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Poverty and Violence

9/28/2015

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Mahatma Gandhi once said that poverty was the worst form of violence. I agree with his sentiment but would change it slightly to say that poverty is the most insidious form of violence. The reason I think this distinction is important is because it addresses the understanding that poverty is a firmly established demographic within the socio-economic fabric of a country that is rarely apparent to individuals who are not struggling to meet their basic needs on a daily basis.  As soon as we are able to accept that identification, it brings a heightened level of awareness and concern to a subject that we, as a collective, have otherwise become extremely complacent to by accepting that it has been, and will always be, a part of the demographics that make up any society, including one as affluent as the United States.

Pope Francis expounded on this social injustice last week during his trip to the U.S. when he acknowledged the divide between some of the world’s wealthiest and “those considered disposable because they are only considered as part of a statistic.” While speaking in New York City to the United Nation's General Assembly he urged them to work together to push a global agenda of peace and identified that “big cities conceal the faces of all those people who don’t appear to belong, or are second-class citizens.” During a stop in Washington D.C., he acknowledged these ‘second-class citizens’ who were clearly visible to him by choosing to have lunch with them rather than members of congress.

Between the end of World War II and the late 1970s, incomes in the United States were becoming more equal. Incomes at the bottom were rising faster than those at the top. However, since the late 1970s, this trend has reversed. Between 1979 and 2012, the top 5 percent of American families saw their incomes increase 74.9 percent while the lowest 5 percent of families saw a decrease in income of 12.1 percent. This growing disparity ensures that political access will always be concentrated at the top, resulting in a small group of individuals who are in control and unresponsive to the needs of the majority of people. Despite being the wealthiest nation in the world, the United States has the highest levels of poverty than any other western democracy.  In 2012, 46.5 million people, comprised of 16.1 million children, were living in poverty. These statistics are more on par with Romania than with countries like Canada, France or Germany and make it extremely difficult for anyone to make the case that this country is actually a true democracy.

As long as poverty exists, equality is impossible to achieve. Without equality, we will always have a very small percentage of the population able to access political powers through huge monetary donations in an effort to influence legislation and social policies that ensure that they will always be able to maintain their scope of power, money and influence at the expense of the most vulnerable populations.Pope Francis’s position is that you would have to be less than human to not be concerned by this contrast and imbalance. Gandhi believed that this contrast was an expression of contempt, indifference and violence and that these individuals who continue to inflict poverty through this well-honed and widely accepted political power-dynamic are the worst criminals in history.

On a much smaller, yet equally troubling scale, I live in a university town that was once home to Thomas Jefferson. It is a mecca for intellectual, artistic, culinary, entrepreneurial and musical pursuits. At first glance, it appears to be made up primarily of extremely comfortable and affluent populations. However, a recent report released by the Charlottesville Works Initiative identified that in a city of 45,538 residents, over 27% of the population lives below the poverty line. That translates to 12,295 men, women, and children who lack self-sufficiency because they are struggling every day to meet their basic needs.  In 2014, Feeding America found that Charlottesville had a food insecurity rate of 17.9% overall and 14.8% for children which means that 8,151 individuals, comprised of 6,740 children, do not know where their next meal is coming from.  A 2014 study by the University of Virginia identified that poverty and its consequences, such as inadequate nutrition, persistent anxiety, and intellectual and emotional impairments affect the daily lives of 615,479 children living in the state of Virginia.

During the first five years of my post-graduate work, I worked exclusively with these at-risk populations and got to see up close the long-term, multi-generational impact that economic distress and poverty inflicts on individuals and families. It is an environment of uncertainty in which the most fundamental and basic necessities of life such as food and shelter are not guaranteed and the legacy of such extreme uncertainty at the basic level of survival continues well beyond childhood.

The importance of proper nutrition in the first few years of life is further highlighted by neuroimaging studies which have shown that poverty is closely associated with smaller brain volumes in areas involved in emotion processing and memory as well as impaired cognitive functioning in areas of language, memory, and executive functioning tasks. In addition, prolonged stress associated with extreme poverty increases the risk of mood disorders such as depression, anxiety, and post-traumatic stress disorder leading to greater degrees of social isolation.

In 1943, a psychologist by the name of Abraham Maslow identified that people are motivated to achieve certain needs and identified those needs in a 5-stage hierarchical model shaped like a pyramid. Beginning at the bottom of the model and moving upwards, the five stages are physiological, safety, love/belonging, esteem and actualization. The two lowest tiers encompass basic physical needs such as food and shelter and include the need to feel safe and secure. According to his theory, every person has the desire to move up the hierarchy toward the level of self- actualization. Unfortunately, progress will always be disrupted by an inability to meet the most basic needs.

In my private practice, the primary focus is in helping the individual move towards greater expressions of self-actualization. Much of the time is spent identifying, challenging, and healing whatever ‘imprints’ are informing beliefs and perceptions that limit the individual’s capacity to move beyond the four lower tiers in Maslow’s Hierarchy of Needs. However, whatever level the individual is functioning at determines where we begin the therapeutic process. Employment, child care, transportation, health and nutrition are all topics that end up being explored in an effort to move the individual beyond the level of ‘survival’. Only then does it make sense to explore topics such as self-esteem, integrity, creativity, spontaneity, and spirituality. Regardless of where we begin, the fundamental understanding is that the individual has the capacity to take this journey but must first ‘unhook’ from the perception that external forces will always control and determine the outcome. This is a BIG part of the social, economic and cultural conditioning that we’ve been at the effect of for thousands of years. Maslow believed that only one in a hundred people become fully self-actualized because our society rewards extrinsic motivation based on esteem and love. Future articles entitled “What’s Love Got to Do With It?” and “The Dance of Relationship” explores the impact of this social conditioning further.

Intrinsic motivation refers to a quality of motivation that comes from within the individual rather than from any external reward.  Performing a task or action for the sake of pure pleasure and enjoyment is an example of intrinsic motivation. Identifying what ‘feeds the soul’ and ‘nourishes the heart’ and acting on it, is the key to moving to the top tier of Maslow’s pyramid. However, when you’re extrinsically motivated to do something, you’re not concerned with whether or not the action is enjoyable but whether or not the outcomes will meet your physical and emotional needs.

If an individual has experienced a childhood full of chronic stress and trauma associated with extreme poverty, the biggest impediment in moving beyond that experience is social conditioning. Seeking and realizing personal potential and growth is everyone’s birthright. Imagine if we lived in a country that was not violent, a country in which the distribution of wealth was more balanced and every man, woman and child lived in the safety and security of knowing where their next meal was coming from. Imagine how that would impact everyone. Imagine a life that was not fueled by fear and anxiety. Imagine a life in which intellectual, creative, and spiritual pursuits were the primary focus; in which our social conditioning reinforced that personal freedom was the desired and expected outcome. Imagine that.


 

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Adrenal Fatigue

9/1/2015

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Prior to writing this article, I understood what adrenal fatigue was relative to my own experience and those of my clients. After doing some additional research in an effort to impart the most comprehensive overview to my readers and increase their understanding on the subject; it turns out that I still had much to learn on the subject including the discovery that I currently meet the criteria for Adrenal Fatigue. This is such a wonderful reminder that we are always teaching what it is we most need to learn. So let’s begin to learn about this subject together by finding out what adrenals are, where they’re located, and what function they serve. 

Adrenals are two triangular-shaped glands that sit on top of the kidneys and are approximately 1.5 inches wide and 3 inches long. They are made up of two parts; the adrenal cortex and the adrenal medulla. The adrenal cortex is the outer part of the gland and produces hormones that are vital to life such as cortisol which helps regulate metabolism and helps the body respond to stress and aldosterone which helps regulate the blood pressure. The adrenal medulla is the inner part of the gland and produces adrenaline, also known as epinephrine, which is the hormone that helps the body spring into action in response to stressful situations by increasing heart rate, rushing blood to muscles and the brain and spiking blood sugar by helping convert glycogen to glucose in the liver. Norepinephrine, also known as noradrenaline, works with epinephrine in responding to stress causing the narrowing of blood vessels which can, over time, result in high blood pressure.

Corticosteroid hormones balance stress response, energy flow, body temperature, water balance, and other essential processes. The adrenal cortex produces two main groups of them - the glucocorticoids and the mineralocorticoids which chemically control some of the most basic actions necessary to protect, nourish, and maintain the body. Glucocorticoids include hydrocortisone, commonly known as cortisol which regulates how the body converts fats, proteins, and carbohydrates to energy and helps regulate blood pressure and cardiovascular function. It also includes corticosterone which is the hormone that works with hydrocortisone to regulate immune response and suppress inflammatory reactions

If stress is causing your cortisol levels to be elevated, this anti-inflammatory effect becomes too strong. This effectively stops your immune system from working properly and this weakened state can last as long as whatever is causing the stress. Without a properly functioning immune system, you become vulnerable to disease. When the adrenals become fatigued they struggle to release the necessary amount of hormones causing the immune system to over-react to pathogens resulting in chronic inflammation, auto-immune diseases and decreased strength, focus and awareness.

As you can see, the adrenal glands play a large role within the endocrine system by regulating and maintaining many of our vital internal processes. Adrenal Fatigue is now being referred to as the Syndrome of the 21st Century by many holistic physicians and therapists despite the fact that the scientific community largely refuses to acknowledge its existence. This is interesting when you consider that it is now widely recognized even within the scientific community that most, if not all, chronic dis-ease expressions have inflammation as an underlying antecedent which is a hallmark symptom of adrenal fatigue. The following is a list of symptoms which are strong indicators that your adrenals may be fatigued:

            - Difficulty falling asleep
    
            - Difficulty waking up

            - Require a stimulant like coffee to wake up and get going
            -
Experience afternoon lows between 2 and 4pm; increased energy around 6pm;
              evening lows between 9 an10; followed by a second wind around 11pm

            - Easily stressed
            - Headaches
            - Weight gain; difficulty losing weight
            - Auto-immune issues
            - Low thyroid functioning
            - High blood pressure
            - Low blood sugar
            - Crave salty and/or sweet foods
            - Nighttime snacking

            - Depression
            - Anger
            - Anxiety
            - Muscle and joint pain

            - Digestive issues
            - Inability to relax    
            - Foggy thought processes; inability to maintain mental focus


Stress is a specific response by the body to a stimulus, such as fear or pain that disturbs or interferes with normal physiological equilibrium. It can be physical, mental or emotional; chronic or acute.  We now live in a very busy world in which we are exposed to 24-hour mainstream and social media coverage of violent, stressful, painful, and fearful stimulus. In addition, lifestyle stressors such as lack of sleep, poor diet, use of stimulants, striving for perfectionism, ‘pushing through’ a project or a day despite being tired, staying in unhappy relationships, and working every day in a stressful environment all contribute to impaired adrenal function. Our physical bodies are just not hard-wired to withstand such chronic interference and still be able to maintain normal equilibrium despite social conditioning that tells us that our value and worth increases with how much we do. The concept of just ‘being’ is extremely counter-intuitive and de-valued in our society.

Effective treatment for Adrenal Fatigue includes a combination of a healthy diet, minerals, vitamins, amino acids, herbal support, exercise, and proper sleep:

          - Organic, high quality proteins
          - Organic vegetables and fruit
          - Omega 3 fatty acids manage inflammation and minimize the loop that feeds into higher cortisol production.

          - Mineral sea salt added to food and water 
          - Vitamin C which mitigates high cortisol response while inducing an anti-inflammatory response.
          - Vitamin B Complex; all B vitamins are critical for the entire adrenal cascade while Vitamin B5 is especially
            important in helping to restore the adrenal glands.
          - Magnesium is essential to the production of the enzymes and energy necessary for the adrenal cascade.
          - Liquid adrenal support by Herb Pharm strengthens and restores the adrenals and includes Eleuthero Root, 
            Licorice Root, Sarsaparilla Root, Oat Milky Seed, and Prickly Ash Bark
          - Free Form Amino Acid Complex provides all of the necessary 'building blocks' for the production of body proteins; 
            has a broad application for both mental and physical functions; supports hormone, enzyme and antibody formation; 
            supports healthy nervous system function.
          - DHEA (Dehydroepiandrosterone) is a hormone that comes from the adrenal gland as well as the brain and is 
            responsible for the production of androgens and estrogens; it begins to decrease after the age of 30; evidence
            suggests that DHEA may help treat depression, obesity, and osteoporosis.
          - L-Theanine is a calming amino acid that works by increasing GABA which increases a sense of well-being.
          - L-5-HTP is a naturally occurring amino acid that converts to Serotonin and Melatonin.  

In addition to making dietary and supplemental changes, lifestyle changes are usually required to rebalance the brain and the body long-term. This is a subject that is often explored in many of my therapy sessions with clients. If one truly desires to enhance their over-all sense of well-being, then every arena in one’s life needs to be excavated and explored. Toxic and stressful relationships including one’s work environment are just as debilitating to the mind and body as a poor diet. A lack of self-care and a tendency to overextend ourselves is a reflection of how little we value ourselves and is always being informed by our imprinting and conditioning. The road to recovery from all things physical, mental, and emotional requires a re-orientation on the subject of self-care. Learning that self-care is an expression of self-love and being able to practice it, is a critical part of everyone’s healing journey.



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    Author

    Kate O'Connell is a licensed Child and Family Therapist with a private practice in Charlottesville, Virginia addressing the therapeutic needs of children, adults, adolescents, couples and families. Her extensive training in Intensive In-Home Services,  Addiction, Family Systems Therapy and Energy Medicine enables her to facilitate positive outcomes for her clients dealing with a variety of emotional and mental health issues.

    



    

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Copyright 2015 Kate O'Connell, LPC