It is hard to believe it has been a year since the horrifying Taliban takeover of Afghanistan. Admittedly, I was barely aware of the US’ 20-year “involvement” there until the messy and controversial evacuation. My limited knowledge of the place was only from the novels of Khaled Hosseini, some of which were so sad as to be almost unbearable to get through. I would ask myself: how did it happen that I was born here and those women were born there, and how do they endure such lives? 

With interest, I heard a young American war veteran talking about his experience in Afghanistan, which sounded much like how I remember young soldiers in my youth describing their experience of the Vietnam war. They had no idea what they were doing there or why. I was also surprised and gratified to hear the Public Radio commentator explaining the recently identified category of trauma referred to as “moral injury.” This is the trauma of being forced to witness or commit acts that painfully conflict with one’s own values, morals and beliefs. Often moral injury occurs in the line of duty: military, medical, where the survivor is faced with impossible choices or no choice at all. Of course, we know it also occurs plenty in families. This young veteran, only 20 years old, was talking about that. What a terrible burden to live out one’s days under such a yoke of grief, regret, remorse, guilt, anger and helplessness.

I remember when I was barely old enough to talk, my mother shaking her head and exclaiming, “I hate war!” in the same fierce tone as she sometimes said, “I hate alcohol!” She described herself as a pacifist, so I learned that word early. She loved Gandhi and Martin Luther King, and I remember her having a bumper sticker or a sign (I am not sure) that said “No War Toys.” Even though we were a family of all girls so it was not an issue for us, she was among a group of women opposed to little boys playing with guns, which it seemed like they all did. From an early age, I remember finding war horrifying, incomprehensible and frightening. I rarely watched a movie or read a book about it. In the Vietnam era, I was staunchly antiwar and active, but never quite knew or understood what was going on. Just that I hated it.

The first Monday in September is Labor Day here in the US. It was always the last blush of summer before school started when I was growing up. Now the kids go back to school in August, which is a crime against nature as far as I am concerned. Labor Day originated as a national holiday in 1894, designed to honor and appreciate the efforts and the contribution of the working class who, in the words of the founder of the American Federation of Labor, “from rude nature have delved and carved all the grandeur we behold.” 

Although our family was not exactly working class, our dad had many sweaty jobs up until our adolescence, and I always felt an affinity and identification with work. When I started college in 1973, Cesar Chaves had just begun organizing the United Farm Workers. Picketing the local Safeway Store, marching and chanting the iceberg lettuce and grape boycotts was the weekly Saturday morning social event throughout my first year. I loved it.

I started washing the neighbors’ cars for $2.00 or babysitting for 50 cents an hour before I reached my teens, and by the time I was fourteen, I had my own little housecleaning business, where I amassed the small fortune that would eventually put me through school. In those days, the University of California tuition was $234.00 a quarter, so $1,000.00 would cover at least the tuition part of a year.

Like many a child of neglect, although the relationship was in most ways beyond me, I was a star in the sphere of work. I could out-effort pretty much anyone, and was just OCD enough to maintain an impeccable standard. Of course, those rich people whose mansions I cleaned loved me, and whatever the job, I took great pride in being the best I could be. Years later, I came across an antique-style framed sign in a little collectible shop that said in bold letters, Work Hard and Be Nice. I bought it, and some 25 years later, it is still prominently displayed in my bathroom. Words to live by.

From an early age, I harbored both fascination and perhaps preoccupation with the body. Certainly my own, but really everyone’s. I was curious about sex, obsessed about food and weight, athletics, healing, all of it. I did not think I was smart enough to be a doctor, but I thought about it. In graduate school, I chose a specialization in somatics, even though back then, somatic psychotherapy did not have nearly the foundation of science and neuroscience it has now. I pored over Wilhelm Reich’s Function of the Orgasm because it integrated the essential worlds of psychology, sexuality, and politics in a way that profoundly resonated with me, those being three areas of exploration that consumed me and still do. I am gratified that the body has come to occupy center stage in the field of trauma, and even in a weird way, how the pandemic has forced us all to be mindful of the body and of health. It has also illustrated how profoundly matters of the body affect our mental health and even vice versa and worldwide.

Admittedly, I neglected the vast population of disabled or “differently abled” people. I don’t know if out of fear, denial, or simply oblivion. Another population that is invisible and forgotten, abandoned or cast out. I remember telling my husband early in our relationship, “if ever I can’t move, please shoot me.” I simply could not imagine being able to live if not fully “able-bodied.” (I am ashamed to remember it.) Our office has an elevator and a “disabled” parking space. I figured I was “doing my share.” Oy vey.

I recently heard an interview with a young woman introduced as a blind, queer, African American hip hop artist, Young Ant. She was talking about disability in the music industry, and what it is like to be a blind performer – something I had never thought about. Watching her rap and dance on YouTube was eye-opening. I had never considered how a performer finds their way gracefully onstage, dances, and looks cool moving, not to mention the accessibility issues of most or certainly many venues. Ant is on a mission to awaken the world to this.

I was impressed by the recently released movie, Box of Rain, a movie not about the Grateful Dead, but about the culture of Dead Heads, by the mention that way back in the 1970s, the Dead had a little platform in the audience at their shows for wheelchairs. That was radical in its time: the same era in which then-President Nixon killed what would have been the Americans with Disabilities Act. Many species destroy or abandon their “imperfect” young, and sadly, many human parents and fellow citizens are not much better. I am humbled to find another “blind spot” in my awareness, another big point of neglect and injustice.    

A man featured in Box of Rain, a longtime Dead Head, was Jim LeBrecht, who worked as the sound engineer for the Dead for many years. He is also a longtime friend of my best friend. Of course, I was excited to tell her about seeing Jim in this new movie. She asked me if I had ever seen another movie he had produced, Crip Camp, about a summer camp in the Catskill mountains of New York, specifically for disabled kids. I was intrigued.

Rarely have I seen a more moving and graphic depiction of the power of affiliation, what it is like to be in a group of others with a similar experience to one’s own. In the world of trauma and neglect, we are well aware of the power of the group: what it is like to be in the company of others with some sort of similar experience who understand without any words. Some of us have had the good fortune to have been in such a group and found it indescribable. I am not much of a movie person, as I always say, “I am way too stingy with my reading time,” but this one is a must-see (and it is available on Netflix).

The film also makes a powerful point of how (yes, we ever return to it) the original attachment with primary caregivers so profoundly affects the sense of self. The film opens with Jim narrating, 

“When I was born,” he says, “they did not expect me to live more than a couple of hours.” In the visual footage, a grainy old black and white home movie, we see little Jimmy as a toddler, blissfully happy, laughing and ambling, climbing and tumbling on his plump little arms. Although we do not see his parents, it appears that he feels secure and safe enough to explore widely, move and grow, even to become the teenager who has the gumption and grit to imagine and aspire, hope, and actually become the sound engineer for his favorite band. And those parents obviously got him to Camp Jened, lovingly referred to as “Crip Camp.”

At camp, everyone had one or another disability, and for the first time ever, felt free and accepted. They did what all kids do at summer camp: sports, art, music, experiencing nature and the outdoors, and communal living. With a culture of non-judgment and helpfulness, they pushed each other’s wheelchairs, carried those that needed it, and understood each other’s sometimes strained or challenged speech.   

In the larger world, apparently, there is a definite hierarchy or pecking order of disabilities, with the “Polios” at the top rung and the “CP’s” (those with cerebral palsy) at the bottom. Not here. It was moving to see how carefully and thoughtfully the “CP’s” difficult verbalizations were both listened to and comprehended, sometimes “translated” or summarized by a comrade. And my memory was jogged.

I remembered a time, the one time in my long and sweaty waitressing career, that I waited on a really famous person. I worked in a fancy place not far from UC Berkeley and had the honor of serving a large dinner party celebrating the luminary physicist, Stephen Hawking. I watched the tiny man in his wheelchair, fitted out with many super-high-tech devices to help him communicate with the throng of scientists and other intellectuals fawning over him, myself included. What a rarity in today’s “ability-supremacist” world.

My favorite part of Crip Camp was when a “CP” named Judy laughingly told the story, in her somewhat garbled speech, “I was getting older, and I did not want to die a virgin! With a twinkle she declared, “So I had an affair with the bus driver! A week or so later, I had a terrible abdominal pain. I went to the doctor and turned up a diagnosis of gonorrhea. The doctor was flabbergasted, incredulous! He could not imagine that anyone would want to f— me! As soon as I got well, I went back to school and got a master’s degree to become a sexuality educator.” Judy became an activist and vocally championed the cause of disabled sexuality. She also married happily, although she laughingly added, “my in-laws accepted me, but they said to their son, ‘couldn’t you have at least married a ‘Polio?’”

Alarmed by the barrage of horrifying mass shootings in the US of late, we are all shaking our heads and wondering, “what is happening to us? What is going on here? What does this mean?” Researchers have been looking into what, to me, are “new” places in an effort to comprehend what appears to be a not only alarming but growing trend. The most recent run of rampages, apparently neither politically, racially, nor ideologically motivated, have sent some researchers to the internet to track shooters’ “online footprints” in search of warning clues or explanations. 

In studying the most recent suspect in the “Highland Park” mass shooting, experts discovered a trail that I certainly had no awareness of. I, of course, am no paragon of savvy about what goes on in the online or social media worlds. Tracing the 21-year-old shooter’s recent activity, including his online activity, revealed a startling, dramatic, and relatively new cyber sub-world or underworld. Emerging in the last couple of years, it was certainly new to me. 

This new genre of online communities consists of blood, gore, nihilism and the creation of fictional identities exhibiting and glorifying those traits. Particularly jarring, according to researchers, is the way they appear to blur reality and fantasy, creating a psychotic-like confusion of Self. An opportunity to “be” someone else, and then an obscuring of identification of who I am “really.” Designed to be immersive, “viral”, or result in prolonged and repetitive hours of “play,” apart from whatever the psychological impact of such horror might be, combines with the still not fully understood brain impact of protracted screen time, on especially developing brains. And these sites tend to be most frequented by young people between 13 and 21 years of age. We see, in effect, a scrambling of alarming content with a potential for brain damage, precisely in prime years of identity formation and brain development. Where I might be inclined to exclaim “oy vey!” that would seem trivializing here. Throw in the context of climate change, and any vision of the future may seem apocalyptically blighted.    

In June in San Francisco, the city is more colorful than ever, with rainbow flags billowing gaily in the wind. We live blocks from the famed Castro District, which is community and home to a large number of LGBTQ inhabitants. 

June is Pride Month, and for the last two years of the pandemic, festivities of all kinds have been toned down or cancelled, like everything else. As with all other re-openings, restoring some sort of “normal”, even if it is a “new normal”, brings a wash of feelings and memories. For some reason, I found myself drifting back to thoughts of my childhood friend, Jimmy (not his real name).

I was in 6th grade, and Jimmy was in 7th. He was a gangly, goofy smiling blond, and I was a too-sensitive, introverted bookworm. We were a pair: two invisible misfits who found each other and somehow became best friends. I would join Jimmy on his paper route, and we would spend hours pedaling our clunky three-speed bikes around the neighborhood long after the deliveries were done. We could joke, and Jimmy also had the depth that we could talk about serious things. And that we also endlessly did. 

As ever, my memory is spotty, and I don’t remember how we lost touch with each other for many years. I was in my middle 30s when I heard from Jimmy again. He had become a top fashion model in Milan. He was gorgeous; well, the glossy magazine photos of him were. But now it was the 1980s, the height of the AIDS epidemic, when it was a most terrifying and a pretty inevitable death sentence for those infected. When he contacted me, Jimmy was very sick. Once back in touch,  I spent as much of the short time he had left with him as I could. 

Jimmy wanted to talk about dying, and he said no one wanted to talk about that. We talked and talked, just like we always had. I don’t remember much at all, except how soon he died and how tragic it was. A tragedy sadly shared by many, if not all of us in my generation here in SF.

Most tragic of all, perhaps, Jimmy’s very religious parents, who had always seemed like such “nice” people and who had not known he was gay until after he got sick, distanced themselves and disowned him. They just could not accept it. He had always been invisible and disconnected from them, and now in his final days, more than ever. And then he died. Terribly neglected as a child, he was completely abandoned in his darkest and final hours. I am so sad about this and also deeply sad that my memory is so raggedly incomplete. I wish I could honor Jimmy with fuller recollection, and I wish I had it for myself.

Doggedly committed as I am to therapy modalities that diverge from the “talking cure” I must admit that I love words. In the last few years, maybe since the internet became such a rapid-fire vehicle of fad and fashion, I have noticed with curiosity how certain words and phrases seem to be echoing everywhere, suddenly out of the blue. About a year or so ago, I noticed first with one client, almost every utterance ended with…”do you know what I mean?” At first, I thought she must feel uncertain about whether or not I am hearing or understanding her, a typical neglect issue. Then I began noticing those words everywhere, and still do. I have heard something similar with the term “gaslight,” which has become a household word. I don’t recall hearing it bandied around until somewhat recently. 

I remember the old classic movie, Gaslight, from which it emerged. Always a Hitchcock fan, I loved it, although it was not Hitchcock, but similar in vintage and style. For those who have not seen it, it is well worth watching, the story of a beautiful, wealthy young woman being swindled into believing lies that cast her perception/sanity into question, enabling her handsome and conniving beau to viciously rip her off. I won’t spoil it here, but rather say that “gaslight” has evolved into a verb meaning deception such as to confound one’s own perception of reality, even sanity, into confusion, doubt, or outright disbelief. It is truly “crazy-making.”

An undeniable factor in what the lasting impact of trauma and neglect will be, is the response, or not of important caregivers or important others, to a child’s distress. Parental, or authority denying, ignoring, minimizing or outright blaming for the child’s experience may be even more injurious than the original injury. Sadly, we know how much this happens.

In the case of neglect, where there is often “nothing” to point to, it can be all the more confusing. The child may wonder, “why do I feel so bad?” or so hated, worthless, forgotten, excluded… all the ways that a child of neglect will feel. It is insidious. And the more we learn as a field about developmental trauma including neglect, because it defies perhaps our deepest human and mammalian need: the need to be attached and connected, is perhaps the most devastating trauma of all. 

I had one client who struggled to make sense out of her history, and when she finally did, and tried to talk to her mother about it, her mother’s retort was “Unless you say that did not happen, we simply can’t have a relationship.” The young woman felt ripped apart, rather like “Sophie’s Choice.” She felt in a position to choose between herself and her own integrity; and her essential longing and need for her mother’s love. She could not resolve it, her mother ultimately died, and she was left haunted with the pain, remorse, guilt and confusion.  This is a big part of why I am on a mission to “correct” or re-cast the story of “nothing happened to me.” Not in a gaslighting sense, but rather in a “fact-finding” sense.

It was possibly 25 years ago now, at one of the few and far-between trauma conferences. I always had to travel far to get to them in those days and usually felt small and decidedly not smart enough. I always sat in the front row so I would not miss anything, devouring all the information. 

Trauma was new to the mainstream psychotherapy world then. Even more embryonically new was the appearance of the brain anywhere on the psychotherapy map, and trauma led the charge. Fighting the age-old belief that I was a girl/dummy at math and science, I struggled with what was, to me, a fascinating new dialect.

The speaker was a young woman, fresh out of medical school who looked about 25. She presented the case of a couple trapped in their car in a catastrophic accident. The husband, flooded with herculean fight-flight strength, smashed his way out of the crumpled vehicle, beat the passenger side window in and pulled his wide-eyed wife out. Seized with incapacitating terror, the wife had plunged into a catatonic freeze state. 

Later, when safely in the emergency room, their brains were scanned. As we would expect, the husband’s brain showed the limbic fight-flight response lit up like a supernova. However, when the speaker showed the slide of the wife’s brain, the entire conference room uttered a shocked gasp in unison. It was completely dark. Nothing was firing at all.

Recently I read a brief story about California Senator Dianne Feinstein, a recent target of loud complaints about “cognitive decline” due to her advanced age of 88. Feinstein equally loudly and vehemently disputes the claims, arguing that she is doing just fine. Alongside the article I pondered the decidedly unflattering photo, her incensed expression seemed to say “says who?!” Granted it is certainly hard to measure mental competence from the inside. (In AA they say “You can’t fix your broken tool with your broken tool,” and I suppose the same can be said, at least to some extent, of self-assessment.) 

Admittedly, I am not neutral about DiFi, as she is affectionately called by many. It was she in 1978 who, after blithely walking into his office, shockingly found the brutally murdered body of her friend and California’s first openly gay elected official, Harvey Milk. Her courage, grace and heart in handling that trauma earned her my eternal positive regard. I suppose I forgive her (and even her billionaire husband,) rather a lot. But the article reminded me of the ever-present reality of age.

I remember my grandmother lamenting for years that “the golden age is not so golden.” She was born in 1887 and I was born in 1955. So, when I was born, she was 68, barely a year older than I am now. My entire life, she had white hair, she always seemed ancient to me. Her husband, my grandfather, had died before I was born, meaning she lived alone as a partnerless widow for virtually all of her middle to later years. Also, for me unimaginable. But I never thought much about age.