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Reflections from Our Founder

Reflections: Between Chaos and Becoming: The Alchemy of Transition

When I was a child, I was fascinated by the idea of circuses. Years later, when my oldest son was just four, I splurged on tickets for us to see the famous Moscow Circus. It wasn’t quite the circus he or I expected—we were disappointed when there turned out to be no exotic animals or clowns—but there was plenty of glitter and glitz, a lot of it overwhelming.

The spectacle of acrobats and trapeze artists tumbling through space held his attention for a while, but then it all seemed too chaotic, and we headed out. But even after we’d left, I was transfixed, and my adrenaline was flowing. That moment when that person, high above our heads, released their hold on the trapeze bar, and hurtled across space…such fear, such trust, such foolery! Time seemed to freeze. Did I remember to breathe? Did they? There was no going back, only forward, a wild swing across a vast chasm, no safety net below, a leap of faith that something would emerge to grab on to. The adrenaline of suspension across empty space. The triumph of such bravery!

I don’t know about you, but right now, I feel like I am flying across that very same chasm of uncertainty. My stomach is often in a knot. I am less than thrilled about what many of us today are calling a circus: the chaotic dismantling of so much of what we have trusted in, believed in, and worked hard for. As the federal government terminates or freezes billions of dollars in research funding across the country, we’re hearing from countless people who feel like they’ve been pushed off their trapeze or are swinging, dangerously, without a net. Our friends and colleagues are suffering with their life’s work halted, promising findings shelved, and long-time collaborators fired. This is not the show we wanted to see.

There’s so much more happening, too, from the removal of environmental policies to cuts to Medicaid to the injustice of ignoring the health of our planet. For many around the country and around the world, this feels a lot like falling. 

I think in the face of it all, we must lean into the uncertainty and embrace hope. I often call on this analogy of the trapeze artist when I face times of transition in my own life. Periods of change are scary, and collectively, this sure feels like a big one. All we have known is tumbling behind us and what is to come is unclear. But what inspires me about the analogy is that adrenaline rush of emerging possibilities when cast into this liminal space between points of perceived normalcy. Is this the moment when we can be—must be—most alive and most brave? Is this the moment that opens us up to inspired action?

It is not foolish to believe, to know, that we can and will do better. Being a trapeze artist doesn’t require superhuman strength, just good aim, good timing, deep trust, and the bravery to keep our eyes, hearts, and minds open and our hands reaching out.

We call Nova “a heart-centered think-tank that takes action” for the health and flourishing of all people, communities, and the planet we call home. We trust that from our diverse perspectives, respectful deep listening, and collaborative spirit, a new and better world is possible. Our network of Scholars, Fellows, and Invited Faculty is leaning into this belief. Researchers are asking questions, probing for the facts, and publishing in academic journals and the popular press despite credible threats of retribution. Scientists are producing real-world data and fighting for it in order to transform the lives of children. Health care professionals in the midst of a failing system are creating hopeful new models of person-centered health care. Our Media Fellows, who are inspired storytellers, are unraveling the complex truth, waking us up to the consequences of actions and policies, and sharing new possibilities. I’m more grateful than ever for the unshakeable courage of our Nova community.

At Nova, our hands are stretched out across the chasm of this moment. We welcome others to join our network and create more networks of networks where empathy, compassion, justice, and love are the values at the heart of all we do. 

Professor Brian Berman, MD
President and Founder, Nova Institute for Health
Professor Emeritus, Family and Community Medicine, University of Maryland School of Medicine

Healing is facilitated through safety, persistence, and trust.

  • Persistence: “People did not simply progress through this sequence and experience healing. The healing journey was a recursive, back and forth process. They found helpers, used the skills/resources that those helpers provided, found other helpers that provided more resources and used those skills and resources. As this process continued, people experienced a gradual amelioration of their suffering. Although many despaired at times, all demonstrated the quality of persistence—they refused to give up.”
  • Safety & Trust: “To connect to helpers, it was essential for people to feel safe in those relationships and able to trust that the person would be a helper and not a barrier to healing. Persons whose wounds included a violation of trust were especially careful about testing the safety of new relationships.”

Resources support us as we heal. They include reframing, responsibility, and positivity. “Making connections enabled participants to acquire and refine resources and skills that were essential in their healing journey. People also brought their own personal strengths to the journey.”

  • Reframing: “A particularly important skill was the ability to reframe—that is to look at suffering through a different lens.” This does NOT mean minimizing trauma or pain, but rather it often means the opposite: understanding what happened was wrong, unfair, or uncontrollable and that we are not to blame for it.
  • Responsibility: While we don’t have control over what happened to us, we are the only ones who can help ourselves heal. “A third essential resource that people acquired or refined was the ability to take an appropriate amount of responsibility for their healing journeys. They participated actively in the process of healing. Once again, some participants already had developed this skill, and some acquired or refined it from their helpers.”
  • Positivity: “Another resource that people acquired or refined during their healing journey was choose to be positive—that is to have some optimism about their situation.” People have varying predispositions to positivity. In the study, positivity was important in helping people heal. This doesn’t mean a toxic positivity, but rather simply finding some good in life and feeling hopeful about our situations.

“Connection to others was an essential part of all the healing journeys.” Humans are social creatures, and even the most introverted of us need close relationships. Friends and family add meaning and value to life and help support us, in good times and bad. 

When we experience relational trauma, relationships can feel scary, but reestablishing safety and trust in relationships is where the healing happens. (To be clear, we do not mean reestablishing safety and trust with abusers, but rather finding other healing relationships.) 

“When safety and trust had been established, people were able to connect with helpers. The nature of the behaviours of helpers that fostered healing ranged from small acts of kindness to unconditional love.”

  • “Moving from being wounded, through suffering to healing, is possible. It is facilitated by developing safe, trusting relationships and by positive reframing that moves through the weight of responsibility to the ability to respond.”
  • “Relationships with health professionals were among these but were not necessarily any more important to the healing journey than other kinds of helpers, which included family members, friends, spirituality and their God, pets, support groups, administrators, case workers and supervisors.”

Healing probably means different things to different people, but one definition that emerged from the study is: “The re-establishment of a sense of integrity and wholeness.” 

Healing was an emergent property that resulted from each individuals’ complex healing journey, a result of bridged connections between resources and relationships. “…they gradually found relief from suffering and began to exhibit emergent characteristics: a sense of hope, self-acceptance, and a desire to help others—the immediate precursors to healing.”

 In varying degrees, “they were able to transcend their suffering and in some sense to flourish.” 

  • Helping Others: We find meaning in helping others. “Understanding that suffering gives the strength and experience to help others in similar situations.”
  • Hope: We begin to have hope that we will not always feel this bad. A Crohn’s patient said, “I think gradually I realized that I was going to feel better. I did have days when I actually didn’t vomit, when I did feel better. And I think gradually I came to believe that maybe I could have a normal life again.”
  • Self-Acceptance: We see our inherent value and understand that we are not to blame for our suffering. A participant living with HIV said, “I’m really proud of myself. I think that now I still want to live. I don’t want to die, and I really love myself a lot. I have a lot of comfort in myself.”

Suffering is the ongoing pain from wounding. 

There is some debate about whether people always experience suffering on the path to healing.

Wounding happens when we experience physical or emotional harm. It can stem from chronic illness or by physical or psychological trauma for which we do not have the tools to cope, or a combination of those factors. 

“The degree and quality of suffering experienced by each individual is framed by contextual factors that include personal characteristics, timing of their initial or ongoing wounding in the developmental life cycle and prior and current relationships.”

Characteristics: How predisposed someone may be to wounding/how many tools and resources someone may have to deal with trauma/illness.

Lifestages: Developmental timing plays an important role in the impact of trauma — young children often do not have the same resources as older adults.

Relationships: Relationships can provide solace and support for those suffering, while lack of healthy relationships can prolong suffering.