Explainer
Creed
Mental Health
Trauma
5 min read

Lamenting the losses in life

There are paths through the thicket of loss that mental illness causes. Rachael Newham explores lament.

Rachael is an author and theology of mental health specialist. 

 

 

A Victorian fisherwoman sits on a beached boat, shoulder slumped.
But O For the Touch of a Vanished Hand, 1888, Walter Langley. The title is taken from the Tennyson poem 'Break Break Break'.
Photo by Birmingham Museums Trust on Unsplash.

I am lost. I feel utterly bewildered by my surroundings and my head is beginning to spin under the strip lighting. There are people all around me, but I can’t find my bearings. This place should be familiar, it’s somewhere I’ve been a hundred times before, but I feel the panic rise as I try to find my way.  

 Before I had known exactly where things were, how to navigate the aisles and reach the things I needed with ease, but in the months I’ve been away, things have changed and I cannot face the thought of finding my way around the new arrangement, so I turn on my heel and leave empty-handed.  

I haven’t been away on holiday or gone on a work trip, I’ve been locked inside my own head doing battle with my own mind in the shadowlands of mental illness. Stable now, with the crisis averted, I am trying to rebuild and yet the Co-op rearranging my local store has served as a stark reminder that things have changed in me and around me. 

And there is no funeral to grieve what you’ve lost, no ‘closure’ as you’re still living it. 

This is the where the conversation about mental health awareness falls silent; the reality of the losses mental illness stacks up like Jenga blocks while you aren’t looking. Serious mental illness doesn’t just take your mind; it takes your ability to enjoy the people you love, the work you find fulfilling, the gloriously mundane school run and the life you once almost took for granted.  

And there is no funeral to grieve what you’ve lost, no ‘closure’ as you’re still living it, no five-step process to ‘get over it’. There is simply the loss and the life you’re trying to rebuild.  

This loss must be grieved. I would argue that all losses must be grieved if we are to learn to live with them. It is as Michael Rosen’s childhood classic “We’re Going on a Bear Hunt” reminds us as the family go on their adventure and encounter the winds and sticky mud: “You can’t go under it, you can’t go over it, oh no! You’ve got to go through it”.  

We simply have to let it have its way with us until the raw pain has faded into an ache we can tolerate. 

It’s perhaps something the ancient faiths and traditions understood better than we do where there are rituals for grief; whether it be Jewish communities sitting Shi’vah or the Irish keening their songs of mourning, they acknowledge the enormity of grief and the need for communities to come together to process it.  

Where the loss is more personal, we can seem to lose access to the healing found in community traditions. When the loss is because of illnesses still so misunderstood and stigmatised, these processes and traditions can feel even further away, still.  

And yet.  

There are paths through the thicket of loss. William Worden, a Fellow of the American Psychological Association speaks of four tasks of mourning which include accepting the reality of the loss, processing the pain of grief, adjusting to the world afresh and finally finding enduring connection. These tasks were designed with bereavement in mind, but they seem to me to speak to losses in the broadest sense and I have found them to be true in mental illness. 

In the Bible we find this prophet Nehemiah, who is tasked with rebuilding the walls of Jerusalem after the Israelites exile in Babylon. They’ve returned home, but home doesn’t look like they imagined to, the place they longed for no longer exists, and they have to accept before they can begin to grieve what has passed. Author Marya Hornbacher writes that  

“managing mental illness is mostly about acceptance- of the things you can’t do, and the things you must”  

and I see it every day - perhaps you do too - as I take the medication and get the sleep that’s required for some kind of equilibrium to be maintained 

Nehemiah grieves and weeps over the city for an estimated four months; but there is no set timescale for such things, we simply have to let it have its way with us until the raw pain has faded into an ache we can tolerate. In the Christian tradition this is called lament; it’s grief directed at God, bringing the pain before him in a way that acknowledges the twin realities of God’s goodness and our grief’s greatness. It is undoubtedly uncomfortable, but it is the gift of honesty. We do not need to put on our Sunday best for God, but can come in our brokenness and mess knowing that we will not be abandoned to it.  

And then we begin to adjust to the new normal we find ourselves in. We test the boundaries of what we can do as anyone in recovery does. There is a slow almost imperceptible move towards more of life; a trip to the local shop much like I did during that disorientating visit to the co-op, a visit from a friend or a phone call answered, long avoided. Nehemiah returns to his work for the King - but even then the King asks him why he’s looking so sad. We need not rush in with fake smiles before grief has finished with us, but be honest with those around us  - and with God.  

We cannot lament our losses without finding a community to be a part of; whether that’s your friends, your local community group or your local church.

The fourth task is that of finding connection. For some it will be found in their friendships, others in their faith communities or peer-led community groups. Whichever way it happens it’s how life grows again around and alongside the loss. Worden I think meant it as a way to continue the connection with a lost loved one, but in the story of Nehemiah we see it as the Israelites first come together to rebuild the wall and then to celebrate it. We cannot lament our losses without finding a community to be a part of; whether that’s your friends, your local community group or your local church, we have to find spaces where we can share ourselves, our stories and know we are not alone. It is perhaps one of our most fundamental needs - it is certainly been mine - to know that I am not alone in my loss and I’m not alone as I survey the wreckage and tentatively begin to rebuild. 

Interview
Creed
Mental Health
Trauma
17 min read

When the answers run out: Kate Bowler on faith, fragility, and the beauty of uncertainty

Kate Bowler in conversation with Graham Tomlin.

Nick is the senior editor of Seen & Unseen.

A woman sits and smiles in front of her bookcase.

This interview is an edited transcript of the Seen & Unseen Live event.

Graham 

Kate Bowler is a four-time New York Times bestselling author. She's an award-winning podcast host and also an associate professor of American religious history at Duke University. She's the author of a number of books, including Blessed, a history of the American Prosperity Gospel. And they're wonderfully titled - The Preacher's Wife; The Precarious Power of Evangelical Women Celebrities.  

And you may know something of Kate's story, she was unexpectedly diagnosed with stage 4 cancer at the age of 35. And then out of that, wrote the New York Times, bestselling memoir. Everything Happens for a Reason and Other Lies That I've Loved, and her latest book, Have A Beautiful, Terrible Day. Daily Meditations for the Ups, Downs, And in Betweens. Kate hosts, the award-winning podcast Everything Happens.  

We were just talking about students and teaching. What do you teach your students? You say American religious history? Is there a kind of theme? And how do you go about teaching your students? How does that work in your setting? 

Kate 
Sometimes they make me do the Puritans to Trump sort of lectures which I enjoy, but I think the heart of what I love is to talk about American religious myth making. What stories animate their accounts of how to live a good life. Most American stories end up being iterations of that and some pretty classic themes of righteous individualism, of wanting only good things because God is good, a sense that all things can be conquerable. So, it's got this intense agency to it.   

I end up doing a history of American theodicies, explanations of evil. It mostly ends up being storytelling about whether people believe that they deserve the lives they got. It's a privilege to do it, especially at a divinity school. These are going to be people who are in the forefront of helping people interpret and explain their pain. 

And I guess that's something about America, isn't it? Because America was born out of this hopeful sense of people leaving the terrible strictures of Europe, and going off to this free new land, and so on. So, I suppose it had sort of hopefulness and positivity built right into the beginning, didn't it?  

It does. I also really just enjoy civic virtues, in general Canadian civic virtues. The Americans ones are, of course, the pursuit of happiness. Canadians have peace, order, and good governance as their primary civic virtues, which always makes me laugh. It's just so polite and so reasonable. But Americans are hoping fundamentally that they can become. The kinds of people that can conquer a fickle market, who can overcome any sort of structural evil, can be winners in a culture that doesn't ever really try to explain away inequality. It attempts to create the kind of people who can navigate it. 

And you started out by studying the prosperity gospel, didn't you? And particularly within the United States. Is that right? The kind of idea that God wanted good things for you. You've been talking about that already, and when you did that study, what did you expect to find? And what did you find when you did that research? 

Well, the very first time I bumped into the prosperity gospel I was in my hometown of Winnipeg, Manitoba, which is right in the middle of Canada, and we have only one fast road, and they had put up a traffic light. So, I was in a terrible mood. Then I saw all these people pouring out from what I thought was a factory that was running on Sunday morning, and then I thought, oh, no, I believe these are churchgoers. Oh, no, that factory is a church, and it turns out that was Canada's largest megachurch that was run by a man named Leon Fontaine, who had just been given a motorcycle by his congregants, and then rode it around on stage, and I thought, no, that is for Americans. I was so insistent on the idea that a story of health, wealth, and happiness was exclusive to an American cultural narrative.  

I think I was 18, maybe 20 when I first bumped into it, and then I spent my entire twenties wasting my youth interviewing televangelists in Canada and the United States, trying to understand why it was so deeply American, and also why it was so infinitely exportable and ultimately discovered that there was something very deeply humbling about studying a movement of infinite spiritual expectation. It taught me that we all want to be able to comb through our own biography, to know whether we have any evidence of God's love, special appreciation connection to us, but also that even when we think that we don't have a prosperity gospel in our own lives. We probably do. 

You're talking there about the the kind of desire can control outcomes a little bit.  It struck me that I think the very first reflection you got in your book, which is called Have A Beautiful, Terrible Day, which is whenever everything is out of control, is that the sort of big theme that you  found with it - the desire to control? And I guess that's something you've experienced in your own life, that sense of not being able to control things? 
And  one of the books I've been reading recently is this one by Hartmut Rosa, called the The Uncontrollability of the World talks about how a world in which everything has been planned and controlled would be a dead world. It's the uncontrollable things that kind of make life kind of interesting, when snow falls and you can't control it, or a sports game that you can't predict the outcome of. Do you think there's something in that? That we try to resist? 

I am committed to resisting. I mean, if I could arrange some sort of consumer feedback to our Lord and Saviour, I would suggest that I would be given more control over my circumstances. I guess it's been a question that is really at the heart of so much of my both academic and spiritual interest is, what do we do now, when we feel ourselves confronted by all the things we can't control. Typically, the things that we can't control can do two awful things. One, they seem to preach the story of a God who is cruel and and just doesn't care. That can't possibly care enough to want to confront the evil that overwhelms. Because suffering isn't just like cosmetic change. It's just an avalanche that that sweeps everything away. And then in the face of that we don't know how to say what my friend Tom Long, who is a wonderful preaching professor at Princeton, says. He likes to say there's always two preachers at a funeral. There's the body. But what can tell a story that is bigger than death? So, I think that's the first thing - that suffering, of all the things that are uncertain seems to tell us something about God that isn't true. 

I think the other thing, and maybe this is just especially the marketing for women. But when I began to be an unlucky person, I began to feel the sting of a very distinct kind of shame. I felt that it was not just circumstances, that there was something about me, something about my failure, something about my unlovedness. One of the first thoughts I had when I got my diagnosis was, well, of course it's me.  

And that is an awful lie that buries itself somewhere in our hearts. But I think uncertainty can have this effect - we end up holding the blade on the wrong side, and it just it always feels like uncertainty. We sort of plunge it right into our chest. So, I think I think uncertainty in general, it's every wave and we have to learn to navigate, but mostly it feels like an affront on our essential goodness. 

 

And how did you learn to manage that uncontrollability?  There's a tendency in many of us to try to control everything, and we want to have everything sorted and ordered. And then you kind of get to the point where you realize can't do that. Then the temptation is to be just overwhelmed by it, and to feel there's nothing I can do at all. How do you navigate that sense of being out of control?  

One of the American cultural diseases, she can say lovingly, is, they are high on what I like to consider is ‘everything is possibleism’. And so then, in the face of uncertainty, or confusion, or despair, or undoing, then the great fear is that you swing right into ‘nothing is possibleism’ and a kind of despair and nihilism. And I'm very interested in every, especially religious tradition that that helps us cultivate an experience of limited agency like, how do you find that space, spiritually, emotionally, communally, of what is possible today? And I've really, I've really struggled with this over the various intellectual and sort of seasons of illness in my life. In Have a Beautiful, Terrible Day I wrote these little snack size reflections, because I was in a period of so much chronic pain that I really just didn't even have brain space for more than an hour and a half a day. So that became an exercise in trying to still allow myself the joy of creation. Because isn't it so wonderful when your brain goes somewhere, and pain is so boring. And I mean talking about pain is so boring, telling it to your friend for the 200th time, like we are all over it. 

 So, I just was trying to practice the experience of limited agency, even if for the other six hours I would have to lie in the bath and take pain meds. But I've realized over and over again that trying to find that soft space is a place where I can re-experience, humanity, love, and really just the weird, wild gifts that God gives us. Even when life falls apart. 

If anyone's watching this and hasn't found a book yet, I really do recommend it. It's a wonderful thing. It's got lots of different kind of poems and meditations and prayers, and it's got titles for when things are falling apart, when you screwed up, when you're in pain, when life feels incomplete, things like that. 

I'm a huge bummer, Graham. Thank you. I think it's so funny. I think it's because we grew up Mennonite, and we love our version of like Saily Bread, and like the tiny little booklets, and all of them were very sweet and very precious moments. And then in my version, it's like, when you're worried you want to eat your own arm, you hate your life so much. So, I do kind of prefer them for the rawer times. 

Coming on to how Christian faith helps you navigate those, one thing that struck me as I was reading through it is there's a difference between, one of the common approaches to suffering you get in the modern world, which is the stoic idea that you  just sort of grit your teeth, you can't control what's going to happen to you, but you can control your own emotions.  

That's such crap, isn't it?  

It’s pretty common, isn't it? You get that sort of sense of stoicism, these days there are stoic podcasts and books. What do you see is the difference between that and what Christian faith says to on how you navigate these really difficult periods of life? 

I want to say specifically that what I truly believe is crap is the phrase, the argument, ‘you might not be able to control but you can control how you respond.’ I mean, anyone who's been unexpectedly stabbed with a needle knows that that is fundamentally not true. And the reason why I am so sensitive to it is, you know, as somebody who’s had a public cancer diagnosis, I see how quickly the cultural narrative is so intense, I've seen every single person who suffers is lined up to give that response, because what everybody wants to know is, well, just tell me that there's an escape hatch on the other side of it. 

Modern stoicism is - and when I say modern it did not have a Renaissance until the 2010s, which is wild - in part a result of an incomplete theology of masculinity that has been available, and it has become a way to explain specifically to men that there's an almost natural impassivity that is theirs should they claim it, And that in the face of chaos, global and personal, that there's a higher path. Stoicism is always, of course, stripped of its original cosmology, refitted with self-help techniques. But what I really object to, which is at the core, is a story about control.  

Emotional management is, of course, a therapeutic good. But, man, we're 50 years into the therapeutic paradigm. It makes me want to add the word dude at the end of that sentence. We are 50 years into the therapeutic paradigm, and we have not yet found a way to control our emotions, and that is because, as spiritual creatures we are always, we have this ache, we have this soul-cry that Augustine named so beautifully. We have a spiritual restlessness that no kind of emotional management strategy can overcome, and because it it is meant to be satisfied fundamentally by our love, our love of God, our love of others, and frankly, an unsolvability that tells us that we are an incomplete story. If we could be a complete story, I don't know if we really should be religious at all. Frankly, I really would. I would probably do other things with my time. 

It does seem to be something about desire at the heart of this. The Stoic response is to just slightly repress your desires, keep your desires under control. It is offering a sort of sense of control. Or Christian faith is actually about redirecting your desires to something that is bigger than yourself and more powerful and beautiful than you are. And so whereas sort of stoicism seems to say, just control your desires, Christianity in some ways almost says let your desire for God grow as you go through this.  

But I was wondering a little bit about prayer, and how prayer works for you in times of real struggle? I often seems to me that when you go through really difficult times, the time when you kind of feel you need to pray, is often the time it's hardest to do so. Do you find that? What role prayer plays for you in moments of uncontrollability, of the sufferings and struggles of life. What role does prayer play for you in that

This stoicism to prayer thoroughfare is a perfect continuity of the argument. Stoicism, and I mean just living inside of the precarity of this world, reminds us again and again that life requires so much more courage than we thought. Maybe we were convinced along the way that prayer also doesn't require courage just to get to that place of spiritual honesty again, I mean especially if you feel like your prayer was supposed to follow a different template. Whether it was always supposed to very quickly move from brief needs, long descriptions, great thankfulness. That's the classic three-parter, but most often are our honesty requires us to be incomplete before God. I mean utterly, or angry or unknowing. Maybe this gets back to your certainty comments at the start about like, how do we manage such enormous uncertainty? Do we imagine prayer as a strategy for certainty? And if we're hoping it's that, we might be we might be unsatisfied. I just know that when I pray honestly that when I'm in a really terrible season, my prayers sound more like it's 2am. And I'm the sort of self who is buying things on Amazon and wishes I could call people and say things and cannot be trusted. Those prayers sound something like, help me! Help me! Save me, make them come back. Make this stop! Those are necessary, deep, guttural cries. 

My 2pm prayers, I've got Trinitarian round-outs. I've got sophisticated nuanced theology. I'm quoting here and there.  

Both are reflections of how much we're not even entirely known to ourselves, except that we find ourselves unfolded by our circumstances. 

Pressing into how you deal with enduring pain. You talk very movingly about what it's like to go through really quite searing pain that just doesn't go away. And you have to kind of deal with it. Here in the UK we've been having a debate over the last few months about assisted dying. Which is a route out of pain for some people towards the end of life. Did you ever experience the temptation to that? Or has your experience helped you reflect upon that kind of route that our society is offering people at the moment? Can you end this by ending it all. 

Canada's been having similar and terrible debates with terrible consequences. I think one of the great worries, especially with North American theologies of the self, is that the suffering, those who suffer are inherently less valuable because we are not the worker self. We're not the productive self. We're simply the the feeling and the limited and the precarious self. 

What really worries me, especially with some of these exit interview for people who apply for euthanasia in Canada, is is quotes like ‘It's not that I don't want to die it’s that I can't afford to live’, because so many of the things that relieve pain are frankly so expensive and so off insurance. Any discussion about pain and assisted suicide are also just always, at least in North American context, conversations about who is valuable and whose pain is insurable. 

I know that one of the major differences that I've had in my own life between a self that was in so much pain I could barely function to this version, is that I could pay for my own treatment. I feel overwhelming compassion for all those who feel like they will suffer without end because there are no social services to alleviate it.  

I've been in a situation where I'm so desperate to live that I have not fundamentally experienced despair that has a telos to it. I've experienced despair at times in which I feel my own helplessness.  

I had a lovely interview with Dr. Catherine Mannix. She developed a cognitive behavioural therapy therapeutic approach inside of palliative care in the NHS. And it was really it ended up being a way to talk about how do you experience control inside of that much suffering. Her books are about people who thought that they would want to die in that much pain. In these little case studies, I found her description to be so deeply Christian. What she was arguing was that even in the midst of deafening pain, that helping people find a small, soft place of narrow choice and meaning-making could reinfuse their lives with such purpose that otherwise our culture would erase.  I just wish that everybody that inside of our conversation about when pain is too much, had a little bit more of that place of gentle possibility. 

One of the phrases that that really struck me as I was reading your book is that ‘we are united by our fragility.’ The implications seem to be that that's actually what we have in common. The fact that we are fragile or incomplete, in your language from earlier on. It got me thinking about how that might change the way we think about each other and community and relationships, and maybe even church. What that difference would it make if we actually thought that was the centre of what we have in common, our fragility. Do you have any thoughts on that? 

At heart, I'm an anti-culture warrior. In this time of increasing binaries our democratic structures or any kind are fragile, especially in the United States, the big tent umbrellas of denominationally or otherwise. I do think it is important for us to sort of spiritually land on what we think makes us all deeply the same. I know that when I started down this path there was a lot of humiliation because I was treated as disposable by the healthcare industry. I was truly humbled by it. In suffering you are laid low and there's a little key in that that I found that I've never wanted to give up. IT is that the second I knew I suffering, I could see it so much more easily in other people.  And that I could know that a broken heart is an open heart. If you can keep that at the at the centre of of a story about our difference Ihave just found it easier, easier on Facebook, easier at family gatherings, just easier. We have a contingency that we're all grappling with, and we can't always see it on each other's faces. But if we know that we all are so worried that we're wearing a sweater and someone's going to pull a thread and then there we are, naked to the world. I think I know that it inculcates a deep feeling of humanity in me. 

There’s something about approaching another person with that thought of  I'm fragile and kind of so are you. Especially it's not that terrible if you see my fragility, and maybe I begin to look for the fragility and the other person, and that makes that person that much more approachable somehow, and a bit more human. This militates against the idea of going to everybody else and trying to  give to give out this image of being complete, and I've got everything sorted, and I know all the answers. The kind of image we try to present of ourselves.  

I think I think invulnerability is exhausting, and we could just cut ourselves some slack.

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