&#039;s still intent upon harming you. And you can&#039;t &#034;make nice&#034; (diplomatic reconciliation) with a nation-state whose mission it is to annhilate your nation-state.</p>
<p>However&#8230;forgiveness is another matter. It does not need the reconciliation to take place. Forgiveness, as I have come to define it (mostly by virtue of my work with victims of trauma) is a letting go, a release of hatred, resentment, hurt, and rage. And it can occur without any hope of reconciliation with the perpetrator. Indeed, where there is recovery (of any kind&#8211;abuse, alcoholism, abandonment, etc&#8230;), there is forgiveness. I told her that we can exact justice (as opposed to revenge) or set limits or hold people accountable for their behavior and still forgive them.</p>
<p>In fact, if we are to remain sane and attempt to grow in some relationship with God, it is absolutely necessary.</p>
<p>She is absolutely right when she says that someone who is to be forgiven must ask for forgiveness and mean it sincerely. Recently Michael Vick, the sociopath who beat and brutalized and killed puppies for entertainment and money, had  a press conference and publicly &#034;apologized.&#034; He smiled and glittered throughout the entire scandalous waste of our time. He adored the attention, delighted in every camera turned his way. The reporter interviewing him at some time during the mini-documentary nodded his head with a solemnity that was either pure show or pure stupidity. I&#039;ve been a <a  href="http://www.wordsaremedicine.com">psychotherapist </a>for more than twenty years and I&#039;ve learned to read faces fairly well. There was no doubt that the man neither wanted forgiveness nor felt in any way repentant. There was no doubt that he merited <em>serious </em>consequences for his behavior. (Far more, in my opinion, than he got.) And there was no doubt that justic was poorly served. Can we be reconciled with a man like that? No. Is he trustworthy? No. Would I leave a full-grown dog in his presence, no less a puppy? Never. Ultimately, should I forgive him even if he never asks for it and never deserves it?</p>
<p>I think so.</p>
<p>Why?</p>
<p>Because it heals us. Because it keeps us  just and prevents us from taking out our rage on someone like him and calling it &#034;justice&#034; instead of the vengeance that it really is. Because it brings us just one step closer to what God has called us to do, to love more like Him.</p>
<p>I have a hard time with it, especially with sociopaths like Vick. I&#039;d like to see people like that shipped off to the farthest asteroid and left there. But I also know that wishing him ejected into the vacuum of space is a dark part of me speaking, clammoring for some way to let off steam and pain. It never helps. It doesn&#039;t bring back anything or anyone that was lost and chips away at our own souls in a way so subtle we don&#039;t recognize the damage until it is too late.</p>
<p>I want to state clearly that I am not a pascifist. I wish I were that evolved, but truly I love being alive and I would be willing to fight to stay that way. And God help the brute who tried to hurt my dogs. I know I would be hard to restrain. I believe strongly, though, that forgiveness does not necessitate the laying down of arms or the passive submission to a bully.</p>
<p>What it might mean, what I hope it means, is that we can be pure of heart even when we do what is necessary in this world. And if that means removing an imminent threat so lives are saved, so be it.</p>
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