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Post-Polio Health (ISSN 1066-5331)

Vol. 17, No. 4, Fall 2001

Emotional Bridges to Wellness

Linda L. Bieniek, Certified Employee Assistance Professional (CEAP), La Grange, Illinois

Survivors who live with the recent or late effects of polio often need to make lifestyle changes in order to manage physical symptoms such as fatigue, weakness and pain. For many of us, gaining the ability to adjust our lifestyles requires a great deal of inner strength and emotional support. Numerous authoritative studies have documented how our minds, bodies and emotions affect each other. These findings offer us insights into how we can support ourselves and maximize our satisfaction with life by making wellness-oriented changes.

To experience wellness, we need to balance and integrate the physical, emotional, mental, social, sexual and spiritual aspects of our lives. Obtaining reputable information will equip us in making informed wellness-oriented choices. Most importantly, we need to consciously weigh the benefits and risks of various lifestyle options. Rather than making choices based on rigid attitudes, habits, reactions of others or our own anxieties, we need to ask, "How can I best take care of myself?" As survivors, many of us take pride in being self-responsible, and making responsible decisions about our lifestyles is one way to maintain our independence.

In this first article in a series, we will focus on "how we treat ourselves." While making adjustments is difficult, this article offers possibilities for strengthening our internal resources or developing emotional wellness. By approaching ourselves with self-acceptance and self-appreciation, we can increase the likelihood of making self-nurturing choices that contribute to our overall health and well-being.

Looking at our various "selves"

At a recent Ontario March of Dimes Wellness Retreat, Karen Kennedy, MSW, West Park Healthcare Centre, Post-Polio Clinic, Toronto, Canada, presented "Setting the Stage for Wellness." She described various personality characteristics that Drs. Hal and Sidra Stone refer to as "selves" in their book, Embracing Our Selves. Kennedy identified how certain "selves," or parts of oneself, may interfere with a survivor's ability to make healthy choices.

For example, the authors refer to the "Perfectionist Self" as the part that demands the highest level of performance from oneself and others, no matter the cost. They name the part that is attentive and dedicated to the needs of others, sometimes tuning out one's own needs, pain or fatigue, as the "Caretaker Self."

Their term "Pusher Self" represents the self that helps people achieve the levels of success they aspire to in their life. Some people operate with a small "Pusher Self," while others appear to have a Mack truck driving them to unrealistic and unhealthy ends. While the "Pusher Self" enabled many survivors to recover from their initial polio, the Mack truck is dangerous when it propels individuals with chronic health conditions to overdo and increase their physical and mental fatigue. The Stones contend that this self may not discriminate between what is damaging and what is constructive.

Depending on the situation and how intensely each part is expressed, each "self" has the capacity to be either beneficial or harmful. For example, our "Communicator Self" is beneficial when we express thoughts, feelings and needs responsibly by being honest, open-minded, direct and appropriate. This part also can address conflicts sensitively and effectively, and can share humor and hope in relationships. However, when the "Communicator Self" is demanding, insensitive of other people's feelings, or refuses to ask for assistance, then it can distance others and even cause feelings of shame or remorse.

Kennedy encouraged self-awareness when she asked, "Which of the selves is in the driver's seat of your life?" and introduced another self, that she calls the "Permission Giver." She defined the "Permission Giver" as the part of oneself that says, "It is good to set limits, to take care of yourself, and to be compassionate towards yourself."

Personal permission-giving means allowing one to acknowledge reality, to accept one's needs, and to take the steps to initiate purposeful change. It is key to making changes related to the late effects of polio or any chronic health condition.

Permission-giving encourages us to think about ways we can take responsibility for our health and the quality of our lives. It offers a compassionate frame for making decisions to accommodate new weakness, pain, fatigue and breathing problems.

Kennedy's permission-giving invites us to assess how we can respond to ourselves as we make changes. This process involves learning about ourselves and understanding what we each need. The following sections highlight how this process can work and include examples from my own life (italicized quotes).


Self-awareness is the foundation for making healthy changes. In order to create a gratifying life, Robert Fritz emphasizes that people need to be honest and clear about their needs. He contends that too often people set goals, yet are unrealistic about what they need to move from their present situation to their desired state (Fritz, 1991).

Self-awareness helps us identify our feelings and needs (Masters & Johnson, 1986). When we are aware of them, we can respond responsibly, and make healthy decisions. Self-awareness provides us with the freedom to be our "true self" rather than exerting energy striving to fill the unrealistic expectations of others or ourselves (Masters & Johnson, 1986).

Self-awareness does not mean being obsessed with our own needs to the exclusion of caring about others. On the contrary, self-awareness strengthens our ability to be intimate with others, and equips us to choose whom to confide in, and how to discriminate between healthy choices and unhealthy coping patterns.

Self-awareness also involves understanding. Understanding the reasons for one's feelings and attitudes is important for making decisions that impact one's health. For example,

"At one of the early GINI post-polio conferences, a ventilator user announced that he sometimes felt 'anti-social' when in reality he did not have the energy to talk. His sharing helped me understand the effect that my respiratory limitations had on my relationships. Even though I wanted to be sociable, fatigue and shortness of breath limited my ability to extend myself to others. This man's awareness helped me accept my own reality and deal with my feelings about my respiratory limitations."

Finally, self-awareness includes listening to one's intuition. Intuition is that inner voice or body-felt sense that can be a guiding force in making wellness-oriented choices. We can become aware of our intuition by paying attention to our feelings, our reactions to experiences, and messages conveyed through dreams (Northrup, 1998).

Asking "What do I need right now?" can provide clarity when we are feeling fatigued. Paying attention to the feelings and ideas that surface when we ask ourselves this question, can uncover valuable solutions. Journaling or drawing can tap our intuition for insights about how we can take care of ourselves amidst the many demands in life.

Northrup encourages us to discover what we do want and to learn to say "no" to what is not supportive of our needs and values.

Continued ...