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Full „Catastrophe‟ Living

Evolving Wisdom when living with Illness
             and Uncertainty

            Dr Ruth Sewell
     Lecturer and Psychotherapist.
In the words of Zorba the Greek…


The realisation of wisdom requires
 participation in „the full catastrophe‟ of life
What we expect
Instinctually life is organised:

So that we understand and live in harmony
  with others and our environments

It relies on having control and expectations.

From this we look for certainty
Life threatening illness jolts us into a
process of transformation; it changes life
bringing a „loss of innocence‟ and the
creation of uncertainty and even a sense
of catastrophe.
Imposing threat



 For most the starting point of uncertainty,
 and fear, is the instinctual association,
 with cancer and other life limited disease,
 of impending death.
The grip of fear and uncertainty


 Many speak of feeling in the grip of
 extreme trepidation, struggling to ward off
 fear and trying to gain control and regain
 a sense of balance, self belief and trust in
 the certainty of life again.
The creation of uncertainty


Many factors interact within an individual to
 determine their ability to assimilate
 personally threatening information.
Dora


“Since my cancer, and even though others
  love and care for me and help me, each
  day I am haunted by fear and if it isn‟t
  fear it is living with not knowing, with this
  dreadful uncertainty. For me this has been
  harder than the cancer and treatment.”
Uncertainty separates us from life
When they were building the walls,
  How could I not have noticed?
          Not a sound,
 Imperceptibly they closed me off
  From the outside of the world.

                      John O‟Donohue, Eternal Echoes
Jane

“Facing breast cancer made me stop and
 ask myself, what have I done with my life?
 Life is so very short. My life had become
 trivial. I loved painting but gave it up „too
 busy‟. I have come to feel insecure, not
 knowing what to trust, uncertain…I don‟t
 want this to be so, I want to understand
 and not be afraid.”
Wisdom and the quest for self-knowledge
 and to truly know ourselves is central to
   the human search for wholeness and
                 meaning.
Jung offered..


 Note the difference between the
 damaging hurt of wound, which causes
 someone to bleed and die of it, and the
 healing wound out of which our greatest
 creativity can grow.
                            Jung cited by Somers (2002)
Uncertainty



 Addressing the „pain‟ that has no reason
Healing Uncertainty

Finding Meaning


    Reviving Hope


         Rekindling Trust
Listening to the journey


 „Listening to people dialogue with their
 symptoms, I am struck by the sense of a
 journey: that we come from somewhere
 and we go somewhere, and illness is but
 part of the process‟
                                  Somers (2002:166)
Journey to the Whole



 Healing is a process of integrating and
 balancing the parts of oneself at a deep
 level of inner knowledge that gives each
 part equal importance and value.

                                   Sanders (2005)
Responding Holistically
Family and „Community‟.
 The impact of uncertainty affects those closest
 to the person experiencing the disease.

 It is crucial to explore the impact on the family
 in an effort to ease suffering and encourage
 greater expression of doubts fears.

 To reconnect them to strengths and hope within
Dostoyevsky (1992) considered the quality of the human condition and
  the human being as..



„a creature capable of infinite suffering, as
  long as they do not stand alone and the
  suffering has meaning‟
Spiritual and Existential Strivings


 Enable the patient/person to identify their
 priorities in responding to what makes
 them fearful and to express any
 „hauntings‟.
Spiritual help


 To make possible the way to improve,
 relieve and „heal‟ that which is „vulnerable‟
 „in pain‟ and „questing‟ within them.
Embracing uncertainty



 Compassion exists within every human
 being so that it can become a „healing‟
 force in our own lives.
                                   Karen Armstrong
Rekindling of Hope



 Living each moment, fully, no matter
 where we are in life……encouraging each
 other to…..
Living Each Precious Moment



 focus attention and intention from „putting
  days in life‟ to creating „greater life in our
                      days‟.
Uncertainty does not go away, but learning
   to manage it and respond rather than
            react seems to help…
Heart-the healing portal


„ The heart must break to become large, for
   when the heart is open, then „God‟ can put
   the whole universe in it‟.

                               Frankel (2003:16) citing Harvey
 (1991)
Joan
• “At times my heart has been raw, open and
  heavy; such sadness and fear, but now, I can
  take a day at time. The uncertainty hasn‟t gone
  away, it can‟t do; but now instead of running
  scared from the thoughts of dread and loss of
  courage, I have learned to let it be. I am not a
  talker, but I have learned it helps to „let it out of
  the black bag‟ so that I can enjoy the moment.”
Healing Effect



      For those in a „healing‟ role
Learning to receive and give
           support
Healing and Consciousness


    „The level of consciousness we bring to the
    situation determines the outcome. There is
    something that is constant underneath
    everything… we just need to make a
    commitment to finding it.‟

•                                    Lancaster (2007)
It is only with the heart that one sees
rightly, what is essential is invisible to the
eye.

                                    The Little Prince.
Stay focused


Take a day at a time

Anticipate the ebb and flow of the
 emotional, mental and spiritual tide

Remain open to what is „under-wraps‟
Dr Ruth Sewell
Lecturer in Integrated Palliative Care and
  Spirituality
Psychotherapist
Clinical and Academic Supervision
Tel: 01626-779649
Email:heart@ruthsewell.f9.co.uk

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Full Catastrophe Living by Ruth Sewell

  • 1. Full „Catastrophe‟ Living Evolving Wisdom when living with Illness and Uncertainty Dr Ruth Sewell Lecturer and Psychotherapist.
  • 2. In the words of Zorba the Greek… The realisation of wisdom requires participation in „the full catastrophe‟ of life
  • 3. What we expect Instinctually life is organised: So that we understand and live in harmony with others and our environments It relies on having control and expectations. From this we look for certainty
  • 4. Life threatening illness jolts us into a process of transformation; it changes life bringing a „loss of innocence‟ and the creation of uncertainty and even a sense of catastrophe.
  • 5. Imposing threat For most the starting point of uncertainty, and fear, is the instinctual association, with cancer and other life limited disease, of impending death.
  • 6. The grip of fear and uncertainty Many speak of feeling in the grip of extreme trepidation, struggling to ward off fear and trying to gain control and regain a sense of balance, self belief and trust in the certainty of life again.
  • 7. The creation of uncertainty Many factors interact within an individual to determine their ability to assimilate personally threatening information.
  • 8. Dora “Since my cancer, and even though others love and care for me and help me, each day I am haunted by fear and if it isn‟t fear it is living with not knowing, with this dreadful uncertainty. For me this has been harder than the cancer and treatment.”
  • 10. When they were building the walls, How could I not have noticed? Not a sound, Imperceptibly they closed me off From the outside of the world. John O‟Donohue, Eternal Echoes
  • 11. Jane “Facing breast cancer made me stop and ask myself, what have I done with my life? Life is so very short. My life had become trivial. I loved painting but gave it up „too busy‟. I have come to feel insecure, not knowing what to trust, uncertain…I don‟t want this to be so, I want to understand and not be afraid.”
  • 12. Wisdom and the quest for self-knowledge and to truly know ourselves is central to the human search for wholeness and meaning.
  • 13. Jung offered.. Note the difference between the damaging hurt of wound, which causes someone to bleed and die of it, and the healing wound out of which our greatest creativity can grow. Jung cited by Somers (2002)
  • 14. Uncertainty Addressing the „pain‟ that has no reason
  • 15. Healing Uncertainty Finding Meaning Reviving Hope Rekindling Trust
  • 16. Listening to the journey „Listening to people dialogue with their symptoms, I am struck by the sense of a journey: that we come from somewhere and we go somewhere, and illness is but part of the process‟ Somers (2002:166)
  • 17. Journey to the Whole Healing is a process of integrating and balancing the parts of oneself at a deep level of inner knowledge that gives each part equal importance and value. Sanders (2005)
  • 19. Family and „Community‟. The impact of uncertainty affects those closest to the person experiencing the disease. It is crucial to explore the impact on the family in an effort to ease suffering and encourage greater expression of doubts fears. To reconnect them to strengths and hope within
  • 20. Dostoyevsky (1992) considered the quality of the human condition and the human being as.. „a creature capable of infinite suffering, as long as they do not stand alone and the suffering has meaning‟
  • 21. Spiritual and Existential Strivings Enable the patient/person to identify their priorities in responding to what makes them fearful and to express any „hauntings‟.
  • 22. Spiritual help To make possible the way to improve, relieve and „heal‟ that which is „vulnerable‟ „in pain‟ and „questing‟ within them.
  • 23. Embracing uncertainty Compassion exists within every human being so that it can become a „healing‟ force in our own lives. Karen Armstrong
  • 24. Rekindling of Hope Living each moment, fully, no matter where we are in life……encouraging each other to…..
  • 25. Living Each Precious Moment focus attention and intention from „putting days in life‟ to creating „greater life in our days‟.
  • 26. Uncertainty does not go away, but learning to manage it and respond rather than react seems to help…
  • 27. Heart-the healing portal „ The heart must break to become large, for when the heart is open, then „God‟ can put the whole universe in it‟. Frankel (2003:16) citing Harvey (1991)
  • 28. Joan • “At times my heart has been raw, open and heavy; such sadness and fear, but now, I can take a day at time. The uncertainty hasn‟t gone away, it can‟t do; but now instead of running scared from the thoughts of dread and loss of courage, I have learned to let it be. I am not a talker, but I have learned it helps to „let it out of the black bag‟ so that I can enjoy the moment.”
  • 29. Healing Effect For those in a „healing‟ role
  • 30. Learning to receive and give support
  • 31. Healing and Consciousness „The level of consciousness we bring to the situation determines the outcome. There is something that is constant underneath everything… we just need to make a commitment to finding it.‟ • Lancaster (2007)
  • 32. It is only with the heart that one sees rightly, what is essential is invisible to the eye. The Little Prince.
  • 33. Stay focused Take a day at a time Anticipate the ebb and flow of the emotional, mental and spiritual tide Remain open to what is „under-wraps‟
  • 34. Dr Ruth Sewell Lecturer in Integrated Palliative Care and Spirituality Psychotherapist Clinical and Academic Supervision Tel: 01626-779649 Email:heart@ruthsewell.f9.co.uk