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Questions for Dr. Dan - Puzzle Pieces

Last post 02-16-2010, 12:51 PM by Dan Gottlieb. 73 replies.
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  •  07-21-2009, 10:30 AM 62041 in reply to 61928

    Re: Questions for Dr. Dan - Puzzle Pieces

    Dear Norma,
    our stories are almost identical.  My children were small when I had my accident 30 years ago.  And I recall figuring out with my girls how to get in there elementary school for the first conference.  And now my grandson is trying to figure out how I can get on the beach with him!
    My daughters are in their mid-30s and both have scars from what they have lived with.  But they have lived with more than just quadriplegia and divorce, their mother had malignant melanoma when they were infants and she became severely depressed thereafter, and lots of other stuff.  So they have their scars and they are both a little weird in their own ways, but they are beautiful women in every sense.  In their own way, they're both devoted to making the world a better place.  Their level of compassion and sensitivity is extraordinary and I am so deeply honored to be their father.
    Norma, there is a new concept called: "posttraumatic growth".  And what we are learning from this emerging research is that although your story and mine are wonderful and life affirming, they are not unique.  How many parents of children born with disabilities have said that although they and their children struggle with the difficult issues, what has happened to them has made them better, more loving and compassionate people.

    Some think we should all keep in mind.  Posttraumatic growth.

    Nice meeting you Norma!

     


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"
    trailer:http://www.youtube.com/watch?v=_V4QrekU1Wk
  •  07-21-2009, 11:24 AM 62048 in reply to 62041

    Re: Questions for Dr. Dan - Puzzle Pieces

    To follow up on my own post, I'd like to have a discussion about this concept of posttraumatic growth.  This is not the opposite of posttraumatic stress and most of us have experienced both.  So for all of our sakes, I invite you to take a clear minded view of the trauma you have left with and described the impact it's had on your life -- the good news and the bad news.

    Should open up an interesting discussion about what's happened to us and what it means

     


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"
    trailer:http://www.youtube.com/watch?v=_V4QrekU1Wk
  •  07-22-2009, 7:41 AM 62146 in reply to 62048

    Re: Questions for Dr. Dan - Puzzle Pieces

    Post traumatic growth ----resilience -that is what watching my mom battle her diagnosis for over 20 years has taught me.  She never lets it win over her love for life and being there for her children.  I have always noticed that I see things a little differently, as a child with a mom who has been slowly robbed of her mobility from a disease.  I also try to find joy in the small things.  Often the things that people overlook bring me an everyday joy.  I think it has caused me to have a more sensitive view of the world. 
  •  07-22-2009, 4:18 PM 62193 in reply to 62146

    Re: Questions for Dr. Dan - Puzzle Pieces

    Hi Hazeleyes......your word....resilience.....has such impact when we're talking about adjusting to accidents.....disease. Your mother sounds very special......through her strength.......you seem to be inspired to make this world a better place.......... so.what a heroic figure she cuts !The joy in small things..........your sensitive view of the world........all priceless gifts.......no ? You must be very proud of her.It proves part of what Dr. Dan is saying........about post traumatic growth ! There really is such an animal ! It lives ! Thanks for posting about your very special mother. Her ability to love life and be there for her children......in spite of her own special challenges.......inspires us all !................peace and love.......Norma
  •  07-22-2009, 4:28 PM 62194 in reply to 62041

    Re: Questions for Dr. Dan - Puzzle Pieces

    Dr. Dan......first.....congrats on your very special "fervent love of life" award. Your trip to Taiwan should be quite an adventure ! I hope you are able to post.......and share the adventure with us.I actually laughed out loud when you said you wouldn't need to bother with your bowel program. It's comments like that that tell me why you won the award in the first place ! This study on post traumatic growth should be very interesting and informative. I'd love to hear other stories of trial and triumph.Nice meeting you also...Dr. Dan !.........peace and love......Norma
  •  07-23-2009, 8:43 PM 62309 in reply to 62194

    Re: Questions for Dr. Dan - Puzzle Pieces

    The way I can relate to this concept of post traumatic growth is through my first marriage.  I married when I was 25.  A year after our marriage, my husband was diagnosed with colon cancer.  After several surgeries and 2 different rounds of chemotherapy, he died 9 months after his diagnosis.  I sat in a hospital room for 48 straight hours and watched my husband die.  It wasn’t a peaceful experience because my gut told me we were both way too young to experience this.

     

    The only way I can put it is that I feel enhanced from the experience although I can’t say I am grateful that my husband died.  Of course not immediately, but over the months and years, I think his death allowed me to have greater compassion for others, certainly people with illnesses.  It also gave me an intense appreciation of marriage.  I realize that marriage is so precious and can easily be lost.  I think I also experienced a certain amount of emotional maturity I don’t think I would have gained any other way at such a young age.  My husband’s funeral was only the second funeral I had ever attended.  Being a widow while in my twenties had a way of shifting my priorities and values.  The little things most 20 somethings complain about didn’t matter at all to me.

     

    Today I feel blessed for what I learned from this experience with my first husband.  I think that experience has given me some of what I need today to survive my current husband’s SCI.  And maybe right now that is what I am wondering…will I find growth in this experience too?

     

    In the beginning of SCI, as a spouse you are just in survival mode.  There are so many things that have to be done and you just do them.  In the beginning you think things might change, you are hopeful that a cure is just around the corner but reality slowly sinks in that this is as good as it gets. After several years, the question comes, can I and am I willing to do this for the rest of my life and what growth is required for this new kind of marriage? 

     

    I think I come off here as a sniveling, hand-wringing, neurotic, caregiver wife.  But really I think I am just searching for a positive change that can come from these struggles.  This searching causes a lot of questions that I tend to post here.  I guess I have gone with the true intent of the forum On Healing.  If there was a forum On love, On joy, or On laughter I would have a lot to post there too.  That is the good news.

     

    The bad news is that both of these experiences have taught me that life is very fragile.  It doesn’t happen to someone else…it happens to me.  That thought has made me more cautious, a little over protective, and yes perhaps slightly neurotic.  With good there is always the bad.  Sometimes I just don’t know how much more growth I can stand.  


    Trish

    "Life isn't about waiting for the storm to pass...it's learning to dance in the rain."
  •  07-28-2009, 10:50 AM 62769 in reply to 62048

    Re: Questions for Dr. Dan - Puzzle Pieces

    Blog Entry: http://tetratales.blogspot.com/
    Thursday, July 23, 2009
    Growth vs. Stress
    ---------------
    "The rung of a ladder was never meant to rest upon, but only to hold a man's foot long enough to enable him to put the other somewhat higher." - Thomas Henry Huxley
    ------------------------------

    Post Traumatic Growth (PTG) vs. Post Traumatic Stress Disorder (PTSD)

    The interesting question posed on the "On Healing" community forum by Dr. Dan Gottlieb (Christopher & Dana Reeve Foundation website) this week addresses the phenomenon of Post Traumatic Growth, in contrast to the more commonly addressed issue of PTSD. Dr. Dan asked forum participants to share their thoughts on the subject, both positive and negative. I have been pondering this question for several days and will attempt to share from my perspective.

    I remember vividly hearing my physicians and attorneys discussing my "catastrophic" injury. Catastrophic...hmmm, "what are they talking about?", I remember thinking. To me, this injury was just another challenge in what had been a long series of unfortunate events. Of course, to the people uttering these words, the visible nature of my spinal cord injury was the only part of my life experience in their awareness.

    Only I knew about the troubled thirty two year marriage left behind four years before my accident, the nearly successful suicide / homicide attempt by my husband the day after I asked for a divorce, my grandson's birth during the same time in which my then husband was in the hospital recovering from his injuries, the untimely death of this grandson at seven weeks of age from SIDS, my ex-husband's second suicide attempt, my daughter's spiraling down bipolar psychopathology after her son's death, two home break-ins, four moves, and three job changes.

    What have been the take-aways from literally losing everything, including nearly losing my life during this protracted eight year period of time? I will start with the positives because they are the first things that come to mind. It will take a little longer to consider the growth inhibitors / stressors.

    Faith. I have learned that some things are not controllable and now know that I will be cared for regardless of where life's circumstances place me. From the moment I realized that I was going to be crashed into, as I prayed out loud, I knew I would be taken care of. I remember hearing the words "it doesn't matter". My interpretation of that phrase was that whatever happened, it would be ok...and it was.

    Life is Precious. There are no guarantees in life. Life itself is tentative at best and can end at any given moment. How has that changed the way I live? I say I"I love you" much more frequently than before my accident. Every time my youngest daughter or I leave to go anywhere, we always say "I love you" and "be careful".

    Kindness of Others. My family and friends were treated with unbelievable care and kindness by total strangers. Every difficult situation requiring help, it was there.

    Patience. Waiting has become a way of life for me until recently when I resumed driving. Waiting for transportation, appointments, return telephone calls, obtaining new or needed equipment, learning new ways to do things, for my changed and often uncooperative body.

    Compassion. For others and myself along with a deeper understanding of how disabilities impact those who have them. Also for those who do not really understand the full impact of disability and are able to see life only through their own eyes.

    Forgiveness. I don't believe most people awaken with an intention to kill or injure another human beings. Bad things happen in every human life and forgiving those who may have caused an accident or injury frees up personal energy for healing. Remaining in the past or becoming bitter hurts the grudge holder rather than punishing others.

    Gratitude. Every day for the recovery I have been blessed with and for friends and family who love me and that I love.

    Expression of Grief and Sadness. Grief over losses and sadness that may follow as massive emotional and physical adjustments are made are a blessing in disguise - they open up space for necessary change. To quote a phrase from the 70s production "Free To Be, You and Me" - "It's ok to cry, crying gets the sad out of you."

    Love. Life is unpredictable and fragile. It is important to let others know what they mean to you at every opportunity.

    Resilience and Persistence. Giving up is not an option even when it appears exceedingly attractive. Turning the impossible into possible is only accomplished by bouncing back from bad things and working hard to overcome, accept, or adapt to continuous change.

    Mindfulness. Focusing on the present moment and appreciation of surroundings is a blessing that I frequently overlooked in my former, hurried, multitasking life. I am able to take the time hear and appreciate others' life stories more fully since my accident.

    Adaptability. I am amazed at how the body adapts to massive changes and continues to function and how creative people can be at finding new ways to accomplish tasks.

    Now, the negatives / stressors:

    Feeling overwhelmed
    Physical challenges and changes
    Disgust and procrastination of B&B care
    Role and identity losses
    Limitations
    Unpredictability of body
    Failed expectations
    Needing help
    Lost dreams

    I am certain that I have left out things, but this is a beginning...
  •  07-28-2009, 12:46 PM 62799 in reply to 62769

    Re: Questions for Dr. Dan - Puzzle Pieces

    What incredible thoughtful and deeply moving posts.  I feel honored to be part of this process and closer to those who have opened their hearts and taught us all more about what it means to be human.
    My story:
    when I was in seventh grade I learned about psychology and knew that's what I had to do.  I prayed and said I would do whatever it took to be a really good psychotherapist.  By seventh grade teacher who I idolized believed in me and introduced me to psychology.  Three months later, he molested me.  Lesson 1 -- child abuse
    Learning disabilities, mild depression and other stuff lead to school failure.  Flunked out of college my freshman year.  Lesson two -- learning disabilities and low self-esteem.

    Get married to a wonderful woman and have a baby two years later, another baby the next year and the next year she gets diagnosed with a life-threatening melanoma and a year of chemotherapy.  Lesson 3 -- being a caretaker

    three years later she develops multiple sclerosis.  Not sure what that lesson was!

    Six months after that I become a quadriplegic.  Several lessons about helplessness and vulnerability and letting go facing death and facing life and facing self-loathing.

    10 years later My wife leaves me.  Lessons on divorce

    same time my daughters go to college.  One falls apart and begins to self-destruct.  Lessons on help and helplessness with children (everyone is okay now)

    wife dies -- and you know that lesson.

    Multiple illness facing death -- the big lesson.
    That lesson gets reinforced now that I "celebrate" 30 years of quadriplegia as my body starts to show symptoms that no one can explain.  The big lesson.

    So my wish came true.  All of these lessons turned me into a pretty good psychotherapist.  A happy one anyway.

    I've learned about love and how accessible it really is.  And the more I love, the more easily I love.  Some people (many people) love me back, but that really doesn't matter either way I'm filled with love.
    And gratitude for all of the emotional and spiritual wealth I've enjoyed.

    I'll conclude with the dream I had several months ago.

    I was on a subway with several people and there was the angel of death.  Same picture we all have -- malnourished Darth Vader with a sickle.  All the other people were scared.  I wasn't.  At the next stop, they all ran off the subway.  I didn't.  He looked at me and pointed a finger and said: "January".  And then I woke up.

    I wonder if he was right.  And I wonder if maybe it's this January.  And if so, this summer might be my last.  And because of that it hass been the best summer I've ever had. And this posting feels open and rich and intimate. And this morning's bowl of cereal was especially good because I love summer fruit and I knew that would be ending soon one way or the other.

    .Today, I'm not afraid of dying.  I am afraid of not living.  And all of those lessons have taught me, if nothing else, love better and live consciously.
    Take care


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"
    trailer:http://www.youtube.com/watch?v=_V4QrekU1Wk
  •  08-01-2009, 3:52 PM 63365 in reply to 62799

    Re: Questions for Dr. Dan - Puzzle Pieces

    Dr Dan......your very moving story was indeed.....open....and rich......and intimate. Thank you so much for that. You inspire truth.....courage....and most of all........loving......as the gift we all have at our fingertips......... you're a very, very special man...........peace and love......Norma
  •  08-04-2009, 4:44 AM 63547 in reply to 63365

    Re: Questions for Dr. Dan - Puzzle Pieces

    Dr. Dan: so many of us have had so much pain but we are learning to push on.    my biggest worry is never finding that special person to love.  You eventually lost your wife, how do you deal with missing a loving relationship like that.??  I really want to find love and sex and caring and understood the part where you said you are afraid of not living.     thnaks
  •  08-04-2009, 12:47 PM 63610 in reply to 63547

    Re: Questions for Dr. Dan - Puzzle Pieces

    Dear Randi's friend,

    so like you, I would love to find a person to love romantically.  And like you, I would like to find sex and caring and all that stuff. And as long as we are one thing, I would also like to be able to make love like I did before the accident!

    All worry is about the future.  So you have painted a picture of special people loving relationships and making love and now you fear that you will not have that picture.  A friend of mine had a traumatic childhood.  And like you, she also had a picture of what she thought she needed.  And she went through her life comparing her relationships, her children, her in-laws and everything to the picture she had in her head.  When I look at her life objectively, it looks pretty good to me.  Lots of people have loved her, she's had a good career and has wonderful children.  But she is so disappointed in her life because nothing ever fit that picture.  The problem wasn't her life, it was the picture.

    I live with longing also.  We all do.  It's not a call to action and it's not a need we cannot live without, it's simply a longing for something we don't have at this moment.  But there is another moment coming right around the corner and it could be Heaven, could be hell or, most likely, something in the middle.

    I wish your dreams would come true and I wish you were no longer afraid of you nightmare.  And most of all, I wish you happiness.


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"
    trailer:http://www.youtube.com/watch?v=_V4QrekU1Wk
  •  08-25-2009, 1:03 PM 64754 in reply to 63610

    Re: Questions for Dr. Dan - Puzzle Pieces

    I recently saw a 49-year-old man for consultation who had cerebral palsy.   He was overweight and walked into my office with the classic unsteady walk of someone with CP.  So when he sat down on the sofa, he breathed a sigh of exhaustion telling me how hard he worked to get to that spot.  Before we got started, I simply made that observation and invited him to just rest for a couple of minutes.  And when he did, he began to cry.

    He said he never talked about his disability does anyone.  Although, from my perspective, he seemed minimally impaired other than his gate, it was still obvious he had a disability.  When I asked him simply why he didn't talk about it, he hesitated for a second as though he didn't know.  And then he started telling me his story: "my whole childhood my parents told me I was just like the other kids.  I wasn't, but that's what they told me.  They lied and I was their lie."  Once he started telling me his story, he stopped crying and he seemed lost in the storytelling -- a story he must have told a thousands of times before. 

    So I asked him again why he didn't talk about it, I again there was that silence before he answered.  And then he said angrily "because nobody would understand."  He went on to talk some more about his isolation and anger.  He told me he could cut someone down with a sentence or "a look".  He said that sometimes he was afraid of all of the anger in there.

    I commented that both things he just said were about fear.  He was afraid no one would understand and he was afraid of his own anger.  He paused for a minute and I said: "I think you are right.  Nobody would understand.  Nobody can understand."  First he cried and then he sobbed because he had just been told that the nightmare he has been carrying his whole life was real.  But something happened after that, he looked much more relaxed and engaged with me.  And suddenly he was able to talk about what it was like to be him.

    He told me that all of the anger protected him from such great fear and sadness.  And ultimately, there was a great longing to be understood, something he never received from his parents.  But in order to protect himself from further injury, he developed a cutting tongue and the ability to isolate himself.

    Ultimately, now that he can give up the battle of wishing for a type of understanding he could never have, he no longer had to pretend he was someone he wasn't.

    Who else can relate to that struggle?


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"
    trailer:http://www.youtube.com/watch?v=_V4QrekU1Wk
  •  08-29-2009, 5:58 PM 64931 in reply to 64754

    Re: Questions for Dr. Dan - Puzzle Pieces

    When I read your post it brought to mind several thoughts. This gentleman voiced what many people know personally, that seemingly invisible disabilities are sometimes more difficult to deal with than the more obvious ones. For example, those suffering with chronic conditions such as asthma, diabetes, fibromyalgia, chronic fatigue syndrome, extremely chaotic or dysfunctional home situations, borderline mental retardation or brain injury, mental illness, and so on.

    People do not understand. They cannot possibly know what life is like for that person and it's not their job to understand. This struggle is not unique to less visable disabilities, however.

    All people, disabled or not, have struggles that others do not understand. For example, my friends do not really understand my energy limitations or what it's like to care for my uncooperative body. Sure, they can see that I have a disability, but what they see is not the totality of me.

    My sister attended a special school for developmentally and mentally handicapped children. I remember seeing a girl at one of the school functions who appeared very "normal" (whatever that is!). When I talked with her she was a little slow with her responses, but not obviously retarded. I wondered what it must be like to be disabled enough to attend my sister's school while looking and acting like most other girls her age in regular public school - very similar to the struggle in your story.

    The old saying about not judging a book by it's cover is applicable here. I know I would like for others to understand, but know they cannot possibly do so. The closest to understanding that I have experienced is talking with others with similar disabilities or extensive experience with persons having a spinal cord injury.

    Isn't this struggle the struggle of all human beings? A longing for understanding on the journey to self acceptance?
  •  09-01-2009, 12:49 PM 65013 in reply to 64931

    Re: Questions for Dr. Dan - Puzzle Pieces

    Dear ratherbflyin,
    first of all I must say it is a little weird.  I just spoke to you on another thread a few minutes ago.  It's almost as though we are taking our conversation from the dining room to the kitchen.  Thank goodness neither one of us has to negotiate who will clean the dishes.
    Seriously though, I think you have nailed the great dilemma of being human.  We are social animals.  We are hardwired to belong to a clan and in order to belong, there is a pool for sameness.  If we are the same, the animal part of our brain knows that we will be protected by the clan and vice versa.  Just like our four-legged ancestors.

    But unlike our four-legged ancestors, we are blessed and cursed with an ego.  And because of that ego, we need to be unique and have our own identity.  And in today's world, the needs of the ego are even more powerful.  Not only do we need to be unique, we need to be better!  That's what makes disability so frustrating and painful.  My daughters dog has three legs, but he doesn't seem to mind.  Everyone that sees him feel such great sadness and compassion (ego), but he just wants to play (no ego).

    So here we are visibly impaired sitting in a world wheelchairs with our ventilators or spasms or whatever we have.  Nobody knows about the catheters or the dysreflexia or pressure sores or... and even if they know the facts, they could never know the experience.  And part of the reason for that is because we could never adequately give voice to the experience.

    The ego is hurting because we no longer feel one of the clan and lord knows our older standards, we are certainly not better than anyone.

    I firmly believe that if our egos were more quiet, we might just want to go out and play.

    And if what I said is of value to you, then you are in charge of the dishes!

    Dan


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"
    trailer:http://www.youtube.com/watch?v=_V4QrekU1Wk
  •  09-02-2009, 3:36 AM 65017 in reply to 65013

    Re: Questions for Dr. Dan - Puzzle Pieces

    Dan,
    LOL...now, that was funny! So doing dishes it will be!

    You’re right about the longing for sameness. I’ve always preferred to be able to simply blend in, but have yet to find a stealth wheelchair that allows me to do so. I read a book this past year entitled The Same Kind of Different As Me by Ron Hall, Denver Moore, and Lynn Vincent. The title of the book captured my attention and curiosity. I wondered what kind of “different” the story was about and, I suppose, touched on the need for belonging that explains the success of online forums such as this one.

    It seems that I happen upon information that is most helpful when talking with people who have faced similar challenges. Today, I spoke with the vendor that I bought my wheelchair from and mentioned an upcoming trip that will be the longest trip I have driven since my accident. I commented that distance driving is so tiring. He has been a paraplegic for eighteen years and replied that long trips wear him out also and that he would probably stop midway for the night. His comment was affirming to me that my fatigue is not unique. I was surprised.


    I appreciate feedback from those who have traveled this road and are willing to share what they have learned. It certainly makes the journey easier. Thank you for your replies to my posts.

    -------------------------------------------------
    "I shall be telling this with a sigh
    Somewhere ages and ages hence:
    Two roads diverged in a wood, and I --
    I took the one less traveled by,
    And that has made all the difference."
    -Robert Frost
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