The Lenses of Grief

A black and white image of glasses sitting on a table
A black and white image of glasses sitting on a table

Grief sometimes feels like a taboo subject, especially in blindness circles. There is a valid concern that expressing grief about vision loss might further perpetuate the myth that being blind is sad or pitiful. I believe it’s important not to feed into this false narrative, and at the same time I cannot deny that grief is part of my story.

When you live with progressive vision loss, you learn a lot about loss and grief. When you’re also a clinical psychotherapist, you bring multiple lenses to this grief experience.

There’s my clinical lens, that knows the different frameworks and stages for understanding grief. This part of me holds multiple certifications in grief therapy and can assess how grief may be impacting a person’s functioning.

There’s the empathetic lens, that feels the deep heartache and offers compassion while I sit with people as they grieve the loss of a parent, a child, a close friend, an aspect of their life related to disability or illness, a beloved pet or an end to a relationship.

And then there’s the human being with lived experience of loss that cannot avoid the wide range of emotions that accompany loss. There’s nothing I can read in a book or learn in a training course that removes the reality of loss in my life. Yet there are ways I am learning to be present with my grief that support me in moving with and through the pain rather than avoiding or feeling stuck.

For me, this means being present with each new phase of loss, not dismissing or minimizing the impact of these changes in my life and finding trusted loved ones to walk this path with me. I find myself drawn to people who don’t try to fix or fade my pain, but rather join me in all the feels. I can sense pity, the near enemy of compassion, from miles away. So, I surround myself with those who meet me with connection, laughing with me when lightness is available and sharing in my tears when I need to release the pain of multiple layers of loss.

I have noticed a significant change in my vision over the last year. The once crisp central vision appears to have a cloudy tint and natural light, which was once my best friend, now adds a blinding effect. My annual visit with my retina specialist last month confirmed what I already knew to be true – my vision is declining at a more rapid rate than in previous years.

I’m grieving the primary loss of the vision, and then all the dominoes affects, which is aptly termed “secondary losses” in the grief therapy world. There’s a grief tool called “Inventory of Losses” that I’ve chosen to use to acknowledge all of these secondary losses. My list includes really simple things like no longer being able to hand write cards to loved ones – something I truly enjoyed. While the memories of favorite artwork and treasured photos are etched in my mind, I miss the vibrant colors and the level of visual detail that instantly brought me back in time. Of course I am fully aware that there are many tactile ways to appreciate art and meaningful non-visual ways to honor memories. I am grateful and curious about varied sensory experiences, AND I am sad that the visual way of connecting with the world around me is fading. Both are true at the same time.

Learning new ways of accessing the world requires time and effort to learn new tools. While there’s parts of learning these new skills that feel empowering and hopeful, adaptations do not simply erase the emotional pain. I am learning to make room for both the hope and the pain, not allowing one to overshadow the other. What does this look like in real life, you may wonder.

It depends on the day. It may look like allowing myself to feel the anger and despair on a Tuesday, but still showing up for Screen Reader training on a Wednesday. It may look like giving myself the grace and room to show up or skip a social gathering depending on my energy level, while being careful not to allow myself to fall into rigid patterns of forcing or avoiding being social.

It often feels messy and unpredictable to move through these decisions and emotions, and that’s how I know I am on a grief journey.

Grief is not a problem to be solved. It’s a normal part of the human experience that needs to be witnessed with empathy and compassion. This month, Doublevisionblog is creating space to honor the role grief plays in our stories. We welcome readers to find new ways of honoring losses, big and small, primary and secondary.

At the end of each blog post, we’re sharing excerpts and poetry from some of our favorite writings on grief.

“Imagine the feeling of relief that would flood our whole being if we knew that when we were in the grip of sorrow or illness, our village would respond to our need. This would not be out of pity, but out of a realization that every one of us will take our turn at being ill, and we will need one another. The indigenous thought is when one of us is ill, all of us are ill. Taking this thought a little further, we see that healing is a matter, in great part, of having our, connections to the community and the cosmos restored. This truth has been acknowledged in many studies. Our immune response is strengthened when we feel our connection with community. By regularly renewing the bonds of belonging, we support our ability to remain healthy and whole.” 
 
― Francis Weller, The Wild Edge of Sorrow: Rituals of Renewal and the Sacred Work of Grief

A Wedding, A Funeral, and An Old Story

The Landgraf family en route to a wedding

The last few weeks were filled with mixed emotions as I attended the funeral of my beloved father-in-law on June 21st, and the wedding of my dearest friend the following Saturday. At both events, I felt the warmth of connecting with my community of family and friends. And at both events I noticed how my blindness impacts my sense of belonging in these community gatherings.

I was delighted to reconnect with loved ones, some I had not seen in person in many years. However, the cloudiness that has slowly settled over my central vision in recent years made it difficult for me to recognize faces as I once could. While I still had the strong desire to run up and embrace people, I found myself waiting for them to approach me. This was frustrating because it didn’t feel in alignment with my personality or sense of self. 

I also felt acutely aware of what others may be thinking/saying about me as I did my best to navigate each new environment. I longed to move with ease and fluidity as the sighted people around me seemed to mingle effortlessly. There were many times when I wanted to be able to help my grieving loved ones or my celebrating friends with all the details that go into hosting a major event. Yet, once again, my outward appearance seemed misaligned with the intentions of my inner self-  

I found myself returning to an old story that goes something like this, “I don’t belong in these spaces. My blindness makes other people uncomfortable. They want me to be different and to show up more like they do”. 

I have no way of proving if this old story is false or true. And it’s hardly that simple. This old story is rooted in stories that I have lived from a young age – times and places in which I felt wrong for showing up as I am. Experiences that taught me that the way I am is awkward, perhaps humorous, and doesn’t belong.

I used to internalize these experiences – assuming there was something wrong with me, that perhaps I was being too sensitive or imagining the awkward encounters. But then I started connecting with other people with lived experiences of disability and found so much overlap in our experiences that I could no longer categorize them as a “me thing”.

I was reminded of how much of my stories mirror those of my disabled peers on the Tuesday between the funeral and the wedding. Joy and I co-facilitated a day-long staff training for the Department of Services for the Blind summer YES2 program that included a section on exploring lived experiences of disability. Joy and I listened as staff members shared story after story of situations in which they were stigmatized, excluded, and discriminated against in both overt and covert ways. I was reminded of the complexities that accompany moving through the world in a body that is different from the majority. So many complexities that cannot be pulled apart in a single blog post. 

What I will focus on is validating that past and present stigma about blindness is real. It’s not something that myself or my peers with vision loss are creating or imagining. It happens in the workplace, in public settings such as the grocery store, and in community gatherings. And when left unprocessed, it compiles over time, like an overflowing trash bin left unemptied.

While I am a proponent of positive reframes, I want to make sure I’m leaving room for the messiness that living outside the “norm” may look like. This means leaving room for all the emotions and grief that may accompany being in spaces that are designed for and by able-bodied people. As I reflect on the ways I’ve witnessed, experienced, and participated in othering, I am certain that this is not easy work

So today, my reframe is this: The work of processing these stories is not mine to do alone. This work belongs to all of us because we all belong to a society that stigmatizes what is different or unknown. 

I don’t pretend to have a recipe for this work. I view this process as more of an art, requiring us to peer outside our own lived experiences to connect with what other humans may be feeling or needing. It’s the art of noticing our own limiting beliefs about others and challenging what we think we know. It’s less about putting ourselves in someone else’s shoes, and more about connecting with who is in front of us with openness. It’s my hope that engaging in this process will shift old stories for all of us.  

An Open Letter to…

I recently wrote a letter to some dear friends prior to a group vacation. I felt so encouraged by their responses that I am choosing to share it with Doublevisionblog readers in hopes that it may feel supportive to anyone who may be on the verge of communicating their own vulnerable truth.

Writing this letter is a vulnerable experience for me. I am tempted to have ChatGPT write it for me, and yet the actual process of writing this letter feels just as important as the final draft. 

As I lose more vision, I’m continuing to adapt to the physical world around me by using a white cane, learning new assistive technology techniques, and asking for help when needed. What I can see from day to day is often unpredictable and depends on variable factors such as lighting and my physical well-being (how much sleep I’ve had, etc). I’m often not sure what I need and find it helpful to take it day by day.  

I’m reaching out before our time together b/c I imagine it might be confusing, perhaps even frustrating at time, to know how/if/when to offer me assistance. I often don’t know these answers until I’m in the midst of a new environment and sometimes find myself freezing b/c asking and receiving help isn’t easy. It can be a painful reminder that my body does not work like those of most of my peers. I often feel small and objectified in these situations. At times I feel tempted to hide away and no longer fully engage in social activities. But I also know that would not serve my well-being or yours. The relationships we’ve formed over many years are mutually supportive, and I don’t want to let fear or shame diminish these vital connections.  

So writing this letter is part of my healing journey. It’s a way for me to offer some guidance around helping me in ways that ideally allow all of us to feel confident and empowered. Some of the fears that come up for me while making these requests are that I’m being “extra” – too self-centered and may be perceived as demanding, that being my friend will feel like a chore or a burden rather than a joy. It’s painful to name these fears and brings up a lot of emotions. As painful as it may be, I am ready to let go of any relationships in which that is the perception. I know that I have value beyond my physical abilities. I also know being in my life may require resources such as time, patience, and creativity. My expectation is not perfection from myself or anyone else. The guidelines I’m listing below are merely that – a basic guide to what feels supportive and what does not.

There’s no need to walk on eggshells or get awkward. Rather, I invite you to join me in the messiness of adjusting to life circumstances I did not choose, but that I am choosing to embrace. And to laugh WITH me about how corny that may sound.  

Supportive Vibes 

  • Allowing me to navigate with my mobility device – that is literally its job, to provide me with tactile information about my surroundings. 
  • Offering an arm in situations where navigating with the cane may be more challenging, such as a small crowded restaurant. 
  • Educating yourself and others about the experiences of living in a disabled body. Two of my favorite books on the subject include “Sitting Pretty” by Rebecka Tausig and “The Country of the Blind” by Andrew Leland 
  • Including me in the present moment by providing audio descriptions of surroundings. Ex: “There is a lady wearing glittery fairy wings off to our right”, or “There’s a dude on the corner holding a sign that says the world will be taken over by aliens in 3 days”.  
  • Giving visual descriptions of photos and follow-up details when saying things like “Look at that!” or “It’s over there”. Ex: Adding details using a clock, such as “Your fork is at 3 o’clock” or “Your shoes are two feet to the left of you”.
  • Avoiding any grabbing, pushing, pulling or taking control of any part of my body. Instead, invite ME to hold YOUR elbow to provide sighted guide.
  • Noticing and avoiding any temptation to treat me like I’m a child you need to steer or keep track of. I’m an adult who may get lost at times and that’s okay.  
  • Including me in activities you’re not sure if I can do in the same way as you. This allows ME to choose if a certain activity feels too risky or challenging. Ex: “This is going to be a steep hike with lots of rocks. How are you feeling about that?”  
  • Set boundaries that work for YOU. Ex: “I am going for a run and want to run at a fast pace. I won’t be able to provide any sighted guide for this activity.”  
  • Be creative WITH me. Ex: “I was hoping we could rent bikes on this trip, perhaps there’s a tandem bike option we can check out together”. 

Thank you for taking the time to listen to me and gain a better sense of what this experience of slowly going blind is like for me. Please ask me any follow-up questions you may have. 

How Do You Spell Ophthalmologist?

Joy and I recently traveled to WA’s state capitol to speak at the Olympia Vision Fair, hosted by the Hope Vision Foundation. Highlights from this trip included eating a chicken pot pie the size of my head (more please!) and meeting the founder of Hope Vision Foundation, Dr. Erin Seefeldt. 

Ophthalmologists often play a memorable role in our experiences of vision loss. Yet mystery seems to surround the world of ophthalmology, from the strange spelling that requires spell check EVERY time to the often silent figure behind the clunky eye testing apparatus. Meeting such a warm, personable ophthalmologist (thanks again spell check), prompted me to create a quick “Ophthalmologist Q&A with Dr. Erin Seefeldt”. 

Q: What inspired you to create the Hope Vision Foundation?
A: As an ophthalmologist I see many patients with conditions causing vision loss. From my training, I knew that vision rehabilitation existed and had trained at the American Lake Blind Rehabilitation center. The resources and professionals there are amazing. Then I realized that for non-veterans the options were not as robust and there were barriers to getting rehabilitation. These were personal and system issues. It is not easy to refer patients or learn about the services in each area. We also don’t have the time built into our schedule to really talk and listen to patients about how they are adapting to vision loss.  I founded hope vision foundation to create a resource for our community that allows all patients with vision loss to connect to resources. 

Q: When you were in medical school, what type of training did students receive on how to communicate with patients about a diagnosis of vision loss?
A: In medical school and internship we receive training on ‘breaking bad news’ but no disease specific training. We were given techniques to use and practiced with simulated patients (actors). This was fairly new when I trained and in practice every patient is different. The better you know your patient the better you can communicate a difficult diagnosis with empathy. 

Q: What do you wish more eye doctors / eye care specialists could learn about working with patients who are experiencing vision loss?  
A: I wish more eye doctors could learn from patient’s with vision loss how it impacts a patient’s activities and relationships. I also think it would be helpful to train doctors about low vision devices (high and low tech) and techniques. All doctors should be given basic training on interacting with people with hearing and vision disabilities. 

Q: What is one critical piece of advice you’d like to share with people who are currently adjusting to vision loss?
A: Understand your reason for vision loss and what to expect over time.  Knowledge is power and often not knowing can lead to worrying more and imagining the worst. 

Readers: What other questions do you have for Dr. Seefeldt? We can include your questions in a future Ophthalmologist Q&A

 

The Teacher Becomes the Student: 3 Unexpected Lessons Learned in Summer School

Twins Swimming
Twin girls swim in the water.

Picture this: identical 7-year-old twin sisters racing into their playroom after swim lessons, brown curly hair still dripping wet from the Centennial beach. Damp beach towels sprawl carelessly across the floor (sorry dad), as mirror images thoughtfully arrange dolls and stuffed animals into “swim lesson groups” in order to “teach” their “students” how to swim. This was our daily summer routine, and we REALLY got into it, demonstrating the back stroke for bugs bunny (Bugsy) and ensuring Raggedy Ann and Andy kept their WHOLE faces in the water while floating. Teaching what we had just learned delighted us  

Teaching may just be in our blood, as both our parents and many aunts/uncles/cousins were teachers at various points in their careers. Or perhaps we were vaguely aware that showing our cabbage patch kids how to do frog leg kicks actually strengthened our own swimming abilities.  

Here we are, several decades later, teaching in different capacities the skills we ourselves are still learning. This summer, I contracted with WA State Department of Services for the Blind (DSB) Youth Services to provide weekly mental health workshops to teens. It was fun designing the curriculum with many of the Social Emotional Learning strategies I learned in my Breathe for Change certification program, along with mental health skills from my work as a clinical social worker. Once again, I found myself learning as I was teaching because the students were engaging and intuitive about their mental health.  

While I gravitated towards evidenced-based approaches to improving mental health, my students offered me fresh perspectives merely by being themselves. Here are 3 Lessons I learned this summer that I will add to my personal mental health toolkit.  

1.   Laughter is Key: I spent the first few weeks with the students focusing on distress tolerance skills such as breathing techniques and mindful movement exercises. I asked students to practice these skills between weekly workshops and invited them to share what they learned with the group. At the final workshop, one student shared that breathing techniques sometimes helped relieve anxiety, but that she noticed the biggest shift when another student told her a funny story in the midst of a rough day. Even as she shared this, she began to giggle, which felt contagious in the best way. Laugh more, feel better. It’s simple and I need more of that in my daily life. 

2.   Sometimes It’s not WHAT you say, but HOW you say it: One of my favorite moments from the summer workshops was when we were working on creating mantras. A mantra is a word or short phrase that can be used to motivate, grow self-awareness, and encourage perseverance. Neuroscience teaches us that the more we repeat and practice the exact same phrase, the more likely it is to become an automatic thought and belief. I gave students examples of mantras such as “Just keep breathing” or “This moment will pass, and I am strong”. One student asked if he could say his mantra with an Italian accent. I have been teaching the art of mantra-making for quite some time, and NO ONE had ever asked me this. I enthusiastically encouraged him to share his mantra with his Italian accent. Now I wish this was a Vlog instead of a Blog so you could hear him saying “I am doing the best I can!” with the BEST Italian accent I have heard since my trip to Italy in 2009. I have adopted this student’s mantra, Italian-accent and all into my toolkit and use it whenever I am struggling.  

3.   It’s Okay to “Pass”: Maintaining a “trauma-informed” approach is critical to working with human beings and was a primary focus of my education at University of Washington. One key factor to trauma-informed approaches is offering choice. While my goal is to engage all students and encourage participation, I also offer students the choice to “pass” during sharing time and activities. I observed myself feeling slightly irritated when the same few students were choosing “pass” week after week. “How are they supposed to learn anything if they don’t participate?!” I thought to myself a few times during week 3 and 4. I allowed myself to get curious about my feelings of frustration and with this curiosity came a deeper knowing – these students are learning something very critical: They have agency. Perhaps they have rarely experienced the empowerment that stems from choice. I reflected on all the areas of my life where I have the choice to say “pass” and perhaps out of obligation/guilt/pressure, I don’t choose this enough. And just this week, I was asked to volunteer for yet another committee that I really don’t have the bandwidth for. Without hesitation, I replied “Pass” and instead of a wave of guilt sweeping over me, I felt a wave of relief and empowerment.

When we take time to reflect on what the students in our lives are teaching us, the lessons tend to sink in more deeply. Who are the students in your life? What are they teaching you?  

April Showers Bring…

April is often an unpredictable month with budding tulips followed by a fresh blanket of snow. I notice my moods seem to mirror the twists and turns of these weather patterns as I grieve the recent loss of my beloved furry family member, Wrigley.

While the grief of Wrigley’s death is new, the unpredictable nature of grief feels familiar. The ongoing adjustment to slowly losing vision has shown me that no one feeling is final. Grief becomes both an expected and unexpected experience.

In many ways, April feels like a metaphor for life, reminding us that change is always in the air. With change comes loss, with loss comes grief. We long for what has been lost. This is indeed the human condition.

In my work as a grief counselor, I know that grief comes in waves. In my experience as a grieving human, I have felt the push and pull of these waves. Although grief is part of the human condition, the way we each grieve differs. There is no “right way” to experience grief.

As April comes to a close, I am grateful for what this season teaches us about change. I find myself simply sitting with what arises, moving with and through each emotion. These feelings can be uncomfortable, so it is tempting to resist them, but as Sadhguru says, “if we resist change, we resist life.”

You Are the Light

As Joy and I collaborated about blog post ideas for 2022, I came across a meaningful story from one of our favorite authors, Elizabeth Gilbert. I noticed a physical shift within my body as the story unfolded, a release of tension and a renewed sense of hope. It was exactly what I needed at the start to another year filled with uncertainties. Sharing this story with our readers in hopes that 2022 brings fresh opportunity to illuminate your world.

“Some years ago, I was stuck on a crosstown bus in New York City during rush hour. Traffic was barely moving. The bus was filled with cold, tired people who were deeply irritated with one another, with the world itself. Two men barked at each other about a shove that might or might not have been intentional. A pregnant woman got on, and nobody offered her a seat. Rage was in the air; no mercy would be found here.

But as the bus approached Seventh Avenue, the driver got on the intercom.”Folks,” he said, “I know you have had a rough day and you are frustrated. I can’t do anything about the weather or traffic, but here is what I can do. As each one of you gets off the bus, I will reach out my hand to you. As you walk by, drop your troubles into the palm of my hand, okay? Don’t take your problems home to your families tonight, just leave them with me. My route goes right by the Hudson River, and when I drive by there later, I will open the window and throw your troubles in the water.”
It was as if a spell had lifted. Everyone burst out laughing. Faces gleamed with surprised delight. People who had been pretending for the past hour not to notice each other’s existence were suddenly grinning at each other like, is this guy serious?
Oh, he was serious.

Continue reading “You Are the Light”

When Will I Get Over This?

A familiar sensation of tightness gripped my throat as my heart pounded in my chest and the knots in my solar-plexus twisted into familiar shapes. I sheepishly gazed downward, tears streaming down my face, mumbling to Paloma, “I should have this figured out by now. Helping people improve their mental health is what I do for a living. Why does this keep coming up for me?” Paloma’s tone was soft with compassion as she gently reminded me that my experiences of living in a body that does not fit society’s standards of “normal” are not just in the past, they continue each day.

I trusted her words, knowing that she is an experienced therapist with a multitude of academic training; possessing a deep understanding of what it means to heal from identity-related grief and trauma. I understood all of this on a cognitive level, but my body felt flooded with shame at having this sudden temporary upsurge of grief (STUG). The term “STUG” was coined by Dr. Therese Rando over 3 decades ago to describe intense, unexpected surges in emotions for those who have experienced past grief or loss. While Dr. Rando used this term in the framework of loss of a loved one, I am taking the liberty of applying it to my grief related to identity/disability. Continue reading “When Will I Get Over This?”

Embrace

My Grandpa Bob gave the best hugs. His embrace felt like the physical expression of “I love all that is you”. While my grandfather’s physical form is no longer with me, I now receive this type of embrace from my 7- year- old son. It’s the kind you don’t want to pull away from. The kind that makes you feel safe and loved unconditionally.

Hugs are one of the things I miss most about pre-pandemic days. I was never a fan of greeting with handshakes or high fives. Due to RP, I frequently couldn’t see the other person’s hand, so often left ‘em hanging. Totally awkward. I was recently introduced to the “COVID bow” from Rob Bell’s podcast, and I like this idea of honoring another’s presence in a safe way by bowing. But I still miss a good embrace.

Even if I can’t physically hug everyone around me, I am discovering other ways to “embrace”. I’ve been thinking about what it means to embrace all that has changed since the pandemic began. Perhaps not everything needs to be embraced. Perhaps some things, like the missing hugs, just need to be tolerated for the time being.

Yet it feels limiting to merely “tolerate” all the aspects of my new reality. For example, when quarantining and homeschooling began last spring, this new reality felt strange and so naturally I felt a lot of resistance. But as we began to develop new routines, I found myself embracing my new role as “teacher” and discovered the joy of watching my children learn at home. It was hard. It’s still challenging. But on days that I am able to reframe these challenges, I feel more at peace. Continue reading “Embrace”

Reflections

It’s been almost a full year since our last blog post. When the annual renewal fee arrived recently from WordPress, Joy and I discussed whether or not to pay the fee to keep our blog going. We wondered if this blog is still relevant, both for others and ourselves.

And then last week we received a short email that read. “Your blog has been a lifesaver for me as a Mom of a little one struggling with different vision issues. Please keep blogging if you have the chance”

And this motivated us to reflect on our blog.  Continue reading “Reflections”