Latest / The Trauma Therapist / Other People's Problems with Hillary McBride, PhD
Transcript
- 0:00Speaker 1: Welcome to the Trauma Thepists podcast. My name is Got macpherson.
- 0:04Speaker 1: I interview incredible people who dedicated their lives to helping
- 0:07Speaker 1: those who have been impacted by trauma. Here we go,
- 0:11Speaker 1: So five four, three, two and one, our folks, welcome
- 0:16Speaker 1: back to the podcast. I'm very excited to have as
- 0:18Speaker 1: my guest today, back doctor Hillary McBride. Hillary, welcome back.
- 0:22Speaker 2: It's so good to be back. I was looking forward
- 0:24Speaker 2: to this all week.
- 0:25Speaker 1: Awesome. So. Hillary is a registered psychologist, a researcher and
- 0:29Speaker 1: podcaster with expertise that includes working with trauma and trauma
- 0:33Speaker 1: therapies and embodiment at the intersection of spirituality and mental health.
- 0:38Speaker 1: Her recent book, Wholly Hurt, Understanding and Healing from Spiritual
- 0:41Speaker 1: Trauma came out in April twenty twenty five. Her podcast
- 0:45Speaker 1: Other People's Problems is incredible. Normally therapy sessions are totally confidential,
- 0:50Speaker 1: but this podcast opens the doors. Her recent season offers
- 0:54Speaker 1: an unprecedented look at psychedelic psychotherapy, breaking new ground and
- 0:58Speaker 1: podcast space and demystifying this often misunderstood practice as a
- 1:03Speaker 1: powerful tool in trauma recovery. All right, Hillary, Before we
- 1:08Speaker 1: get going here and dive in it feels like there's
- 1:10Speaker 1: so much to talk about. Remind our listeners where you're
- 1:13Speaker 1: from originally and where you are currently.
- 1:16Speaker 2: I grew up in Vancouver, but I currently live in Victoria, BC,
- 1:19Speaker 2: which is an island off the west coast of Canada,
- 1:21Speaker 2: and so we have ocean. Almost almost everywhere we go
- 1:26Speaker 2: there's ocean around us. So I'm loving this, loving the
- 1:29Speaker 2: island living.
- 1:31Speaker 1: All right, let's if we can here. I want to
- 1:35Speaker 1: set some context. I mean, you've got so much going on,
- 1:39Speaker 1: You're doing so much I should I should say that
- 1:42Speaker 1: incredible work. But give our listeners a little bit of
- 1:45Speaker 1: understand How did you get drawn into this? Feel the space?
- 1:52Speaker 1: And you might if you want to start out more broadly,
- 1:55Speaker 1: but I'm really curious about your interest in trauma.
- 1:58Speaker 2: Yeah, interest in trauma or generally. Well, I remember having
- 2:01Speaker 2: a I had a class in my graduate degree. I
- 2:05Speaker 2: was doing my master's and I had this professor who
- 2:08Speaker 2: I loved. He taught my psychopathology class. Actually it was
- 2:10Speaker 2: not it was advanced counseling skills, and I remember thinking like, oh,
- 2:14Speaker 2: he understands something about like the substrate that's underneath that
- 2:21Speaker 2: undergird's most mental health concerns like it felt like he
- 2:24Speaker 2: just got he just got something about the human experience
- 2:27Speaker 2: and who was walking through the door. And he was
- 2:29Speaker 2: offering a trauma class that summer, and I remember taking
- 2:32Speaker 2: it and thinking, Oh, I think that this might be
- 2:37Speaker 2: why people go to therapy. I think this might be
- 2:39Speaker 2: the thing right like this, you know, when he was
- 2:43Speaker 2: talking about the nervous system and he was talking about dissociation,
- 2:46Speaker 2: I was thinking, don't I don't know if there's a
- 2:49Speaker 2: single person on the planet who this doesn't apply to
- 2:51Speaker 2: on some level, especially when we expand our definitions of
- 2:54Speaker 2: trauma to include neglect at like absence trauma early in development,
- 3:01Speaker 2: before we have autobiographical memory like whoa who doesn't this touch?
- 3:06Speaker 2: And it was that lens that really started to shape
- 3:09Speaker 2: the way that I was working with people as they
- 3:11Speaker 2: were coming into my office. Now, it took me a
- 3:14Speaker 2: little while after that point to go, oh, if it's
- 3:17Speaker 2: about everybody out there, oh, maybe it's actually about in
- 3:22Speaker 2: here too, write this nervous system, this body. And it
- 3:26Speaker 2: was a few years prior to that where I had
- 3:28Speaker 2: had a really acute car accident. I'd been hit in
- 3:32Speaker 2: an intersection while driving and hadn't really processed what that
- 3:37Speaker 2: was like for me. Except I'd done all of the
- 3:39Speaker 2: medical interventions. I'd gone to the physio and the ot
- 3:42Speaker 2: and all the therapies, but I hadn't really spent time
- 3:46Speaker 2: looking at what it was like for me to live
- 3:49Speaker 2: in the aftermath of that and the terror that still
- 3:52Speaker 2: lived in my body. And it actually wasn't for a
- 3:55Speaker 2: number of years and actually, unfortunately a few more very
- 4:00Speaker 2: serious car accidents for me to realize, oh, I have
- 4:04Speaker 2: to look at this. And it was when I started
- 4:06Speaker 2: to peel back the layers of the shock trauma right
- 4:09Speaker 2: the index event of these car accidents, that I was
- 4:12Speaker 2: able to go, Okay, this reminds me of something that
- 4:16Speaker 2: was here even before the car accidents.
- 4:20Speaker 1: So that willing that first of all, that realization that
- 4:25Speaker 1: excuse me, you might have to look inside. That's a
- 4:29Speaker 1: big one. It's a big one for all of us,
- 4:32Speaker 1: but I think it's interestingly it's large for therapists who
- 4:36Speaker 1: are like, wait a minute, I've got to look at
- 4:37Speaker 1: myself here. So did that impact how you started working
- 4:45Speaker 1: with people oh.
- 4:47Speaker 2: My own trauma?
- 4:48Speaker 1: Yeah?
- 4:48Speaker 2: Yeah, Well, I think it made me more courageous to
- 4:52Speaker 2: actually do all of the things in a very like
- 4:55Speaker 2: with a lot of fidelity, like to try all the therapies,
- 4:58Speaker 2: try all of the things that I was off for
- 5:00Speaker 2: other people that i'd heard about that I was reading
- 5:01Speaker 2: in the research literature. And I think that's something that
- 5:05Speaker 2: some of our listeners might be familiar with, is that
- 5:07Speaker 2: we hit a desperation point at some point where where
- 5:11Speaker 2: the just thinking about it or the keeping it over
- 5:13Speaker 2: there isn't enough, and we have to take these risks.
- 5:16Speaker 2: It's like we get our discomfort internally pushes us beyond
- 5:19Speaker 2: what the avoidance is allowing us to have access to,
- 5:22Speaker 2: and we move into the space of actually like free
- 5:26Speaker 2: falling into trying all of the things that unfortunately take
- 5:31Speaker 2: us closer to the pain, but ultimately also get us
- 5:34Speaker 2: through to the other side, or have the potential to
- 5:37Speaker 2: do so. But I think I just want to come
- 5:39Speaker 2: back to the point that you made about therapists, because
- 5:41Speaker 2: I've been really getting into the work of Karen Moroda lately.
- 5:44Speaker 2: She's a psychoanalyst, and her theory is that the field
- 5:48Speaker 2: of psychotherapy and helpers disproportionately draws and attracts people who
- 5:54Speaker 2: have this kind of parentified schema, internal working model that
- 6:01Speaker 2: as a profession. We are people who have been really,
- 6:04Speaker 2: really skilled and have had to become skilled at seeing
- 6:09Speaker 2: everybody else's stuff at the exclusion of our own. So
- 6:13Speaker 2: it may be important for us, if we're in this profession,
- 6:15Speaker 2: to ask the question, why is it so easy for
- 6:18Speaker 2: us to help other people go to these places that
- 6:20Speaker 2: we don't go, and what does that tell us about
- 6:23Speaker 2: how we had to cope and survive and manage and
- 6:25Speaker 2: some of the interpersonal dynamics that made us forget about
- 6:29Speaker 2: our bodies in the first place, Like when I teach therapists,
- 6:33Speaker 2: when I train clinicians, whether it's like undergraduate to the
- 6:36Speaker 2: graduate level or postdoctoral, these are you. We're a group
- 6:40Speaker 2: of people who have a hard time being connected to
- 6:43Speaker 2: ourselves and being in our bodies, but are really really
- 6:46Speaker 2: good have monetized our defense strategies by building entire careers
- 6:52Speaker 2: around regulating other people. And at some point it's really
- 6:57Speaker 2: important that we go, wait, why, why? What has led
- 7:01Speaker 2: to that? So that that just came to mind when
- 7:03Speaker 2: you were saying that.
- 7:04Speaker 1: Yeah, no, that is that is awesome. I love that,
- 7:06Speaker 1: and that topic really drives the work I do because
- 7:10Speaker 1: just quickly when I first started doing this, I was like, Okay,
- 7:15Speaker 1: you know, I'm going to have on these people and
- 7:17Speaker 1: they're going to tell me about all their their all
- 7:19Speaker 1: their books and their interventions they use, and what what
- 7:22Speaker 1: is the knowledge that I can learn and then share
- 7:28Speaker 1: and slowly I One of the questions I would ask was,
- 7:31Speaker 1: could you share an early clinical error and what you
- 7:34Speaker 1: learned from that? And of course there were some people
- 7:36Speaker 1: who were like, well, I don't make any errors and
- 7:37Speaker 1: dah da da, But most people, ninety nine point nine
- 7:41Speaker 1: percent of the people would and these are very seasoned clinicians,
- 7:44Speaker 1: would say, talk about a kind of a rupture, an
- 7:49Speaker 1: inability in themselves to look at themselves to do exactly
- 7:53Speaker 1: what you were talking about, and how that really caused
- 7:56Speaker 1: a rupture in the relationship, but then afforded all an
- 8:01Speaker 1: opportunity for growth and repair and so forth. And that
- 8:05Speaker 1: made me, gave me the courage to start looking at
- 8:08Speaker 1: my own stuff, my own trauma, my own shame, And
- 8:12Speaker 1: it really, like I said, inspired the work I do
- 8:16Speaker 1: because so many You're right, so many of the therapists
- 8:19Speaker 1: are like, wait a minute, you want me, I can.
- 8:23Speaker 1: I can fix that other person and help them, but
- 8:27Speaker 1: I gotta look at me. That's a whole different ballgame. Anyway,
- 8:30Speaker 1: that's that's a whole different podcast. So let's talk about
- 8:37Speaker 1: your podcast, Other People's Problems. I love the title how
- 8:42Speaker 1: did this come about? And and I just got to say,
- 8:44Speaker 1: at the at the onset here, you're like a natural,
- 8:47Speaker 1: I mean not surprisingly, but it's incredible. How did how
- 8:51Speaker 1: did this come about?
- 8:52Speaker 2: Oh? Thank you? Well, as I think with many good ideas,
- 8:57Speaker 2: they they come from encounters with gaps in experience or knowledge,
- 9:04Speaker 2: and this actually was not It was not my idea.
- 9:06Speaker 2: The podcast comes from my producer, Jodi Martinsen, who is
- 9:09Speaker 2: not just a wizard, but extremely you know, gifted in
- 9:12Speaker 2: this area and working with people, and I think has,
- 9:14Speaker 2: through listening to probably thousands of hours of my therapy,
- 9:18Speaker 2: may also have like an honorary doctorate at this point.
- 9:22Speaker 2: She is, yeah, has been such a gift to work with.
- 9:25Speaker 2: But it was her idea to say, wait a second,
- 9:28Speaker 2: there is you know what actually happens behind the scenes,
- 9:31Speaker 2: and when going to therapy, realizing this is not at
- 9:34Speaker 2: all like the things that I see portrayed on TV
- 9:36Speaker 2: or the things that people talk about, like there's actually
- 9:38Speaker 2: something really different happening here than the trope of psychotherapy
- 9:41Speaker 2: that we reference in our in our media, that we
- 9:44Speaker 2: see in the movies, And so the idea came from
- 9:47Speaker 2: wanting to demystify what was behind the scenes. And what
- 9:49Speaker 2: we found over the past four seasons of having this
- 9:53Speaker 2: show come out is that in listening to in listening
- 9:57Speaker 2: to people's therapy with me, right because the show is
- 10:00Speaker 2: me sharing audio, of course, with this very thorough legal
- 10:04Speaker 2: and consent process of recorded sessions with my patients, and
- 10:08Speaker 2: then a little bit of voiceover to explain like, here's
- 10:10Speaker 2: what I'm doing, Here's what I think is happening, here's
- 10:12Speaker 2: what's going on. That over four seasons of that being
- 10:15Speaker 2: out in the world, that people who have been able
- 10:19Speaker 2: to share their work have felt prouder and braver for it,
- 10:24Speaker 2: that it's actually compounded their sense of mastery and agency
- 10:28Speaker 2: of realizing like, wow, I can be a part of
- 10:30Speaker 2: cultural change and I can I can actually alter the
- 10:34Speaker 2: fabric of our society that creates the stigma that harmed me.
- 10:38Speaker 2: Like by sharing this, like people are feeling empowered. We're
- 10:40Speaker 2: seeing that people who hear the show are feeling more
- 10:44Speaker 2: courageous to go to therapy. We're hearing that people who
- 10:48Speaker 2: hear the show, are actually feeling less alone in the
- 10:51Speaker 2: internal struggles that they've carried so privately inside of themselves
- 10:55Speaker 2: and felt like I can't tell anybody about. So it's
- 10:58Speaker 2: done this like it's done, this really interesting important thing.
- 11:01Speaker 1: Oh.
- 11:01Speaker 2: I should also say that therapists often use the audio
- 11:04Speaker 2: for training and and we'll talk in I keep hearing
- 11:08Speaker 2: you know, if I go do a speaking event or something,
- 11:09Speaker 2: people will, you know, come come talk to me and
- 11:11Speaker 2: to say, I listen to your show in my class, right,
- 11:15Speaker 2: and we were like talking about the choices you made,
- 11:17Speaker 2: and you know, what we would have done differently and
- 11:19Speaker 2: what like we think was really appropriate. And I love
- 11:21Speaker 2: the idea of people learning, learning from my mistakes, learning
- 11:25Speaker 2: from my skill like sharing so that we can yeah,
- 11:29Speaker 2: undo the aloneness of what it's like to be in
- 11:31Speaker 2: this room, which is often such a solitary, isolating thing
- 11:34Speaker 2: for as as therapists too.
- 11:37Speaker 1: I could imagine that a lot of the people, a
- 11:41Speaker 1: lot of your guests, what I mean, that takes some
- 11:46Speaker 1: balls to say, okay, record me and put me on
- 11:49Speaker 1: a podcast. I mean, what is the process that's going
- 11:53Speaker 1: on there?
- 11:55Speaker 2: Well, I will say that for a lot of the
- 11:56Speaker 2: work that I do we're recording in any way, that's
- 11:59Speaker 2: like a big part of the model of ADP, and
- 12:01Speaker 2: ADP is one of the main therapies that I use
- 12:03Speaker 2: that we're recording, because then we get to come back
- 12:06Speaker 2: to seeing what happened in a session. And often people
- 12:11Speaker 2: when they record their session get to listen back and go, oh,
- 12:14Speaker 2: that's what I sound like, or that was that moment,
- 12:17Speaker 2: or we can use it for integrating insights. So if
- 12:19Speaker 2: we're not like if recording is kind of normalized, then
- 12:23Speaker 2: the thought of having the recording and eventually down the
- 12:25Speaker 2: line saying, hey, do you feel open to sharing this
- 12:29Speaker 2: for this project and here's some of the risks, and
- 12:30Speaker 2: here's some of the benefits, And let's listen to the
- 12:32Speaker 2: audio and then let's listen to it when it's cut,
- 12:34Speaker 2: and let's listen to it when it's got my voice
- 12:36Speaker 2: over in it, and then let's listen to it a
- 12:38Speaker 2: bunch more times. And do you want to have a
- 12:39Speaker 2: friend listening to make sure I'm want to take it
- 12:41Speaker 2: write like, there's this season that we just released. Took
- 12:44Speaker 2: two and a half years to produce WHOA So it's
- 12:47Speaker 2: like an extremely lengthy process, and the purpose of that
- 12:51Speaker 2: is that consent is a process. It's not a singular
- 12:55Speaker 2: moment of time, and for people to feel like they're
- 12:58Speaker 2: yes holds up over a year or year half and
- 13:02Speaker 2: many rounds of edits and many rounds of edits, tells
- 13:05Speaker 2: us that that yes is a more robust yes.
- 13:08Speaker 1: I mean, just remind everyone, I'm speaking with doctor Hillary McBride.
- 13:11Speaker 1: We're talking about her incredible podcast Other People's Problems. So
- 13:16Speaker 1: what did you have to sit with and agree to yes?
- 13:24Speaker 2: Yeah, Well, I think it reminds me of your question
- 13:27Speaker 2: earlier to past podcast yests, like tell me about early
- 13:31Speaker 2: clinical errors. Like for me, the thing that has been
- 13:36Speaker 2: there's been an existential moral inner conflict about can I
- 13:40Speaker 2: ask these people to do this? And how do we
- 13:42Speaker 2: ask them in a way where I'm not using like
- 13:44Speaker 2: misusing a power dynamic. So like struggling through the ethical
- 13:48Speaker 2: pieces there took a lot of time, and that for
- 13:50Speaker 2: me felt important, like protecting my client's privacy, power and agency,
- 13:57Speaker 2: like their right to choose, like protecting that, like weighing
- 14:00Speaker 2: the balance of all of that was tricky. But I
- 14:02Speaker 2: think in addition to that, and maybe also feeling protective
- 14:06Speaker 2: of them when the audio comes out into the world
- 14:08Speaker 2: and figuring it like, Okay, how are we going to
- 14:10Speaker 2: navigate this and support them through this? But I think
- 14:13Speaker 2: that the trickiest thing for me was what is it
- 14:18Speaker 2: like to grow as a clinician and recognize that I
- 14:22Speaker 2: work very differently than I did five years ago, seven
- 14:26Speaker 2: years ago, two years ago, because I'm learning all the
- 14:28Speaker 2: time and I'm refining and I'm growing in my skill.
- 14:30Speaker 2: But there are these these like frozen in time moments
- 14:34Speaker 2: of my clinical work that are extremely imperfect that are
- 14:37Speaker 2: out in the world. Like I think that can be
- 14:40Speaker 2: really vulnerable and risky, not just for the patient but
- 14:43Speaker 2: for us as clinicians to go, Okay, here it is.
- 14:46Speaker 2: Here's what it sounds like, recognizing like how could we
- 14:49Speaker 2: ever judge a relationship and how could we ever judge
- 14:52Speaker 2: like that? That's what it is, like, this diadic attachment
- 14:55Speaker 2: dynamic that is unfolding between two people in this very
- 14:58Speaker 2: emergent way, and then to extract that and give it
- 15:02Speaker 2: a time stamp and share it with the world like
- 15:04Speaker 2: miss is so much nuance and complexity to me and
- 15:08Speaker 2: to our working relationship, And so it has felt like
- 15:11Speaker 2: often more at the beginning than now, like this internal
- 15:15Speaker 2: wrestle like, okay, am I okay with it being imperfect
- 15:19Speaker 2: and it being out there? Am I okay? With recognizing
- 15:21Speaker 2: that I'm going to grow and change and I would
- 15:24Speaker 2: never work some of the way, you know the way,
- 15:26Speaker 2: or I would never make that choice again or even
- 15:28Speaker 2: at that time, you know, as we often do as therapists,
- 15:30Speaker 2: we make a clinical choice and the session ends and
- 15:32Speaker 2: we go, oh great, okay, I miss that thing. And
- 15:37Speaker 2: to have the errors and the beauty and the power
- 15:40Speaker 2: captured and have people right right, there's like something around
- 15:44Speaker 2: the ego that I had to negotiate, something around like
- 15:46Speaker 2: high impression management of myself.
- 15:52Speaker 1: Do the guess have the choice of either using their
- 15:58Speaker 1: real names and identities or not? And then there's a
- 16:02Speaker 1: big difference there.
- 16:03Speaker 2: Yeah, Yeah, there is, Yeah, And we could say we
- 16:06Speaker 2: could bring it back to it would say like feminist
- 16:09Speaker 2: principles of research. Often in the ethics process of this,
- 16:14Speaker 2: I kept going back over and over and over to
- 16:17Speaker 2: ethical principles that we get from qualitative research and how
- 16:21Speaker 2: we're sharing stories and what we do when we're publishing
- 16:23Speaker 2: stories in media in journals and books and things like that.
- 16:27Speaker 2: And for me, the thing that I kept coming back
- 16:30Speaker 2: to was some of the principles that guide feminist research
- 16:32Speaker 2: around giving people power and how do we give people
- 16:35Speaker 2: power instead of using them, and how do people figure
- 16:39Speaker 2: out what the risks and benefits are of attaching their
- 16:41Speaker 2: name and identity to something. But yeah, we gave people
- 16:43Speaker 2: the choice, and we talked about what that could cost
- 16:46Speaker 2: them and how it could go well for them and
- 16:49Speaker 2: what they get out of it and versus like, you know,
- 16:52Speaker 2: some of the challenges that might come up. But what's
- 16:54Speaker 2: interesting about that particular phenomena that I just want to
- 16:57Speaker 2: bring again bring into this conversation as you're talking about
- 17:01Speaker 2: people have to have some balls to do this, and
- 17:03Speaker 2: like it could be really risky. This is the first
- 17:06Speaker 2: season where I'm including a session of my own, so
- 17:09Speaker 2: season five, I actually flip sides of the room. I'm
- 17:15Speaker 2: on the couch, so to speak. And this whole season
- 17:19Speaker 2: of season five is exploring psychedelic psychotherapy. And this particular
- 17:24Speaker 2: piece of work is profoundly important and vulnerable for me.
- 17:28Speaker 2: And so when I was thinking about what am I
- 17:31Speaker 2: asking people to do by inviting them to share their
- 17:35Speaker 2: stories or even just supporting them to do that, I
- 17:39Speaker 2: really felt what that was like. This season by putting
- 17:42Speaker 2: myself in their shoes and feeling through all the details
- 17:46Speaker 2: of what do I want people to know? What do
- 17:48Speaker 2: I not want people to know? And it is me right,
- 17:50Speaker 2: it's my name, it's my voice, it's my story. It's
- 17:52Speaker 2: totally recognizable and people are probably going to hear it
- 17:56Speaker 2: driving to work someday because it's a CPC podcast, which
- 17:59Speaker 2: means CBC is our national radio in Canada, just like
- 18:01Speaker 2: on just on the radio. So something's going to be
- 18:04Speaker 2: like making muffins some Saturday morning and they're gonna They're
- 18:07Speaker 2: gonna turn on the radio and I'm going to be
- 18:09Speaker 2: talking about my trauma and processing through it and like, wow,
- 18:14Speaker 2: what a thing to know? Is like being broadcast into
- 18:17Speaker 2: the radio waves of Canadians and people across the world. So, like,
- 18:21Speaker 2: the courage is terrifying. I mean, that's part of the
- 18:26Speaker 2: nature of courage is you have to be in contact
- 18:28Speaker 2: with some fear for it to be courageous or to
- 18:30Speaker 2: be brave. But it's been also incredibly empowering to feel
- 18:34Speaker 2: like I get to know that process of sharing in
- 18:37Speaker 2: a way that I think is part of our collective liberation.
- 18:40Speaker 1: That's really interesting, that's really that's really inspiring too. I
- 18:44Speaker 1: would imagine that some therapists out there were, like you know,
- 18:48Speaker 1: who come from more with psychodynamic background. Why am I
- 18:52Speaker 1: Why would you want to shoo? Why would you want it?
- 18:54Speaker 1: What's the benefit of sharing that information? Why would you
- 19:02Speaker 1: want other potential clients to know about that? How do
- 19:06Speaker 1: you respond to that?
- 19:07Speaker 2: Well, first, I would say I am also psychodynamically trained,
- 19:11Speaker 2: and so I would see that that, like the school
- 19:14Speaker 2: of thought, to imply that it's a monolith or uniform
- 19:18Speaker 2: in our decision making really misses how much our own
- 19:23Speaker 2: individual and attachment history plays into the theoretical frameworks that
- 19:28Speaker 2: we choose. Like I think that there's a lot of
- 19:30Speaker 2: people who gravitate towards more dynamic cognitive approaches because they
- 19:35Speaker 2: allow us to be invisible in the room and disembodied
- 19:38Speaker 2: in the room. So our biases about how we work
- 19:42Speaker 2: are also telling about our stories. And it may not
- 19:45Speaker 2: be that the biases that we have in our work
- 19:48Speaker 2: are the most accurate or most healthy perceptions of what
- 19:51Speaker 2: is needed in a therapeutic dynamic or what's needed in
- 19:54Speaker 2: our social climate. But I think for me, what I
- 19:57Speaker 2: would say is that it was actually in a dynamically
- 20:00Speaker 2: psychodynamically oriented training where I heard I think it was
- 20:04Speaker 2: Diana Fosha say, we just need to be a little
- 20:07Speaker 2: bit braver than our patients, right, if we just need
- 20:09Speaker 2: to be a little bit more courageous. So when I
- 20:11Speaker 2: think about what is actually the posture and stance of
- 20:15Speaker 2: the clinician, it's me being willing to say I will
- 20:20Speaker 2: one hundred times out of one hundred go there with
- 20:22Speaker 2: you too, or I know that place inside of me.
- 20:25Speaker 2: So there's that piece of it. And I think, like
- 20:27Speaker 2: the feminist, the feminist psychodynamic attachment relational, like when I
- 20:32Speaker 2: think about the justice angle of psychotherapy when it's done well,
- 20:36Speaker 2: is also us saying like how do we change culture
- 20:39Speaker 2: at large? That there is an incredible story that is
- 20:45Speaker 2: pervasive in our social context which we perpetuate as clinicians.
- 20:49Speaker 2: Often that suggests if we are in the seat of
- 20:52Speaker 2: the helper, if we take on this archetype of the guru,
- 20:55Speaker 2: of the helper, of the healer, that we are, that
- 20:58Speaker 2: we have ascended in some way right, that we are
- 21:01Speaker 2: like we are impermeable, that there is nothing that can
- 21:06Speaker 2: touch us because of look at how much knowledge we have,
- 21:09Speaker 2: look at how much we help people, and I actually
- 21:12Speaker 2: think that that does harm to all of us that
- 21:14Speaker 2: particular trope. And for me, like there's a there's a
- 21:19Speaker 2: thing that I think I'm really trying to do with
- 21:21Speaker 2: showing my piece of tape or my work is to say,
- 21:26Speaker 2: there is no role you have. There is no amount
- 21:29Speaker 2: of power that you've been given, There is no story
- 21:32Speaker 2: that's been handed to you about who you have to
- 21:35Speaker 2: be that that cuts you off from the human stuff
- 21:40Speaker 2: inside that demands to be accompanied, that demands to be seen,
- 21:44Speaker 2: that is there, whether you're in contact with it or not,
- 21:47Speaker 2: that is like likely shaping so much of how you
- 21:49Speaker 2: are in the world. And so I really wanted to
- 21:51Speaker 2: model that and say, like, listen, I'm the person who
- 21:54Speaker 2: people come to, right even just in this archetype that's
- 21:57Speaker 2: created of me with the show and the books and
- 21:59Speaker 2: these like, here's this person who has this information and
- 22:02Speaker 2: helps other people. And it's incredibly dehumanizing to us, and
- 22:06Speaker 2: I think we dehumanize ourselves, and it's way healthier as
- 22:11Speaker 2: far as I'm concerned for us as healers to say, yeah,
- 22:14Speaker 2: and I'm doing the same thing that I'm asking you
- 22:17Speaker 2: to do.
- 22:18Speaker 1: Yeah, Yeah, I love that. I love that this idea
- 22:23Speaker 1: of honoring the imperfection is so exciting to me, and
- 22:31Speaker 1: it opens its doors for creativity, you know, I think
- 22:36Speaker 1: oftentimes and I myself definitely ascribed to this feeling that
- 22:43Speaker 1: the relationship, the therapeutic relationship is often seen like the
- 22:48Speaker 1: therapist is holding this like not everyone, but a lot
- 22:52Speaker 1: of a lot of ones. A lot of therapists are
- 22:54Speaker 1: holding this like very delicate, beautiful crystal orb and each interaction,
- 23:03Speaker 1: you know, and you can't push it too hard and
- 23:07Speaker 1: you can't God forbid you drop it. But rather, you know,
- 23:13Speaker 1: I started to see it as rather this hunk of clay,
- 23:17Speaker 1: you know, and you're gonna walk and it's gonna dent
- 23:20Speaker 1: and dent here, Oh it's slipped, but it becomes beautifully
- 23:24Speaker 1: just dented and shaped, and it's more forgiving, it's more imperfect,
- 23:30Speaker 1: and that's what relationships are. So what have you learned
- 23:38Speaker 1: about yourself and personally and as a therapist from this experience?
- 23:46Speaker 2: I have learned that my patients, we are not as
- 23:52Speaker 2: fragile as perhaps we might think. We are right to
- 23:57Speaker 2: your point about the clay.
- 23:58Speaker 1: And the orb.
- 23:59Speaker 2: Right, this idea of like, wow, okay, there's actually always
- 24:05Speaker 2: available inside of us this drive towards change and healing
- 24:12Speaker 2: and creativity and connection. There is a lot even inside
- 24:18Speaker 2: the places of the most terror, the most pain, even
- 24:22Speaker 2: in the moments of the most fragility, there is something
- 24:25Speaker 2: that sustains and supports life, that's available to all of us,
- 24:31Speaker 2: that is there. And so I think I'm more in
- 24:34Speaker 2: contact with my courage and the courage inside of other people.
- 24:36Speaker 2: Through doing this, I feel more passionate about changing language
- 24:43Speaker 2: and culture as it relates to our fundamental understandings of
- 24:46Speaker 2: mental health and mental health treatment and mental health outcomes.
- 24:50Speaker 2: Like for me, it's so easy for me to get
- 24:54Speaker 2: into this world where all I do is talk about
- 24:56Speaker 2: therapy and emotion and trauma. It's like everything I do
- 25:00Speaker 2: all day long, I write and think it to Most
- 25:02Speaker 2: of my friends are therapists. It's just like this very
- 25:04Speaker 2: insulated world. And then I do a project like this
- 25:07Speaker 2: and it gets into the world and I realize, holy moly,
- 25:10Speaker 2: we have a long way to go, Like we have
- 25:12Speaker 2: a long way to go culturally. Tell even our assumptions
- 25:17Speaker 2: about what therapy is more accurately reflect the kinds of
- 25:20Speaker 2: work people are doing behind closed doors. And then I think,
- 25:24Speaker 2: you know, what have I learned that I feel most
- 25:27Speaker 2: alive when I take calculated safe risks, like when I
- 25:31Speaker 2: do kind of I've heard the parenting, the framework or
- 25:34Speaker 2: the idea like doing dangerous things safely, Like there is
- 25:37Speaker 2: something about like pushing us forward that makes me feel
- 25:42Speaker 2: like wow, that like I feel connected to meaning and
- 25:45Speaker 2: purpose and aliveness. And I've felt that in my patients too,
- 25:48Speaker 2: as they're talking about taking these risks, like Okay, we
- 25:50Speaker 2: thought through it, we thought through it, we thought through it,
- 25:52Speaker 2: we flipped it on its head, we thought through it,
- 25:53Speaker 2: we flipped it back, we thought through it, and it's like, Okay, no,
- 25:56Speaker 2: this is a risk I want to take. And Wow,
- 25:59Speaker 2: what a thing to feel like we're alive in this lifetime.
- 26:03Speaker 2: Mm hmm, Like that's yeah, I feel connected to that.
- 26:07Speaker 1: I love that. Let's we have a few minutes left here.
- 26:12Speaker 1: I want to give you the opportunity to talk a
- 26:14Speaker 1: little bit about your book, Holly Hurt, Understanding and Healing
- 26:17Speaker 1: from Spiritual Trauma. Why did you write that?
- 26:22Speaker 2: Yeah, because it needed to be written, Like, I don't know.
- 26:26Speaker 2: Sometimes is reading this.
- 26:27Speaker 1: Book the other day.
- 26:28Speaker 2: It's called The Body's a Doorway by Sophie Strand, and
- 26:31Speaker 2: she was talking about the creative impulse being this I
- 26:33Speaker 2: can't remember the word in its original language, but it
- 26:35Speaker 2: translates to like a gremlin, like this thingus creature inside
- 26:39Speaker 2: of you. That's like I have to come out, Like
- 26:42Speaker 2: like it sounds like the you know, the the vomit reflex,
- 26:45Speaker 2: the expulsion reflex. There's just something. It's like it has
- 26:48Speaker 2: to happen. And that like the birth of that was
- 26:52Speaker 2: probably seven years ago when I was on the podcast,
- 26:55Speaker 2: the Liturgist podcast talking about spiritual trauma, and the feedback
- 27:00Speaker 2: that I got from people was there needs to be
- 27:03Speaker 2: so much more about this. And I felt on the
- 27:06Speaker 2: heels of that podcast and doing that recording and starting
- 27:09Speaker 2: to see it in my patients and researching more, like, oh,
- 27:12Speaker 2: there's so much more that needs to be said, and
- 27:14Speaker 2: there there's just not enough out there for us to understand.
- 27:18Speaker 2: Which is what is now I would almost say like
- 27:20Speaker 2: a kind of ubiquitous trauma that experiences as the foundation
- 27:26Speaker 2: of our Like why is whiteness? Why does whiteness exist?
- 27:30Speaker 2: Why do people of European descent exist on indigenous land?
- 27:34Speaker 2: Spiritual trauma undergirds pretty much every system that we have
- 27:38Speaker 2: in North America right down to the things that are
- 27:42Speaker 2: actively happening at this point in time in North America politically,
- 27:46Speaker 2: like the way that we're looking at harmful religious and
- 27:51Speaker 2: spiritual the theological ideas and practices as they fragment us
- 27:56Speaker 2: from ourselves and from each other. Like this spiritual trauma
- 27:59Speaker 2: and religious trauma is not just for the person who
- 28:01Speaker 2: experienced a single event of clergy abuse, right, Like there
- 28:06Speaker 2: is something that is baked into the fabric of our
- 28:08Speaker 2: culture that I'm trying to get to here. And often
- 28:12Speaker 2: when I have an idea for a book, by the
- 28:14Speaker 2: time it comes out, it feels like, oh, it's too late,
- 28:17Speaker 2: Is it too late? Is it too late? Ah? Right?
- 28:19Speaker 2: And I think, of course that often happens for us
- 28:22Speaker 2: with a creative process, if you're making something, by the
- 28:24Speaker 2: time it gets into the world after years and years,
- 28:26Speaker 2: it's like, Okay, I've turned this over so many times,
- 28:30Speaker 2: it feels like it's complete for me. But this book,
- 28:33Speaker 2: I'm realizing as it comes into the world is like
- 28:35Speaker 2: right on time for this cultural moment. And there is
- 28:39Speaker 2: some ache in me and relief in me that we
- 28:42Speaker 2: get to have more conversations because of tools like my book,
- 28:45Speaker 2: other people's books like there's a lot more that's coming
- 28:47Speaker 2: out about religious and spiritual trauma, high control cults, sexual
- 28:52Speaker 2: purity movements, like things that have been so that have
- 28:57Speaker 2: shaped people's lives and shaped their development and very and
- 29:02Speaker 2: sometimes insidious and over ways, but like wow, we get
- 29:05Speaker 2: to talk about it. And whenever we make the implicit explicit,
- 29:08Speaker 2: when we put names to things like this as part
- 29:10Speaker 2: of how we can heal.
- 29:14Speaker 1: It's interesting to see the work you do, and now
- 29:18Speaker 1: with the podcast kind of coming at what knowledge and
- 29:22Speaker 1: culture and information and humanity from all these different points.
- 29:29Speaker 1: It feels Hillary like there's so much to talk about
- 29:31Speaker 1: that I would love to talk with you about and
- 29:33Speaker 1: love to have you back to talk about other things.
- 29:35Speaker 1: But once again, the podcast is other people's problems and
- 29:41Speaker 1: the book is wholly hurt understanding and healing from spiritual trauma.
- 29:45Speaker 1: What's the best way for people to learn more about
- 29:47Speaker 1: what you're doing and get.
- 29:47Speaker 2: In touch, Well, have a look at my books, check
- 29:50Speaker 2: those out on my website, Hillary L McBride. I also
- 29:54Speaker 2: have a newsletter if you head to my website then
- 29:56Speaker 2: I send that out with dates wherein speaking and doing
- 29:59Speaker 2: trainings and doing events and yeah, I've got a couple
- 30:03Speaker 2: offerings coming up this summer in this fall related to
- 30:06Speaker 2: psychedelic psychotherapy trainings and teaching and workshops and groups and
- 30:10Speaker 2: things like that, so have a look at my website
- 30:12Speaker 2: for that. Instagram is probably where I hang up the
- 30:15Speaker 2: most