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Archive for February 22, 2022

Paul Farmer: A Life Dedicated to Healing the World

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February 22, 2022

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Paul Farmer: A Life Dedicated to Healing the World

As long as poverty and inequality persist, as long as people are wounded and imprisoned and despised, we humans will need accompaniment–practical, spiritual, intellectual.

– Paul Farmer –

Paul Farmer: A Life Dedicated to Healing the World

Paul Farmer the renowned Harvard physician, and medical anthropologist who famously said, “The idea that some lives matter less is the root of all that is wrong with the world,” and who dedicated his career to righting that wrong by delivering high-quality health care to some of the most devastated regions of the world, died this week at age 62. While the world mourns the loss of this towering figure in global health, it recollects his incandescent legacy, a legacy of profound solidarity, fierce commitment and catalytic friendships across borders. More in this piece. { read more }

Be The Change

Learn more about the work of Partners in Health, the organization that Paul Farmer co-founded here. { more }

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Cognitive Bypassing

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Cognitive Bypassing
by Russell Wilson

[Listen to Audio!]

2528.jpgI am a physician, neuroscientist, and anxiety expert. Many people I speak with have anxiety because they are trapped in their heads. I’d like to introduce a term here that I have not heard before (at least not in my field of medicine and psychology).

I call it the “Cognitive Bypass.”

I see a lot of [people] instruct others to restructure their thoughts. It’s seen as a way to avoid painful emotions and even heal old traumas and anxieties. We live in a neck-up society; we avoid being in our bodies unless our bodies feel good. Uncomfortable emotions are compulsively explained away or distracted from our minds.

There is no shortage of self-help gurus and coaches out there to help you “process” your traumas by creating new thought processes around them (the positive psychology movement is a good example). “Just think better, and you’ll feel better,” they say. While this may help in the short-term, it may well be counterproductive in the long-term.

Have you ever tried to think differently than how your body feels? You can do it for a while, but in general, it’s like Sisyphus endlessly pushing a rock up an incline.

There is nothing wrong with using cognitive strategies as part of your emotional well-being. However, when I see [people feeling] that every negative emotion must be restructured or explained cognitively, I cringe. Compulsively adding cognition to emotion ensures your traumas can never fully heal. The uncomfortable truth is that there is a component of painful emotions that simply must be felt, as hard as that may be to hear.

I know this will sound odd from a medical doctor, but healing trauma has more to do with embracing the feeling in the body than holding on to the thoughts of the mind. Human beings are being driven into their heads as a way of avoiding emotion, especially grief.

Grief is constantly pushed aside in our society. So much of our psychopathology is due to unresolved grief over the losses we’ve sustained, especially in childhood. It is not so much grief over deaths of loved ones (although that is certainly a significant cause) as grief over a parental divorce, childhood abuse, neglect, or other great losses.

There are plenty of therapists who will help you with those losses, but how many let you sit in it without the need to compulsively add an explanation? What if not compulsively explaining painful emotions is a critical component in allowing the space to metabolize that emotion? Maybe then the trauma underneath it can resolve and ultimately heal.

“Spiritual Bypassing” was a term coined in the 1980s by Buddhist teacher and psychotherapist John Welwood. He explains it as a “Tendency to use spiritual ideas and practices to sidestep or avoid facing unresolved emotional issues, psychological wounds, and unfinished developmental tasks.”

Cognitive Bypassing is the practice of avoiding feelings by detouring into cognitive ideas or beliefs. Cognitive bypassing operates under the assumption that every trauma and emotion can be fixed cognitively or restructuring the way you think. Again, I have no issue with cognitive restructuring, but I most certainly have an issue if every single time an emotion is felt, it must be “worked” or cognitively manipulated.

There are many people (not trained in trauma) who believe they can help others heal by changing cognition. And I believe this is happening more and more with the sheer number of life coaches being turned out each year. Coaches (especially those who are not familiar with emotional trauma) can do more harm than good. “Coaching” people out of their trauma and uncomfortable emotions is a dangerous game.

Some emotions need to be left alone and felt.

Sure, understanding the source of your grief and trauma is important, but there must be some time to simply sit with it and feel it without automatically and compulsively adding thought to it.

About the Author: Excerpt from here.

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Cognitive Bypassing
How do you relate to the notion of cognitive bypassing? Can you share a personal story of a time you sat with grief and metabolized it? What helps you avoid the temptation of cognitively manipulating emotion?
Jagdish P Dave wrote: As humans we all go through painful emotions like fear, worry, anxietty, grief, anger, and sadness. Sometimes we divert our mind, avoid facing and going through painful emotins. We use a variety of …
David Doane wrote: I agree with Russell Wilson that helpers (and all of us) do way too much cognitive bypassing. We do too much living in and trying to heal from our head. We need less cognition to bypass feelings, an…
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