Terrible things happen. 

All. The. Time.

The sad fact: it’s just a part of life. It’s inescapable. While there are things we do that can increase the number of terrible things happening around us, thinking that the way we live our life can stop them is an immature perspective.

And it is an immature perspective I used to have. I thought that if I lived my life “right” that I could prevent bad things from happening. That idea is rooted in mysticism. It’s magical thinking. 

Life happens.

We live in a world where others’ choices have a significant impact on what happens in our life. Take for instance a young person who chooses to drink and drive. That choice may result in a car accident causing others to be hurt or even killed. The innocents in this scenario did nothing “wrong” to “deserve” this challenge in their life. It was simply unfair.

Trauma is real. We all experience it to varying levels, and it always has an impact on our lives. However, we, ultimately, get to choose what impact it will have on us.

Some of you may be thinking, “Nathan, that’s not fair. How can I choose what impact it has on me?” 

Well, to a degree, you’re right. There are some effects of trauma that we don’t pick. We may lose a loved one. Our bodies may function (or not function) in different ways that are out of our control. But the impacts that are out of our control are external.

We CAN choose the internal impacts of our trauma—how we interpret what happened, and how we think about ourselves and the world around us.

When we start to understand what we do have control over, our lives can change. We can find greater meaning and purpose. We start to heal.

Types of Trauma

There are so many ways we can experience trauma that to try to list them all would be an impossible task. Trauma has degrees of severity. Those levels are often dependent upon the perspective of the one experiencing the trauma.

For the sake of understanding, there are three levels, or types, of trauma. These are:

These classifications are helpful in understanding manifestations of traumatic events. However, they don’t fully identify the intensity of the event. Another way trauma is classified is Big T or little t trauma.

Big T and little t

Big T trauma is more intense in nature. It is a response to deeply disturbing, life-threatening events or situations. This can be natural disasters, wars, violent crimes, the sudden death of a parent, physical or sexual abuse, or anything similar in nature. They are big and intense. These events often lead to a diagnosis of PTSD. They are events that typically think of when we hear the word “trauma”.

However, there is a trauma that is far more pervasive and far less recognized. Little t traumas are events or situations that are ongoing and create distress, fear, or a sense of perpetual helplessness. They may be subtle, slowly seeping into our psyche creating further challenges in how we see and interact with the world.

Today’s youth are particularly susceptible to this form of trauma due to the pervasiveness of cyber-bullying through social media. Any time someone feels perpetually ostracized or criticized in any way it will lead to that sense of isolation and helplessness. It erodes our sense of belonging and loveability. Our self-esteem can be suffocated in exclusion. We drown in a lack of compassion and understanding.

Perspective is Paramount

With this understanding, we need to look around and realize that we all have experienced trauma in one way or another. We are all in this healing process together.

Yet, to join each other in the collective healing of trauma, we must learn to abandon judgment. I have been in conversations with people speaking of their trauma which quickly turn into contests of who’s trauma was the worst. It becomes this odd sense of one-upmanship. For some reason, we begin to think that if someone else has been through something hard (and possibly harder than our own experience) that it somehow invalidates our difficulty.

This is dangerous ground. The battleground of contention over trauma and hardship can only perpetuate the harm and feeling of isolation. We ALL have a different perspective of life. My perspective does not invalidate yours. What might be traumatic to me might be normal for you, or vice versa. 

What is most important is the perspective of the one experiencing the event(s). To tell someone their experience was not trauma is to invalidate their perspective. This will do more harm than good. It won’t lead to healing.

So we must begin by accepting and understanding each person’s unique perspective. The framework and worldview we have developed throughout our life create the narrative we give to life events. 

Start with understanding.

Understanding of yourself… and of others.

The Healing Power of Empathy

One of the most powerful elements to overcoming the impact of trauma is to have an empathetic witness.

“Trauma is not what happens to us, but what we hold inside in the absence of an empathetic witness.” — Peter Levine

Many articles have been written on what it means to be or have an empathetic witness. An empathetic witness is someone who can be present with us, without judgment, to hear and feel with us in our pain. They help us reframe our experience and encourage us to see what we can do to move forward.

We all need empathy. We crave it. It is the balm for what ails our souls. 

Imagine what it feels like to have someone truly hear you. To see you without criticism or contempt. To feel your feelings with you in the spirit of compassion.

Think of one of the most challenging experiences in your life. Remember what it felt like at the time. Think of what it feels like now. Imagine having the presence of an empathetic witness. Feel their empathy embrace your pain.

You might be feeling the ease of tension or self-consciousness. Or, you may feel an increased capacity to manage the difficulty. Either way, you are now more likely to be able to look forward to the future with hope. You are less likely to let your past define your present. Resilience will blossom within you, helping you to get back up and move forward.

This is what each of us needs.

This is what each of us must strive to be.

The first two steps to healing trauma are; understanding without judgment, and empathy.

8 Responses

  1. Thank you so much for sharing this article and congratulations on your book! I look forward to reading it. I hope this content and your research will become well read at Telos so that the therapists who work there implement a more trauma informed practice as a whole and hence develop a more compassionate lens through which they see and address trauma.

  2. I appreciate this perspective. Listening can do a world of good that is deeper than we realize. I believe it helps us know we are strong enough to find a way to cope with what is /has happened. We often need to be able to share our experience so that we can process it ourselves. To do that, judgment can’t be part of it. So we listen because we care and because we love.

  3. Thank you Nathan. Sometimes our traumas are not anything that we want to share but I’ve learned that when someone shares their life experiences with me I can have a greater understanding of them.
    There also is a sense of relief to tell someone and “get it off your chest”.

  4. Thanks Nathan for including me in this. This has already made me think and work towards bettering myself for others. I’m looking forward to more!

  5. Great post on trauma Nathan! Very insightful, due to your extensive experience in treating it. Understanding how to treat trauma can help people become more resilient. Thank you for sharing!

  6. Nathan, I’m trying to help a you g girl with the trauma of parents just announcing a very ugly divorce. But she will not talk about it even though we are close. Any suggestions? And thoughts on how to be an empathetic witness?

    1. Pauline,
      What a tough situation for her. I’m sure there is a lot of pain and even embarrassment that she might be going through. Being present with her and showing your love and care is the first step. Being an empathetic witness can sound like you expressing empathy that you know what she is going through is tough. Don’t tell her she has to talk, just let her know you are there when she is ready to talk. Empathy and presence will be the key.

  7. I enjoyed the read, thank you for including me. This sparked all kinds of thoughts and insights as I read, which I won’t share most of them but I do think that as we share and learn and discuss, this can enable people to learn how to cope. It prompts others to share, and somehow putting it to words is therapy for the soul. How many people feel helpless, misunderstood, alone and often don’t even understand what they feel or why. I am also amazed at how many people have really hard things they have gone through, and for me it is inspiring to listen, as it helps me feel like I can also be ok, somehow! I do miss the old me. I wouldn’t want to dismiss what I have learned. I wouldn’t give away the hurt I have because in my scenario the loss of a loved one and the hurt I feel is in a way a testament to the love I have for her. I also believe that it has enabled me to feel joy a little deeper, to appreciate what I do still have. The person I was, who was young and naive, I felt safe. I felt secure. I believed that I was largely immune to the really bad hardships because I was trying to be a good person and that God would shield me from the really awful things. I was wrong. And I do feel silly to have felt that way, but I realize that is part of growing up. I think there could be an entire section discussing God and our relationship with Him and how to come to terms with a loving father and an all powerful God who could have stepped in and delivered the miracle we asked for. I once told a patient of mine of our loss and that we didn’t get our miracle. He stated that I didn’t get that particular miracle. That short statement has helped me for years, to ponder and wonder and look for the miracles that I have received, and it has been amazing, and I have found some, and a little at a time, I feel some healing.

    I think that it is paramount to share. I think that it is important to be able to discern when a person is a good listener, wants to hear, cares and is in a place to be a sounding board. I have found this person in many scenarios. I remember sharing with an ICU patient of mine (this has happened several times over the years) but I remember both sharing and a few tears were shed, but we both felt uplifted, listened to and just generally inspired by the release of pain and the emotion of seeing and hearing of another persons pain. I had a surgery last year and somehow I felt like sharing a little when the nurse asked, so I shared a tiny bit. And she shared that she too had experienced the same type of loss. I was prepping for surgery, laying in a hospital gown, and this nurse shed a few tears as did I and it was just so touching to be heard. I said it before, but as we share, we often find others who have pain, and often similar struggles that we never would have guessed. People are strong, put on a good face, but to hit that release valve is amazing. We often carry weight that we don’t even realize, because we wake up, take care of the kids, go to work, pay the mortgage and do all that must be done. I could go on and on but I wanted to comment on what you said about comparing hardship. I try not to talk too much about my hardest trials, and one reason is that people usually say some comment about how they shouldn’t even complain. But that’s never the point! I like to tell people that our trials are relative to each of us. My hardest trial is indeed MY hardest trial. And yours is your hardest trial. My hard things have nothing to do with your hard things! I do think that shared in a certain way, we can do it without making it a competition. Practice makes perfect. Phew! Oversharer!