Book Review: Unshame- healing trauma-based shame through psychotherapy by Carolyn Spring

Shame

 

Everyone has it

 

No-one wants to talk about it

 

But the less we talk about it

 

The more we have of it
Brene Brown

 

Overview

The author, Carolyn Spring, writes about her 9 years experience of psychotherapy. She focuses on her insights into her shame. Carolyn experienced extreme traumatic abuse during her childhood and has used her recovery and the knowledge she has acquired during and since this to support others. She tours with her training seminars supporting therapists, like myself and has researched, created and designed  ‘psycho-educational tools’, books and on-line resources which help survivors of abuse.

In Unshame Carolyn neatly condenses years of therapy into discrete learning experiences, ranging from managing her dissociation to learning to trust present day experience.

Review

Carolyn’s clarity of thought comes through in her writing. As a therapist I have often struggled to fully understand how to help overcome shame. Having read Unshame I see that the functions of shame; to avoid connecting with others, avoid feeling worthy of help and keeping emotionally isolated are all quite disabling for any survivor, making  recovery from shame very difficult to even contemplate let alone begin.

In her book Carolyn cleverly incorporates psychotherapeutic concepts, such as attachment, boundaries, pros and cons of physical contact, directive or non-directive work and what behavioural boundaries to apply. For the psychotherapist reader this can help consolidate or challenge their personal choice regarding working with clients suffering Dissociative Identity Disorder (DID). This may put some readers off, but I felt it really useful to hear how Carolyn experienced different counsellors and their approach to her dissociating. Carolyn writes of  her journey understanding her DID; it being an all consuming experience, of which she would have no recall, to one that she is aware of and can take control. For Carolyn it feels invaluable that she had a counsellor be her witness to explore dissociation with her.

I expect for the reader, if a survivor of trauma, Carolyn’s ability and courage to describe her emotions, confusion, and apparent contrary thinking will help them to recognise this in themselves, perhaps providing hope and faith in their desire and ability to recover. The ability to move from black and white thinking; accepting the greyness and uncertainty of life can be hard for anyone.

Throughout Unshame I can see the importance for Carolyn to have permission to feel, act and think the way she did, at no time was her way of being  ‘wrong’. The importance of recognising it as unhelpful ‘now’ but useful ‘then’ was a constant theme. It is also made clear that shame and symptoms of DID are not anything to do with her ‘not being right’ but a necessary and neurological consequence of trauma, fear and lack of attuned attachment.

Carolyn briefly refers to grounding techniques and the different zones of arousal, green (no arousal, able to be logical), amber (the nervous system getting aroused, emotional and less clarity of thought) to red (aroused, likely to dissociate, or freeze). These ideas are described in greater detail in her teaching videos and seminars.( Positive Outcomes for Dissociative Survivors/PODS )

Also in the book Carolyn covers forgiveness, self compassion and vulnerability. It is humbling being allowed to witness her thinking and movement towards these states.

 Summary

This book is suitable for professionals and survivors of trauma; those with DID.

As a psychotherapist I benefited most from reading how Carolyn grappled with her thoughts, and the insights that arose. I did a lot of reflecting regarding the therapy I offer my clients, reaffirming that trusting process is both important for therapist and client. It is not a book which adds to knowledge that is already available, such as the work of Babette Rothschild in particular, but it does demonstrate it working in practice.

I cannot write from the clients or survivor’s perspective. I feel all peoples experiences will be different. One message to take home is as a survivor you have not done anything wrong. Nothing, absolutely nothing.

Resources

Unshame- healing trauma-based shame through psychotherapy  By Carolyn Spring.  Carolyn Spring Publishing (2019)

Positive Outcomes for Dissociative Survivors/PODS

Carolyn Spring

The Body Remembers- The psycho-physiology of trauma and trauma treatment By Babette Rothschild.  W.W Norton and Company LTD (2000)

The Body Remembers volume 2 -Revolutionising trauma treatment By Babette Rothschild.  W.W Norton and Company LTD (2017)

Mindfulness for Beginners-Short Course

Mindfulness-A short Course

Mindfulness is  learning to be more present in the here and now. Or conversely it is about recognising when we are caught up in our head, thoughts, perceptions or in our emotions and feelings.

When we recognise where our attention is we begin to notice the impact this has on our decision making.

 

Mindfulness for Beginners

The first course ran in June 2019 and the participants each had different reasons for attending; those who came knowing mindfulness was meant to be good for anxiety, and those who had been told it would be good for them and those who were just curious.

The flexible nature of the course allowed each session to evolve depending on the questions that arose, and the reactions to peoples’ experiences of meditating.

In Session One it was acknowledged that very few people had meditated before, thought of doing so was in itself a little anxiety creating. But the first step into mindfulness almost happened before we knew it. On arriving and settling onto our chairs we were encouraged to just pause and notice the thoughts and business in our heads. We were then encouraged to let these go, knowing we had chosen be in this room with these people.  Session one offered insights into Mindfulness as it has developed in the Western world and also how it is part of Buddhism.  There was an activity which encouraged us to notice how we respond to senses, thoughts and perceptions.

The second session was a little bit more personal. The participants had been encouraged to try meditating at home and so we could ask about the ‘apps’ available and be honest about how hard it was to find time to meditate. We were then taught a little about the biology of anxiety and that it is a normal response to danger. It was useful to notice how thoughts can cause the same anxiety response as real danger. https://www.insightfulness.co.uk/thoughts-and-anxiety/

Also in this second meeting we were encouraged to reflect on familiar habits we might have when we feel anxious or emotional. For example some people will get angry, or want to blame others whilst others can have the opposite response and feel they can never do anything right and become silent and withdrawn. There was a longer meditation. 

We could make suggestions as to what to cover in the last week and people wanted to understand more about why we as humans get stressed and anxious. We learnt how thoughts, beliefs, behaviours and emotions are all inter-linked. It was also helpful to understand that our brain motivates us in different ways and sometimes we over-ride this because we think other things are more important. We work hard to get recognition and money to buy pleasurable things but this might be at the expense of being with friends and family who provide us with safety, comfort and security.

I thoroughly enjoyed leading this course and sharing my knowledge of Mindfulness.

We were provided with handouts and reference material, and told how this course is a good start before embarking on the 8-week Mindfulness Based Stress Reduction course.

Useful resources

Books

  • Wherever you go there you are by Jon Kabat-Zin (2004)
  • Mindfulness: A practical guide to finding peace in a frantic world By Mark Williams and Danny Penman (2011)

For anyone interested in the science behind mindfulness-

  • The practical neuroscience of Buddha’s Brain, happiness, love and wisdom. By Rick Hanson with Richard Mendius (2009)

Websites

Links

https://www.insightfulness.co.uk/courses/

https://www.insightfulness.co.uk/a-mindfulness-guide-for-the-frazzled-by-ruby-wax/