Death of the Adolescent

Michael Ebbinghaus • August 18, 2023

Acknowledgment of Death Implies Richness of Life

There is much going on at Common’s Ford park today. Workers complete the repaving that was done over the weekend, and the day is especially hot. A covered bed black truck with blue and red flashing lights asks for directions to the water.
 
I proceed slowly, my legs heavy. I have been in my office with clients for most of the day, and am overall enjoying myself. Most days I am thrilled about my work. Common’s Ford is only a ten minute drive from the office, making it an ideal place to hang between longer breaks. I enjoy taking books, writing materials, and the occasional guitar.
 
As I enter my familiar spot in the trees off the banks of the river, I am greeted by a friendly striped dog. Small safety orange buoys about the size of milk cartons dot the water, patrolled by two police boats. They honk their sirens when others approach, a no wake zone. “Divers in the water” their words ring out over the megaphone.
 
The dog’s owner, a longtime resident of central Texas, fills me in on the scene. All the orange buoys mark obstructions in the water, fallen trees and such under which things, and people, can become trapped. He tells me about the land prior to the damming, and how his old fishing maps precisely locate each one of these orange buoys and the sedimented debris they mark.
 
The divers are searching for a body. There was a boat crash here the previous day. A teenage boy went overboard and could not be located. It was only as I was packing my things to return to the office that the officers closed the park; the boy was found within two or three dozen yards of where I sat.
 
I was thankful to be at the head of the group as we made our exodus. As I passed by I heard conversation from groups of young people, one of whom I overheard was turning 17. Probably not much older than the young man that would soon be pulled from the river. I hear one among them say “I want to see it!” The it sticks in my ear. This statement reflects many of our transparent feelings: a morbid fascination, but a reluctance to see our own face in that mirror.

"Many of us live with the fear of death, and believe it is a subject to best be avoided until it becomes most pertinent."
 
As I drove away what came most immediately was the thoughts of the family. My knowledge of their child’s end was very close to theirs. We were among the first to know. I thought of the sleepless night they had already endured, prayers for safety and miracle, and the undeniable presence of a nightmare that would soon become a reality.
 
It was not long before the experience of the deceased entered my awareness. Like his family, he had had plans for himself. I imagined he was enjoying the last days of summer vacation, with the thought that the school year was not far away. And while I of course do not know his disposition, it stands to reason that death was not an imagined possibility, that he would never make it to that first day of school an unturned stone. Many of us live with the fear of death, and believe it is a subject to best be avoided until it becomes most pertinent.
 
I mourned with the family with a degree of harmonic separation. I was in shock, rife with moral inventory, and grieving, over what in particular it is hard to say. There are many things in life to grieve, mourning our most powerful antidote.
 
Then there was his image in the river. I imagine him with hair that extends past his ears, floating and golden, his skin white with death and his eyes peacefully closed. This is, of course, a part of me. The details of the synchronicity are not pertinent here – suffice it to say that the timing was flawless. Death of the adolescent is an important part of human development, one that allows one’s True Adult and Elderhood to emerge.
 
This is, of course, the myth of Narcissus, the young man who fell in love with his reflection and died near the banks of the river, a flower growing from him. His opportunity is in the image he sees in the water; he catches a glimpse of the totality of which he is a part. His tragedy is that he confuses that image for the totality itself. He cannot yield from his own reflection, as it is the source of his identity. He does not realize his role is to honor both the reflection and what it symbolizes, and to more and more root his identity in the latter.

"I imagine him with hair that extends past his ears, floating and golden, his skin white with death and his eyes peacefully closed."
 
This is what Swiss psychologist Carl Jung referred to as individuation, what all cultures have always known on a deep level as the cycle of death and rebirth, and in Ken Wilber’s integral framework: waking up, growing up, and showing up. In a magnificent work by Nathan Schwartz-Salant (1979), he explores the myth of Narcissus and its application to healthy human development. Rather than regard it as a cautionary tale of self-infatuation, it sees Narcissus' acknowledgment of what he glimpses in his reflection as something transcendent and ever-evolving. His error and his demise are precipitated by his confusion of the reflection for the totality itself, an error perpetuated throughout our culture to our great detriment. But the adolescent will die (and be reborn) in one way or another.
 
The death of the adolescent means many things, but chief among them we can identify a greater source of internal validation, one that is not based upon image, group identity or participation, or the attainment of socially cherished ideals. It does not require us to throw out the adolescent, in fact doing so is a tremendous blow to spontaneity and vitality. It merely asks that we begin to uproot that as our foundation, so that we can follow a fountain of Truth that is sourced from within, one that we are ultimately and benevolently subservient to. We are asked to examine the ways in which we abdicate responsibility in favor of adolescent and childish behavior, all while embracing the ferocity and friendliness of the adolescent.

These parts of ourselves, when killed, tend to reemerge transformed.
 
Before I deviate too far from the tragedy of the boy who lost his life, I’ll simply say this. That someone I do not know or could not identify could have such an impact on me is a testament to how deeply interconnected we are. That particular bite that the young man’s words had: “I want to see it!” could barely dull the bells for a moment. I have witnessed a part of my own Self die, now in the process of rebirthing.
 
We can turn our thoughts now upon those most directly affected by this sudden intervention of death’s omnipresent hand. His parents, any siblings and friends he leaves behind, will all be going through grief, these events now a primary part of their stories, their identities.. I pray that they are in a place where they can mourn properly, where death is not glossed over with glimmering promises, where its premise of unconditional surrender is understood and appreciated. I hope they are surrounded by a community who will support them. To whomever this young man was, I say thank you for your life. I pray Kharon offers you safe passage into the next stage of the journey.
 
           


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What is Ketamine-Assisted Psychotherapy? Ketamine-assisted psychotherapy (KAP) is a modality that uses low dose ketamine alongside talk therapy to access non-ordinary states of consciousness, helping clients process trauma, depression, and anxiety in a new and deeper way. One of the most common complaints about traditional psychotherapy is that it can take a very long time for unconscious material to surface, even after a solid relationship has formed with your therapist. While there are techniques we utilize in our practice that do not require substances (e.g. dreamwork, sentence completion, automatic writing/drawing, etc.), the introduction of intentional medicine work can reliably shift one into an altered state of consciousness, catalyzing access to unconscious material. After a brief introductory period, you will take ketamine under supervision from your therapist either in-office or virtually in the comfort of your own home. The therapist will guide you to take your own journey as well as direct you towards areas that might benefit from exploration in an alternate perspective. Learn more What is Ketamine? Ketamine is a dissociative anesthetic acting primarily on the glutamate neurotransmitter system. This differentiates it from the traditional psychedelics like LSD and psychedelic mushrooms which are much more prominent in the serotonin system. Ketamine increases neural plasticity, meaning that the brain becomes more flexible to change, open to new insights and behaviors. Ketamine has been used for over 50 years as a surgical anesthetic. It has no impact on the respiratory system, making it one of the most safe and effective medicines available. It is classified as a WHO top 10 essential medicine, and it is so safe that it is still the anesthetic of choice for children. It is a schedule III medication approved for off-label use in assisted psychotherapy, meaning a healthcare professional must be supervising in some capacity. Screening is essential, see below for more information. How KAP Works One of the things we like to stress is that the medicine is taking you to a place within yourself. It is not the ketamine "doing" anything other than relaxing your emotional defenses and allowing for exploration of consciousness. That said, you will feel a degree of relaxation in your body as well as your mind, which allows things which we keep buried to come up to the surface. By shifting into an alternate state of consciousness, we are able to sublimate many of the barriers we have in place that remain opaque to us. Oftentimes simply allowing this material to surface creates greater harmony, and you ma find yourself saying "Oh - this is what I've been afraid of for so long? It's not so big and scary after all." This is not always the case, of course. The nature of what is hidden can also be very painful, which is why the presence of the therapist as well as the therapeutic relationship is imperative when first working with alternate states of consciousness and healing trauma. What Does KAP Treat? Ketamine's claim to fame comes from its potent and immediate anti-depressive effect . While this requires lifestyle change and further exploration - greatly benefitted by depth psychotherapy - this can be incredibly helpful to those experiencing treatment resistant depression. It does this primarily through breaking up rigid neural networks (enhanced neuroplasticity), limiting one's ability to ruminate. Ketamine for depression can be powerful, indeed. In a meta-analysis of over 2,500 patients, it was found that 45% of people had significant drops in clinical depressions inventories, with 30% in remission. The benefits were often sustained at 6-month follow up. Ketamine-assisted therapy can be helpful for those who experience post-traumatic stress disorder or PTSD . The clinical evidence here is quite strong, with multiple meta-analyses and an open label study showing durable and significant reductions in PTSD symptoms in as many as 69% of respondents and up to six-months' follow up. Ketamine for trauma is widely studied and efficacious. Anxiety is also significantly reduced after brief KAP treatments. In a glimpse, ketamine can treat: Treatment-resistant depression PTSD and trauma-related symptoms Anxiety and existential distress Addiction and maladaptive coping Spiritual exploration or life transitions What Does Treatment Look Like At Ebb & Flow Depth Psychotherapy, we believe in the importance of a strong therapeutic relationship to help sustain the positive effects from ketamine treatment. To this end, prior to any medicine session, there are 6-8 preparation sessions (this can be reduced to 2-4 if you are already working with another therapist). From there, we will conduct two initial dosing sessions with an integration session in between each. We would then conduct another 6-8 dosing sessions, also with an integration session in between each. Our Approach During each session, you will be gently guided into your body utilizing a simple meditation or, if preferred, ambient music. We utilize sublingual lozenges, tablets which will be dissolved and swished in the mouth for 10-12 minutes, then spit out. This offers a psycholytic approach rather than a psychedelic approach. We prefer the psycholytic approach for two main reasons: 1) This helps to make ketamine-assisted psychotherapy more affordable, as the presence of a medical professional such as an RN is not needed as they are in IM (intramuscular) or IV (intravenous) injections. 2) Psychedelic ketamine therapy can be effective, but in our hustle and bustle world, the subtle work often gets overlooked, and it is the subtle work that carries us the farthest. If you’re seeking a full psychedelic experience, I often recommend doing so on your own time and terms, ideally in nature or a supportive setting. There are few practitioners I would trust to guide me through such an experience, and they come at an extraordinary financial cost more often than not. With psycholytic ketamine therapy, we are nudging gently and entering into an altered state but not breaking open the doors of reality. Through the experience and through the journey you've taken thus far, which includes your triumphs and your traumas, we will expand not only on who you are but who you are meant to be. Your exuberant and mature presence is sorely needed in this world, and it requires reconciliation of our darker nature and highest aspirations. Who is KAP for? Ask yourself now: "Am I in a place where I am ready for deep self-exploration?" "Am I open to the idea of letting go of things which both pain and comfort me?" "Can I remain off of substances and away from process addictions (such as pornography, over-eating/bingeing and purging, sex, etc.) for at least three days?" You may not be ready for KAP if: Are experiencing active psychosis or mania Have untreated Bipolar I or II disorder Have a personal or family history of schizophrenia Are currently struggling with active substance dependence If you are in a grounded place and ready to make shifts in your life, KAP may offer the support you've been looking for. Ketamine Therapy In Austin, TX - How to Get Started Contact me today for your free consultation to see if ketamine assisted depth psychotherapy might be right for you. Myself and the fine clinicians over at Journey Clinical are ready to help you find deeper meaning in life and be the change in the world you wish to see. We conduct ketamine-assisted therapy in Austin, Texas as well as virtually all over the state. Reach out to us today!