(Warning: Necessary
Technical Information Ahead)
Yes - your friend should have
forewarned you about the emotions that may come up for you in these
sessions...but, have you considered that your body needed to get this memory
surfaced and dealt with? Did you consider that your other health ailments were
unresolved energies that you had not processed (possibly from your
trauma)? I am sorry for your ordeal as a child, it's heartbreaking...hopefully,
you will see in time that your friend is not to blame and, maybe, you
are projecting your anger/grief/sorrow on to them. Peace &
Blessings. (emphasis added) Cranial
Sacral Therapy & The Dignity of the Human Person (Pt. 1)
I'm
glad she commented exactly as she did because Penelope raises most of the
issues I want to cover in this post & the next.
In
my previous post, “Cranial Sacral Therapy & The Dignity of the Human Person
(Pt. 1),” I wrote: "[h]ow do I respond to someone who knew my
story, knew the horrors I faced in my childhood, had also experienced similar
horrors..." without specifying that my friend knew that I remembered
being raped when I was four. My friend knew. I had shared with my friend all the
trauma in my past that I know of, including being raped at four, before we had
that last CST session. There was no memory that needed to come to the surface.
It was already there.
Practitioners
of Cranial Sacral Therapy refer to emotions as if emotions & memories are
interchangeable. In fact, emotions are not memories & memories are not
emotions. More importantly, a flashback is not a memory. Also, a flashback is
not an emotion. Emotions usually arise in response to a flashback &
memories are part of a flashback, but each is its own unique reality. They are
not as some, including my friend & Penelope, seem to believe, one thing but
three distinct things.
The
definition of emotion includes other components than those listed here but this
is a good medical/psychological definition: Emotion is a conscious mental reaction (as anger
or fear) subjectively experienced as strong feeling usually directed toward a
specific object and typically accompanied by physiological and behavioral
changes in the body.
Memory is
the ability to recover information about past events or knowledge; the process
of recovering information about past events or knowledge; cognitive
reconstruction.
"During a flashback, the
trauma survivor is usually still relatively aware of his or her current
surroundings and situation. There is a kind of doubling of consciousness, i.e.,
of reliving the past (to which the person also begins to respond) while at the same
time partially staying in the present. The dissonance occurring between these
parallel experiences can induce survivors to feel 'crazy.'
"…During
a conscious flashback, there is usually a strong visual component of the
traumatic memory, implying that there is a cognitive dimension to the
re-experienced trauma. Trauma survivors are also partially aware of their
present circumstances, and usually remember the contents of the flashback
afterwards. This combined awareness of both the trauma and the present
situation can give rise to a confused sense of time. Although both the trauma
and the present situation are experienced in the present, the current
circumstances may be experienced in a more depersonalized manner."
Memory
& emotion are normal human experiences. Flashbacks are a symptom of PTSD
& other severe psychological illnesses. Memory doesn't take over. It
doesn't cause one to live parallel experiences. In the midst of a flashback, I
have little idea of what I'm saying or doing - I just try to get away without
hurting anyone. Recently, flashbacks sent me running out of church because the
homilist in retelling the history of Los Christeros spoke
of the way the bishops were placed under house arrest. Suddenly I was four &
being raped while at the same time I was being struck by the words of the
homily. Panic surged up in me. I couldn’t breathe, couldn’t speak what I wanted
to say. I ran & found myself trapped in a corner trying not to hear (our
sound system is inescapable). And I tried not to see, feel, smell, relive.
People wanted to help me. I wanted to hurt them, to get away from them, to end
their assault. That’s not memory. Memory is not an assault by the past &
the present with no ability to protect oneself. Memory doesn't take over &
cause me to be, whether I will or nil, reliving an experience that happened over
30 years ago. Penelope, I'm suddenly 4 years old, being raped & there's
nothing I can do, not even distract myself. And whatever I’m experiencing in
the moment becomes part of the attack. Can you see the difference? A flashback
is not the same as recalling tea w/ Aunt Jane when one was a little girl.
I
was told Cranial Sacral Therapy was gentle massage therapy "that
helps engage the parasympathetic nervous system" & would help me
relax on a very deep level which in turn would help my body heal. The
description is woefully misleading. As I mentioned in Part 1, my friend gave me
Dr. John Upledger's, Your Inner Physician to read. The book raised vague
concerns that I thought had been addressed when my friend respected my
discomfort if certain areas of my body were touched. I also thought, because
this person was my friend & we were very close, if there were any problems,
my friend would tell me. I was very wrong.
Dr.
Upledger recounts pushing his hand into a woman's spine for an extended period
of time until she remembered the occasion her brother punched her in the back.
He calls such recollections the "Somatoemotional Release" (SER). SER
is a goal for practitioners of Cranial Sacral Therapy though they have no idea
what is being triggered. It may be memory, it may be nothing, it may be a
flashback. I (& valid massage therapists as well as psychotherapists &
psychiatrists) describe such actions when performed on persons with a history
of trauma, as attempts to deliberately trigger flashbacks. The reason this is
done is because practitioners believe what Penelope suggested, that my "body needed to get this memory surfaced and
dealt with[.] ...that [my] other health ailments were unresolved energies that
[I] had not processed (possibly from [my] trauma)."
Practitioners
of Cranial Sacral Therapy rarely have access to a patient’s medical history, have
no training in psychology, no training in the mechanism of memory &, particularly,
no training in the treatment of post-traumatic stress disorder (PTSD). But, in
that one statement, Penelope summarizes their belief system: when they
encounter what “resistance” they know what patients need without knowing them
at all & without any training in medicine or psychology. Even my friend,
who knows me quite well, cannot determine what is best for me. My medical
doctors who treat me regularly do not decide what is best for me. They tell me
their findings & make recommendations then I must decide for myself what
course to follow. In medicine, including massage therapy, this is known as “informed
consent.” It is the belief that a patient who is compos mentis (of sound mind) must receive full information from a
practitioner & make his own informed decision.
Medical
practitioners have been sued often enough to know that failure to provide full
disclosure is illegal. Christians ought to understand such statements as Penelope’s
as moral errors. Catholics have explicit teaching that give them even less
excuse to countenance beliefs about acting because the “body needed to get this memory surfaced.” But Catholics, as well as
other Christians, practice Cranial Sacral Therapy working to trigger SERs
without providing full consent &, in fact, unable to provide it because
first, they must accept that they don’t know what the results of an SER might
be. The practitioner in this excerpt from the the
Ethics of Touch, Part 3 might be my friend:
A
practitioner was approached by a client who wasn't in psychotherapy and wanted
to address her abuse issues through bodywork. The practitioner had very
limited training in working with survivors but wanted to assist the client in
her healing process. In the course of their work together, the client began to
have flashbacks during the treatments. The practitioner felt she should let the
client fully experience these memories and would process what happened
afterward. After several weeks of treatment, the client began to experience
more uncontrollable, intense and disabling flashbacks on buses, in the
supermarket and frequently upon entering the practitioner's office. The
practitioner's lack of training in this area resulted in a damaging situation
for the client and a lawsuit against the practitioner. In this case, the
practitioner did not understand the significance of the flashbacks and how to
deal with them. She did not realize the client needed psychotherapy and other
support systems in place. She lacked outside supervision to guide her work when
questions or difficulties arose.
This
practitioner has a cavalier attitude regarding the possibility of potential harm. She does not admit her own ignorance but acts anyway because she wants
to help heal others. A cavalier attitude, ignorance & good intentions with a
patient who has a history of trauma causes more damage & brings no healing.
My friend once suggested I have my friend's mentor & my friend work on me
at the same time so I'd get a "double whammy." At first I thought
this might be a good idea, might help me get well faster. After reflection, I
declined. Instinctively, I was concerned about SER though I didn’t understand
why. Now I do. SER in persons with a history of trauma can easily be
flashbacks. I feared my friend working with another, more advanced
practitioner, might trigger an SER.
Because
my friend had never triggered an SER & because I wouldn’t let my friend
touch certain areas of my body, I thought I was safe. As I told my friend
afterwards, I thought it was like hypnosis: a person cannot be hypnotized
against his will. I was wrong. And my friend failed to tell me one very important
piece of information that she knows which would have kept me off the massage
table: people who have experiences of trauma in their past should be working
with a therapist to deal with any memories that arise. As far as I'm concerned
(& I'm not the only one), any person with a history of past trauma must be
very careful when engaging in activities that are known to trigger flashbacks.
Practitioners
of Cranial Sacral Therapy are taught, & advertise, that Cranial Sacral
Therapy is helpful for those with PTSD. But they are not taught the difference
between memory & flashbacks. When confronted, my friend has several
responses: anything at all might accidentally trigger memory. First, a
flashback is not a memory. Second, my friend’s actions were not accidental. My
friend intended to trigger an SER even though my friend did not know that an SER
might be a flashback. My friend believes that asking me if I was “okay” when encountering
“resistance” while first holding my head constitutes sufficient information for me to provide informed consent. It was not because I could not know what my friend meant when asking if I was "okay." (I have told my friend this but my
friend still disagrees.) When my rheumatologist last injected my knees, he encountered
some difficulty inserting the needle in the left one. He told me of the problem,
gave me extra anesthesia & we decided to get x-rays which explained the
problem & helped us make decisions for future treatment. When my friend
encountered “resistance,” my friend had the moral & legal responsibility to
explain what was being encountered & even if all my friend could say was, I
don’t know, then that is precisely what my friend ought to have done. My
friend’s perspective is that it's acceptable to wait until flashbacks arise to
inform a patient with a history of trauma to see a therapist. It is not
acceptable to wait. Training in psychology & treating PTSD would teach my
friend that those experiencing frequent flashbacks have difficulty showering or
getting off the sofa; many patients finally see a therapist because they are
unable to function & end up in an emergency room. Finally, Catholic
practitioners, such as my friend, decide that a patient’s “body need[s] to get this memory surfaced” even though Catholic
Social Teaching (the real CST) tells them:
No
one should be the subject of medical or genetic experimentation, even if it
is therapeutic, unless the person ...first has given free and informed
consent. (emphasis added)
Cranial
Sacral Therapy is a "medical" art, as is psychotherapy, physical
therapy & any other medically related activity. By asking me to be a
"guinea pig," my friend was asking to experiment on me. In fact
though, every Cranial Sacral Therapy session is an experiment because practitioners
do not know if they may trigger a flashback or, in the case of multiple
personality disorder, a shift from one personality to another. My friend practiced
Cranial Sacral Therapy on me, experimented on me without providing the information I needed to give
free consent. Failure to fully disclose information is one of many sins that medical
practitioners commit against the dignity of the human person. Such sins are not
acceptable to God & the Church makes that clear: the dignity of the human person is more
important than the belief that a treatment will be of benefit to the
patient. Catholic Social Teaching is very sensitive to the occasions when
medical decisions are made for patients rather than by them: such actions constitute
grave evil.
Obedience
to the teaching of the Catholic Church (which a non-Catholic can come to through living natural law) trumps my friend's & Penelope’s
& every other medical practitioner’s desire to obtain an SER or any other
result. In Part 3, I’ll write about belief in the existence of “unresolved energies” & how belief
that a practitioner can “heal” encourages them to sin against the dignity of the human
person.