Break the [wounds + unawareness] cycle and guard your descendents

How Medical Professionals Can Help
Prevent Family Stress and Divorce

By Peter K. Gerlach, MSW

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This article is under construction

        This article is written to students, interns, and licensed medical professionals in all fields and practices. It is also written to the people who train, certify, license, evaluate, hire, supervise, consult with, and support these professionals, who care about preventing family stress and divorce.

        Links below will open new browser windows or informational popups, so please turn off your browser's popup blocker or accept popups from this nonprofit site. The article assumes you're familiar with six or seven prevention topics. If you're not, study these introductory pages to get the most from reading this.        

        This article is one of a  series on how concerned lay people and human-service professionals can help to prevent common symptoms of the toxic [wounds + unawareness] cycle like these...

  • public and legislative tolerance for unhealthy marital, child-conception, and social-environment choices,

  • unintended child neglect and abuse, and related psychological ("false self") wounds,

  • significant marital and family stress and divorce trauma, and...

  • public and professional ignorance of these topics.

        This article builds on the premise that once professionals like you are aware of the causes and effects of the [wounds + unawareness] cycle, they have a moral obligation to alert other people to them, and work to prevent family stress and divorce. The first two pages of this series propose three specific steps human-service professionals can take to alert family members, co-workers, clients or patients, and selected target groups of other people on these causes, effects, and cycle-prevention options.

       You can use the information in this nonprofit Web site to...

  • reduce any personal wounds and nourish your own family relationships;

  • improve the effectiveness of your present professional work, and to...

  • empower other people to prevent personal and family stress and divorce.

This article and series focuses on the last two goals. These Project-1 resources focus on the first goal. As you read in the introduction, you have a wide range of options to tailor and accomplish these goals if you're motivated to do so.

        This article offers perspective on (a) how the cycle may affect you and the people you work with and for, and (b) summarizes cycle-prevention options in your profession. You'll get the most from reading this if you study this slide presentation and read or review this four-page introduction first. Pause, breathe, and say out loud why you're reading this article. What do you need?

        This Web article is under construction. It offers specific ideas on how doctors, nurses, assistants, and medical office staffs and administrators can significantly help prevent family stress and (re)divorce in their normal work. The premise underlying this proposal is that a significant percentage of medical problems - and epidemic U.S. divorce - are promoted by preventable personal (a) unawareness and (b) unseen psychological wounds.  

        Perspective

        I am not medically trained. I am trained and have 29 years' experienced at working as a psychotherapist with troubled people to improve their (spiritual + mental + emotional) health. I believe without question that there is a strong "mind-body (psychosomatic) connection" - i.e. that each of these three domains has major effect on each of the others, and on physical health. I believe psychosomatic illnesses are real, pervasive, and deplete our society.

        From this premise, I suspect that a disproportionately high percentage of adults and kids seeking medical help are psychologically- wounded survivors of "low nurturance" (troubled) families. If this is true, medical professionals and their staffs can be of major help beyond providing direct service. This is specially true for chronically ill patients. The three themes of this help are:

  • Alerting all patients to the need for inner- family wellness,

  • Motivating them to value that; and ...

  • Directing them to credible resources that promote more awareness of five or six key topics for their and their descendents' wholistic health. 

        "Inner-family wellness" comes from (a) acknowledging that our personalities are naturally (vs. pathologically) composed of many subselves or "parts," and (b) that each of us can intentionally work to promote harmony among our inner subselves under the expert wise guidance of our true Self  and spiritual subselves. If you aren't at least curious about these two ideas, my respectful guess is that the rest of this article will waste your time.

Premises About You

        Since you're reading this, I'll guess several things about you ... 

You're (a) in the "medical" or "wholistic health" field now, or (b) are training to be in it. If so, you're attracted to the idea of helping others regain or protect their health;

You may provide direct medical service to patients, and/or indirect service: i.e. you may see patients personally, or be a medical-facility policy maker; program designer, director, or funder; or a professional consultant to any of these. You may be a general practitioner, or a specialist.

You may work with, or refer to, other human-service professionals. If you teach human-service professionals, also read this. And I assume ...

You juggle your professional daily goal of healing the sick with complex legal, financial, organizational, and political factors and constraints, including insurances, accreditation and licensure, and keeping current with developments in your field and profession. And ...

You have rich professional training and life experience in many things - and unless you're a psychiatrist or psychiatric social worker - you've probably never had any informed training in these five or six key wholistic-health topics.

        And I assume that personally and/or professionally,  ...

You usually have too much to do - partly because of your own ideals, priorities, and multiple roles you've taken on, and partly because of the complex administrative, clinical, and practical needs of your organization and the patients you serve. This "load" is similar to what most divorced- family and stepfamily co-parents experience. It justifies co-parent Project 12 - balancing four domains every day; and I suspect...

You're reading this because you want to feel useful by helping to prevent divorced-family and stepfamily trauma and anguish in your work setting, your community, or in a larger venue.

Finally, I guess with respect and compassion that (a) you come from a moderately to significantly low-nurturance childhood through no fault of your caregivers; and that you (b) find yourself specially drawn or sensitive to others who did too. Notice your reaction to this proposal from a stranger...

        I make this guess from scores of direct personal observations over 27 years, which match the reports of many recovery professionals that I respect: many psychologically-wounded persons are unconsciously drawn to human-service professions to heal themselves and help others heal.

        How accurate are these assumptions about you? What are you aware of now? What's your self-talk like? What does that mean? Has your interest in reading further shifted?


  Prepare to Help

        If my assumptions are right, you're unaware of what specific kind of help courting or re/married co-parents and their kids need. For an overview, read ...

Each of these summaries is linked to other articles with much more detail. Together, they start to explain why well over half of typical stepfamilies eventually break up or live in daily misery

        What percentage of your patients would you guess are either in divorcing biofamilies or courting or re/married stepfamilies - more than half? Are you or a relative in a multi-generational stepfamily? Many people are and don't know it. The National Center for Health Statistics estimates that almost half of your first-marriage patients will divorce (legally), and about 40% of them will re/divorce in time. I propose that the daily interpersonal stress in these families contributes significantly to the medical problems that you're devoted to healing. Do you feel that's credible?

        If you were a co-parent in one of these families who was unaware of these family stressors and their heath impacts, what would you want your dentist, dietician, ophthalmologist, dermatologist, pharmacist, obstetrician, chiropractor or other health professional to know and do for you and your kids? If there are low-cost ways that you could help to prevent family stress and related medical problems, are you interested in learning of them? Here are some practical options:


What You Can Do

        Option 1) Premise: if you're unaware of being dominated by a protective false self, your conscious attitudes about illness-prevention may not reflect your unconscious beliefs and priorities. Your behavior and communication will broadcast your true attitudes to patients and colleagues as powerfully as any of the suggestions below. 

        After 27 years' mental-health experience, I believe many of us human-service professionals were  raised in low-nurturance homes. One common result is inheriting the unconscious attitude of self neglect, while serving others. A common sign of this is overwork (a.k.a. "dedication.") To explore whether this is true for you, honestly self-assess (a) yourself for hidden false-self dominance, and (b) the  nurturance-level of your organization. The first assessment will give you direct experience with the project this site proposes that all co-parents should do to protect dependent kids from accidentally developing a dominant false self and up to five related psychological wounds.

        Notice your self-talk  now. Is it "resistant" to these two assessments? If a false self dominates you, those protective subselves will probably do anything they can to block you from knowing it.

        Option 2) Refresh your awareness: where does your interest fall on the continuum between preventing illness and healing it? As a medical professional, what do you feel your ethical responsibility is to your patients on this continuum? As you know, "no position" on this is a position. Reflect: how does your belief about illness prevention manifest in _ your own daily habits and _ your family's relationships? 

        Option 3)  On intake forms and/or interviews, ask if the patient is either in a divorcing family or a "second- marriage" family. Language is important, for many patients don't know they're in a stepfamily. Others do know, but prefer not to admit it. The reason for asking is that such people are often living in high-stress environments, or will - which promotes illness.

      Option 4) For patients who are in either a divorced ("single-parent") family or re/married (step)family, proactively alert them that (1) the high stress common to these families can raise the chance of illness among their family members, and that (2) basic education can significantly lower their risk.  

        Option 5)  Provide a brochure in your office and/or with your patient receipts or invoices that _ defines "stress" and common causes, _ alerts patients to the physical and mental health risks of family stress, and _ suggests viable options and resources - including this and similar Web sites.

        More ways you can help to prevent illness by reducing patients' odds of family stress ...

        Option 6)  Stay alert for human-service colleagues and programs in your community, including churches,  which provide education, counseling, therapy, and/or group support for divorced-family and stepfamily members. If you find any, proactively mention them to patients in divorced and remarried families even if they don't ask. Patients may know of resources that you don't. 

        Expand your referral network to include professionals who care about family-stress prevention and reduction. Sharpen your discernment by scanning this summary of the special qualifications typical health professionals need to provide effective service to stepfamilies.

        Option 7)  Learn the positions of the state and national medical associations you belong to on _ illness-prevention vs. healing, and _ family stress as a major cause or promoter of illness. Learn if they sponsor or offer any member or patient education on identifying and reducing family stress. Four specific areas to look for are ...

If your associations have no clear positions, decide if you care enough about any of these factors to proactively suggest that the organizations develop policies and resources on them. If so, e-mail, phone, fax, or write them with your vision. Option: suggest that association conference-agendas include some or all of these topics.

        Option 8)  Promote your office staff's awareness of these topics, and encourage them to proactively raise patients' interest in them as part of the healthcare you all offer.

        Option 9)  If you speak to professional or civic groups or give media interviews, include your views on co-parents' reducing their family's psychological stress as a powerful illness prevention strategy.

        Option 10) If you're interested in learning more on how emotional stress and spiritual emptiness contribute to the etiology of physical illness, survey colleagues and professional sources for recommendations on writings or sources relevant to your professional field. Some well-known authors on this topic are ...

        Option 11) If you have alumni interest in, and/or influence with a professional education school, suggest that they upgrade or expand their curricula to include topics on how _ false-self dominance, _ wholistic family nurturance, _communication effectiveness, _ healthy grief, and _ spiritual attitudes and practices affect physical health and healing. Did you get any training in these? Are interns in your field getting any now? 

        Option 12) If you find any articles or resources in this site you think are specially useful for your staff, colleagues, and/or patients, copy* and share them. Option: suggest they visit this site, and why you think it might be helpful. This is specially relevant for adults in divorcing families and stepfamilies.

        Option 13) If you lead or contribute to staff in-services in your organization, propose sessions on the illness prevention topics above. Option: explore and select options from the professional education section here.

        Option 14)  (Add your own ideas ...) 


Recap

         This page proposes ways medical professionals can help to prevent illness by choosing to alert patients and colleagues to ways that family stress promotes sickness. Though the suggestions here highlight adults and kids in typical divorced biofamilies and stepfamilies, they apply to all families and human groups. The government estimate that recently almost half of first-marriages fail suggests how widespread significant stress is in our society.

        The premise underlying these prevention suggestions is...

  • unintentional low childhood (emotional/spiritual) nurturance promotes two to six false-self wounds which...

  • promote toxic shame and fears, (anxiety, "worries," "insecurities") and related inner-personal and interpersonal stress (inner-family conflict, and unfilled primal wholistic needs), which ...

  • promotes denied self-neglect, and therefore situational and chronic physical illness. 

A related premise is that typical medical practioners (like you) and their organizations can unknowingly generate low-nurturance stress that promotes toxic false-self dominance in themselves and their patients. Once honestly assessed, the nurturance levels of practioners' (a) inner families and (b) outer organizations can be raised, over time. At the least, that will indirectly influence patients to (c) become aware of their wholistic health, and (d) prevent illness in themselves and their kids.

For more perspective, read this related  prevention article written to professional motivators.

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Updated  October 22, 2008