Social Work Article - Suffering and Transcendence

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Suffering and Transcendence: Exploring a Clinical Question

By Jaime Sork, MSW, RSW

As a clinical social worker, my professional work has included intimate witnessing of human suffering. I have seen the patients I work with suffer, their family members suffer, and the health care professionals caring for them suffer. I have seen individuals become exhausted, their caring and compassion spent, burnt out. I have also seen individuals who seem to walk directly into the suffering and as a result I witness personal and professional growth. They appear to gain strength or is it reduced fear of suffering, I don’t know.

As a clinical social worker this question and many others, has travelled with me over the length of my career. I wasn’t sure if I would ever get an answer to these questions and am still not sure of that. I have however chosen recently to focus some specific energy in exploration and searching. This searching comes in the form of work on an interdisciplinary doctoral degree.

I was one of those people who after completing each of my degrees said, I will never do that again, and here I am again! My interest has stemmed from my own experiences of transcendence at times in my work, and also witnessing the transcendence experiences of my colleagues. For me the experience of transcendence has been significant and important, what I have also noticed is that the sense of transcendence is impermanent. That just when I seem to have grasped a sense of getting through a difficult time in my work, I am often faced yet again with another situation that challenges me and I struggle with it all over again. I want to try and understand how this all works, in the hope that this understanding may some how be useful in relation to education and preparation of health care professionals in the future.

I am just beginning to formulate the process of investigating this question. I plan to rely on interviews or written accounts of health care professional's experiences of transcendence as the foundation on which I hope greater understanding will develop. It is a challenge I undertake with excitement and trepidation as I wonder, is it really possible to understand this phenomenon, is it possible to capture it in words, since I have experienced it myself more as a sensation or feeling. How will this work fit in an academic setting and is there really an answer to the question of what is the experience of transcendence of suffering?

The choice of our work includes multiple exposures to human suffering. What is our experience of this, what do we gain, what do we lose? Ram Dass and Paul Gorham note in their book How can I help? “It’s unbearable and beautiful at the same time. How do you explain that? It’s just the part of you that’s with them is getting ripped up. But the part of you that’s, like trying to understand it all…well, that’s beautiful because you see that you can be, we all can be, in the presence of great pain, but still appreciate life, even in its last moments. Especially then” (p. 71)

. For me this is the beginning of what I expect will be a long and interesting journey. Given my uncertainty about the possibility of finding answer, my goal is to do my best and to enjoy and relish the gains and gifts of the process. Jaime is a social worker in private practice.

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