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大家好,欢迎回到《向卡蒂随意提问》的又一期节目。
Hey everybody, welcome back to another episode of Ask Kati Anything.
我是你们的主持人,持证婚姻与家庭治疗师卡蒂·莫顿。
I'm your host, licensed marriage and family therapist, Kati Morton.
很高兴你们能来这里。
I'm so glad that you're here.
在今天的节目中,我们要聊的内容很多,好吗?
In today's episode, we've got a lot to cover, okay?
我会谈谈在创伤治疗中学习信任与稳定的真实含义,如何在过去的经历让这些概念显得陌生时应对治疗,以及为什么治疗师可能会推迟创伤聚焦的工作。
I'm gonna talk about what it really means to learn trust and stability in trauma therapy, how to navigate therapy when past experiences make these concepts feel foreign, and why a therapist might delay trauma focused work.
我还会介绍如何在不自我责备的情况下设定界限,管理对他人产生的愤怒与怨恨,理解习得性无助以及我们该如何摆脱它,还有应对社交焦虑的方法。
I'm also gonna cover strategies for setting boundaries without self shaming, managing anger and resentment towards others, understanding learned helplessness and what we can do to get out of it, and coping with social anxiety.
然后我还会谈谈有毒的羞耻感和挥之不去的心碎。
Then I'll also talk about toxic shame and lingering heartbreak.
正如我所说,我们要聊的内容很多,不多说了,我们直接进入第一个问题。
Like I said, we've got a lot to get through without further ado, let's jump into question number one.
这个问题问:嘿,Kati,我最近开始接受重度抑郁症和复杂性创伤后应激障碍(CPTSD)的治疗。
This question asks, Hey Kati, I've recently started treatment for severe depression and CPTSD or complex post traumatic stress disorder.
我的治疗师经常说,我需要学会信任他们,并且先变得‘稳定’,之后才能开始像EMDR这样的创伤处理。
My therapists often say that I need to learn to trust them and become quote unquote stable before we can start trauma processing like EMDR.
问题是,我真不明白这些概念在实践中到底意味着什么,这说起来容易。
The problem is that I genuinely don't understand what those concepts mean in practice, makes sense.
我从小就必须自己照顾自己的情绪,一生中经历了各种形式的虐待。
I grew up having to take care of myself emotionally and experienced different forms of abuse all throughout my life.
所以依赖别人对我来说是一个完全陌生的概念。
So relying on someone else feels like a completely foreign concept.
我还有自闭症,像信任或稳定这样的抽象情绪概念对我来说很难理解。
I'm also autistic and abstract emotional concepts like trust or stability can be hard for me to understand.
老实说,我一生中大部分时间都在拼命求生,一直处于冻结反应中,感觉自己完全错过了学习如何做孩子、青少年,甚至成年人的过程。
To be honest, I've been so busy surviving and stuck in a fond response most of my life that I feel like I completely missed learning how to be a child, a teenager, and even an adult.
这简直就像我无意中把人生的使用手册塞进了碎纸机,现在我正试图把那些纸屑重新拼凑起来。
It's almost like I accidentally put the instruction manual for life through a paper shredder, and now I'm trying to piece the confetti back together.
我喜欢这个比喻,顺便说一下。
I love that visual, by the way.
更糟糕的是,治疗本身让人不堪重负,我的自杀念头反而加剧了,因为我根本无法相信自己会好起来——因为我连‘好起来’意味着什么都不知道。
And to make it even worse is that therapy is so overwhelming that my suicidal ideation is getting worse because I simply can't believe that I can ever get better, because I don't even know what that means.
正因为如此,我常常觉得连治疗本身到底是什么、我在其中该扮演什么角色,我都完全不明白。
Because of that, I often feel like I don't even understand what therapy itself is supposed to be or what my role in it is.
在创伤治疗中,‘稳定’到底是什么样子的?
What does stability actually look like in trauma therapy?
当一个人一生中从未真正体验过这些概念时,他该如何学会信任治疗师?
And how can someone learn to trust a therapist when their concepts never really existed in their life before?
这是否意味着我无法被治愈,还是我只是太笨了?
Does this make me untreatable or am I just dumb?
感谢你所做的一切。
Thank you for everything that you do.
好吧,你并不笨,也并非无法治愈。
Okay, you're not dumb and you're not untreatable.
我想先把这个说清楚。
Just wanna get that out of the way right away.
我觉得有时候,不幸的是,治疗师——包括我自己,哦,我碰到麦克风了,抱歉。
I think sometimes, unfortunately, therapists, myself included, oops, I hit my microphone there, sorry.
但包括我自己在内,我们经常使用一些术语却不解释它们的含义,因为很遗憾,我们会假设你和我们理解的一样,即使你其实并不明白。
But myself included, we use terms without explaining what they mean because we, you know, unfortunately, we'll assume that you're on the same page as us even when you're not.
正如我所说,我也同样犯过这样的错误。
And I, like I said, I've been just as guilty of doing this.
我会使用像‘稳定’或‘康复’这样的词,却不向我的患者解释我到底是什么意思。
I'll use phrases like stable or recovery and not explain to my patient what I mean by that.
所以我鼓励你,第一,去问你的治疗师,他们说的这些词到底是什么意思。
And so I would encourage you, number one, to ask your therapist what they mean by this.
你不必说‘我不理解’,你可以说,这个概念听起来有点玄乎,或者很模糊。
Not to say I don't understand, you can just say the concept seems kind of, you know, esoteric or very amorphous.
我真的不知道这会是什么样子,或者是什么感觉。
I don't really know what that would look or feel like.
你能给我详细讲讲吗?
Could you walk me through it?
你甚至可以说,由于我有自闭症,像这样的概念对我来说很难想象或理解,也不知道那种体验会是什么样子。
And you could even say, you know, due to my autism, some concepts like this are hard for me to visualize or imagine or know what the experience would be like.
提问是没问题的。
It's okay to ask.
我觉得词语背后的含义很重要,尤其是在治疗中,尤其是在我们的康复过程中。
I feel like meaning behind words matters, especially in therapy and especially in our healing.
所以,提问完全没有问题。
And so there's nothing wrong with asking.
现在,因为你问我了,我会告诉你在我看来这看起来是什么样子,以及对你来说可能是什么感觉。
Now, because you asked me, I'm gonna give you my idea of what this looks like and what that could feel like for you.
首先,因为信任和稳定在我脑子里是两个不同的概念,明白吗?
The first, because these are two different, trust and stability are two different concepts in my brain, okay?
首先,我们先来谈信任。
Now, the first part, let's attack trust first.
当他们说你的治疗师希望你学会信任他们时,这并不是指‘信任’这个词本身,而是指你相信这个过程。
Now, when they say that your therapist want you to learn to trust them, what that means isn't, it's less about trust the word itself, and it's more about you believing in the process.
意思是,如果我们信任我们的治疗师,就相当于我们至少能在治疗中稍微放下防备,因为我们相信他们会引导我们走向正确的方向,对吧?
Meaning that if we trust our therapists, it's like we can let our defenses down at least somewhat in therapy because we are believing in them to lead us in the right direction, right?
我们知道,他们给我们带来的挑战,那些让我们想退缩、竖起防备的事情,
We know that the challenges that they're giving us, the things that kind of make us wanna go, oh, stick our spines out, defenses go up.
我们会想:我不必做这些。
We're like, I don't have to do that.
这并不意味着我们的防备不会出现,但我们会觉得,考虑放下它们是可以接受的。
It doesn't mean that we won't have our defenses pop up, but we'll feel okay considering letting them down.
这说得通吗?
Does that make sense?
我们相信我们的治疗师或我们的团队,他们并不是来伤害我们的。
It's like we are believing in our therapists or our team that they're not there to hurt us.
至少我们信任这个过程,并希望慢慢但坚定地学会信任他们本人。
We're trusting in the process at the very least and hopefully slowly but surely learn to trust in them specifically.
如果我们小时候经历过虐待,这会非常困难。
Now, if we had abuse growing up, this is gonna be really hard.
而且,不是所有治疗师都会对这个问题有同样的看法。
And don't, I'm a, all therapists are gonna have different takes on this.
我个人并不认为我的患者需要信任我,但我认为学会信任是关键,也就是你愿意去尝试做这些工作。
I personally don't believe that my patients need to trust me, but the learning to trust I think is key, like that you're willing to try to do that work.
我认为我更倾向于确保你愿意尝试去信任别人,甚至愿意敞开心扉。
And I think that's what I would more lean into is like making sure that you're willing to try to learn to trust someone, to even be open.
这几乎就像一种过渡性的表达:对一种可能性保持开放态度——即外面的人可能希望你更好,愿意帮助你、支持你,而不是伤害你、抛弃你,或像你的父母那样情感忽视你,而是希望保护你、支持你,并看到你取得成功。
It's almost like bridge statements, being open to the possibility that people out there might want better for you, might want to help you, might want to support you, not hurt you, not abandon you, not be emotionally neglectful like your parents were, but instead wanna protect you, support you, and see you do great things.
因此,对这种希望保持开放态度,相信他们可能这样思考和行动,我认为这正是其中的一部分。
And so just being open to that hope for that future or that they could think and act in that way, I think is part of that.
这正是我会考虑的方向。
And that's what I would kind of consider.
我不知道这对你来说是否更有帮助或更具体。
I don't know if that's more helpful or more tangible for you.
我认为,总的来说,你希望在治疗中感受到的身体体验是:是的,这个过程具有挑战性,有时会让人不舒服,但你内心深处某一部分相信,这最终会帮助你变得更好。
I think in general, the bodily feeling that I want you to get in therapy is that, yes, it's challenging, sometimes it's uncomfortable, but overall you believe at some part of yourself that it's gonna help you get better.
这就是信任对方的那一部分。
And that's that trusting them piece.
我认为这就是他们的意思,对吧?
I think that's what they mean, okay?
现在我们进入第二个部分——稳定性。
Now moving into the second component, the stable, the stability.
关于EMDR,我多年来一直谈论过这个话题,也许我之前没有讲得足够清楚。
When it comes to EMDR, and I've talked about this over the years, and maybe I didn't do it justice.
同样,语言很重要,理解这个术语在这里非常关键,尤其是对你而言:在EMDR或任何创伤处理过程中,如果我们极度失调、不堪重负以至于解离了,对吧?
Again, language is important and understanding a term is gonna be very key here, especially for you, is that in EMDR or in any trauma processing, if we are so dysregulated, so overwhelmed that we're dissociated, right?
我们的大脑会拉下现实的逃生绳,感觉脱离了自我,脱离了环境,甚至可能完全不记得治疗过程。
Our brain pulls a rip cord on reality, we feel out of self, we feel out of environment, maybe we don't even remember our therapy sessions.
如果出现这种情况,实际上并不会发生真正的创伤处理,因为我们的大脑必须在回顾过去和创伤经历时保持当下意识,才能给大脑和神经系统一个重新处理这些经历的机会。
If that's happening, there's no trauma processing that's really occurring because our brain has to stay present in the moment as we talk through the past and the traumatic experiences in order to give our brain and nervous system another chance to work through it.
这说得通吗?
Does that make sense?
如果我们没有身临其境地去思考它,就无法真正给大脑和身体一个处理它的机会。
If we aren't present in it and thinking it through again, we're not really giving our brain and body a chance to process it.
我们只是在重复当初创伤发生时可能做的反应—— dissociate,拉下紧急拉绳,或者彻底关闭自己。
We're doing what we maybe did in the moment way back when that trauma occurred, where we dissociate, we pull the rip cord, or we completely shut down.
我们必须找到一种方法,我甚至不会用“稳定”这个词。
We have to find a way, I wouldn't even use the word stable.
我更想说,我们需要找到一种方法,能够保持在当下,这样才能真正重新处理。
I would instead say, we need to find a way to be able to stay present so that we can actually reprocess.
这在创伤治疗中是一个关键组成部分。
And that's really a key component when it comes to trauma work.
我认为他们说的“稳定”,其实真正想表达的是能够保持接地感。
And I think maybe they're using stable when they really mean being able to stay grounded.
至于稳定性,你当然可以互换使用这个词,但请记住,语言很重要,你可能会想:我不知道那是什么感觉。
Now stability, you could use that interchangeably, but again, remember language is important and you're like, I don't know what that feels like.
我认为所谓的稳定,是指他们希望你能大部分时间都保持接地、保持在当下,但我会向他们求证,因为这毕竟是我的理解。
To be stable, I believe, and I would ask them for clarification because again, this is my interpretation, but I believe what they're saying is they want you to be able to stay grounded, to stay present most of the time.
这不可能是百分之百的。
It's never gonna be all.
所以我们不会说,事情一定会100%变得激烈,你可能会解离,也可能会情绪失调。
That's why, you know, we don't say like a 100% things are gonna get intense and you might dissociate or you might be dysregulated.
但总的来说,他们希望知道,在和你一起进行创伤疗愈时,这对你确实有帮助,你正在重新处理,因为这正是整个目标,对吧?
But for the most part, they wanna know that as they do this trauma work with you, that it's benefiting you, that you are reprocessing because that's the whole goal, right?
我们给大脑和身体又一次机会,去对话、去处理曾经发生在我们身上的事。
We give our brain and body another chance to talk through, work through what happened to us.
这或许能帮助我们把那些记忆像我在《头脑特工队》里提到的玻璃球一样,像那些弹珠一样收纳起来,对吧?
And that hopefully helps us kind of put it into the glass ball like I talked about inside out, like those marbles, right?
那些已被完全处理的记忆,会被放进那些小弹珠里,滚入我们的长期记忆中。
Memories that are fully processed are put into those little marbles and rolled away into our long term memory.
而创伤记忆则散落在地上,碎裂得到处都是,这就是为什么我们在生活中行走时,会踩到这些碎片并经历闪回——因为这些记忆还没有被完整地整合,无法被收纳进长期记忆中。
Trauma memories are dropped on the floor and like shattered all about, which is why when we walk through life, we step on those splinters and have those flashbacks because that memory hasn't been fully put together so that it can be rolled away into long term memory.
因此,在你进行再处理的过程中,我们必须保持足够的觉知,低头去看那些碎片,并慢慢将它们拼合起来,还原成属于它们的弹珠,这样理解吗?
And so as you're doing this reprocessing, we have to stay present enough to look down and to see all those splinters and slowly piece them together into the marble that they belong in, if that makes sense.
所以,保持扎根和当下觉知非常重要,这样我们才能把这颗弹珠重新拼好,然后把它滚走。
And so that's why it's really important to be grounded and to be present so that we can put that marble back together and roll it away.
我觉得可以。
I think okay.
我觉得你只有这些问题了。
I think those were your only questions.
在创伤治疗中,稳定到底是什么样子的?
What does stability actually look like in trauma therapy?
本质上,它意味着拥有应对技巧和扎根方法,以帮助你保持当下状态,避免解离、封闭或完全失衡。
It's, essentially having coping skills and grounding techniques, in effort to keep you present so that you don't dissociate, you don't shut down, you don't feel completely dysregulated.
这仍然会让人精疲力尽。
It's still gonna be exhausting.
我不希望你认为这一切能让你的疲惫完全消失。
I don't want you to think that all of this is gonna make that exhaustion go away.
创伤治疗很艰难,仍然会让人感到疲惫,但你能记住你的治疗 sessions,并且保持专注。
Trauma work is hard and it will still be exhausting, but you'll be able to remember your sessions, okay, and stay present.
我想知道,当这些概念根本从未存在过时,一个人该如何学会信任治疗师呢?
And I guess how can someone learn to trust a therapist when those concepts never really existed?
一点一点来。
Little by little.
我相信,与其认为你必须信任他们,不如像我说的那样,做一些过渡性的陈述,比如:我愿意相信,治疗会让我变得更好,而我所见到的这些人,他们或许真的希望我好。
I believe instead of thinking you have to trust them, like I said, do those bridge statements where you're like, I'm open to the belief that therapy will make me better and that the people I'm seeing, it's possible that they want good things for me.
你知道的,我愿意这样想。
You know, I'm open to thinking that.
那我们就从这里开始。
And then we'll just start there.
从‘我愿意相信这种可能性’开始,因为过早地进入信任状态也不好。
Start with the we're open to the possibility because jumping to trust too quickly isn't good either.
信任是需要赢得的。
It's something that has to be earned.
所以我们必须慢慢来,因为信任不是你能轻易给予的东西,这与你的过去有关。
And so we have to take our time with it because trust isn't something that you're gonna be able to give freely because of your past.
而且我也不希望你随意地把信任轻易给出。
It's also not something I want you just to dole out either.
我希望你学会让别人通过行动赢得你的信任。
It's something I want you to learn how to let people earn it.
我甚至可能鼓励你思考或写日记,想想什么样的过程能让你觉得某个人是安全的、值得信赖的,或者至少是个不错的人。
And I might even like encourage you to think or journal about what you think the process would be to get you to a place where you feel like you could maybe think someone is a safe person or an okay person or someone you could trust.
我不知道你是否愿意使用这些词。
I don't know if you wanna use those words.
你可以换成任何你觉得合适的表达,但关键是,在你看来,什么样的人才算得上是不错的人?
You could insert, you know, whatever, but that it's like, what would make someone an okay person in your book?
那会是什么样子?
What would that look like?
我觉得这可能也会很有帮助。
I think that might be helpful too.
好吗?
Okay?
希望这对你有帮助。
I hope that was helpful.
随时告诉我们进展。
Keep us posted.
第二个问题是:嗨,卡蒂。
Question number two says, hi, Kati.
我们谈到为自己设定界限,以及在打破自己的界限时对自己负责。
We talk about setting boundaries for ourselves and holding ourselves accountable when we break our own boundaries.
感谢Zocdoc对今天播客的赞助。
Thank you to Zocdoc for sponsoring today's podcast.
如果你曾经推迟过预约医生,举个手。
Raise your hand if you've ever put off making a doctor's appointment.
是的,我也是。
Yeah, same.
我认为我们很多人都会这样:感觉身体不太对劲,却不去预约医生,反而去谷歌搜索症状,说服自己没什么大不了,或者更糟的是,陷入焦虑,什么也不做。
I think a lot of us do this thing where something feels off and then instead of actually booking the appointment, we Google our symptoms, convince ourselves it's nothing, or worst case, we spiral a little and don't do anything about it.
坦白说,这其中很大一部分原因是因为找到合适的医生会让人感到不知所措。
And honestly, a big part of that is because finding the right doctor can feel overwhelming.
我们不只想找一个有空的医生,更希望找到一个愿意倾听、解释清晰、真正让你感到安心的人。
We don't just want someone who's available, we want someone who listens, explains things clearly, and actually makes us feel comfortable.
这就是我想向你们介绍Zocdoc的原因。
That's why I wanna tell you about Zocdoc.
Zocdoc是一个免费的应用程序和网站,能帮助你找到并预约网络内的优质医生,让你找到真正喜欢的医生。
Zocdoc is a free app and website that helps you find and book high quality in network doctors so you can find someone that you love.
我们说的是在全美50个州超过15万名网络内医生中预约就诊。
We're talking about booking in network appointments with more than 150,000 providers across all 50 states.
无论你是需要皮肤科、牙科、全科、眼科,还是Zocdoc上提供的200多种其他专科服务,你都可以轻松按专科或症状搜索,组建最适合你的医疗团队。
Whether you're looking for dermatology, dentistry, primary care, eye care, or one of the other 200 plus specialties offered on Zocdoc, you can easily search by specialty or even by symptom to build the care team that's right for you.
通过Zocdoc预约的就诊通常能在24到72小时内完成,甚至还能约到当天的号。
Appointments made through Zocdoc happen fast, typically within just twenty four to seventy two hours, and you can even score same day appointments.
此外,你可以根据自己的需求选择面对面就诊或视频就诊。
Plus you can choose between in person visits or video visits depending on what works best for you.
老实说,任何能降低我们照顾自身健康门槛的事情都是巨大的胜利。
Honestly, anything that lowers the barrier of taking care of ourselves is a huge win.
如果我要找一位新医生,这正是我会使用的工具。
And if I needed to find a new doctor, this is exactly what I would use.
所以别再拖延那些预约了,立即前往 zocdoc.com/katie,找到并立即预约一位你喜爱的医生吧。
So stop putting off those appointments and go to zocdoc.com/katie to find and instantly book a doctor that you love today.
那就是 z o c d o c 点 com 斜杠 katie。
That's z o c d o c dot com slash katie.
Zocdoc.com/katie。
Zocdoc.com/katie.
感谢 Zocdoc 赞助这条信息。
Thanks to Zocdoc for sponsoring this message.
第二个问题是:嗨,Kati。
Question number two says, hi, Kati.
我们经常谈论为自己设定界限,以及在打破自己的界限时如何自我问责,但如何在不羞辱或惩罚自己的情况下实现这一点呢?
We talk about setting boundaries for ourselves and holding ourselves accountable when we break our own boundaries, but how do we accomplish this without shaming ourselves or punishing ourselves?
这是个很好的问题。
This is a great question.
首先,和往常一样,每当我谈到界限时,我想让你明白,界限是我们为了保持自己和关系的健康与幸福而采取的行动。
And first, like always, whenever I talk about boundaries, I want you to know that boundaries are what we are going to do in relationships to keep ourselves and the relationship healthy and happy.
也就是说,界限不是一种请求。
Meaning that boundaries are not a request.
界限不是‘别那样跟我说话’。
Boundaries aren't stop talking to me that way.
我可以请求别人那样做,但他们可以听,也可以不听。
I can ask someone to do that, but they can or cannot listen.
他们可以尊重我的请求,也可以回我一句‘去你的’,对吧?
They can honor my request or they can be like, know, screw you, right?
界限是,我希望你能别那样跟我说话。
Boundaries are, you know, I wish you'd stop talking to me that way.
如果你不这么做,我就再也不跟你说话了。
And if you don't, I'm not gonna talk to you anymore.
或者我会挂断电话。
Or I'm gonna hang up.
这才是界限——不说话、挂电话、走开,无论我们采取什么行动,对吧?
That's the boundary, the not talking, the hanging up, the walking away, whatever action we're gonna take, right?
因为我们只能控制自己。
Because we can only control ourselves.
现在,考虑到这一点,设定界限很难,尤其是如果我们成长的环境中界限不被尊重,或者我们因为想到界限而被羞辱,被视作不敬,又或者根本没人设过界限。
Now, keeping that in mind, with this question, it's hard to set boundaries, especially if we grew up in an environment where they weren't respected or maybe we were shamed for even thinking about them, they were seen as disrespect, or maybe just nobody had them.
我们甚至不知道界限是什么样子。
We don't even know what they look like.
对吧?
Right?
所以设定界限会很难。
So it's gonna be hard to set them.
而且我们常常也会自己打破这些界限,比如我会设定界限说:‘别那样跟我说话’,但随后我还是任由他们那样对我,而我却什么也不做。
And we're also going to often break them ourselves, meaning that I'm gonna set the boundary and be like, don't talk to me that way, and then I'll proceed to let them talk to me that way, and I don't do anything.
或者我会告诉他们:‘晚上10点后别给我打电话’,但我却把手机开着,当他们真的打来时,我还是会接,对吧?
Or I tell them don't call me after 10PM, but I leave my phone on, and when they do, I still pick up, right?
我们都做过这种事。
We've all done it.
我们都曾设立过这些内在的界限或对自己的承诺,也对别人说过,但随后却假装它们根本不存在。
We've all set these internal boundaries or promises that we've made to ourselves, or we've said them to other people, and then we pretend they don't exist.
你并不孤单。
You're not alone.
这是非常正常的反应,因为设立界限很难。
That's a very normal response because boundaries are hard.
正如我所说,尤其是如果我们成长的环境中从未有过界限,或者界限从未被尊重过。
Like I said, especially if we grew up in a environment where we didn't have them or they weren't respected at all.
因此,我希望你能对自己在打破界限时的自我对话多一些宽容。
Therefore, I want you to give yourself a little compassion for the breaking of the boundaries in the way you talk to yourself.
我想让你开始这样做的方式,其实并不一定要写日记。
And the way I want you to start doing this is actually through, I know, don't have to journal.
你们知道,我非常喜欢写日记。
You guys know I love journaling.
把心里的东西写出来很有帮助。
It's helpful to get stuff out of our heads.
我知道,这确实让人沮丧。
I know, I know it's frustrating.
有人会问:你是不是有一整面墙都是写满的日记本?
Somebody's like, do you have a whole wall full of filled journals?
差不多吧,我确实有。
Pretty much, I do.
我其实有很多本日记。
I actually have a lot of them.
我会定期把它们扔掉、撕碎或烧掉,因为我没必要保留所有这些内容,当然,也可以选择保留,随你。
And I periodically will just like either throw them away, shred them, burn them, things like that, because I don't need to keep all that, or you can, up to you.
但我希望你记录一下,在你成长过程中,家庭中界限是否被尊重或不被尊重,是否被理解或不被理解。
But I want you to journal about how boundaries were respected or not, understood or not in your family growing up.
我之所以希望你从这里开始,是因为我们有时会忘记自己从哪里来。
And the reason I want you to start there is because sometimes we forget where we came from.
我们忘记了自己从未有过这样的指导,从未有过生活的蓝图。
We forget that we didn't have any of that guidance, any of that blueprint for life.
然后我们步入生活,期待着因为我们在社交媒体上听到、从别人那里听到,界限是关键,你必须拥有健康的界限,必须保护自己的平静,保护自己不受他人影响。
And then we go out into life expecting, because we hear on social media, we hear from other people that boundaries are key and you have to have healthy boundaries, you have to protect your peace, protect yourself from other people.
我们经常听到这些说法。
We hear that all the time.
但如果我们从小没有接触过这些,我们就真的不知道它们是什么样子。
But if we didn't grow up with it, we don't really know what that looks like.
我们需要提醒自己这一点,以便在学习新事物时能够对自己充满同情。
And we need to remind ourselves of that so that we can offer ourselves compassion as we learn to do something new.
当我们做一件新事情时,人们常常认为,哦,改变真好,你会感觉特别好。
And when we do something new, I think people often think like, oh, change is so good and you're gonna feel so good.
你以后会的,但我们现在跳过了那个让人特别不舒服的阶段。
You will down the line, but we're kind of skipping over that part where it feels really uncomfortable.
我们以为自己做错了什么。
We think we're doing something wrong.
这太陌生了,我们感到害怕。
It's so unfamiliar, we're scared.
我们可能会感到焦虑。
We might feel anxious.
所有这些都只是告诉我们,我们在做一件以前从未做过的事。
All of that just tells us we're doing something that we haven't done before.
当我们身处这种状态时,却忘了对自己温柔一点。
And we forget to offer ourselves compassion when we're in that.
我们以为,自己应该直接跳进去做这件事。
We think that, oh, we're supposed to just jump into doing that.
应该能够设立并维护好界限。
Should be able to set boundaries and uphold them.
不,不,不,你当时不知道怎么做。
No, no, no, you didn't know how.
这就像教孩子扔棒球一样。
It's like teaching a child to throw a baseball or something.
如果你曾经试着和孩子玩接球游戏,一开始你根本不知道球会飞到哪里。
At first, if you've ever tried to play catch with a child, it's like you don't know where the ball's gonna go.
球可能像火箭一样直冲你飞来,也可能直接砸到地上,或者飞进窗户,打到你的车。
It could go straight at you like a rocket, or it could shoot straight into the ground, or it might go and fly into a window or hit your car.
你不知道,因为他们还不能完全控制球的走向。
You don't know because they don't have full control over it.
我认为在设定界限这件事上,我们其实也不知道该怎么去做。
And I think that when it comes to boundaries, we don't really know how to do it.
我们只是在学习。
We're just learning.
就像我们跌跌撞撞地摸索着如何做到一样。
It's like we're stumbling around trying to figure it out.
所以回想一下你成长过程中是如何处理这个问题的,你的家庭中当时是什么样子,这是日记中非常关键的一点。
And so remind yourself of how it was dealt with growing up, what it looked like in your family growing up, and then here's a really important piece in this journaling.
接下来,我想让你告诉我,你现在在这方面做得怎么样。
I want you to then tell me how you're doing with it now.
你有没有能够向别人表达你的界限,或者至少提出过这样的请求?
Have you been able to tell somebody your boundaries or at least put in that request?
你有没有哪怕只是一两次,哪怕只有二十分钟,表现出不同的行为?
Have you acted differently once or twice, even if it's for twenty minutes?
你有吗?
Have you?
因为这已经是很大的进步了。
Because that's great progress.
这就像是孩子扔球,球直接打在你胸口,而你却能用护具接住它。
That's akin to the child throwing the ball and it hits you right in the chest, you're able to grab it with your mitt.
太棒了,你做到了。
Boom, you did it.
是的。
Yes.
现在,要做到完美,一遍又一遍地练习,你就能成为专家了吗?
Now, it perfect and do it over and over and over and you're like a pro?
不,但我们期望你成为专家吗?
No, but do we expect you to be a pro?
不,这毕竟是你第一次做。
No, it's still your first time doing it.
所以,我认为这一点在责备和羞耻的问题上非常重要:你没有学会这些东西,并不是因为你本身有问题。
So that's why I think that's kind of an important piece when it comes to that blaming and shaming is there's nothing wrong with you because you didn't grow up learning something.
这不是你的错。
It's not your fault.
你对那些情况毫无控制力,但你正在利用你所获得的一切——你听到的故事、从家庭中学到的行为——并向前迈进,努力做得更好。
You had no control over that, but you're taking what you did get, the story that you were told, the behaviors that you learned through your family, you're taking all that and you're moving forward and you're trying to do better.
这太棒了。
That's amazing.
你该为自己感到骄傲,而不是责备和羞愧,但我完全理解这种感受从何而来。
And you should be proud of yourself instead of shaming and blaming, but I totally know where this is coming from.
你并不孤单。
You're not alone in this.
我自己也做过这样的事。
I've done it myself.
当我心想‘我就不回她电话了’的时候,我会感到沮丧。
And I get frustrated when I'm like, I'm not gonna call her back.
她实在太无礼了。
She's been so rude.
我不希望她这样对我说话,但我也不知道该怎么表达,因为我从小长大的家庭里,我们从不公开发生冲突。
I don't want her to talk to me that way, but I don't know how to communicate it because I would never grew up in a house where we, like, had conflict openly.
我不知道该如何修复关系。
I don't know how to repair.
哦,我真是个讨好型人格。
Oh, and I'm such a people pleaser.
我讨厌冲突。
I hate conflict.
对吧?
Right?
所有这些事情。
All those things.
所以当我终于这么做时,我又会退回去。
And so when I finally do it, then I take it back.
或者我会试着设定界限,但在设定界限时,又给自己留了漏洞,还长篇大论地解释,结果一团混乱。
Or like, I'll try to set a boundary, but in setting a boundary, give it a loophole and give a whole TED Talk about it's just chaos.
所以我知道你理解这一点。
So know that I understand it.
我知道你的感受,但责备和羞辱解决不了任何问题。
I know where you're coming from, but shaming and blaming gets us nowhere.
能让我们前进的是弄清楚我们从哪里来、现在在哪里,然后我会鼓励你思考自己期待的是什么。
What does get us somewhere is figuring out where we've come from, where we're at, and then I'd encourage you to what you're looking forward to.
最终目标是什么?
What would be the end goal?
如果你是一个边界设定的高手,你觉得那会是什么样子,又会在你的生活中如何体现?
If you were like a master boundary setter, what do you think that would look like and how would that play out in your life?
我之所以希望我们做这项工作——因为我来自哪里,我现在在哪里,我要去往何方——是因为这能让我们看到进步。
And the reason I want us to kind of do this work, this like, this is where I came from, this is where I'm at, this is where I'm going, is because it allows us to see the progress.
它也让我们能对自己起步时的状态抱有同情,再次认识到我们当前的进步,同时为我们带来对未来的希望:情况会变得更好。
It also allows us to offer compassion for where we started and again, recognize that progress of where we're at, but then it gives us hope for the future that this could get better.
它已经在变得更好了。
It already is getting better.
对吧?
Right?
我们已经在向前走了。
We already are moving forward.
我们常常忽视自己的小步前进,以为必须做到完美,以为我做的每件事都必须完美无缺。
We often overlook our small steps thinking it needs to be perfect, that the thing that I do has to turn out.
我需要明确地设立这个界限,并永远坚持下去。
I need to set this boundary so clearly and uphold it forever.
是的。
Yes.
就这样。
And that's it.
这就像非黑即白,非全有即全无。
It's like black and white, all or nothing.
但事实上,生活从来不是这样的,对吧?
When in reality, life is never like that, right?
我们前进两步,后退一步。
We're two steps forward, one step back.
有时候我们前进一步,后退两步,但我们仍在努力,仍在走出去,迈出这些步伐,我希望你能认可这一点。
Sometimes we're one step forward, two steps back, but we're still trying, we're still getting out there and taking those steps, and I want you to acknowledge that.
我认为,写日记的过程或许能帮助你摆脱这种自我羞愧的循环,因为我为你敢于尝试而感到骄傲。
And I think that journaling process will hopefully help you pull yourself out of this shaming yourself kind of cycle you've gotten into, because I'm proud of you for even trying.
我知道长期设立并维护界限是非常困难且令人不安的。
And I know setting up holding boundaries in the long term is really hard and uncomfortable.
所以为你点赞。
So kudos to you.
明白吗?
Okay?
把这记下来,告诉我进展,随时向我更新。
Journal that out, let me know, and keep me posted.
我们继续看第三个问题。
Moving on to question number three.
这个问题是:嗨,卡蒂。
This question reads, hi, Kati.
你能谈谈如何在别人对你极其恶劣时停止感到怨恨吗?尤其是当你察觉到并确认他们是故意这样做的时候。
Could you please talk about how to stop feeling resentful when someone has behaved terribly towards you, especially when you feel and have noticed that they do it on purpose.
哦,我最讨厌这样了。
Oh, I hate that.
我知道宽恕很重要,但我感觉它不起作用,因为我的脑海里不断反复回想他们恶劣的行为,我感到极度愤怒和怨恨,甚至影响到了我的日常生活。
I know that forgiveness is important, but I feel that it doesn't work because my mind ruminates a lot about their terrible behavior, and I feel extremely angry and resentful to the point that it interferes with my daily life.
我喜欢这个问题,因为它非常有共鸣。
I love this question because it's incredibly relatable.
我想我们都经历过这样的时刻:不喜欢某人,他们做了非常伤害我们的事,以至于我们几乎无法放下。
I think we've all been there where don't like someone, they've done something really hurtful and it's almost like we can't let it go.
关于这一点,我想谈几个方面。
And there are a couple pieces of this I wanna talk about.
首先,我不确定这是否像对我一样也引起你的共鸣,但有一项研究,我忘了那位女士的名字,但她写过一本书。
And the first, and I don't know if this will resonate as much with you as it did with me, but there was research, and I'm forgetting the woman's name, but she wrote a book.
我甚至把这本书放在我的书架上。
I even have it on my bookshelf.
唉。
Ugh.
我本该提前查一下的。
I should have looked it up.
我真的很抱歉,那位女士做了这么多研究。
I'm so sorry to the woman, did all this research.
但她研究了情绪对我们神经系统和血液的影响,他们实际测试的是某种情绪在体内能持续多久。
But she did research on the effect in our nervous system and in our blood is really what they tested, how long an emotion lives in your system.
他们的方法是这样的:当你感到愤怒或兴奋时,身体会释放某些荷尔蒙或化学物质——用更通俗的说法,比如神经递质,像皮质醇、肾上腺素、多巴胺增加之类的物质在体内流动。
And the way that they did that is you know when you feel angry, excited, like your body dumps certain hormones or chemicals for lack of a better term, whether it's neurotransmitters, these can be things like cortisol or adrenaline, extra dopamine, things like that that are going through your system.
他们发现,如果我们经历了一件事情并产生了某种情绪,这种情绪在体内只会持续90秒。
They found a way to test for them and they noticed that if something happened to us and we experienced an emotion, it only lives in our system for ninety seconds.
这让我大吃一惊,因为我已经愤怒和怨恨了好几年,对吧?
And that blew my mind because I've been angry and resentful for years, right?
最起码也有好几天。
Or days at the very least.
而我们之所以会持续感受到这种情绪,让情绪反复出现——比如我愤怒的时间远超过90秒,我想我们所有人都能认同,这几乎是人类的常态——是因为我一直在回想那些让我生气的事,或者不断与之互动。
And the reason that we end up feeling that way and having the emotions repeat, like I'm angry for longer than ninety seconds, I think we all could say like that's a pretty normal human experience is because I keep thinking about the thing that angered me or keep interacting with it.
所以,其实是我自己在不断引发愤怒。
And so it's like I keep causing the anger.
尽管这有点令人沮丧,但我心想:天啊,原来一直以来都是我自己在制造这些情绪。
And even though that was kind of frustrating, I was like, oh my God, I've been just causing it in myself all this time.
但这对我来说并不是最重要的时刻。
That wasn't really the big moment to me.
我认为真正的领悟是:哇,我其实只需要感受糟糕或愤怒九十秒就够了。
The moment I think, or the realization rather was that like, wow, I actually only have to feel like shit or I only have to feel angry for ninety seconds.
剩下的部分,其实取决于我自己。
The rest is kind of up to me.
这让我感到非常有力量——我可以选择不再用这些想法伤害自己,从而停止感到愤怒、悲伤、失望,或者任何其他情绪,对吧?
That felt really empowering that I can choose to not continue to harm myself with the thing so that I stop feeling angry, or I stop feeling sad or disappointed or whatever it is, right?
这意味着我可以采取一些行动来让自己感觉更好,终止这种负面体验。
That means that I can do things to feel better, to stop having that experience.
太棒了。
Amazing.
你可能会问:那么,我该怎么做呢,卡蒂?
And you might be asking, well, how do I do that, Kati?
因为我已经感觉糟透了很长时间。
Because I've been feeling like shit for a long time.
我完全理解你。
I totally hear you.
对我而言,真正的做法——不仅是作为治疗师,更是作为一个同样经历这些事的人——我发现最好的方式是先允许自己真正感受到其中的痛苦。
And the real way for me at least, not only as a therapist, but also as a person sharing this earth that does that stuff too, I find the best thing for me was first to let myself actually feel the hurt associated with it.
我这样说的原因是,我不知道你怎么样,但当有人做了我觉得糟糕、有害、不尊重的事情时,愤怒总是最先出现的。
And the reason I say it that way is because I don't know about you, but when someone does something that I think is terrible, harmful, disrespectful, anger comes first.
那种保护性的次要情绪——愤怒——会冒出来,确保我自己没事。
The secondary emotion or that like protective emotion of anger comes out to make sure that I am okay.
而在愤怒浮现的过程中,我从不让自己感受到脆弱,也就是那种痛苦的感觉,对吧?
And in that, in the anger coming forward, I don't ever let myself feel vulnerable, which is that hurt feeling, right?
这是因为愤怒在保护我,它在尽自己的职责。
That's because anger's protecting me, it's doing its job.
但正因为它尽职尽责,反而阻止了我真正承认或正视这种情绪体验。
But by doing its job, it prevents me from actually admitting or acknowledging the emotional experience.
这说得通吗?
Does that make sense?
因此,为了超越它,我必须首先承认,几乎像是给这段经历命名,思考它对我而言是什么样子,我有什么感受,我担心什么,为什么它如此伤人。
And so in order for me to move past it, I have to first acknowledge, almost like name the experience, consider what it was like for me, how I felt, what I was worried about, why it was so wounding.
我必须让自己重新经历一遍。
I have to run myself through it.
我知道这有点痛苦和令人沮丧,但我认为,正是这种痛苦和沮丧的部分——我们允许自己去感受它——才让我们摆脱这种反复思虑的循环。
I know it's kind of painful and frustrating, but I think that piece, the fact that it's painful and frustrating, but we allow ourselves to feel it is what lets you out of this rumination cycle.
因为当我们不允许自己体验某种情绪时,我们的大脑和身体会试图给我们更多机会去体验它。
Because when we don't allow ourselves to experience something, our brain and body try to give us more opportunities to do it.
这就是反复思虑的由来。
Hence, rumination.
它就像一遍又一遍地来回反复,希望某一次能充分处理好,让我们能够放下。
It's like it's going back and forth, back and forth over and over and over, hoping that one of these times it'll process it enough that we can let it go.
你得夸奖一下你的大脑和身体,说:干得好,伙计。
And you have to give your brain and body kudos, be like, good job, buddy.
你当时已经尽你所能了,但我必须真正推动自己超越那一步,进入真实的体验,这样才可能放下它。
You were doing the best you could with what you got, but I have to actually push myself past that and into the real experience so that then it can let it go.
我不必再试图让它变得合理,我已经做到了。
I don't have to try to make sense of it, I already have.
我已经做过了。
I've already done it.
我已经完成了承认那段时间很痛苦,是因为这个原因,或者我以为这段关系比实际情况更好,这让我觉得自己是个失败者,或者让我觉得自己不可爱。
I've already done the work of admitting that was painful for this reason, or I thought the relationship was better than it was, and then that makes me feel like a failure, or maybe that makes me feel like I'm unlovable.
这触及了我童年时的伤口,无论对你来说浮现的是什么,我只是在命名这些感受,让你能够去承认它们。
That pokes into my old childlike wounds, whatever comes up for you, I'm just naming stuff, that you can acknowledge that.
然后我相信,就我个人的经验而言,只有到了这个时候,我才能真正放下它。
And then I believe, and personally, it's been my experience, then and only then can I let it go?
我能停止这个恶性循环吗?
Can I stop that spiral?
我也想承认,反刍思维可能由焦虑引发。
I also want to acknowledge that rumination can be fueled by anxiety.
我认为对我们很多人来说,我们会反复思考某件事,是因为我们对此感到焦虑。
I think for a lot of us, we ruminate on something because we have anxiety about it.
记住,焦虑就是无法控制的担忧。
Remember anxiety is uncontrollable worry.
所以无论我们做什么,都无法让自己感觉好一些。
So nothing we do could make us feel any better.
我们只是不断地担心这件事。
We just constantly worry about this thing.
我们一遍又一遍地反复思考。
We ruminate over and over.
因为我们没有采取任何行动去改变它,或者我们没有能力改变它,它就不断恶性循环,对吧?
And because we aren't doing anything to change it, or we don't have any power to change it, it just spirals and spirals and spirals, right?
我相信,通过承认我们所担心的事情——再次回到这一点,就是给它命名——我们可以一定程度上切断这种反复思考的燃料。
And I believe in acknowledging what we're worried about, again, going back to that, like naming it, we can kind of take the fuel away from that rumination.
这说得通吗?
Does that make sense?
我希望如此。
I hope so.
因为这正是我摆脱困境的方法。
Because that's been how I've kind of gotten my way out of it.
我找到了走出这些反复思虑循环的路。
I found my way out from those rumination cycles.
而且我甚至不打算现在谈宽恕,虽然宽恕迟早会是其中一部分,但目前我不想碰这个话题,因为就我个人而言,当我还在生气、反复思虑、难以释怀时,宽恕感觉遥不可及——事实也确实如此。
And I don't even think, I mean, forgiveness is gonna be a piece here at some point, but I don't even wanna touch it yet because speaking personally, when I'm first still angry and ruminating and still having a tough time, forgiveness feels miles away because it is.
我们需要一些时间才能放过自己。
It takes us some time to let ourselves off the hook.
记住,宽恕不是为了认可他们的行为,也不是说一切都没问题。
Remember forgiveness isn't about us condoning their behavior or saying that everything's okay.
宽恕是我说‘我原谅你’,以便我能放下。
It's more about I forgive you so that I can let it go.
这关乎我们自己。
It's about us.
宽恕实际上是让自己从痛苦中解脱出来,因为我没必要再被这件事伤害,但我们还没到那一步。
Forgiveness is actually letting yourself off the hook because I don't need to stay hurt by this, but we're not at that place yet.
我不是说宽恕会花上一辈子,我们必须总是慢慢来。
And I don't mean that like forgiveness is gonna take forever and we should always take our time with it.
不,我只是说在这种情况下,因为这件事太过痛苦,你总觉得他们是故意为之,带着恶意,所以我们还无法原谅他们。
No, I'm just saying in this case, because it is such a painful thing and you think they're doing things on purpose and they're kind of like malicious in their intent, we're not ready to forgive them yet.
我们现在正处在必须承认他们造成的痛苦的阶段。
We're right at the point where we have to acknowledge the pain that they've caused.
我们必须决定如何回应,因为我们可以决定:我不再想让这个人出现在我的生活中。
We have to decide how we wanna respond because we could decide, I don't want this person in my life anymore.
我不想再见到他们。
I don't wanna see them anymore.
或者如果我不得不见,比如我们共事或他们是家人的一部分,那我就可以通过设定界限和清晰沟通来决定这种接触究竟该有多频繁。
Or if I have to, because I work with them or they're part of my family, then I get to decide through boundaries and clear communication how often that's even gonna take place.
我不回他们的消息,但会在集体活动中见到他们?
Am I not gonna respond to their texts, but I'll see them at group activities?
当然。
Sure.
或者不管怎样,我每个月只去他们家一小时,这就是我能提供的全部了。
Or whatever it is, I'll be at their house for one hour, once a month, that's all I got to give.
你知道的,我们可以自己做决定。
You know, we get to decide.
这些就是你可以设立的界限,你可以限制自己的互动,但我们还不必急于原谅。
And those are kind of the boundaries you can place and like you can limit your interaction, but we don't have to jump to that forgiveness yet.
我们必须给自己时间去消化这件事。
We have to allow ourselves the time to process it.
因为反复思虑根本无法让我们真正处理情绪,它只是不断重复同样的想法。
Because the one thing rumination doesn't do is it doesn't actually let us process anything because it's just replaying the same things over and over.
这几乎就像是99.9%的重复性思维。
It's almost like 99.9% repeat thoughts.
而既然这些想法还没带来任何改变,对吧?我们就得尝试一些不同的方法。
And since they haven't turned out yet, right, we have to try something different.
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这就是我的建议。
So that's my advice.
希望我说得清楚。
I hope it makes sense.
我知道我说得有点杂乱,但这确实帮到了我,因为我年轻时也曾陷入这样的循环,总是放不下,觉得别人做了些不可原谅、特别糟糕的事。
I know it's kind of all over the place, but that's what really helped me because I used to get caught in those kinds of cycles when I was younger, where I just like couldn't let something go because I thought somebody did something that was like so unforgivable, so bad.
但我没有去正视自己的痛苦,不是不承认痛苦,而是去正视它真正对我造成了什么影响。
But instead of letting myself acknowledge the pain, I just like, it wasn't even not acknowledge the pain, it's like acknowledge what it really did to me.
我只是不断回想他们有多混蛋,结果可想而知,我一点也没感觉好起来。
I just ruminated on all the reasons that they were an asshole and surprise, surprise, I didn't feel any better.
所以我今天想告诉你,走出困境的真正方法,是直面你的感受、你自己的反应,以及这件事究竟如何影响了你,还有你打算如何让自己的生活变得更好。
And so I'm here to tell you that the way out is actually through your feelings, your own responses, how it really affected you and what you're gonna do to make your life better.
因为再次强调,我们只能控制自己。
Because again, we can only control ourselves.
如果有人想当个混蛋,那就随他吧。
If someone wants to be a dick, they can.
我们无法通过言语或行动改变他们,但我们可以改变自己与他们互动的方式,以及在生活中其他方面的方式。
There's nothing we can say or do to change them, but we can change the way that we interact with them and just in other areas of our life.
你一定可以的,相信我,我已经做到了。
So you got this, you can get through it, trust me, I've done it.
这需要时间,我们必须对自己有耐心,允许自己真正地体验这种感受,坦诚面对它,好吗?
It just takes time and we have to be patient with ourselves as we allow ourselves to experience it for real, be vulnerable with it, okay?
我们继续来看第四个问题。
Let's move on to question number four.
所以我想对Kati说,希望你别太辛苦,好好享受生活。
So I just say, hey, Kati, I hope you're not working too hard and enjoying life.
我希望你也是这样。
I am I hope you are too.
我有一个问题,非常想知道答案。
I have a question that I desperately want to know the answer to.
我查了谷歌、ChatGPT,甚至读了一些资料,但还是不明白为什么我的治疗师不愿意和我一起做创伤治疗。
I looked on Google, chat GBT, and even read it, but it's not giving me a clear understanding of why my therapist, why might my therapist not want to do trauma work with me.
感谢 Ka'Chava 赞助本期节目。
Thank you to Ka'Chava for sponsoring today's episode.
你有没有那种下午突然需要点什么的小时刻?
You know that moment in the afternoon where you just need a little something?
对我来说,通常下午三点左右,我会感到状态下滑,大脑疲惫。
For me, it's usually about 3PM where I feel like I go into a slump and my brain is tired.
我一整天都在工作,突然就渴望吃点像咖啡或甜食那样的犒赏。
I've been working all day and suddenly I'm craving something that feels like a treat, like coffee or something sweet.
以前我要么忽略这种感觉,要么放纵自己,之后又觉得不舒服。
And I used to either ignore it or go all in and then feel kinda bleh later.
但最近,我一直在尝试找到真正享受这些时刻并支持整体健康的方法,而 Ka'Chava 正好帮上了忙。
But lately, I've been trying to find ways to actually enjoy those moments and support my overall health, and that's where Ka'Chava has really come in.
他们刚刚推出了新的咖啡口味,真的完美把握了中间地带。
They just launched their new coffee flavor, and it genuinely feels like that perfect middle ground.
它有着顺滑浓郁的咖啡风味,采用优质无咖啡因巴西咖啡豆制成,我很喜欢,因为它满足了我的渴望,却不会让我感到心慌不安。
It has this really smooth, rich coffee taste made with premium decaffeinated Brazilian beans, which I love because it satisfies my craving without making me feel all jittery.
我欣赏的是,这不仅仅关乎口味。
And what I appreciate is that it's not just about the flavor.
它还为你的身体提供了真正的营养。
It's also giving your body something real.
Ka'Chava 是一款全营养奶昔,采用高品质成分制成,让你一次性摄取植物蛋白、纤维、绿叶蔬菜、适应原,还有更多营养成分。
Ka'Chava is an all in one nutrition shake made with high quality ingredients, so you're getting plant based protein, fiber, greens, adaptogens, and so much more all in one.
它让我在一天中轻松维持能量,尤其在忙碌的日子里,感觉更加平衡。
It's been such an easy way for me to support my energy throughout the day and just feel a little more balanced, especially on my busy days.
而且它的营养成分很纯净。
Plus it's clean nutrition.
不含人工香料、色素或甜味剂,无转基因成分,无大豆,无动物制品,无麸质,无防腐剂。
There's no artificial flavors, colors, or sweeteners, no GMOs, no soy, no animal products, no gluten, and no preservatives.
这真的是一种微小的改变,却能带来巨大影响——你依然在犒赏自己,但方式却真正支持了你的健康。
It really feels like one of those small shifts that makes a big difference, where you're still treating yourself, but in a way that actually supports you.
用你身体渴望的风味和营养来犒劳自己吧。
Treat yourself to the flavor and nutrition your body craves.
前往 kachava.com 并使用代码 Kati 享受首单 15% 折扣。
Go to kachava.com and use code Kati for 15% off your first order.
那就是 Ka'Chava,kachava.com,代码 Kati。
That's Ka'Chava, kachava.com, code Kati.
我们继续看第四个问题。
Let's move on to question number four.
嘿,Kati,我就是想跟你说一声。
So I just, hey, Kati.
希望你别太辛苦,好好享受生活。
I hope you're not working too hard and enjoying life.
我很好,也希望你也是。
I am I hope you are too.
我有一个问题,非常想弄清楚答案。
I have a question that I desperately want to know the answer to.
我查了谷歌、ChatGPT,甚至读了相关资料,但还是不明白为什么我的治疗师不愿意和我一起做创伤治疗。
I looked on Google, chat GPT, and even read it, but it's not giving me a clear understanding of why my therapist, why might my therapist not want to do trauma work with me.
我以为这正是治疗的目的。
I thought that was the whole point of therapy.
对于创伤治疗,是的,我们稍后会谈到这个。
For trauma therapy, yes, we'll get to this.
为了提供背景,我被诊断出患有边缘型人格障碍、焦虑、注意力缺陷多动障碍和抑郁。
For context, I'm diagnosed with BPD, anxiety, ADHD, and depression.
我刚从一个日间治疗项目中出院。
I got out of an IOP program.
现在,日间治疗(IOP)指的是强化门诊治疗。
Now IOP stands for intensive outpatient.
这基本上就像一个日间项目,有些人会在一天中的某些时段住在治疗机构里。
It's pretty much like a day program or for some people they'll stay at the facility for chunks of the day.
但事实上,你每天大部分时间都在那里。
But yeah, so it's like you're there for most of your day every day.
所以我提前离开了那个日间治疗项目,因为我没学到什么,但这让我开始思考。
So an IOP program that I left early because I wasn't learning anything, but that made me think.
我的治疗师本可以直接教我那些本应在治疗项目中学到的技能。
My therapist could just teach me skills that I was supposed to learn there.
我很好奇你为什么觉得在IOP项目里学不到东西,但我需要更多了解具体情况。
I'm curious why you didn't feel like you're learning anything at the IOP program, but I'd have to know more about it.
所以在上一次会谈中,我向她倾诉了自己在工作中的糟糕表现,这让我想起了过去与我所有困扰相关的创伤。
So during my last session, I was venting to her about my poor performance at work that made me think of past traumas relating to everything that I struggle with.
我问我们是否可以开始创伤治疗,以及我是否可以就出现的术语向她提问。
I asked if we could do trauma work and, and I and can I ask her questions about different terms that come up?
但她的回应并不是我期待的那样,比如简单地说:‘当然可以,先生。’
But her response wasn't what I was hoping for, which was a simple just yes, sir, of course.
相反,她说:‘如果你想的话,可以拿支笔和纸做笔记。’
Instead, she said, you can get a pen and paper and take notes if you want.
什么?
What?
之后,我有点封闭自己,没再说什么,因为我觉得,一旦我为自己发声,她就根本不当回事。
After that, I kinda shut down and didn't say much because I felt like that the moment I actually speak up for myself, she doesn't see it as a big deal.
我告诉她,我受够了每次生活中遇到一点不顺就被提醒过去的事,我已经准备好把这一切抛在脑后了。
I told her I'm tired of being reminded of the past anytime I'm inconvenienced in life and that I'm ready to put it behind me.
但她却说,你需要先处理它,然后才能放下。
But she said, need to process it and move on.
这不就是创伤治疗吗?
Isn't that trauma work?
我太困惑了,但我不知道该怎么去做。
I'm so confused, but I don't know how to do that.
所以我才以为创伤治疗就是处理它。
That's why I thought trauma work is processing it.
是的,没错。
Yes, it is.
它写着:我不知道,问号。
It says, I don't know, question mark.
不,你说得对。
No, you're right.
总之,她为什么可能会回避创伤治疗呢?
Anyway, why might she avoid trauma work?
是因为我们在进行DBT治疗吗?
Is it because we're doing DBT therapy?
也许吧。
Maybe.
还是因为她觉得我没有创伤?
Or because she doesn't think I have trauma?
别这么想。
No, don't think that.
她从不提及BPD,也就是边缘性人格障碍。
She doesn't talk about BPD, borderline personality disorder, that's what that stands for.
顺便说一下,DBT是辩证行为疗法。
And DBT, by the way, is dialectical behavior therapy.
这是一种适用于边缘性人格障碍患者的治疗方式。
It's a style of therapy that works for people with borderline personality disorder.
请解释一下,感谢你所做的一切。
Please explain, thank you for all you do.
当我处于最低谷时,你真的帮助了我。
You really helped me when I'm at my lowest.
当然,我很高兴能在这里。
Of course, I'm so glad I can be here.
现在这条评论和上面的类似,但我们还是深入探讨一下,因为已经有很多内容需要梳理了。
Now we have a comment on top of this that's similar, but let's just dig into this because there's already a lot to unpack.
正念行为疗法是一种非常特定的治疗方法,它本身并不是真正的创伤疗法,明白吗?
Now, dialectical behavior therapy is a very specific type of treatment and it in and of itself is not really trauma therapy, okay?
我之所以这样说,是因为我自己曾经多年是一名认证的DBT治疗师。
And the reason I say it like that is because I myself, for many, many moons, was a certified DBT style of therapist.
我,我不确定这是否算一种认证。
I a, I don't know if it's a credential.
我每年都需要重新认证正念行为疗法。
I had to do it every year and get recertified in dialectical behavior therapy.
我已经让证书过期了。
I have let it lapse.
我很抱歉。
I'm so sorry.
但因为我不再从事私人执业,所以觉得没必要再花这笔钱续证。
But I since I don't see patients in private practice anymore, I didn't think it was worth paying all the money for it.
所以我已经有一段时间没做这件事了。
So I haven't done that in a while.
我提到这一点是因为DBT本身包含一些对创伤后应激障碍患者有帮助的内容,比如情绪调节,学会管理内心涌现的情绪,并拥有其他应对工具。
And I bring that up because DBT in and of itself has some things that would help people who have PTSD, things like emotion regulation, like finding ways to manage what comes up for us and having other tools to deal with that.
甚至可以说,DBT的全部内容对每个人都很有帮助。
Even, I mean, all of DBT is helpful for everybody.
所以正念部分非常重要。
So like mindfulness component's really important.
此外,人际效能也非常重要,意味着你的关系可以得到改善。
There's also, it's really important to have interpersonal effectiveness, meaning like your relationships can improve.
其中包含了许多非常有价值的沟通技巧。
Has a lot of communication skills that are in there that are really valuable.
DBT的所有组成部分都能帮助任何人,但它本身并不是一种基于创伤的治疗方法。
All of the pieces of DBT could help anyone, but it in and of itself is not a trauma based treatment.
但如果你的治疗师因为只提供DBT而不愿与你进行创伤治疗,他们应该明确说出来。
But if your therapist didn't want to do trauma work with you because all they offer is DBT, then they should say that.
那样就会非常清楚。
And that would be very clear.
所以我可能会直接问你的治疗师这个问题,因为你问治疗师的问题其实并不是‘我们能进行创伤治疗吗?’
So I might ask your therapist straight up about this because what you asked your therapist wasn't really, can we do trauma treatment?
你当时只是向她倾诉,你说你问过能不能做创伤治疗,而我可以问她一些关于出现的不同术语的问题吗?
You were venting to her, and you said, I asked if we can do trauma work, and I can ask can I ask her questions about the different terms that come up?
我想你是问过能不能做创伤治疗,但她却让你拿笔和纸。
I guess you did if we can do trauma work, but she said you can get a pen and paper.
我觉得她可能没理解你的问题,因为她的回答对我来说毫无意义。
I feel like she didn't maybe understand your question because her answer doesn't make sense to me.
你可以记笔记,如果你想的话。
Like, you can take notes if you want.
我觉得她主要关注的是那些术语,比如如果你想要更好地理解这些术语,她会告诉你,你可以把它们写下来。
I think she was focusing mainly on the terms that, like, if you wanted to better understand the terms, she would tell you and you could write them down.
我可能也会这么说。
I might say that too.
我觉得这并不是一个糟糕的回应。
I don't think that's really a bad response.
如果有人说,嘿,如果出现了一些不同的术语,你能帮我更好地理解吗?
If someone was like, hey, if different terms come up, like, can you help me better understand?
我会说,当然可以。
I'd be like, sure.
你可以记笔记,这样以后可以参考。
And you can take notes so that you have them for reference.
你知道的。
You know?
这对术语来说是有道理的。
That makes sense for the terminology.
但谈到创伤治疗时,我可能会再问一次。
But when it comes to the trauma work, I might ask one more time.
我这么说是因为她的回答没有道理。
And the reason that I say this is because her answer doesn't make sense.
如果她提供的只是这些——并非她完全没提供,但如果你认为她主要是一位DBT风格的治疗师,那么她无法为你进行创伤治疗。
If all she offers, and not all being, like she doesn't offer enough, but if she's primarily a DBT style of therapist, then she's not gonna be able to do trauma work with you.
她所说的‘只需处理并继续前进’,这让我相信她根本不懂创伤。
And the fact that she said like, should just process it and move on leads me to believe that she doesn't understand trauma at all.
这是一种非常简单、非结构化的回答方式。
That's a very simplistic, nonstructured way to answer that.
你只需处理一下,然后继续前进。
You should just process and move.
嗯,是的。
Well, yeah.
不用说也知道,福尔摩斯。
No shit, Sherlock.
这正是我请你帮忙的原因。
That's why I'm asking you, like, to help me.
你倒是说帮帮我啊。
You're like, help me.
所以我真的想再问一次关于创伤治疗的事。
So I really would ask one more time about the trauma work.
如果她提供这项服务,那我就这么建议。
And if she offers it, that's how I would propose.
我会这样问这个问题。
I would ask the question this way.
你们提供创伤治疗吗?
Is trauma work something that you offer?
因为我真的受够了。
Because I'm sick of it.
我感觉它在掌控我的生活。
I feel like it's running my life.
这就是我从中学到的东西。
It's kind of what I got out of this.
就好像,无论我去哪里,都会被提醒起这件事,这让我很烦,我讨厌它。
It's like, I feel like everywhere I go, I'm reminded of it and it's annoying and I hate it.
所以我会问她:你们提供创伤治疗吗?或者你们的治疗实践中会做创伤治疗吗?
And so I would ask her, trauma work or do you do trauma work in your therapy practice?
你们能为我提供这个吗?
Is that something you can offer me?
因为我觉得这是我需要的东西。
Because that's something that I feel that I need.
我会这样表达。
That's how I would say it.
如果她回答不行,或者说‘我可以帮你聊聊’,或者轻描淡写地带过,或者给你的回答不够好,那你可以再问她,或者自己做些研究,去找一个能帮到你的人。
If she says no, or says like, I mean, I can help you talk through it, or kind of downplays it or you don't get a good answer for you, then it's okay to either ask her or start doing your own research to find someone that can.
因为如果她说,嗯,我其实不专门做,但我可以先从你开始,那你就可以问,那你有推荐的人选吗?
Because if she says, well, I don't really, but I can start with you, say, well, do you have anybody you'd recommend?
这没问题。
That's okay.
我知道你心里想,Kati,你不想再换一个新的治疗师。
I know you're like, Kati, don't wanna start with a new therapist.
但看来我们也不能从这位开始。
Well, it doesn't sound like we can start with this one either.
也许她确实对你的边缘型人格障碍很有帮助,但我可以告诉你,对我们很多人来说,这和创伤是密不可分的。
Maybe she I mean, she's definitely probably helpful for your borderline personality disorder, but I can tell you that it's inextricably linked to trauma usually for a lot of us.
所以我们必须进行创伤治疗,无论是EMDR、躯体体验,还是其他类型的创伤聚焦认知行为疗法,总之,你必须以某种方式获得这些创伤治疗。
And so we're gonna have to get that trauma work, whether it's EMDR, whether it's somatic experiencing or some other type of like trauma focused CBT, for example, some type of trauma treatment, she's gonna have to, you know, we're gonna have to get that available to you in some way.
我理解你为什么会关闭自己,因为这感觉非常不被认可。
And I understand why you shut down because it feels really invalidating.
这感觉就像她在回避你的问题。
It feels like she's kind of like ignoring your question.
所以我想再问一次,创伤治疗是否是她能提供的服务,她是否能帮助你完成这部分工作。
And so I would ask one more time if trauma work is something that she can offer, if she can help you, you know, do that.
如果不能,她有没有可以推荐的人选?
And if not, does she have anyone she can recommend?
然后你再重复一遍,就像我说的,每当我生活中遇到不便时,我就会被勾起过去的回忆,我真的受够了。
And then just say it again, like, I just feel like, you know, I'm reminded of my past anytime I'm inconvenienced in life and I'm sick of it.
我不想再这样下去了。
I don't wanna do this anymore.
所以我理解你这种感受。
So I get that working.
但你说得对,创伤治疗确实需要去处理它。
But you are correct that trauma work is processing it.
所以我无法理解她,为什么她只是觉得需要处理一下然后就放下。
That's why I don't understand her, like the fact that she just need to process it and move on.
这感觉非常不被认可。
That feels very invalidating.
这简直就像在问:‘你怎么还没做呢?’这种说法,完全不具治疗性,也没有帮助。
It's almost like, how come you haven't done it yet type of language, which is just so not therapeutic, not helpful.
所以,我可能会再坚持一下,或者开始寻找专门做创伤治疗的人,因为我相信那真的会有帮助。
And so I might push again a little or start looking for someone who does trauma work because I believe that that will really help.
她通常不会提到边缘型人格障碍,但她会提到辩证法——我不太明白,因为DBT(辩证行为疗法)是由玛莎·林纳汉创造的,而她本人就是一位患有边缘型人格障碍的女性。
Usually she doesn't talk about BPD, but she does dialect I don't understand because DBT was created, for those who don't know, dialectical behavior therapy's origins come from Marsha Linehan, who's a woman herself who has borderline personality disorder.
我想她可能是治疗师或心理学家,但不管怎样,她和我一样都是一名临床工作者。
I think she's I don't know if she's a therapist or a psychologist, but either way, she's a clinician just like me.
她创造这种疗法,不仅是为了帮助自己,也是为了帮助她的患者。
And she created that to help not only herself, but her patients.
所以,不谈论边缘型人格障碍,却在使用这种疗法风格,这对我来说完全说不通。
So to not talk about BPD, but to be doing that style of therapy just doesn't make sense to me.
我的直觉告诉我,这可能根本不适合你,但我们还是可以问一些澄清性的问题,以确保我们真正听懂了她的话。
My gut tells me that this probably is just not the right fit for you, but we can ask some clarifying questions to make sure that we're actually hearing her.
因为再次强调,她的回答完全说不通。
Because again, her answers don't make sense.
所以我觉得,也许我们需要用更清晰的方式再问一遍,以得到正确的答案,或者我们真的需要为你找一个真正理解你的人,因为我感觉她在这里有些偏离重点了。
And so I'm like, maybe we need to ask again in like a clearer way to maybe get that right answer, or we just need to find you someone else who actually gets you because I feel like she's missing the mark somehow here.
明白吗?
Okay?
我知道这个回答有点糟糕,抱歉,但这就是实情。
I know it's kind of a shitty answer, I'm sorry, but that's just the truth.
我觉得她跟你谈论创伤治疗和边缘性人格障碍的方式,似乎有种轻视或否定的意味,几乎像是根本没认真讨论,却只让你觉得你需要去处理并往前看,这一切对我来说都感觉一点也不具有治疗性。
I feel like the way that she's spoken to you about your trauma work and your borderline personality disorder seems to kind of minimizing or invalidating, almost like not even really talking about it, and then acting like you just need to process and move on, all of that just doesn't feel very therapeutic to me.
所以我们再给她一次机会,看看她能不能理清状况,也许是我们理解错了,也许是我们表达得不够清楚,谁知道呢?
So we'll give her one more chance to kind of figure it out and maybe we misunderstood, maybe we weren't clear, who knows, right?
如果这行不通,那我们就找一个真正能帮助我们、并能站在我们立场上的人。
And if that doesn't work out, then we can find someone who will actually help us and meet us where we're at.
现在,我要说一下,我和我的DBT治疗师也有类似的问题。
Now, comment on this is, I've got a similar problem with my DBT therapist.
天啊,当一个DBT治疗师今天可真不容易。
Man, it's not a good day to be a DBT therapist.
我一生都在应对一种特定的创伤。
I've been dealing with a particular trauma all of my life.
我和她以前也谈过这个问题,结果总是我情绪失控——顺便说一句,这很正常,完全在预料之中,但几乎没有任何实质性的解决。
She and I have talked about it in the past with the same results, me escalating in my emotions, normal, by the way, totally to be expected, and urges with minimal resolution.
哦,上周在治疗中,我又一次试图处理这个创伤,我的治疗师却说,我们不再讨论创伤了,因为它会让我情绪过于激动。
Oh, so no tools, no well, last week in session, was I once again trying to deal with this trauma, and my therapist said we're no longer going to talk about the trauma because it brings up too much emotion for me.
哦。
Oh.
当我问她这话是什么意思时,她说,我可以告诉她我正在应对这个创伤,但我们不再深入探讨了。
When asked what she meant, she said, I can tell her that I'm dealing with that particular trauma, but we're no longer going to go into depth about it.
我太困惑了。
I am so confused.
你有没有拒绝过与任何患者讨论某个问题或创伤?
Have you ever refused to address an issue or trauma with any of your patients?
我没有。
I have not.
我知道我会深陷于自己的想法和冲动中,但她为什么要这么做呢?
I know I go down deep in my thoughts and urges, but why would she do this?
治疗是我唯一能谈论这件事的地方。
Therapy is the only place I can talk about it.
我没有其他支持了,卡蒂。
I've got no other support, Kati.
这到底意味着什么?
What does this mean?
非常感谢你能给我一些见解。
Any insight would be very much appreciated.
在我的实践中,我从未这样做过。
I have not done that in my own practice.
我所能想到的唯一可能不深入探讨的原因,是我认为患者有危险。
The only reason I could imagine that I would say we wouldn't go in-depth about it is if I thought a patient was dangerous.
我所说的危险,是指对自己造成伤害。
And what I mean by that is danger to self.
我的意思是,也许对他们来说也是如此,但对我而言,尤其是对我的边缘型人格障碍患者来说,他们更可能是对自己构成危险,比如自伤、自杀意念这类情况。
I mean, I guess they could be to me too, but it's more apt, especially with my BPD patients that they're danger to self, kind of like in the self injury, suicidal ideation type of way.
如果我觉得我们在治疗中讨论的内容没有进展,而你离开治疗时反而更加情绪失控、更加痛苦,我可能会担心你会伤害自己。
And if I thought you bring us talking about in therapy wasn't getting us anywhere and you were leaving our sessions like more dysregulated and more upset, I might be concerned that you'd harm yourself.
但我还是觉得不太对,不过我能理解,也许其他人——不是我——会说:我们别再谈这个了。
And so but I just still don't but I could see somebody potentially that's not me, somebody else saying, like, let's not talk about that anymore.
我明白。
I get it.
在我这里,通常当这种情况发生在患者身上时,我会在治疗结束时多留一些时间,帮助他们平复情绪,从强烈的情感体验中缓和下来。
In my case, usually when I have this happen with patients, I give more time at the end of the session to kind of like deescalate, like come down from that intense emotional experience.
我们通常会使用一些接地技巧。
We'll usually use some grounding techniques.
我们会做一些呼吸练习。
We'll do some breathing.
我们会聊一些轻松的话题,然后结束治疗,这样我就不会让你带着完全失控、混乱的状态离开。
We'll talk about something lighthearted, and then we'll wrap up the session so that I'm not leaving you completely dysregulated and discombobulated.
所以,这就是我的做法,但我能理解有些人可能选择不这么做,因为他们没有足够的工具来帮助你应对。
So I might, that's the way I do it, but I could see someone maybe saying that they're not going to because they don't have the tools to help you with it.
而且你反复谈论这个问题却几乎没有进展,这让我怀疑DBT是否真的最适合你,就像第一个问题提到的那样,也许我们需要找一位创伤治疗专家。
And the fact that you have talked about it over and over and with minimal resolution makes me wonder if it's possible that DBT is not the best fit, kind of like with the first person's question, like maybe we need to find a trauma specialist.
不同类型的治疗师之所以存在,是有原因的,对吧?
There are different types of therapists for a reason, right?
我们不可能样样精通。
We can't be a jack of all trades.
我无法帮助每个人解决所有问题。
I can't help everyone with everything.
我做不到真正有效。
I'm not gonna be any good.
就像人们常说的,样样通,样样松,对吧?
That's like, know, they say jack of all trades, master of none, right?
我会在很多事情上都表现得一般,但我更愿意在少数几件事上做到出色。
I'll be moderate at everything, but I'd rather be great at just a couple of things.
所以我专攻饮食失调治疗,特别是边缘性人格障碍、自伤行为这类问题。
That's why I specialize in eating disorder treatment and really borderline personality disorder, like self injury work, stuff like that.
这正是我的专长。
That's my shtick.
我可以整天都做这些工作。
I can do that all day long.
你需要一位能很好应对你问题的治疗师。
And you want a therapist that works with your issues that well.
你需要一位专家。
You want a specialist.
因此,我可能会建议提出这些问题的两个人——无论是评论者还是原提问者——去找一位创伤治疗师,因为你们的治疗师似乎都缺乏处理创伤所需的知识或专业能力,而目前这似乎是最关键的部分。
And so I might encourage both of the people who ask these questions, the comment and the original question, to find a trauma therapist because both of your therapists just don't seem to have the knowledge or the expertise to help you with trauma, and that seems to be the biggest piece right now.
我非常喜欢DBT。
I love DBT.
它对每个人都有极大的益处,尤其是对我们这些患有边缘性人格障碍的人。
It is incredibly beneficial for everyone, but especially those of us with borderline personality disorder.
然而,作为一名获得认证多年、从事这一行很久的人,这其实并不是创伤治疗。
However, as someone who's been certified for many years and did it forever, it's not really trauma work.
我大部分的创伤研究和对它的理解,都是在我第二本书《创伤者》中完成的。
Like I did most of my trauma research and understanding of it for my second book, Traumatized.
通过做这些工作,我确实成了更好的临床医生,但这些并不在我的培训范围内,也肯定不在我的DBT认证内容里。
That's made me a better clinician for that, you know, by just doing that work, but that wasn't in my training, that definitely wasn't in my DBT, you know, certifications.
因为那不是DBT的重点。
It wasn't there cause that's not the focus.
我认为DBT的大部分内容,其实主要是情绪调节,你可能不同意我的看法,但我这么认为。
Most of DBT, really feel, and you can disagree with me on this, but I think it's mainly emotion regulation.
正念的部分在于觉察身体里的感受,以便更快地掌控它们,这属于情绪调节。
It's like the mindfulness component is noticing where things are in your body so you can get ahold of them more quickly, emotion regulation.
此外,还有一个完整的模块是关于情绪调节的,甚至在我们的关系中,比如我们如何沟通而不失控?
Then there's, I mean, there's a whole pillar on emotion regulation, but even in our relationships, like how do we communicate without losing our shit?
我们该如何表达自己的需求?
How do we ask for what we want?
你知道,周围有各种各样的工具和方法,可以帮助我们应对与边缘型人格障碍相伴的情绪强度。
You know, there's all of these tools and things all around us managing the emotional intensity that can come along with BPD.
但这并不是创伤治疗。
And that's not trauma work.
其中有一部分是有帮助的,但那只是很小的一部分。
There's a piece of it that is helpful, but that's only like one small piece.
所以我会建议你去找一位这方面的专家,我相信你会从中获得全部的益处,好吗?
And so I would find someone who specializes and I think that you will get all the benefit from that, okay?
随时告诉我进展。
Keep me posted.
接下来是第五个问题,这个问题说:卡蒂,你能谈谈习得性无助以及如何应对它吗?
Moving on to question number five, this question says, Kati, can you talk about learned helplessness and what to do to combat it?
好的,习得性无助是一种体验,当你在生活中遇到某些事情,却完全无法掌控它们时。
Okay, learned helplessness is kind of this, it's this experience when in our life things happen and we can't we don't have any control over them.
通常这种情况发生在童年时期,因为我们没有足够的力量去反抗。
Meaning, usually we're children, so we don't have the strength to fight back.
我们跑得不够快,无法逃离。
We aren't fast enough to run away.
所以我们就会陷入冻结或讨好反应。
And so we kind of do the freeze or the fawn response.
对吧?
Right?
我们装死,或者努力让他们开心,以免他们再伤害我们。
We play dead or we try to keep them so happy that they won't hurt us anymore.
这些被动的反应——冻结和讨好,是一种更无助、更被动的应对威胁的方式。
And those those, like, inactive responses, that freeze and that fawn is more of a helpless, inactive response to a threat.
我之所以这样提,是因为当我们年幼时,反复处于这样的境况中,总是觉得自己无能为力,无法让情况变好。
And the reason I bring it up like that is because when we're younger and we're in those situations over and over and over, and we always find ourselves feeling like there's nothing I can do to make this better.
我逃不掉。
I can't run away.
我无法反抗。
I can't fight.
我只能装死,坐在这里忍受,或者尽力讨好他们,希望他们不再伤害我。
I have to just like play dead, sit here and take it, or try to please them and hope that they don't hurt me.
对吧?
Right?
我们通过反复的经历开始学会,无法自救,无法拯救自己,无法保护自己。
We start to learn through repeated experience that we can't help ourselves, that we can't save ourselves, that we can't protect ourselves.
这逐渐演变成一种习得性无助,觉得生活中无论做什么都无法让情况变好。
And that turns into this learned helplessness that like, there's nothing in life I can do that's gonna make this better.
于是,当我们长大后,依然带着这种模式生活。
So we take that out into our life as we get older and we still act that way.
也就是说,当我们遇到任何不便时,不管大小如何——每个人情况不同,但我觉得这适用于各种情况——当我们遇到障碍或小挫折时,立刻就觉得这事不会成功。
Meaning that when we're hit with any inconvenience, doesn't matter how big or small, everybody's different, but I find this kind of applies to anything, something that we run into that's like a roadblock or a hiccup, and we immediately are like, it's not gonna work out.
这肯定会很糟糕。
This is gonna be terrible.
我什么都做不了。
There's nothing I can do.
我们甚至都不想尝试,因为通过生活经验,我们已经明白努力也无济于事。
And we don't even wanna try because we've learned through life that that trying doesn't get us anywhere.
所以我讲这些,是为了帮助你理解什么是习得性无助,然后教你如何克服它。
And so I say all of that to help you understand what learned helplessness is and then talk you through how do you combat it.
好消息是,无论在生活中什么时候我们学会某种行为模式或互动方式,并反复实践,因为这就是我们的经历,既然我们能学会,就能重新学习,太好了!这意味着我们可以学会不再以无助的方式行事。
So the good news is, is that anytime in life when we learn a certain type of behavior, a certain way of interacting, and we do it over and over, because that's kind of our experience, when we learn things, we can unlearn things, yay, which means that we can learn how to not act in those helpless type of ways.
但要做到这一点,唯一的办法是拥有不同的经历和不同的行为,而这会非常不舒服。
But the only way we can do that is through having different experiences and different behaviors, and it's gonna be really uncomfortable.
我只是想让你做好准备,让你知道这会很不舒服,因为你正在做些不一样的事情。
I just wanna set you up for success by letting you know that it's gonna be uncomfortable because you're doing something different.
并不是因为你做错了什么,而是因为你正在尝试新的、不同的方式,而这正是目标所在——所以我们首先得开始追踪自己的想法,明白吗?
Not because you're doing something wrong, because you're doing something new and different, which is the whole goal, which means that when you have that, first we have to start tracking our thoughts, okay?
第一步是识别那些浮现出来的习得性无助的想法。
The first step is to recognize those learned helplessness thoughts that come up.
可能是‘我做什么都不够好’。
It could be the nothing I ever do is gonna be enough.
这永远不会成功的。
This is never gonna work out.
我知道,我不会得到那份加薪。
I'm not gonna I know this, I'm not gonna get that raise.
我从来得不到任何好东西,对吧?
I never get anything good, right?
无论那些消极的、自我限制的想法是什么——你可能已经很努力了,但结果永远都不会如愿——对你来说,我要你开始把这些想法写下来。
Whatever those negative kind of self limiting thoughts, could try really hard, but it's never gonna turn out, whatever that is for you, I want you to start writing those down.
我让你把这些写下来的原因是,希望你开始更清楚地意识到它们,这样当你想到它们时就能察觉到。
And the reason I want you to write them down is because I want you to start being more aware of them so you notice them when they come up.
因为如果我们连它们什么时候出现都不知道,又怎么能改变它们呢,对吧?
Because if we don't know when they're coming up, how are we supposed to change them, right?
我们做不到。
We can't.
所以,我要你去留意。
So I want you to notice.
然后,当我们对这种状态越来越熟悉时,我们会意识到,当我们自暴自弃、说事情不会变好时,一旦这种想法出现——‘这永远都不会变好’,我们就不再像以往那样退缩、逃避、封闭自己、忽视它,或者陷入抑郁,无论你通常的反应是什么,从现在开始,我们都不再那样做了。
And then, so we get more comfortable with that, we're recognizing that when we're talking trash, when we're saying things aren't gonna get better, and then I want you to start paying attention, that thought comes up, this is never gonna get better, and instead of what you'd normally do, which is probably retreat, pull away, shut down, ignore, maybe go into a depressive episode, whatever it is, instead of doing that, we're not gonna do those things anymore.
我们要用不同的方式行动。
We're gonna act in a different way.
我们还是要去尝试。
We're gonna try anyways.
我认为,最好先从一些我称之为‘低风险’的事情开始,也就是那些即使失败也不会对我们造成伤害的小事。
And I think it's probably easiest if we try kind of what I'd call low threat things, meaning like small things that we would that aren't gonna hurt us if it doesn't happen.
比如,我们希望找一件不需要太多精力或准备的事情,举个例子,假设我们收到了老板的一封邮件,我们笃定这肯定不会成功,他们不会给我们加薪,于是我们觉得‘这太糟了’。
You know, we wanna have it be something that doesn't take a ton of energy or a ton of preparation, but it's like, let's say, I don't know, we got an email from our boss and we're just sure that it's not gonna work out and they're not gonna give us the raise that we asked for, and we're like, you know, this is all terrible.
如果这时我们不选择退缩和忽视,而是去核实一下事实呢?
What if instead of just retreating and ignoring, what if we checked a fact?
或者,如果我们去询问或跟进一下呢?
Or what if we asked or we followed up?
或者,与其假装一切都很糟糕、这个人讨厌我、事情永远没希望,然后冷处理、直接离开,不如我们主动靠近,尤其是当我们身边有亲近的人时,我们可以告诉他们:‘我刚才有一些消极的想法,感觉和你有点疏远。’
Or what if instead of pretending that everything's horrible and this person hates me and it's never gonna work out and we ghost and we leave, what if instead we lean in and we especially if there's someone close to us, we'd tell them, Hey, I'm just having some negative thoughts about this and feeling like not connected.
我们之间一切都好吗?
Everything's good with us, right?
对,我们要互相关心一下。
Right, we check-in.
测一下温度。
Take the temperature.
现在我知道我刚才提到的那些事情可能太强烈了。
Now I know those things I mentioned might be too intense.
你知道吗,当你意识到这种想法出现时,无论那种想退缩、想逃避、想关闭自己的行为是什么,我都希望你不要那样做。
You know what you find, you're gonna recognize when this is up and whatever that behavior is, when you wanna pull back, when you wanna retreat, when you wanna shut down, I want you to not.
我希望你无论如何都要继续尝试。
I want you to keep trying anyways.
我希望你向前推进,因为我们这样做是为了慢慢向我们的大脑和身体证明,我们确实对生活拥有一定的掌控力,我们可以采取某些方式来保持动力、持续前行,我们并不是无能为力的,我们其实是充满力量的。
I want you to push forward because we're doing this with the goal of slowly proving to our brain and body that we do have some agency over our life, that we can act in certain ways that keep us motivated, keep us going, and that we aren't helpless, that we're actually empowered.
但如果我们没有实际的经历来支撑,我们是不会相信这一点的。
But we're not gonna believe that if we don't have the experiences to back it up.
所以我们必须为这些经历创造空间。
And so we have to create space for those experiences to happen.
是的,这需要时间。
Yes, it takes time.
是的,这需要练习。
Yes, it takes practice.
你不是一夜之间学会这种习得性无助的,所以我们也不会一夜之间就摆脱它。
You didn't learn this learned helplessness overnight, so we're not gonna unlearn it overnight either.
所以请对自己耐心一点。
So be patient with yourself.
每次你做出不同的行为时,我希望你在心里庆祝一下,想着:卡蒂一定会非常兴奋。
And each time you act differently, want I you to like celebrate in your head, be like, Kati would be so excited.
她会像打开香槟一样庆祝,或者像吹响那些……叫什么来着?
She would be like popping the champagne or like blowing one of those, like, what are those called?
那些小派对小道具,会发出声音的,那东西叫什么?
Those little party favors that go, know, what are those things?
你知道我在说什么。
You know what I'm talking about.
我会为你做所有这些,因为我知道这有多不舒服,但我需要你无论如何都要去做。
I would be doing all of that for you because I know how uncomfortable it is, but I need you to do it anyways.
你需要深呼吸,静下心来面对它。
I need you to breathe and sit with it.
我们会慢慢向我们的大脑和身体证明,我们根本不是无能为力的。
And we'll slowly prove to our brain and body that we aren't helpless at all.
事实上,我们其实能掌控生活的很多方面,因为我们对自己拥有完全彻底的掌控权,明白吗?
In fact, we actually can control so much of our life because we have complete and total control over ourselves, okay?
我们继续看第六个问题。
Let's move on to question number six.
这个问题说,Kati,我放不下我的前男友。
This question says, Kati, I can't let go of my ex.
已经一年半了。
It's been a year and a half.
请帮帮我。
Please help me.
我喜欢这个问题。
I love this question.
这非常容易引起共鸣。
It's super relatable.
我认为我们每个人都曾在某个时刻想过,也许我们会复合。
I think all of us have at one point or another thought like, maybe we'll get back together.
事情可能会不一样。
Things could be different.
我们可以在一起非常幸福。
We could be so happy together.
我忘了那个词了,但其实心理学上有一个术语,用来描述只记得巅峰和结尾的体验。
And I'm forgetting the term, but there's actually a psychological, like, word that they created for the experience of only remembering, like, the peaks and the ending.
我刚才在视频里刚用过。
I just did it for a video.
如果你记得,刚看过那个视频的话,请告诉我。
If you remember, if you just watched that video, let me know.
请在评论区告诉我。
Let me know in the comments.
但我忘了它叫什么了。
But I'm forgetting what it's called.
就像是高峰和高峰效应,高峰和某种效应。
It's like the peak and the peak effect, peak and something effect.
但不管怎样,你只记得一段关系中的高潮和它的结局。
But anyways, you only remember the peaks of a relationship and how it ended.
如果你仔细想想,每当我们回望一段关系,尤其是当我们感到孤独和疏离时,我们会回望那段关系,只看到美好的部分。
And if you think about it, whenever we look back on a relationship, especially if we're lonely and feeling disconnected, we look back on that relationship and we only see the good things.
我们忘记了为什么分手。
We forget why we broke up.
我们忘记了这段关系为何恶化。
We forget why the relationship deteriorated.
我知道你们中有些人可能会想,是他们提的分手。
And I know for some of you might be like, well, they broke up with me.
通常都是有原因的。
There's usually a reason.
通常都会有一些隔阂,比如我们——我也经历过这样的关系——把一段关系想象成了它本来不是的样子。
There's usually some kind of disconnect, whether it was that we, and I've been in these relationships too, where we are making the relationship out to be something that it's not.
我可以做很大的梦,各位。
Like, I can dream a big dream, you guys.
我可以变得非常兴奋。
I can get so excited.
我热爱爱情。
I love love.
我可以非常浪漫,这很好,但也可能让我陷入灾难,因为我可能会想象一段关系充满激情、关爱、美好,并为我们勾勒出宏伟的未来。
I can be such a romantic, and that can be great, or it can be devastating for me because I can imagine a relationship to be like really intense and loving and caring and wonderful and create this big dream for the future for us.
而对方却觉得:‘嗯,她还行吧。’
And the other person is like, meh, she's okay, right?
当这段关系结束时,我会感到心碎。
And then I can be devastated when the relationship ends.
所以我认为,有时候我们不愿放走这些人,并不是因为这段关系健康、充满爱意和美好,而是因为我们只记得那些美好的部分。
And so I think sometimes when we don't let these people go, it's not because that relationship was healthy and loving and amazing, it's because we only remember the good parts.
因此,我要问你们一个问题,这是一个充满真挚关爱的艰难答案——我要你们做一件听起来很残酷的事,但这件事能帮助你真正放下。
And so I'm gonna ask you, this is that tough love answer, I'm gonna ask you to do something that sounds horrible, but is what's gonna help you let this go.
我希望你们转而回忆那些糟糕的时刻。
I want you instead to remember the bad times.
我希望你们花点时间想想他们让你经历的所有糟心事。
I want you to spend a little time thinking about all the shit they put you through.
他们是怎么伤透你的心的?
How did they break your heart?
他们是和你分手的吗?
Did they break up with you?
这一切是怎么发生的?
How did this happen?
他们说了什么?
What did they say?
他们根本没说什么吗?
Did they even say anything?
他们给你发过一些糟糕的短信吗?
Did they send you some shitty texts?
是不是像《欲望都市》那样,只留了张便利贴?
Is it like Sex and City where it was like a Post it note?
对不起。
I'm sorry.
做不到。
Can't.
别恨我。
Don't hate me.
到底发生了什么?
Like, what happened?
我希望你能诚实面对,记住那些糟糕的时光。
I want you to be honest and remember those bad times.
那些时候他们两天都不回你的消息,或者答应带你去某处却根本没有兑现。
The times they didn't respond to your text for two days, or they told you they're gonna take you somewhere and they didn't follow through.
当他们在非常重要的时刻突然消失,或者忘记给你买生日卡片——我这只是随便举些例子,但你知道我说的是什么。
When they decided to ghost you at a very important time or forgot to get you a birthday card, I'm just making up a bunch of stuff, but you know what I'm talking about.
我想让你正视这些垃圾,因为你一直在忽略它们。
I want you to acknowledge the garbage because you're overlooking it.
你戴着玫瑰色的眼镜看问题。
You've got rose colored glasses on.
你回望这段关系,觉得它本可以成为对的那一个。
You're looking back at this relationship thinking it could have been the thing.
这 Again,我知道这是个狠话,但我这么做是因为我们都经历过,你不仅需要有人把你摇醒,我坚信,真正属于你的东西,终究会成真。
And this is, again, I know this is a tough love answer, but I'm just doing it because we've all been there, and it's not as you just need someone to shake you out of it, but I am a firm believer in that the things that are meant to work out just do.
你逃不开属于你的东西。
You can't run from the things that are meant for you.
他们会找到你的。
They'll find you.
而且,你无法强求那些不属于你的东西。
And also, you can't chase things enough that aren't meant for you.
所以,如果某件事是属于你的,你逃不掉的。
So if something's meant for you, you can't get away from it.
它终将发生。
It's gonna happen.
做好准备。
Get ready.
如果某件事不属于你,不管你跑得多远、抗争多激烈、追逐多拼命、哭得多伤心,它都不会属于你。
And if something isn't meant for you, I don't care how much you run and fight and chase and cry, it's not coming for you.
我们越早承认这一点——包括我自己在内——你就越能感到自由。
And the sooner we can all acknowledge that, myself included, the freer you feel.
因为我的一生中,我不知道这是否能引起共鸣,但我一直觉得,只要我能掌控一切,我就是个控制狂,你们都知道这一点。
Because so much of my life, I don't know if this resonates with anybody, but I've felt like if I just control things, I'm such a control freak, you guys know this.
我正在恢复中,但还没完全好。
I'm like recovering, but still there.
我觉得如果我以某种方式行事——被动攻击,用特定方式说某句话,或者对这个人采取这种态度,就能让他们意识到;或者如果我表现得足够冷淡,肖恩就会问我为什么不开心,你知道的?
I think if I act in a certain way, passive aggressive, if I say this thing this some kind of way, or if I act this way around this person, then I'll get them to realize, or if I'm just put off enough, Sean will ask why I'm upset, you know?
不,这太不健康了。
No, that's so unhealthy.
直接说出来吧,坦率地说出来,对吧?
Come out and say it, say it directly, right?
但我却在试图控制那些我无法掌控的事情。
But I'm trying to control things that are out of my control.
我还在执着于不属于我的东西,拼命确保自己能做这件事,或者拥有那件东西,或者,你知道的,如果我再发一封邮件,他们就终于会给我升职,或者那笔交易就会成真。
And I'm trying to cling on to things that aren't mine, make sure that I can still do this thing or that I have that thing, or, you know, if I send that another email, then finally that they'll I'll get that promotion or that deal will come through.
不。
No.
不会的。
It won't.
我们已经做了所有应该做的事情。
We've done all the things that we're supposed to do.
你在那段关系中出现了。
You showed up in that relationship.
你为那个人付出了。
You were there for that person.
结果并不顺利。
It didn't work out.
我只是相信,事情本就该是这样发展的。
And I just believe that that's the way that things are supposed to be.
该成的事,自然就会成。
Things that work out just work.
回想你曾经拥有的任何关系,无论是友谊还是职业机会,那些顺利发生的事,都是因为它们本该如此。
If you think of any relationship you've ever had, whether it's a friendship or even an opportunity in your career, those are like things worked out because they were supposed to.
最近,我一直在思考我生命中的奇迹,那些发生的一切,没有理由,我也无法提前准备,甚至没有预料到,比如我遇见Sean的方式,或者我一些朋友的出现,所有让这些事最终实现的条件,都恰好凑齐了。
Lately, I've been thinking about like miracles in my life, like all the things that happened, there's no reason or I couldn't have prepared for it, I didn't expect it, even the way that I met Sean or even some of my friends, like all the things that had to fall into place for those things to come to fruition, it just did.
当一件事结束时,是因为它本就不该发生,对吧?
And when something ends, it's because it wasn't supposed to be, right?
那些事情就是没有凑在一起。
Those things just didn't line up.
我知道这又是个糟糕的答案,但我们得花些时间思考它为什么没成功的原因。
And I know that's a, again, shitty answer, but we're gonna have to spend some time thinking about the reasons that it didn't work.
我鼓励你,这将是下一个层次。
And I encourage you, and this is gonna be the next layer.
所以我们已经思考过它为什么没成功、对方做过的糟糕事,以及他们如何伤害了我们。
So we've thought about the reasons it didn't work and the shitty things they did and the ways that they hurt us.
然后,我希望你开始构想你下一段关系中想与之相伴的人是谁,这个人是谁?
And then I want you to start putting together who you think the next person you'd wanna be with, like who is this person?
他们长什么样子?
What do they look like?
他们具备哪些特质?
What types of attributes do they have?
他们诚实吗?
Are they honest?
他们友好吗?
Are they friendly?
他们外向吗?
Are they gregarious?
你想要一个特别健谈的人吗?
Do you want someone that's super chatty?
他们不太社交吗?
Are they not very social?
他们更喜欢待在家里吗?
Do they prefer to stay in?
他们喜欢旅行吗?
Do they like to travel or not?
他们喜欢狗、猫、豚鼠,或者别的什么动物吗?
Do they love dogs or cats or guinea pigs or whatever?
你知道吗,想想所有这些,因为我不想让你再纠结于那个已经离开我们、或者我们离开他、关系结束、一切都不顺利的过去的人,我希望你能展望未来,去遇见一个更适合你的人,一个不会让你悬而未决、真心想和你在一起、并以你需要的方式陪伴你的人。
You know, think about all of that because I want you instead of focusing on this past person who left us or we left them and it ended and things didn't work out, I want you to look forward to a different person who is a better fit for you, someone who doesn't leave you hanging and someone who wants to be with you and is showing up for you in the way that you need.
让我们聚焦于此。
Let's focus on that.
然后,我从我的朋友艾米那里听到了这些。
And then I got this from my friend Amy.
她不久前上过我的播客。
She was on my podcast a while ago.
如果你还没看过,我强烈建议你去看看。
If you didn't watch it, would encourage you to do do so.
但她提到,一旦你列出了你想与之相伴的人的特质,就要想象一下,你需要成为怎样的人,才能吸引这样的伴侣。
But she talked about once you have that list of who the person that you wanna be with is, then imagine who you need to become to attract that kind of person.
这能为你提供一些个人成长的方向。
And that gives you some of that personal work.
对吧?
Right?
如果那个人这么厉害,那我也得变得厉害才行。
Well, if that person's such a badass, then I need to be a badass.
好吧。
Okay.
那这意味着我得停止这些消极的自我对话了。
Well, then that means I gotta stop this negative self talk.
我得把事情理顺了。
I gotta get my shit together.
你知道的。
You know?
我得开始多出去走走了。
I need to need to start getting out more.
我得更友好一点,或者 whatever 吧。
I need to be friendlier or whatever it is.
对吧?
Right?
也许我该回去接受治疗,你知道的,那是什么呢?
Maybe I need to get back in therapy, you know, what is it?
我知道这可能不是你想要的答案,但我希望这能帮助你向前走。
I know that that might not be the answer you're looking for, but I'm hopeful that that's the answer that will help you move on.
因为当事情不如意时,我知道这令人崩溃。
Because when things don't work out, I know it's devastating.
我不指望你能迅速走出来,但一年半了,我想我们已经哀悼过了。
I don't expect you just to move on quickly, but a year and a half, I think we've grieved.
允许自己哀伤也没关系。
It's okay to let yourself grieve too.
也许另一部分原因是,你还没有让自己去感受它。
Maybe that's another piece of it is you haven't let yourself feel it.
但一旦我们做到了,就必须记住为什么这段关系结束了。
But once we've done that, then we have to remember why it ended.
我们常常假装,倾向于只看到积极的一面。
We often pretend, we like tend to just look at the positives.
坚持下去,好吗?
Hang in there, okay?
外面一定有个人非常适合你,不会像这次这样让你觉得这么艰难,好吗?
There's somebody out there for you that will be a perfect fit that won't feel like such a battle like this one, okay?
我们来回答第七个问题。
Moving on to question seven.
这个问题说:嗨,卡蒂,希望你过得不错。
This question says, Hey, Kati, hope you're doing well.
我很好,希望你也不错。
I am, I hope you're doing well.
谢谢你在这个频道所做的一切。
Thank you for everything you do in this channel.
治疗对我来说太贵了,而你的视频非常有帮助。
Therapy is so hard to afford for me and your videos have been very helpful.
我太高兴了,太好了。
I'm so glad, yay.
你能谈谈社交焦虑和有毒羞耻感吗?
Can you talk about social anxiety and toxic shame?
因为社交焦虑,我避开了很多社交场合,也不敢独自做事情。
Because of social anxiety, I avoided lots of social situations and was scared to do things on my own too.
我没有经历很多同龄人经历的事情。
I didn't experience many things that people my age did.
我觉得自己对朋友来说是个负担,他们只是在礼貌地对待我。
I feel like I'm a burden for my friends and they are just being nice.
哦,听听你这种自我对话。
Oh, listen to that self talk.
好吧,我甚至不会深入讨论社交焦虑。
Okay, I'm not even gonna really talk about social anxiety.
我要谈谈羞耻感,因为不知出于什么原因,我鼓励你以好奇而非评判的态度去看待这一点。
I'm gonna talk about the shame because you have, for whatever reason, and I'd encourage you to be curious, not judgmental about this.
你觉得为什么回避社交或在社交中感到困难会让你觉得自己是个负担?
Why do you think that you avoiding social things or having a tough time with it has made you a burden.
我们是从哪里听到这种说法的?
Where did we hear that?
或者我们为什么会有这种想法?
Or why do we think that?
这种信念是从哪里来的?
Where does that belief come from?
我希望你能保持好奇。
I want you be curious.
再次强调,不要评判,只是好奇。
Again, not judgmental, just curious.
我们只是在这里做一些侦探工作,对吧?
We're just doing some detective work here, right?
你内心有一种评判,它让你相信,因为你的社交焦虑,你本身就有问题。
There's some kind of judgment that you have in there that has caused you to believe that because of your social anxiety that something's wrong with you.
因为羞耻感,记住,不是那种‘对不起’,也不是我做错了什么或者我感到尴尬。
Because shame, remember, isn't like, oh, sorry, it isn't that I did something wrong or that, I'm embarrassed.
我觉得自己本质上就有问题,好像我坏了。
It's something's intrinsically wrong with me, like I'm broken.
我很想知道这种信念是从哪里来的。
And I'm curious where that belief came from.
这可能与你对自己说话的方式有关。
It might be in the way that you talk to yourself.
如果是这样,那你就能明白我的意思了。
If that's the case, then you can kinda see where I'm going with this.
我们需要做一些过渡性的表达,对吧?
We're gonna have to do some bridge statements, right?
过渡性表达是对我们自我对话方式的小调整,从消极转向积极。
Bridge statements are small shifts in the way that we talk to ourselves, moving it from a negative into a positive.
记住,我们不能一下子跳得太远。
Remember, we can't do that huge jump.
那就像有毒的积极心态。
That's like toxic positivity.
比如你心里想,我真蠢、又胖又丑,然后突然之间你对自己说,不,我美丽极了,聪明绝顶,还是这世上最棒的人,你的大脑肯定会说:什么?
Like if you think, oh, I'm so stupid, fat, ugly, and then all of a sudden you're like, no, I'm beautiful, super intelligent, and, you know, the wonder most wonderful person on this earth, your brain's gonna be like, what?
我们不相信这种话。
We don't believe that.
我们已经相信这种想法很久了。
We've been believing this forever.
我们怎么能一下子跳到那种想法呢?
How are we gonna jump to this?
我们必须搭一座桥。
We have to build a bridge.
所以我们得从‘我是朋友的负担’开始搭桥。
So we're gonna build a bridge from, I'm a burden to my friends.
我太难搞了,或者类似这样的话。
I'm so difficult or whatever.
这些只是我在这里听到的一些想法。
Those are just the things I'm kind of hearing through here.
我比同龄人落后了。
I'm behind for my age.
我们要构建一个过渡性的陈述,比如:也许我的朋友们并不觉得我像自己想的那样是个负担。
And we're going to bridge statement it where we're like, it's possible that maybe my friends don't think I'm quite as big of a burden as I think I am.
也许,有可能,我们并不确定。
Maybe, possibly, we don't know.
我没那么严重。
I'm just not quite as big.
听起来很相似,但我不知道你怎么样,我一说就能感觉到差别。
And that sounds so similar, but I don't know about you, I can feel the difference when I say it.
感觉完全不同。
It feels very different.
我认为当我们对自己说那些刻薄的话时,我们会说得那么确凿、那么直接,仿佛这就是真相,砰。
I think when we say nasty statements to ourself, we say them so factual, so direct that like, this is the truth, boom.
事情就是这样,等等,句号。
This is how it's happening, yada, period.
而且我们把它说得像事实一样,砰。
And we it's like factual, boom.
但当我们稍微放宽一点,说‘有可能,这也许是对的’,我们就打开了它可能并不完全真实的可能。
But when we open it up a little bit and we're like, it's possible, maybe this could be true, we open it up to it might not be fully true.
它并没有说这不是真的。
It doesn't say it's not true.
它也没有说这是真的。
It doesn't say it is true.
我们正处在中间,而真正的成长恰恰就发生在这里。
We're right in that middle and that's really where growth can happen.
在这里,我们才能开始改变与自己的对话方式。
That's where we can start changing the conversation that we have with ourselves.
我甚至想进一步挑战你,去寻找一些事实来证明你并不是负担,你只是恰好处在你需要的位置。
And I would even challenge you further to look for some facts to support the fact that you are not a burden and that you are just where you need to be.
我们找到我们所寻找的东西。
We find what we look for.
就像你终于看到一辆新车,然后你就会发现,天啊,现在到处都是这种车。
It's like when you finally see a car, a new car out, and you're like, oh my god, now I see it everywhere.
比如那款Rivian皮卡,我发誓有一阵子我到处都能看到它。
Like that Rivian truck, I swear I saw it everywhere for a while.
我当时想,天啊,每个人都有这种车。
I was like, oh my god, everybody has them.
没有。
No.
我只是知道了那是什么,然后就开始到处看到它。
I just knew what it was, and then I started to see it everywhere.
所以,如果你在寻找某样东西,你就会找到它。
And so I want you, if you're looking for it, you will find it.
我希望你去寻找那些能证明你是个很棒的朋友、朋友们爱你、你不是负担的证据。
I want you to look for things that support the fact that you are a wonderful friend and your friends love you, you are not a burden.
我希望你去寻找那些能证明你正处在应该在的位置、你一点也不落后、你正在做你能做到的事情的证据。
I want you to look for things that prove that you are right where you're supposed to be, that you're not behind at all, that you're doing the things that you can do.
去找那些事情,因为你一定会找到,但我们必须主动去寻找。
Look for those things because you'll find them, but we have to look for them.
我们常常只关注负面的东西,这就是所谓的负面偏见,对吧?
We often just look for the things, it's the negative bias, right?
我们的大脑倾向于寻找威胁,因此它总是寻找支持负面情绪的证据,这毫无帮助,只会让我们感觉糟糕。
Our brain wants to look for threats, so therefore it means it's always looking for things to support the negative, not helpful, makes us feel like shit.
那我们来试试看,然后回来汇报一下,好吗?
So let's give that a go and then report back, okay?
最后一个问题是,第八个问题说:嘿,卡蒂,什么时候是寻求心理咨询的合适时机?
Final question, question number eight says, hey, Kati, when is the right time to seek therapy?
我非常喜欢这个问题。
I love this question.
我已经感到精疲力尽和疲惫至少三年了。
I've been feeling burnt out and exhausted for at least three years.
我觉得什么方法都没用。
I feel like nothing is helping.
寻求治疗的正确时间就是今天,甚至是昨天。
The right time to seek therapy is today, yesterday, in fact.
我坚信每个人都能从治疗中受益。
I believe firmly that everyone can benefit from therapy.
我也亲身经历过,从15岁起就断断续续接受治疗,事实上,当我意识到自己需要重新开始治疗时,通常要过六个月才会付诸行动。
And I also know and speak from, I've been in and out of therapy since I was 15, and the truth is that when I know I need to get back in therapy, it probably takes me a good six months before I do it.
我只是坦诚相告。
I'm just being honest.
所以不要因为自己拖延了这么久而自责。
So no judgment that it's taken you a while.
我也要花很长时间才去。
It takes me a while.
为什么呢?
Why?
因为太贵了。
It's expensive.
这很耗时。
It's time consuming.
我也刚搬到一个新地方,得找一个新的治疗师。
I also I'm in a new area and I'd have to find a new therapist.
你知道,所有这些都可能让人感到压力。
You know, all of that can be stressful.
这可能很难。
It can be hard.
但事实是,寻求治疗的最好时机就是现在。
But the truth is the right time to seek therapy is now.
如果我们曾经感到不知所措,曾经感到压力山大——我们其实一直如此,拥有一位治疗师能为我们提供一个安全的空间来倾诉。
If we've ever felt overwhelmed, if ever felt stressed out, we all do all the time, having a therapist in place can really give us that safe space to talk about it.
在我们一天或一生中的其他任何时刻,都不可能有整整五十分钟或一小时,完全专注于我们自己、我们的想法和感受,有人静静地陪伴、倾听——我们在生活的其他任何地方都得不到这样的时刻。
There's never another time in our day or in our life where we get like fifty minutes or an hour just dedicated to us, what we're thinking, how we're feeling, having someone sit there and hold the space and listen, we don't get that in any other part of our life.
因此,这真的很重要。
And so it's really important.
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