Archives for survival
We are the story we tell ourselves about ourselves. Traumatic events disrupt out story and assault our sense of self. They leave us asking: Who am I if I can’t be a cop, a surgeon, a provider? How can I be a bride with breast cancer? How can I be a mother who loses her child?
Saturday November 22, 2014 is International Survivors of Suicide Loss Day. In the United States, the latest evidence reports that 40,600 people died of suicide in 2012 and the number has been increasing. More Americans die from suicide than from car accidents. It is the second leading cause of death in college students, and the third leading cause of death in adolescents and young adults. In the military the rate is even higher. In 2012 more soldiers died from suicide than in combat and as of 2014, the numbers were again on the rise. “Suicide is a Personal and Interpersonal Disaster” These words of suicide expert, Edwin Shneidman, underscore that for every person who dies by suicide, there are families and friends who are left behind facing devastating loss.
How well do you really know yourself? Have you ever discovered with surprise that the type of movie you hate was actually interesting; the sushi you would never try was delicious; or the cruise you resisted was really a blast? Have you ever thought that if anyone had told you what you had to face yesterday, last month or this whole year, you would have said, “No Way, I can’t do that.” You are not alone.
It is difficult to look too closely at what baffles and terrifies us— teen suicide is one of those realities. Suicide is the third leading cause of death in the U.S. for young people between the ages or 10 and 24 years. The National Institute of Mental Health believes that there may be as many as 25 attempted suicides for every teen who dies by suicide. The frightening part is that attempting suicide is one of the strongest predictors of a completed suicide.
Whether in the past or the present, a traumatic event experienced by one or all members of a family, impacts the entire family system. Be it the violent loss of a child, the devastation from natural disaster, the injury of a combat vet or the suicide of a family member, trauma assaults the lives of all family members and the legacy they share.
How Does a Family Cope?
One of the most important...
How Does a Family Cope?
One of the most important...
Disaster and trauma studies often focus on identifying the incidence of PTSD as the sequel to traumatic events. Early interventions with those affected after a disaster or traumatic event increasingly utilize psycho-education to clarify and normalize common post-traumatic stress reactions and coping strategies. While mentioned as a possible response, the high incidence of depression after trauma is less delineated and often goes unrecognized by those suffering. Depression Occurs after Trauma: A Rand corporation study reports that nearly 20 percent of military service members who have returned from Iraq and Afghanistan - 300,000 in all - report symptoms of Post-Traumatic Stress Disorder or major depression. In the first long-term study of the health impacts of the World Trade Center (WTC) collapse on September 11, 2001, findings indicate that seven percent of police officers were diagnosed with depression, nine percent with PTSD and eight percent with panic disorder. Twenty eight percent of other rescue and recovery workers had symptoms of depression. A survey of survivors from the Oklahoma City bombing showed that 23% had depression after the bombing. Depression affects approximately 15 percent to 25 percent of cancer patients. After a myocardial infarction, the incidence of major depression is from 15 percent to 20 percent, and an additional 27 percent of patients develop minor depression. Both major depression and Post-Traumatic Stress Disorder (PTSD) occur frequently following traumatic exposure, both as separate disorders and concurrently. Depression is the most common disorder suffered in conjunction with Post-Traumatic Stress Disorder. Depression is nearly three to five times more likely in those with PTSD than those without PTSD.
Well beyond the necessities and somewhere between collecting and hoarding…we all have ‘stuff.’ Be it the toy truck, the pasta bowl, the piano, the silver earrings or the old books, we all have stuff because psychologically we need stuff. Sartre holds that "to have" (along with "to do" and "to be") is one of the three categories of human existence… Wired for Stuff Famous psychologist, Donald Winnicott, tells us that long before we could verbalize the need, we transitioned from merged oneness with mother to “transitional objects,” the favorite blanket, pacifier, stuffed animal, or a piece of cloth that was attributed a special value as a means of making the shift from mother to genuine object relationships. That said, our relationship with objects, “our stuff” never stops. It unfolds throughout our life; reflecting who we are, where we are, whom we are connected with and what we need to be ourselves. One of the reasons we find it easier to ask others rather than ourselves, “Do you really need this stuff?” is that the actual value of anything is primarily a function of our investment in it and/or our interaction with it. We give “stuff” value and meaning.
Many people face a traumatic event in adult life. Be it a serious car accident, combat, rape, a natural disaster or the loss of a child, people are often confronted with a horrific event that threatens death or serious injury to themselves or someone else, or involves the traumatic loss of a friend or loved one. While such trauma is in itself physically and emotionally assaultive, trauma theorist Robert Stolorow proposes that beyond the actual event, it is the emotions suffered after the event that become the unbearable emotional pain of trauma. Difficult to articulate and unrecognized by many, the emotional aftermath of adult trauma often goes unvalidated and unhealed. Drawing upon his own traumatic loss of a young wife, Stolorow reports that in the unreal time that stretches slowly after a trauma, there is an “excruciating sense” of being outside normal life, alone with feelings that no one else can understand. Stolorow’s contribution to the field is his articulation of these feelings in a way that becomes an invaluable resource for validation.
The new film, “The Hunger Games,” based on the novel by Suzanne Collins, has outstripped Dr. Seuss’ The Lorax as the top grossing film this year. Perhaps because it is based on a young adult novel written in the voice of a 16-year-old heroine with many young fans, it earned a MPAA rating of PG-13 despite considerable violence. As such, there has been concern about its impact on the millions of teens who will be viewing it. Research studies have demonstrated both an increase in aggression and desensitization to violence by children and teens viewing many hours of violence in TV shows, interactive games and films. Longitudinal, cross-sectional, and experimental studies have all confirmed this correlation. In “ The Hunger Games” what is of particular concern is that the violence is lethal violence of children against children, an activity portrayed as “games.” The Role of Parents As parents you can best mediate the impact of what your children have seen or are viewing if you are “media literate” i.e. – you know what your children and teens are exposed to. Accordingly, if your teens have seen or are going to see “The Hunger Games,” it makes sense for you to see it. If necessary, see it separately.
Last week the media reported the sad and unanticipated deaths of two men. Derek Boogaard of the Rangers died from an accidental overdose of the drug oxycodone mixed with alcohol and retired lieutenant, John A. Garcia, a 23-year veteran of FDNY who not only responded to 9/11 but responded and lost two of his men in the Deutsche Bank Fire. died by suicide. One can’t help but wonder if the tragic deaths reflect the danger of hidden depression in men. Increasingly we have become aware that although women are twice as likely to be diagnosed with depression, many men, beyond the 10-17% diagnosed, may also be suffering with depression. Depression May Be More Deadly for Men What makes depression in men so dangerous? It too often goes unrecognized and untreated because it is masked by physical complaints, substance abuse, anger and other stealth symptoms.