
Some forty years ago, at a time when I was studying the topic of Christian healing, a group of doctors came together to form the British Holistic Medical Association (BHMA). Some of the things that these doctors were saying caught my attention, not least because they made a space for a spiritual dimension in their understanding of the healing process. It is useful to recall some of the principles of holistic medicine as presented in 1984. They have a certain resonance today as we find that there is a current concern for another, not dissimilar, holistic impulse. Today doctors and members of the caring professions are being urged to become ‘trauma informed’. In summary they are, like the doctors of the 80s, being encouraged to see illness in the human body or mind, not as the breakdown of a faulty machine, but as failures in the wider social or psychological environment to which the individual is exposed. These mental or physical illnesses are to be looked at as possibly signalling evidence of past trauma. If such is found, it will necessitate a somewhat different approach in respect of the treatment offered as well as the ongoing care of the patient. It will always be necessary to be alert and sensitive to the implications of this wider context of illness and distress and take steps to use this awareness to better serve the needs of those seeking help.
The first edition of the 1984 BHMA journal set out the principles of holism as they apply to medicine. Some of these are directly relevant to the topic of trauma which we are considering in this piece. I want to list some of the key ideas of holistic medicine. In these two parallel but related sets of ideas, the holistic and the trauma informed approaches, doctors and professional carers of all kinds are being invited to extend their horizons to incorporate fresh and broader insights about the nature of illness. In the 80s, classical medical practice was being taken to task by holistic practitioners for seeing illness in purely material terms and failing to understand the social and spiritual aspects of dis-ease. In a similar way trauma informed care urges those looking after people who may have been affected by trauma, to be alert to all the ways that a life-changing event may have affected a patient. To be trauma informed is thus to be able to practise your caring skills from the background of a particular manifestation of holistic thinking – one that understands the wide-ranging effect of trauma on people.
The first principles of the original 1984 statement about the then new approach in applying holism to medicine, are those that point out the error involved in breaking up the human personality into fragmented parts. This principle has also to be strongly affirmed as we seek to attend to the needs of people who have encountered an abusive or traumatising event. Trauma is a holistic event in the sense that it has the capacity to damage the personality at more than one level. To pretend or assume that people can easily walk away unscathed from catastrophic episodes which they have experienced, is a betrayal of care and imagination of enormous gravity.
This point is made well in the first statement made by the 1984 holistic doctors. Healing and harm both inevitably operate at more than one level.
The human organism is a multi-dimensional being, possessing body mind and spirit, all inextricably connected, each part affecting the whole and the whole being greater than the sum of the parts.
Damage to relationships is also a matter of great importance. The betrayal of human trust that occurs in many traumatic events needs to be responded to with considerable care
There is an interconnectedness between human beings and their environment which includes other human beings. This interconnectedness acts as a force on the functioning of the individual isolated human being.
Further holistic medicine principles focus on the one mediating wholeness. A particular emphasis is made that the ‘healer’ should not only have healing skill but also be an individual practising self-insight. The reference to alternative medical treatments like acupuncture may not appeal to many medically trained people today, but this was a common feature at the time.
One of the primary tasks of someone entrusted to heal, be he Dr, priest or acupuncturist, is to encourage the self innate capacity for healing of the individual industries.
To enable him to accomplish his task effectively, the healer needs to be aware of his own multidimensional levels of existence and have some expertise and ability in achieving a state of balance and state of harmony within himself – ‘Physician heal thyself’.
Clearly, the 1980s were not embarrassed by the use of the ‘he’ pronoun when talking about a healing practitioner. But the important point we take away from these insights is the gentle urging that doctors and other medical carers should break away from any narrow frames of reference. For the 1980s conventionally trained doctor (arguably still true today), the temptation was to treat patients as living machines which operated according to mechanical laws. Social and spiritual issues were thought to be outside the disease process. In the 2020s, with the advent of trauma informed thinking, there is a movement to ensure that there should be a better understanding of the effects of trauma on those forced to endure the burden of experiencing various forms of distress. The question that doctors and carers need to ask of their clients is not ‘how are you?’ but ‘what has happened to you?’ The asking of this question articulates the expectation that uncovering trauma of some kind is likely to be a regular part of helping someone who comes for help with some form of mental or physical affliction.
What exactly are we talking about in using this expression? Trauma informed approaches are not just applicable to the practice of medicine. They are relevant in all places where there are people who have experienced serious ill-usage at the hands of others during their lives. That perhaps applies to most of the population. But we need in our review of this new strand of holistic caring, some definition of the word trauma. One definition given by the Substance Abuse and Mental-Health Services in 2014, says this: ‘Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life-threatening and that has lasting adverse effects of the individual’s functioning and mental, physical, social, emotional, or spiritual well-being’. This definition will cover many of our survivor population. The trauma for them is, as we have attested many times, not just as the result of the original harmful event but is aggravated on many occasions by the sloppy and inadequate care received later.
Providing a caring and an appropriate response to a person who has experienced trauma is extremely important and requires sensitivity and skill. The trauma informed literature suggests a number of principles or forms of help that are needed to provide effective help for trauma victims. Many of us reading this will be thinking about church survivors and the variety of needs they have. But, whatever the context of the trauma, the same principles will apply when supporting anyone who has been through such an experience which resembles that described in the definition in the previous paragraph.
The first principle is the importance of giving anyone who has been through traumatic experience a place of safety. The place of safety may be found in a carefully prepared physical space backed up by a personal trusted relationship. Such elements will provide a supportive and nurturing environment for a survivor – a place of physical, emotional and psychological safety. The Church seems to be remarkably inept in this area. We hear stories about victim/survivors having to go to the home of a bishop or even return to the place where they experienced the original trauma. From a trauma informed approach, such inattention to a survivor’s need to feel safe is insensitive and unacceptable. The task of providing such emotional and psychological safety does require considerable imagination and insight, something that the safeguarding church experts often seem to lack.
A further example of trauma-informed practice is that a survivor needs to be helped to make choices and be given goals to aim for. The trauma may have removed a sense of agency and it is the task of trauma-informed support to help give back self-determination and power to the one who has suffered. As part of rebuilding a sense of self, the interaction with the helper will demand that latter has considerable skill and patience. If anyone is to help the trauma survivor, there needs to be a commitment to the long haul. Such care and support is expensive both in terms of financial as well as institutional resources.
Trauma informed therapy may originally be indebted to the insights of medical practitioners working with holistic principles. But, at another level, it represents a dedication to a culture of humane care. In the Church it behoves all of us who encounter the survivors of bullying and mistreatment of various kinds to be alert to the likely trauma burdens they carry. When we are able more easily to intuit their needs, we will first not fall into the trap of saying the wrong thing or offering inappropriate help and support.








