Volume 68, Issue 4 | Page 22

FEATURE RESTORATIVE NOSTALGIA AUTHOR John J. Wernert, MD, MHA It may be evident to you now that we all will be spending more time in our homes. Whether working remotely, socializing electronically or sifting through the jungle of social media, Americans are reimaging their homes and the activities they do there. Homes should be spaces of comfort. Our current circumstances mock that claim. The boundaries of space seem to close in and turn our homes into stressful spaces. This change limits our movement and imposes a new monotony that can be frightening. We feel “cut off ” from familiar support networks and comforting places and landscapes. I certainly miss the consistency and reliability of my “pre-pandemic” lifestyle. The pandemic in some ways feels like exile. How do we combat these feelings of isolation and disconnection? We actually live in an extreme environment when we are forced in to exile. Authors have written of the elements involved with extreme environments and why humans respond negatively: 1) We all need daily structure. Notice how much better you feel when you have orderliness and predictability in your normal day? Instead, we now have unpredictable days and receive contradictory advice daily: to go out or to remain isolated? 2) Indefinite stays. We like knowing when a crisis or confinement will end. Uncertainty about when the restrictions will end just worsens our fears and anxiety. 3) Hypervigilance is exhausting. A feeling of abandonment sometimes takes over and being on constant alert depletes our energy. One simple solution is to try and hold on to memories of experiences and places that rejuvenated us. Where do you remember feeling relaxed and untethered? A senior colleague recently offered me the idea of “restorative nostalgia” as a remedy to these unnerving feelings. Our family used to take a yearly week-long summer vacation to the Upper Peninsula of Michigan. My favorite pilgrimage was to Whitefish Point, a finger of land that juts out into Lake Superior. Even in the broiling heat of late July, Whitefish Point was always cool, the water cold. The smooth stones were worn from centuries of waves. There was a raw and powerful nature to this place for me, and I return to that rustic scenery in my mind when I feel stressed or confined. Do you have a similar spot for restorative nostalgia? It is a problem to be separated from what is familiar to us, but don’t be preoccupied with imagery of loss and alienation. Try to re-center yourself and re-enjoy the restorative nature of nostalgic places and feelings, the auras of relaxation and enjoyment there. This is a solid strategy to reinvigorate our resilience and regain our homes (and minds) as places of comfort, not confinement. Dr. Wernert, MHA is the Executive Medical Director of Norton Medical Group and practices with Norton Behavioral Medicine. 20 LOUISVILLE MEDICINE