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MINDFULNESS
IN CRISIS AREAS
CMRP 2016 – BANGOR U
JUDITTA BEN-DAVID MA SEP
TOWO GROUP _ MBSE
ToWo- Beyond Language, Race and Culture
Ireland, Turkey, South Africa, Germany, Israel
Who are we?
ToWo is a non-governmental, non-profit group dedicated to providing psycho-physical tools grounded in Mindfulness
To refugees, displaced people, field staff of humanitarian aid organizations and Hospitals in trauma-ridden areas.
GHS, ToWo’s daughter group, the Galilee Healing Sisterhood. Cross cultural women group training.
Capacity building: Mindfulness, Trauma therapy, Resilience, Non Violent Communication.
GHS Galilee Healing Sisterhood
The Refugee Era
Globally, as of December 2015, there were 65.3 million
displaced people. - UNHCR
One in every 113 people on Earth has now been driven from
their home by persecution, conflict and violence or human rights
violations.
Three countries, Syria, Afghanistan and Somalia — accounted
for more than half of the refugees under the U.N.'s mandate.
The level of forced displacement worldwide is unprecedented
since the founding of the UN itself.
Syrian refugees
As of February 2016, the United Nations (UN) has
identified 13.5 million Syrians requiring humanitarian assistance, of which 6.6 million are internally displaced within Syria, and over 4.8 million are refugees outside of Syria.
Turkey is the largest host country with over 2.7 million Syrian refugees. (… Jordan, Lebanon)
Located in tent camps near the borders, semi-urban areas, poor areas of the cities, and in transit.
Refugees in Europe
1.8 million migrants and refugees crossed into Europe 2015-16
… sparking a crisis as countries struggled to cope with the
influx, bringing up WW2 memories, fear of the stranger, fear
of change, creating division in the EU.
Mostly unsettled, living in huge groups, in transit, in hangars,
community centers, in camps.
Vast majority arrived by sea (boats), but some made their way
over land (walking), principally via Turkey, Greece, and
Albania.
The sea way has a high death toll. The near past has fear, loss,
violence - mostly Survival mode.
Middle East, Arabic refugees
In the last years:
Beyond the 4.8 million Arabic speaking refugees, Syrian Kurdish Yazidi - out of Syria. After 2010. (still unsettled)
Iraqi refugees over 4.5 million - out of Iraq. More than 2 million in Middle East countries. (mostly better settled). After 2007.
Older:
1.2 million refugees in Palestine, 38,500 refugees residing in Israel. After 1948. (settled, community intact, stayed close to home).
Urgency
Suspicion and Need
The toll of uncertainty
Zaatari camp_ Jordan
I left everything - video
I left everything_ 0:54
Indomeni_life on hold
Walking_ 1:30
Crisis Trauma Affects
What do you feel now? Keef Haallek?
Take a min to pause and sense inside.
What did we see and hear?
What helped you regulate your response?
And when you did, how did it feel?
Symptoms observed (refugees)
Highly charged nervous system/ Contracted bodies:
Emotional outbursts
Body tension high
Language (repetitions, disbelief in being understood)
Movement _ ―but I’m walking‖_ on the go
Hijacked by memories
Fear suspicion
Sense of separateness
Clinical
Most prevalent and significant are emotional disorders, such as: depression, prolonged grief disorder, posttraumatic stress disorder and various forms of anxiety disorders. Mental health is fragile during such prolonged crisis.
Being uprooted, instability uncertainty and loss of people houses families status jobs ... Loss of points of belonging.
Being a victim, a perpetrator, or a witness to violence. War violence, Survival violence, Betrayal.
Gender-based violence, including domestic violence, sexual violence, early marriages, women being sold off, harassment and isolation, exploitation, and
survival sex.
Poverty, despair, shame and guilt.
Suffering
People fleeing from conflict :
Surge and stagnation of survival mechanisms, such as fight-flight-freeze.
Uprooted far away from their natural environment and culture, in communities they do not know. Insecurity.
Experienced loss, fear, violence and destruction, are left without homes, without identity, and live in deep uncertainty about tomorrow.
High activation in nervous system: Busy-ness, preoccupation.
Their suffering is acute. Their need for an island of sanity is acute.
Trauma
"Our society at large, beyond nationalities, is affected by trauma. The impact of trauma on the society creates violence that is carried over through generations.
To the degree we are dissociated, we have a diminished potential for choice making. We remain subject to unwitting compliance with patterns that perpetuate personal and collective disenchantment.
While we may value kindness, connection and cooperation we repeatedly find ourselves and the world immersed in conflict. We desperately need to cultivate the resources and empowerment to gain our freedom from the cycles of violence, defensiveness and reactivity."
Pat Ogden Ph.D.
Restoring Balance
“Your deepest presence
is in every small
contracting and expanding.
The two as beautifully
balanced and coordinated
As bird wings.”
- Rumi
Basic ANS education
MBSE follows and modifies
the charge and discharge of arousal
in the Autonomic Nervous System
that arises in response to a threat.
Sympathetic – Parasympathetic
Fight and flight – Rest and digest
Bumped out of the Resilient zone
Trauma Definition
Trauma as Too Much too soon too fast
Trauma as act of Defense that did not resolve.
Trauma as Dissociation
As a Delusion: the intimidation is still here
Trauma as robbing us of the Present moment
and who I am.
Trauma an implicit Body memory
Definition
Trauma as a meeting of a specific neural system with a specific event at a specific time…
i.e. not primarily in the event
An inner relationship
―What fires together wires together‖
Helplessness, weakness, low immune system
Influence the strength of trauma imprint
Resilience
Resiliency dependant on Body awareness cues, first.
Low resiliency participants show less sensitivity to body relevant information, early on. Miss match occurs…
Low resilience individuals show an exaggerated brain response to an aversive intero-ceptive stimulus.
―Resilience is largely about body awareness
and not rational thinking‖
―Even smart people, if they don’t listen to their body, might not
bounce back as quickly from adversity,
as someone who is more attuned to his or her physiology.‖
- 2016_Lori Hasse et Dr. Martin Paulus, scientific director the Laureate Institute for Brain Research in Tulsa, Okla.
Sensations first
Consciousness unfolds through body awareness
First foundation of Mindfulness – sensations
The language of survival are sensations, that’s where we can enter
To open the knot and rewire. To move out of the rut.
―The more you pay attention to neutral and/or pleasant sensations
the more you strengthen your Resilient Zone. ‖
Elaine Karras CRM
Between my Hands
I hold my face between my hands
No, I am not crying
I hold my face between my hands
To keep my loneliness warm
Two hands protecting
Two hands nourishing
Two hands to prevent
My soul from leaving me
In anger
- Thich Naht Hanh
Why Mindfulness *
Holding the place of Kindness
―A larger whole of intentionality that the world is starving for‖ J.K. Zinn
Moving into attunement, Relating.
Bringing back Intimacy.
Small insightful moments.
Long term and short term option to enter into the full catastrophe.
Care of the Facilitator: balance and well being in the face of the full catastrophe. Intense cruelty to intense beauty. Reminding vastness, the embrace of awareness.
Why Mindfulness **
Trauma robs you of the present moment !
The inability to be in the here and now
Trauma affects our perception of reality;
narrow perspective and loss of flexibility.
Hyper vigilance rigidity, as well as high levels of reactivity.
Healing happens in the here and in the now
Time and space, hippocampus vs. short circuit
Why Mindfulness ***
what is -vs- what is not
Communication with environment
Coming out of trance
Lowering violence/reactivity
Health
HRV lowered
Concentration supports new learning
How Mindfulness
Meeting the basic defense system operating
Mindful Movement
Shifting the default mode into full embodiment
Short sequences
Pragmatic, No visualization to little visualization
Widening the present moment
Instilling gentle kind curious attention
Any Limitations?
Discussion:
How to make it relevant to the refugees?
How to make it fit their life situation?
What could be the Limitations?
How to make it take into consideration the strong
hold of shock and trauma?
How to bring this to the aid workers as support?
SE in service of Awareness
Breaking down the busy-ness to small pieces
through the body. Titration.
Discharge
From brace to flexibility. Negotiation.
Slowing down, teasing apart, to being present. Dual
Awareness.
Basic goodness accessibility. Resources.
Goals of MBSE in crisis
Coming back to our senses
Widening the Resiliency zone
Resetting nervous system
Remembering our self
Skills of self care
That travel with you daily, a reminder, kindness
Relationship with yourself and the world
Basic steps
Meeting
Education, normalizing
Tracking + Attention practice
Grounding
Resourcing
Shifting the default mode (wandering mind) into full Embodiment
Tracking to recognize and discern between sensations, enriching
Reminding- Accessibility to Basic Goodness
Beyond skin, beyond separateness, non judgemental
Beyond the Chaos – Rigidity duality
Culture sensitive
How are you doing?
How is it hearing?
How’s your heart?
كيف حالك ?כיף חאלק
Inquiry and curiosity. Questions.
Metaphors need to be adapted- care for language
Being overwhelmed… in Arabic would be more of an electrical storm in the sky … rather than a water related image.
Boundaries need to be seen and respected
Trust needs to be discussed and established.
Partnering.
Culture sensitive
―Research has shown that the therapeutic approach of
Mindfulness did not clash with cultural values‖
―Clients reported that they found mindfulness consistent with
their faith whether Muslim or Christian. Mindfulness was seen to
be complementary to regular reflective prayer.‖
Mrs. Hend Saab of St George
Community Mental Health Service. NSW
Mindfulness in Arabic ل الواعي التأمُّ
Ultimate respect of a culture
Translating the materials to their own language.
Mindfulness has been translated to 26 languages, but not to Arabic.
We’re putting up a crowd funding campaign To make it available online, in Arabic, for whoever needs it wherever.
ToWo group. Mindfulness in Arabic. ل الواعي التأمُّTowogroup.blogspot.com
Help us make it happen !
Research:
The benefits of an online program. Frewen and Lanius 2015
MMTT
Music
Ederlezi
Syrian refugees Zaatari
Syrian orchestra and black bird
―trauma is about loss of connection to ourselves, to our
bodies, to our families, to others and to the world
around us…‖
―In being able to renew our experience of ourselves as
sensing human animals..
We can begin to loosen trauma’s grip on us and
transform it’s powerful energies.‖
Peter Levine
Stories (Galilee & Turkey)
THANKS!
MINDFULNESS IN ARABIC
CAMPAIGN
TOWOGROUP.BLOGSPOT.COM
http://towogroup.blogspot.co.il/2016/06/mindfulness-in-arabic-new-and-unique.html
THANKS!
JUDITTA BEN DAVID MA SEP
TOWOGROUP.BLOGSPOT.COM
+972-77 -6639903