05/25/2026
In watching a session from the recent EMDRIA Summit, the presenter, Dr. Paul Miller shared an excellent quote from Karl Menninger that really resonated with me and is at the core of how I approach trauma work.
“An individual having unusual difficulties in coping with his environment struggles and kicks up the dust, as it were. I have used the figure of a fish caught on a hook: his gyrations must look peculiar to other fish that don’t understand the circumstances; they are his effort to get rid of his affliction and as every fisherman knows these efforts may succeed.”
In order to help our client heal, we must first understand the reason, purpose or function of their symptoms in their lives. Why did they develop this particular symptom, what is it an adaptation to? What are they trying to manage, consciously or unconsciously.
Our client have good reasons for thinking, feeling and behaving in the way we do. If we start from this place of compassionate, client centered, understanding is in itself healing and validating.