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With vision loss, we experience a wide range of emotions.

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In this episode, clinical psychologist, Dr. Ann Wagner

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and Hadley's Marc Arneson, join us to share

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how learning from and connecting with our emotions

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can bring about healing and transformation.

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I'm Ricky Enger and this is "Hadley Presents."

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Welcome to "Hadley Presents Dr. Ann Wagner."

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Thank you so much for joining us today on the show.

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I'm glad to be here.

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I've been eagerly counting down the days for this episode.

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Aw.

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I am. I'm really excited about this conversation.

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Even some of the questions that we came up with,

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I'm really excited to have this talk.

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Honestly, I know it's not always easy,

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and I'm sure in your experience you come across this.

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It's not always easy or even comfortable

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to talk about some of the difficult emotions

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that can come with vision loss

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and the importance of connecting with others.

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I can't imagine it's always easy or comfortable,

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but I think it's such an important conversation to have.

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So I'm grateful to have you on the show today.

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Thank you.

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Dr. Wagner, Ann, I have some questions for you

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that I was hoping we could run through,

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but before we get to those,

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do you mind just sharing a little bit about yourself?

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Yeah.

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I am legally blind due to retinitis pigmentosa,

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it's an autosomal dominant form.

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And I had genetic testing and it's PRPF3,

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which means if you have this particular gene type,

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you have the symptoms and any children you have

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will have a 50-50 chance of inheriting the eye disease.

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So my grandpa had five kids, three of them inherited RP,

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and one of those was my mom.

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My mom and dad had five children

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and four of us inherited RP.

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So I kind of grew up in a blind culture

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where everybody understood

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that retinitis pigmentosa primarily involves

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progressive loss of the peripheral vision and night vision.

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So we have worsening tunnel vision,

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worsening night blindness.

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In childhood is when the night blindness

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is usually quite evident

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and then the acuity is affected more

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in our later teens, early 20s.

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So my mom, her vision met the standards for legal blindness

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when she was 16 due to the severity of the tunnel vision.

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I was 18 when my vision loss met those requirements.

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Growing up in this blind culture meant I had support,

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I had people who understood what I was going through,

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and the sighted people in our lives kinda knew

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what we needed and what we didn't need.

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And so I know how lucky I am for that,

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and I have a lot of gratitude.

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Currently, my vision is quite impaired.

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I have end stage complications

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that would take a while to explain, but I'm pretty blind.

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I have some light vision left.

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With ideal lighting conditions and contrast,

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I can still make out some shapes,

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but that's where my vision is at now.

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Professionally, I am

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a board-certified clinical psychologist,

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and I've worked 26 years at the Minneapolis VA

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Healthcare System on the PTSD clinical team.

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In the field I'm considered a trauma specialist,

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but everyone on our team was also considered a generalist.

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I loved my work at the VA. I am now retired.

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But even though I'm retired,

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I'm still required to make a disclaimer

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that the views I express today are my own

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in my role as a citizen psychologist.

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The views do not represent any official views

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of the federal government

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or the Department of Veterans Affairs.

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I just felt I needed to say that.

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But even though I'm retired, I'm still professionally active

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with some consulting work and invited guest speaking,

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particularly on topics related to mental health

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and vision loss.

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Speaking of that, I've had a chance to hear you speak

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a few different times, and I've listened

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to some of the conversations that you've had

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and in some of your presentations.

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You talk about this concept of complex grief.

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I was wondering, just to get started,

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do you mind sharing with me a little bit about

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what that means and maybe how it relates to vision loss?

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Yeah.

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I think complex grief can resonate with a lot of people

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experiencing any kind of progressive medical condition

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where each incremental change in the condition

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can mean it affects different areas of functioning.

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So particularly with progressive vision loss,

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every degree of peripheral vision or loss of acuity

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can potentially result in additional losses

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of independent functioning.

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So with each loss of independent functioning

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or an activity of daily living becoming more challenging,

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there's going to be grief attached

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to each of those with different meanings attached.

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And so it's by no means simple. It is quite complex.

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And there's a nuance there

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that I don't think a lot of people are aware of.

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But whenever we have to pause and do some problem solving

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to do something differently, to try to figure out ways...

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If we learn new blind skills,

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is there a way we can continue

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to do something independently?

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Or the time it takes to utilize resources

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or connect to supports to still engage in activities,

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we value that time and our relationship

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to time becomes an area of grief

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in the sense that I know how I would most want

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to spend my time.

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And yet, to adapt and to move forward,

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I'm going to have to dedicate some time

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to the problem solving and to figuring things out.

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So there's a loss there,

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a loss of maybe what we call the freedom

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of how we want to use our time,

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and those are the things we do to adapt

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and we make all sorts of sacrifices in life

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to do things that are important

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that may not be our preferred,

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but it's part of that complex grief process.

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It's fascinating.

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I think you talked about some of the different challenges

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that can come with vision loss,

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and I know the day-to-day challenges.

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I've heard a lot of folks talking about

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trying to discover new ways to do things

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that have now become more challenging.

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I've also heard a lot of people that I've talked to

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share that the emotional challenges

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that come with vision loss

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can be even more difficult sometimes

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than the physical or practical challenges

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that come with vision loss.

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I know, emotions, we all have them, right?

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Some are pleasant, some are not pleasant at all.

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But I'm curious, do you mind sharing a little bit about

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what our emotions tell us and is there something

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that we can learn from those emotions?

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Yeah. In fact, they tell us a lot.

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They actually tell us who we are at our core

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and what matters to us.

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There's a principle that's shared

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by a couple of different therapy models.

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It's this principle or idea that emotions only show up

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to tell us what we value,

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what we hold dear, what matters to us.

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The problem is that the more painful emotions,

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we've been exposed to programming and messages and judgments

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that somehow we're not supposed to feel what we feel

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unless we're presenting as happy.

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We've learned all sorts of avoidance patterns

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or self-protective patterns that distance us

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from our own core emotions

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when actually they are so important to connect to

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and to understand.

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And so to illustrate, I use this idea every day myself,

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and I used it in almost every course of therapy,

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this foundational principle

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of connecting to our core emotions

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to listen to what they're telling us

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and to process them in a naturally healing way.

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I'd like to share stories in my examples

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of how things work if that's okay.

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Great, I'd love that. Yes.

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Yay. Good.

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I have a grandson who is almost two years old,

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and when I connect to this truth

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that I'm not able to see his face,

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then a couple of emotions show up.

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Helplessness and grief.

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When I think about what are these emotions telling me

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about what I care about, to start with,

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the helplessness is a very important emotion.

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It's probably the one we struggle with the most.

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It's the one that shows up when we wish

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we could control something that we really can't.

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So it tells us two truths.

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First, it tells us the truth about

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the limits of our control.

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And actually we only have control over one thing in life,

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and that's what we choose to do

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in this one moment right now.

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That's it. We don't have any control.

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If controllability was a scale, I'd say we have zero control

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over the past because we don't have a time machine,

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or the future because we don't have a time machine.

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We have zero control over what people say,

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what they do, what they feel or what they believe.

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We actually have no direct control.

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So really we have no control over anything

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except what we do in this one moment.

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The helplessness is telling me I can't control the fact

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that in this moment I can't see my grandson's face.

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But then helplessness always tells us a second truth.

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That we care about something.

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So it's trying to help us connect to that core deep sense of

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where our most important values are.

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Otherwise, it doesn't even show up

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if it's not something we care about that we can't control.

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That makes sense. Yeah.
It's telling me

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that I care about something.

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So if we were to give a name to a person

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who always told us the truth

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and always also tried to tell us what matters to us,

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we might call that person a friend.

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Yet we have been taught to struggle with helplessness.

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It shows up hundreds of times every day

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because of the things we can't control.

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And yet we've been taught to struggle with it

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and to keep trying to control things we can't.

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And that's wasted energy and can create suffering.

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And that helplessness rarely shows up alone.

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It almost always is going to show with other emotions

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that will help with that second piece

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of what is it that I care about?

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So grief shows up in this example

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where I can't see my grandson's face.

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And the grief emotions show up to tell us

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that we are holding an attachment.

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We form attachments to people, to things and to ideas.

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We have many attachments to ideas.

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Our preferred ideas are wantings. We might call hopes.

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We might give them different names.

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But I clearly have an attachment to this idea

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of being able to see my grandson's face.

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So when life gives us information on our actual experience

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and some truths show up that say that this idea

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that you're attached to is not going to happen,

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then we have to detach from that attachment

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and let that idea go and that's grief.

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Grief and loss.

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And depending on how deep or meaningful that attachment is,

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whether it's to a person, to a thing or to an idea,

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the level of pain of that grief will be higher or lower.

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So grief is telling us that when we're actually feeling it

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and allowing it to flow like waves

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it means we are connecting to truth.

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We're not in denial. And that's important.

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The helplessness and grief are showing up

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when I connect to this idea and this truth.

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I can't see my grandson's face and I wish I could.

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So I'm going to go through the steps of connecting

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how these emotions are telling me what I care about.

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So I'll ask myself why does that matter to me?

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And then I'll connect to this other idea.

256
00:12:13.560 --> 00:12:16.830
Well, I don't want to miss a single nuance

257
00:12:16.830 --> 00:12:18.543
of my experience with him.

258
00:12:19.756 --> 00:12:22.950
And then I'll ask, well, why is that important to me?

259
00:12:22.950 --> 00:12:24.840
And then I can feel when I'm connected

260
00:12:24.840 --> 00:12:26.853
to the deep core, core values,

261
00:12:28.020 --> 00:12:30.510
what I stand for is deep, enduring,

262
00:12:30.510 --> 00:12:33.600
loving relationships with the people I love.

263
00:12:33.600 --> 00:12:37.020
And for all of those, I wouldn't want to miss nuances.

264
00:12:37.020 --> 00:12:40.953
But when I connect to that deeper core value,

265
00:12:41.970 --> 00:12:44.700
openings always happen because there are going to be

266
00:12:44.700 --> 00:12:47.280
other ideas that I can connect to then for

267
00:12:47.280 --> 00:12:50.370
how I can act on that core value

268
00:12:50.370 --> 00:12:54.660
even if this one idea cannot be acted on.

269
00:12:54.660 --> 00:12:57.870
When I connect to that, often memories or ideas

270
00:12:57.870 --> 00:13:01.080
from other people in my life might show up

271
00:13:01.080 --> 00:13:02.730
that were meaningful to me.

272
00:13:02.730 --> 00:13:07.730
In this example, when I connect to being a loving person,

273
00:13:08.070 --> 00:13:12.630
I have memories of my mom, and my mom died in 2017

274
00:13:12.630 --> 00:13:14.430
from pancreatic cancer,

275
00:13:14.430 --> 00:13:18.180
but she was an incredible role model in my life.

276
00:13:18.180 --> 00:13:21.870
We grew up on a farm and she worked hard on that farm

277
00:13:21.870 --> 00:13:24.480
just like us, even though she was blind.

278
00:13:24.480 --> 00:13:29.480
So my mom, by the time her grandchildren started showing up,

279
00:13:29.849 --> 00:13:31.863
she couldn't see their faces.

280
00:13:32.749 --> 00:13:37.208
From the day they were born, whenever she'd be holding them,

281
00:13:37.208 --> 00:13:41.220
many times, she would say, "I'm going to braille your face."

282
00:13:41.220 --> 00:13:43.560
And she would feel their faces.

283
00:13:43.560 --> 00:13:46.440
Then as they grew up, she'd say, "It's been a while.

284
00:13:46.440 --> 00:13:49.950
I'm going to braille your face to see how you're changing."

285
00:13:49.950 --> 00:13:52.200
They just grew up knowing grandma

286
00:13:52.200 --> 00:13:54.360
was going to braille their faces.

287
00:13:54.360 --> 00:13:56.730
When my nieces were in their teens,

288
00:13:56.730 --> 00:14:00.120
for some reason when they had school dances

289
00:14:00.120 --> 00:14:02.250
or other events where they were going to dress up,

290
00:14:02.250 --> 00:14:04.860
they liked to bring their makeup and clothes

291
00:14:04.860 --> 00:14:07.170
to my parents' house to get ready there.

292
00:14:07.170 --> 00:14:09.270
I'd be visiting sometimes,

293
00:14:09.270 --> 00:14:13.080
and my nieces would hog the back bedroom and the bathroom

294
00:14:13.080 --> 00:14:15.553
until they were ready and then they'd come out

295
00:14:15.553 --> 00:14:17.767
all beautiful in their dresses and they say,

296
00:14:17.767 --> 00:14:20.277
"Grandma, we're ready for you to braille us."

297
00:14:21.261 --> 00:14:26.261
The room would just become filled with their giggles

298
00:14:27.000 --> 00:14:31.080
and laughter and chatter and my mom's oohs and ahs,

299
00:14:31.080 --> 00:14:36.080
as she brailled their faces, gently touched their hairdos,

300
00:14:36.450 --> 00:14:39.810
felt the bows or ruffles, whatever their dresses were.

301
00:14:39.810 --> 00:14:42.660
She'd ask them to describe the colors.

302
00:14:42.660 --> 00:14:47.660
And the room would just be filled with joy and delight.

303
00:14:48.420 --> 00:14:52.560
And it didn't matter one bit that she couldn't see them.

304
00:14:52.560 --> 00:14:55.740
Those memories I connect to.

305
00:14:55.740 --> 00:14:57.023
Yeah.

306
00:14:57.023 --> 00:15:01.950
I have a grandson who is almost three years old.

307
00:15:01.950 --> 00:15:06.950
From the time of his birth till today when I hold him,

308
00:15:08.160 --> 00:15:10.227
I say, "I'm going to braille your face,"

309
00:15:11.370 --> 00:15:14.170
and I touch his sweet face and his chubby cheeks

310
00:15:15.180 --> 00:15:19.203
and feel his hair and his little hands and feet,

311
00:15:20.220 --> 00:15:22.860
and I am just filled with so many emotions.

312
00:15:22.860 --> 00:15:26.310
And again, emotions show up to tell us what we care about.

313
00:15:26.310 --> 00:15:29.250
Yes, there's the grief and loss

314
00:15:29.250 --> 00:15:33.933
of not being able to see his face, but also missing my mom.

315
00:15:34.830 --> 00:15:37.350
I understand what that emotion is telling me,

316
00:15:37.350 --> 00:15:40.140
and I respect it, and I even have compassion

317
00:15:40.140 --> 00:15:43.137
for that emotion because it's affirming who I am,

318
00:15:43.137 --> 00:15:47.730
and I also feel such gratitude for having such a loving mom.

319
00:15:47.730 --> 00:15:50.313
I feel closer to her in those moments.

320
00:15:51.150 --> 00:15:55.770
So every emotion tells us very important information

321
00:15:55.770 --> 00:15:57.480
if we can open to it

322
00:15:57.480 --> 00:16:00.213
and learn about our emotional world better.

323
00:16:01.110 --> 00:16:02.790
Those are wonderful stories, Ann.

324
00:16:02.790 --> 00:16:05.460
I so appreciate you sharing those stories

325
00:16:05.460 --> 00:16:07.800
and just the importance of understanding

326
00:16:07.800 --> 00:16:10.740
how our emotions show us what's meaningful to us.

327
00:16:10.740 --> 00:16:11.943
I imagine though,

328
00:16:12.900 --> 00:16:15.120
it seems like you've really developed a skill

329
00:16:15.120 --> 00:16:18.750
to be able to step back and recognize the importance

330
00:16:18.750 --> 00:16:20.250
of this emotion, and I think you said

331
00:16:20.250 --> 00:16:23.850
even have compassion for it at affirming who you are.

332
00:16:23.850 --> 00:16:25.410
I imagine for a lot of folks though,

333
00:16:25.410 --> 00:16:27.840
it's tough to step back from these really difficult

334
00:16:27.840 --> 00:16:29.580
and painful emotions like helplessness

335
00:16:29.580 --> 00:16:33.660
and grief or sadness or anger and look at it

336
00:16:33.660 --> 00:16:35.883
in the same way that you're able to do that.

337
00:16:36.998 --> 00:16:38.970
I imagine sometimes getting other people

338
00:16:38.970 --> 00:16:41.550
to help you understand what those emotions

339
00:16:41.550 --> 00:16:44.070
are telling you could be really important as well,

340
00:16:44.070 --> 00:16:46.739
whether that's a close friend or a professional.

341
00:16:46.739 --> 00:16:50.610
I've heard you talk about this concept or idea

342
00:16:50.610 --> 00:16:53.970
of village moments and connectedness

343
00:16:53.970 --> 00:16:55.380
and the importance of relationships.

344
00:16:55.380 --> 00:16:58.890
Do you mind sharing a little bit more about the idea

345
00:16:58.890 --> 00:17:01.350
of village moments and why they're important,

346
00:17:01.350 --> 00:17:04.290
particularly for folks living with vision loss?

347
00:17:04.290 --> 00:17:05.123
Yeah.

348
00:17:06.313 --> 00:17:11.313
I have this idea that in the very early years of humanity,

349
00:17:12.000 --> 00:17:15.840
our ancestors were probably all in villages

350
00:17:15.840 --> 00:17:20.840
where they felt seen and known and secure

351
00:17:20.850 --> 00:17:24.180
with people knowing what things came easily for us

352
00:17:24.180 --> 00:17:27.000
or what things were more challenging.

353
00:17:27.000 --> 00:17:29.640
And when there was something weighing heavy on us,

354
00:17:29.640 --> 00:17:32.670
we had people to listen and be there.

355
00:17:32.670 --> 00:17:35.610
And we are still born as social creatures,

356
00:17:35.610 --> 00:17:38.793
and of course we need a sense of belongingness.

357
00:17:39.750 --> 00:17:42.210
There's a theory from the '70s

358
00:17:42.210 --> 00:17:43.770
called the social buffering theory.

359
00:17:43.770 --> 00:17:45.966
At least I think it was the '70s.

360
00:17:45.966 --> 00:17:50.550
That when we have adequate social support,

361
00:17:50.550 --> 00:17:53.013
and by that I mean emotional support,

362
00:17:53.880 --> 00:17:56.820
it can buffer the negative effects of stressors

363
00:17:56.820 --> 00:18:00.390
in our lives, even trauma level.

364
00:18:00.390 --> 00:18:04.230
And that a lot of people think the support that's needed

365
00:18:04.230 --> 00:18:09.230
is advice and that's not really what I'm talking about.

366
00:18:09.420 --> 00:18:13.380
We need to feel a sense of safety and security

367
00:18:13.380 --> 00:18:16.320
in our sharings of our deeper emotional pain

368
00:18:16.320 --> 00:18:18.330
or even moments of joy.

369
00:18:18.330 --> 00:18:19.297
Sometimes we just feel like,

370
00:18:19.297 --> 00:18:22.470
"Oh, I want to share this story with someone,"

371
00:18:22.470 --> 00:18:25.357
because it gives us that sense of belongingness.

372
00:18:25.357 --> 00:18:28.170
When two people show up, being able

373
00:18:28.170 --> 00:18:33.170
to share from this deep, real, and authentic place,

374
00:18:33.390 --> 00:18:35.160
I call that village moments.

375
00:18:35.160 --> 00:18:36.960
And it's where healing can happen,

376
00:18:36.960 --> 00:18:39.180
and transformation can happen.

377
00:18:39.180 --> 00:18:41.430
If we don't have people in our lives

378
00:18:41.430 --> 00:18:44.040
that we can feel that level of security

379
00:18:44.040 --> 00:18:47.760
or even within ourselves, if we've had so much programming

380
00:18:47.760 --> 00:18:51.630
that we just don't feel safe to open up to that deeper pain

381
00:18:51.630 --> 00:18:54.810
within ourselves, then find a professional.

382
00:18:54.810 --> 00:18:59.430
But I like to share this idea by Diana Fosha.

383
00:18:59.430 --> 00:19:01.200
She developed accelerated

384
00:19:01.200 --> 00:19:04.153
experiential dynamic psychotherapy.

385
00:19:04.153 --> 00:19:06.600
In some of her writings she talks about

386
00:19:06.600 --> 00:19:09.540
how really the core of human suffering

387
00:19:09.540 --> 00:19:11.793
is profound loneliness.

388
00:19:13.110 --> 00:19:17.160
When we do experience something really painful

389
00:19:17.160 --> 00:19:19.950
and we don't feel that sense of security

390
00:19:19.950 --> 00:19:24.450
and safety that we can share and not feel judged

391
00:19:24.450 --> 00:19:27.150
or have somebody still feel distant from us

392
00:19:27.150 --> 00:19:31.223
because they're in their head thinking of advice to give us

393
00:19:31.223 --> 00:19:33.840
instead of just really being with us,

394
00:19:33.840 --> 00:19:36.840
we are going to learn all sorts of ways

395
00:19:36.840 --> 00:19:41.840
to protect from the feeling of the painful emotion,

396
00:19:42.180 --> 00:19:45.226
and we're going to feel that deep loneliness.

397
00:19:45.226 --> 00:19:48.183
When you feel so alone with that kind of pain,

398
00:19:49.410 --> 00:19:51.240
it's really painful.

399
00:19:51.240 --> 00:19:55.140
So, I had many veterans over the years talk about

400
00:19:55.140 --> 00:19:57.640
when we're processing trauma memories

401
00:19:58.500 --> 00:20:02.670
or other healing work that they wanted to do in the therapy,

402
00:20:02.670 --> 00:20:05.460
and I would share words from other veterans

403
00:20:05.460 --> 00:20:07.170
to see if they resonated with them.

404
00:20:07.170 --> 00:20:08.227
I'd tell them that some people say,

405
00:20:08.227 --> 00:20:09.970
"Yes, there's incredible pain

406
00:20:10.890 --> 00:20:13.800
related to the trauma memory itself,

407
00:20:13.800 --> 00:20:17.820
but what's even more painful is feeling alone with it."

408
00:20:17.820 --> 00:20:21.240
And I would have veterans start to cry at that point

409
00:20:21.240 --> 00:20:22.710
and they're like, "Yes, I connect

410
00:20:22.710 --> 00:20:24.810
to what those other veterans were saying."

411
00:20:25.770 --> 00:20:28.650
And so this profound loneliness.

412
00:20:28.650 --> 00:20:31.950
It's important to validate those experiences

413
00:20:31.950 --> 00:20:34.470
and it's so important to feel heard.

414
00:20:34.470 --> 00:20:36.450
If we don't have people in our lives

415
00:20:36.450 --> 00:20:40.140
that we can feel that level of safety and security to share

416
00:20:40.140 --> 00:20:41.880
and trust that we won't be judged

417
00:20:41.880 --> 00:20:44.550
or that they're going to just give us advice

418
00:20:44.550 --> 00:20:46.530
that we're not asking for,

419
00:20:46.530 --> 00:20:51.210
then trying to find a therapist is highly recommended.

420
00:20:51.210 --> 00:20:54.600
I like to help with stigma. It's decreasing.

421
00:20:54.600 --> 00:20:57.120
I think every year the stigma

422
00:20:57.120 --> 00:20:59.790
against seeking mental health care

423
00:20:59.790 --> 00:21:01.830
is getting better and better and better

424
00:21:01.830 --> 00:21:05.370
because so many people know it's healthy.

425
00:21:05.370 --> 00:21:07.770
It's like you're going to exercise for your health.

426
00:21:07.770 --> 00:21:09.930
You can seek therapy for your health.

427
00:21:09.930 --> 00:21:12.450
I'm very open that I sought therapy.

428
00:21:12.450 --> 00:21:13.560
People with vision loss

429
00:21:13.560 --> 00:21:16.770
are at higher risk for anxiety and depression,

430
00:21:16.770 --> 00:21:20.250
and I had more of the anxiety side to things here.

431
00:21:20.250 --> 00:21:25.020
So I completed a course of therapy for anxiety,

432
00:21:25.020 --> 00:21:27.570
and it was incredibly helpful and I felt heard

433
00:21:27.570 --> 00:21:30.630
and understood, and that's so important.

434
00:21:30.630 --> 00:21:31.560
Yeah.

435
00:21:31.560 --> 00:21:32.730
And I love the concept

436
00:21:32.730 --> 00:21:35.820
of village moments, this connectedness.

437
00:21:35.820 --> 00:21:38.090
So that's kind of what we were made for

438
00:21:38.090 --> 00:21:39.960
is what I'm hearing you say as well.

439
00:21:39.960 --> 00:21:40.830
Yeah.

440
00:21:40.830 --> 00:21:45.150
We were made for relationships and connection.

441
00:21:45.150 --> 00:21:47.670
A lot of the folks that find us here at Hadley

442
00:21:47.670 --> 00:21:50.040
are new to vision loss.

443
00:21:50.040 --> 00:21:53.730
They're kind of new to this whole way of life.

444
00:21:53.730 --> 00:21:55.080
Can you talk a little bit about

445
00:21:55.080 --> 00:21:57.780
how that might even have more of an effect

446
00:21:57.780 --> 00:22:01.503
on these feelings of loneliness or isolation?

447
00:22:02.370 --> 00:22:03.203
Yeah.

448
00:22:03.203 --> 00:22:05.250
Well, 10 to 20%

449
00:22:05.250 --> 00:22:10.250
of retinitis pigmentosa gene types are recessive,

450
00:22:11.310 --> 00:22:13.830
which means there isn't going to be another person

451
00:22:13.830 --> 00:22:16.080
in their family probably.

452
00:22:16.080 --> 00:22:19.020
Like I had this incredible blessing

453
00:22:19.020 --> 00:22:23.700
of growing up in a blind culture, but most people are alone.

454
00:22:23.700 --> 00:22:25.080
They don't have role models.

455
00:22:25.080 --> 00:22:28.770
They don't know anybody else experiencing vision loss

456
00:22:28.770 --> 00:22:33.770
and that would feel so, so lonely and kind of scary.

457
00:22:36.510 --> 00:22:41.510
That's why resources and connecting to communities

458
00:22:41.550 --> 00:22:45.030
that support people with vision loss is just so important.

459
00:22:45.030 --> 00:22:47.880
I wouldn't want anybody to go through this alone.

460
00:22:47.880 --> 00:22:50.490
That would be so overwhelming.

461
00:22:50.490 --> 00:22:53.040
That's why I loved hearing about Hadley Helps

462
00:22:53.040 --> 00:22:56.153
and your peer-to-peer program, connecting people one-on-one

463
00:22:56.153 --> 00:22:58.350
so they can do their deeper sharing

464
00:22:58.350 --> 00:23:01.740
or all the different things you're doing.

465
00:23:01.740 --> 00:23:04.800
Foundation Fighting Blindness also has,

466
00:23:04.800 --> 00:23:06.630
each state has its own chapter

467
00:23:06.630 --> 00:23:09.930
and communities of support are happening through that.

468
00:23:09.930 --> 00:23:12.330
There are resources out there.

469
00:23:12.330 --> 00:23:15.390
And state services for the blind

470
00:23:15.390 --> 00:23:19.260
or the vocational rehabilitation programs in most states

471
00:23:19.260 --> 00:23:23.670
have vision rehab, rehabilitation services

472
00:23:23.670 --> 00:23:28.670
that can also help with adjustment by experts who can help.

473
00:23:28.740 --> 00:23:30.660
So that can help people feel

474
00:23:30.660 --> 00:23:35.220
a little less alone and with people who understand.

475
00:23:35.220 --> 00:23:36.053
Yeah.

476
00:23:36.960 --> 00:23:39.300
Part of my job is just getting to know folks

477
00:23:39.300 --> 00:23:41.450
and spending some time hearing their story.

478
00:23:43.110 --> 00:23:45.037
When I hear people talk about, like

479
00:23:45.037 --> 00:23:47.490
"I don't know anybody else who's visually impaired.

480
00:23:47.490 --> 00:23:49.469
I'm kind of in this by myself,"

481
00:23:49.469 --> 00:23:51.750
it just makes me want to feel like we're here

482
00:23:51.750 --> 00:23:53.640
and we want to connect you with somebody.

483
00:23:53.640 --> 00:23:56.460
I'm glad you mentioned our peer-to-peer program.

484
00:23:56.460 --> 00:23:58.200
One of the women that I met, she shared

485
00:23:58.200 --> 00:24:02.340
that she lives with her husband in the same house together,

486
00:24:02.340 --> 00:24:04.230
and she has grown children

487
00:24:04.230 --> 00:24:06.600
that come and visit quite frequently,

488
00:24:06.600 --> 00:24:09.480
and grandkids that are kind of running around the room.

489
00:24:09.480 --> 00:24:12.750
And she said, "With all these people in my life,

490
00:24:12.750 --> 00:24:13.800
everything that's going on,"

491
00:24:13.800 --> 00:24:16.080
she's like, "I've never felt so alone.

492
00:24:16.080 --> 00:24:17.910
Because of my vision loss,

493
00:24:17.910 --> 00:24:20.520
I don't feel like I have somebody to talk to about it.

494
00:24:20.520 --> 00:24:22.800
If I could just spend time with somebody

495
00:24:22.800 --> 00:24:25.140
who understands what I'm going through,

496
00:24:25.140 --> 00:24:26.640
I think that would make all the difference."

497
00:24:26.640 --> 00:24:28.650
And so we were able to connect her

498
00:24:28.650 --> 00:24:29.820
in our peer-to-peer program

499
00:24:29.820 --> 00:24:31.770
with somebody who had a similar eye condition

500
00:24:31.770 --> 00:24:33.150
and similar life experiences.

501
00:24:33.150 --> 00:24:36.600
And she said, "This was the missing piece for me."

502
00:24:36.600 --> 00:24:40.110
Which is just so fulfilling to hear comments like that.

503
00:24:40.110 --> 00:24:43.590
Yeah. And she was listening our core selves.

504
00:24:43.590 --> 00:24:45.990
It's a theory, but I absolutely believe it's true

505
00:24:45.990 --> 00:24:48.660
that we all have an adaptive energy

506
00:24:48.660 --> 00:24:53.370
that we can connect to or wants us to connect to it

507
00:24:53.370 --> 00:24:57.300
to help adjust and cope as part of resiliency.

508
00:24:57.300 --> 00:24:59.827
And she was listening to her core self saying,

509
00:24:59.827 --> 00:25:02.820
"If I just had somebody I could talk to

510
00:25:02.820 --> 00:25:04.620
who might understand."

511
00:25:04.620 --> 00:25:08.370
She knew what she needed, what feels healthy and healing

512
00:25:08.370 --> 00:25:09.423
and what doesn't.

513
00:25:10.320 --> 00:25:11.463
That's so lovely.

514
00:25:13.961 --> 00:25:17.460
I just hope more and more programs can find ways to help

515
00:25:17.460 --> 00:25:21.180
because the anticipated rates of people with vision loss

516
00:25:21.180 --> 00:25:24.360
are growing as people live longer

517
00:25:24.360 --> 00:25:28.650
and there's a lot of people experiencing vision loss

518
00:25:28.650 --> 00:25:29.866
or who will.

519
00:25:29.866 --> 00:25:30.817
That's right.

520
00:25:30.817 --> 00:25:33.930
You know, I imagine, you know,

521
00:25:33.930 --> 00:25:37.170
all this complex grief you talk about, all these emotions

522
00:25:37.170 --> 00:25:39.880
that can just kind of overwhelm us sometimes

523
00:25:40.890 --> 00:25:43.980
and with these challenges that come with vision loss.

524
00:25:43.980 --> 00:25:46.110
I imagine it can sometimes consume you

525
00:25:46.110 --> 00:25:47.280
even to the point where you feel like,

526
00:25:47.280 --> 00:25:49.443
okay, this is who I am now.

527
00:25:51.082 --> 00:25:52.350
It forces us to form new identity.

528
00:25:52.350 --> 00:25:53.700
Have you felt that way yourself,

529
00:25:53.700 --> 00:25:55.560
and what would you offer to folks

530
00:25:55.560 --> 00:25:58.350
who might be feeling that way as well?

531
00:25:58.350 --> 00:26:01.050
Yeah. It's such a good question.

532
00:26:01.050 --> 00:26:04.800
When I started wanting to date, I would lead with,

533
00:26:04.800 --> 00:26:05.930
by the way...

534
00:26:05.930 --> 00:26:08.310
At that point, I wasn't using my white cane yet.

535
00:26:08.310 --> 00:26:10.203
You couldn't tell by looking at me.

536
00:26:11.340 --> 00:26:13.410
I would let people know, "Hey, I'm losing my vision."

537
00:26:13.410 --> 00:26:16.290
And I led with that as if that was my identity,

538
00:26:16.290 --> 00:26:18.157
because I wanted them to have a chance to say,

539
00:26:18.157 --> 00:26:22.047
"Oh, I don't want that to be with somebody

540
00:26:22.047 --> 00:26:24.390
with blindness in my life."

541
00:26:24.390 --> 00:26:28.740
And yet, because of my own personal growth and work

542
00:26:28.740 --> 00:26:32.760
and these concepts I learned from my professional work,

543
00:26:32.760 --> 00:26:35.400
I absolutely no longer feel

544
00:26:35.400 --> 00:26:38.400
like I have that internalized self-esteem

545
00:26:38.400 --> 00:26:40.113
as somehow being less than.

546
00:26:41.250 --> 00:26:44.130
Being surrounded by such a loving partner

547
00:26:44.130 --> 00:26:46.020
who treats me as an equal

548
00:26:46.020 --> 00:26:49.893
and just lovely friends and of course my family.

549
00:26:51.270 --> 00:26:54.130
But what's helped me in particular

550
00:26:55.140 --> 00:26:58.620
is this principle from narrative therapy

551
00:26:58.620 --> 00:27:03.620
about the idea of how problems are external to who we are.

552
00:27:03.720 --> 00:27:06.420
To recognize that the blindness,

553
00:27:06.420 --> 00:27:09.030
it's an experience I'm having.

554
00:27:09.030 --> 00:27:13.110
It's separate from me, the whole person who I am.

555
00:27:13.110 --> 00:27:14.730
And it may walk alongside me

556
00:27:14.730 --> 00:27:16.260
and it's going to have its effects

557
00:27:16.260 --> 00:27:19.320
and each of those effects are an experience.

558
00:27:19.320 --> 00:27:21.240
They're not who I am.

559
00:27:21.240 --> 00:27:26.130
So I will refer to blindness moments of humor and hilarity

560
00:27:26.130 --> 00:27:27.940
because they certainly help create

561
00:27:29.280 --> 00:27:31.740
as well as, of course, moments of grief

562
00:27:31.740 --> 00:27:35.310
and sorrow and other emotions of frustration.

563
00:27:35.310 --> 00:27:38.553
But I am not the blindness. I'm Ann.

564
00:27:39.660 --> 00:27:43.740
Our identities are really more about what do you stand for,

565
00:27:43.740 --> 00:27:45.540
what matters to you.

566
00:27:45.540 --> 00:27:49.320
And we can live those values in many, many different ways.

567
00:27:49.320 --> 00:27:51.810
The disabilities or the limitations,

568
00:27:51.810 --> 00:27:56.400
whatever word we choose to use to describe bodily changes

569
00:27:56.400 --> 00:28:00.060
or losses of vision, those are just companions

570
00:28:00.060 --> 00:28:03.420
that maybe we didn't want in our lives,

571
00:28:03.420 --> 00:28:07.140
but we can actually, potentially at least, respect

572
00:28:07.140 --> 00:28:09.630
and appreciate that they're external to us

573
00:28:09.630 --> 00:28:11.910
and we can give them our own names.

574
00:28:11.910 --> 00:28:15.930
I know mine, I'll be free in my transparency.

575
00:28:15.930 --> 00:28:17.340
I tend to fret.

576
00:28:17.340 --> 00:28:21.390
I'm a bit of a worrier. And that was part of...

577
00:28:21.390 --> 00:28:23.670
So staying in my head with the worry thoughts of

578
00:28:23.670 --> 00:28:25.440
what if this or what if that.

579
00:28:25.440 --> 00:28:28.650
The what-ifs kind of keep me in my head,

580
00:28:28.650 --> 00:28:31.923
and it is a form of distancing from my core emotions.

581
00:28:33.030 --> 00:28:35.070
So I name my patterns.

582
00:28:35.070 --> 00:28:37.560
I've recognized when that's showing up

583
00:28:37.560 --> 00:28:39.270
that there's a need for me to slow down

584
00:28:39.270 --> 00:28:41.250
and think about what is the core emotion really

585
00:28:41.250 --> 00:28:44.940
that I'm trying to avoid here and to learn to be with it.

586
00:28:44.940 --> 00:28:47.940
But I name all my protective patterns Melvin.

587
00:28:47.940 --> 00:28:48.773
Melvin.

588
00:28:48.773 --> 00:28:51.033
Melvin, yeah. So that's one of my Melvins.

589
00:28:52.890 --> 00:28:57.047
No offense to anybody named Melvin. It's a fine name.

590
00:28:57.047 --> 00:28:59.370
It just helps me smile

591
00:28:59.370 --> 00:29:01.260
and it helps me relate to the patterns

592
00:29:01.260 --> 00:29:04.650
in a completely non-judgmental way.

593
00:29:04.650 --> 00:29:07.920
These patterns were programmed. None of us are to blame.

594
00:29:07.920 --> 00:29:11.340
We've all been taught these messages

595
00:29:11.340 --> 00:29:13.950
to try to avoid what we feel.

596
00:29:13.950 --> 00:29:18.633
So that's one of my Melvins. And overthinking.

597
00:29:18.633 --> 00:29:23.610
There's a lot of things, but I named mine Melvins.

598
00:29:23.610 --> 00:29:27.210
What I encourage people when they're looking at the patterns

599
00:29:27.210 --> 00:29:28.980
of things they're doing is just ask,

600
00:29:28.980 --> 00:29:31.500
is this a valued activity?

601
00:29:31.500 --> 00:29:33.033
Is it meaningful to me?

602
00:29:33.881 --> 00:29:38.520
Is it feeling helpful in some way that feels healthy?

603
00:29:38.520 --> 00:29:42.390
Or is it potentially one of those self-protective patterns?

604
00:29:42.390 --> 00:29:45.150
Because I'm not feeling like I can safely

605
00:29:45.150 --> 00:29:48.780
or securely connect to what's going on deeper

606
00:29:48.780 --> 00:29:53.490
and start to consider ways to maybe connect to your emotions

607
00:29:53.490 --> 00:29:58.020
or take a risk to share with somebody and see how it goes.

608
00:29:58.020 --> 00:30:01.320
And I will tell people, and it's what I do,

609
00:30:01.320 --> 00:30:05.190
is I will ask Eric, for example, my husband,

610
00:30:05.190 --> 00:30:07.740
when I'm feeling the need to just feel heard,

611
00:30:07.740 --> 00:30:09.480
I'll set the frame in advance.

612
00:30:09.480 --> 00:30:12.390
I'll say, "There's something kind of weighing on me

613
00:30:12.390 --> 00:30:14.970
that's feels kind of heavy and I want to share it,

614
00:30:14.970 --> 00:30:19.970
and I really just need you to listen and just love me.

615
00:30:20.023 --> 00:30:24.447
Just care for me. I'm not asking for any kind of advice."

616
00:30:25.290 --> 00:30:28.470
So letting people know that upfront helps a lot.

617
00:30:28.470 --> 00:30:29.303
That's a great idea.

618
00:30:29.303 --> 00:30:33.540
And I'll validate when somebody does give advice.

619
00:30:33.540 --> 00:30:35.430
I know they're trying to be helpful

620
00:30:35.430 --> 00:30:36.570
because they care about me.

621
00:30:36.570 --> 00:30:40.890
That action is quite valued for people giving it,

622
00:30:40.890 --> 00:30:44.220
but they just don't understand in the moment

623
00:30:44.220 --> 00:30:45.900
what I really need.

624
00:30:45.900 --> 00:30:49.560
Or they're feeling so uncomfortable with my distress

625
00:30:49.560 --> 00:30:50.760
that they want to ease it,

626
00:30:50.760 --> 00:30:52.770
so their minds are giving them an idea,

627
00:30:52.770 --> 00:30:54.780
and they become very attached to that idea.

628
00:30:54.780 --> 00:30:57.510
Like, "Oh, if they just do this, this and this,

629
00:30:57.510 --> 00:30:59.160
then Ann won't feel this distress.

630
00:30:59.160 --> 00:31:01.257
So I'm going to give her this idea."

631
00:31:01.257 --> 00:31:03.787
So we get attached to our own ideas like,

632
00:31:03.787 --> 00:31:06.660
"Oh, if somebody just does this, they'll feel better."

633
00:31:06.660 --> 00:31:10.440
Because we care and we want that, but look what's happening.

634
00:31:10.440 --> 00:31:12.720
We're getting attached to an idea

635
00:31:12.720 --> 00:31:16.020
and we're putting it at the foot of somebody else

636
00:31:16.020 --> 00:31:17.820
without necessarily checking in:

637
00:31:17.820 --> 00:31:20.313
is that what they're wanting or needing from us?

638
00:31:21.600 --> 00:31:25.020
And it happens so fast and so subtly

639
00:31:25.020 --> 00:31:28.440
that I just encourage people to check in with each other.

640
00:31:28.440 --> 00:31:30.780
What is it you're needing?

641
00:31:30.780 --> 00:31:32.880
Or, hey, I'm really going to try to work

642
00:31:32.880 --> 00:31:35.370
on being just a listener.

643
00:31:35.370 --> 00:31:38.100
And even though my mind may give me ideas to give advice,

644
00:31:38.100 --> 00:31:40.890
I'm going to try to just observe that chatter

645
00:31:40.890 --> 00:31:45.390
and still show up in a real way with the people I love.

646
00:31:45.390 --> 00:31:50.130
And again, when I heard about your approach

647
00:31:50.130 --> 00:31:52.770
with that help desk and the peer to peer,

648
00:31:54.300 --> 00:31:57.810
my core just felt this warmth and respect for you

649
00:31:57.810 --> 00:32:01.860
and having help staff because you're...

650
00:32:01.860 --> 00:32:04.440
It's like you're all psychodynamic therapists.

651
00:32:04.440 --> 00:32:07.500
You know the importance of belongingness

652
00:32:07.500 --> 00:32:10.590
and just being with it is actually healing

653
00:32:10.590 --> 00:32:13.323
and it's doing something so important.

654
00:32:14.640 --> 00:32:16.860
Well, Ann, I want to thank you so much

655
00:32:16.860 --> 00:32:19.260
for just spending this time with me here today.

656
00:32:19.260 --> 00:32:20.700
I know when we put this on the calendar,

657
00:32:20.700 --> 00:32:22.860
I was eagerly anticipating it,

658
00:32:22.860 --> 00:32:24.630
and it was well worth the wait.

659
00:32:24.630 --> 00:32:25.770
Such a wonderful conversation.

660
00:32:25.770 --> 00:32:28.620
I feel like we could keep talking all day too.

661
00:32:28.620 --> 00:32:30.060
But maybe you'd be willing to join us

662
00:32:30.060 --> 00:32:34.410
on another episode down the road here in the future.

663
00:32:34.410 --> 00:32:35.640
Absolutely.

664
00:32:35.640 --> 00:32:36.750
Yeah.

665
00:32:36.750 --> 00:32:40.950
Your personal stories, I just appreciate you being so open

666
00:32:40.950 --> 00:32:44.130
and just sharing those and then your professional insights

667
00:32:44.130 --> 00:32:45.720
I think are so helpful.

668
00:32:45.720 --> 00:32:47.220
So again, just thank you.

669
00:32:47.220 --> 00:32:49.170
Thank you so much for this conversation today.

670
00:32:49.170 --> 00:32:50.670
I really appreciate it.

671
00:32:50.670 --> 00:32:52.263
You're welcome. Thank you.

672
00:32:53.790 --> 00:32:55.470
Got something to say?

673
00:32:55.470 --> 00:32:58.890
Share your thoughts about this episode of "Hadley Presents"

674
00:32:58.890 --> 00:33:01.500
or make suggestions for future episodes.

675
00:33:01.500 --> 00:33:03.210
We'd love to hear from you.

676
00:33:03.210 --> 00:33:08.190
Send us an email at podcast@hadleyhelps.org.

677
00:33:08.190 --> 00:33:13.190
That's podcast@hadleyhelps.org.

678
00:33:14.700 --> 00:33:19.410
Or leave us a message at 847-784-2870.

679
00:33:21.630 --> 00:33:22.743
Thanks for listening.

