Saturday, April 23, 2011

Thoughts on Man vs. Animal...


I recently began studying a book called A Psychology Of Human Strengths edited by Lisa G. Aspinwall, and Ursula M. Staudinger (2003). I was fascinated on some aspects of their findings regarding human nature. More or less, they indicated that human beings have a dual nature. The first can be considered as the part of us that has lasted over the eons of evolution. The animal or primal part that desires survival and survival alone. It also is the part that seeks for self-gratification and is somewhat amoral. It's the cro magnon within all of us--without values or morals. The only purpose is to eat, drink, survive, and self-satisfy. Freud would have called that part of us the Id. The ID operates according to the pleasure principle i.e. it seeks pleasure and avoids pain. It is our instinct. If we want to do a particular thing we will do it. For example, if we are in a lesson and we want to go to sleep, we go to sleep. http://www.btinternet.com/~brownfamilywebsite/freud/id_ego_superego.htm
It's a fascinating part of each of us. Most of us have done something on a whim or simply because we desired it without thinking of the consequences or if it was the right thing to do. Whether it ranges from eating too much at the buffet, because all the food looked good (and resulting with GI problems) or a teenager or adult offending sexually on a child, it is all the same urge (but to different extents). Many people use these animalistic or Id impulses as excuses. We hear it every day at home and in the work place to various extents. Psychology tries to explain them through evolutionary terms, cognitive distortions, addictions, impulses, desires, appetites, etc. Many people use these animalistic or Id impulses as excuses. If all of our actions were driven by these impulses, that would mean that our behaviors are determined by stimulus and response.
On the other hand, human behavior does not seem to follow determined patterns of stimulus and response. Far too often actions occur based on another behavior that cannot be necessarily measured or predicted. Some may call it the X Factor or the human will. Behaviorists may argue that even human will can be deterministic in nature; however, it seems that it is only said AFTER the behavior is done--hindsight. I believe it is this will that can defy the natural and evolutionary impulses within us all. It can be the determining and unpredictable factor for all that is good within us. It does make one think, does it not?





Friday, April 22, 2011

Mind Loop No More!



An expert in anxiety disorders, specifically obsessive compulsive disorder once mentioned that a helpful way to get your mind off of an anxious track is to distract it with something you memorize. It has to be something lengthy and inherent with personal meaning. The following is a great example of something to memorize, because of the meaning the words carry. It is the poem Invictus by William Ernest Henley.

Out of the night that covers me,
Black as the Pit from pole to pole,
I thank whatever gods may be
For my unconquerable soul.

In the fell clutch of circumstance
I have not winced nor cried aloud.
Under the bludgeonings of chance
My head is bloody, but unbowed.

Beyond this place of wrath and tears
Looms but the Horror of the shade,
And yet the menace of the years
Finds, and shall find, me unafraid.

It matters not how strait the gate,
How charged with punishments the scroll.
I am the master of my fate:
I am the captain of my soul.

Retrieved on 4/22/2011 from http://www.poemhunter.com/poem/invictus/

Wednesday, April 20, 2011

I Promise! It doesn't bother me...follow-up



I spoke to my young son today about his example to me and others and how his dirty hands, wild dancing, and carefree attitude can be so contagiously wonderful. What surprised me most was that his green eyes welled-up with tears and he hugged me and said that "made me so happy, dad." I then spent the next 30 minutes talking to my children about how proud I am as their father and all that they teach me. My son cried, and my daughter (6 years old) beamed. My 3 year old just made faces at me. Children truly can be the source of all that is healing and pure. So, why not act like them some time? Afterwards, I watched him run around in circles down the aisle at the store...and I let him.

Quantum Physics and Mental Health...


The following is from a guest mental health therapist, Hollie Hancock, LAPC. To see her bio, use the following link http://cornercanyoncounseling.com/staff/

The quantum physics of mental health and wellness.

ENERGY.An unseen power that is all around us and moves us every day.

THOUGHTS.Unseen forces that move us to act or react thousands of times each day.

Our thoughts have energy. Our thoughts have POWER. How much power? Let’s consider:

You think about 60,000 thoughts a day. It’s up to you to make sure that you don’t use up 59,999 of them with negative, cynical thinking. So next time, before you start to think something negative, just think about that…and this: Your brain has 100 billion cells – and each of these little babies is connected to at least 20,000 cells. The variety of potential combinations of all these is more multitudinous than the number of molecules existing in the entire universe! So, if you have that many different combinations of brain cells to choose from, why not try a new combo today?

Now for some REALLY scienc-y quantum physics stuff:

(Did you know that reading this blog entry about mental health and wellness would lead you to learning quantum physics? How cool are you?!?!?!? I must say, you are very smart blog readers!)

Both form and formlessness are connected within the same vibrating field around you. All molecules are energy – and all energy is in motion at varying speeds – all around you, at all times.

Some molecules vibrate at slower speeds – and those vibrating at very slow speeds are what you presently perceive as the material world. And those molecules vibrating at hyper-fast speeds are the invisible energy of your thoughts.

Huh?

Yes, thoughts, too have energy.

In other words: the only difference between you and the computer screen you are presently looking at are the configuration and speed of your molecules. Otherwise, you and your computer screen are made of the same stuff, vibrating in the same interconnected field.

Your local Quantum Physicist has even documented how the brain has electrical energy that gives off varying vibrations depending upon thoughts and mood. Because like energy attracts like energy, it makes sense that positivity might indeed attract positive results – even “positive, lucky coincidences”.

This may explain why the rich get richer, why misery loves company, and why whenever you’ve already in a good mood, it’s way easier to stay in a good mood.

And this is why fear attracts fear. Like your fear of not being able to fall asleep always seem to attract the problem of your not being able to fall asleep. Ditto for your fear of falling in love. Ditto for your fear of being too successful.

Yes, my fellow blog readers, thoughts have ENERGY. WEIGHT. And yes, POWER.

Let’s start using the power for GOOD. For lots of energy and lots of success and lots of whatever else it is you seek. Literally.

Concentrate on your thoughts in the coming weeks. Concentrate on one good thought a day. Then let the good times roll!

Until next time, be gentle with yourself. Take care of yourself. And take a little time to ROCK ON!

Here’s to you and your journey!

Hollie

The quantum physics info was borrowed from Karen Salmansohn’s book, “how to be HAPPY, dammit!” It’s a great read! Check it out sometime! Lots of good vibrations coming from this book, if you know what I mean!

I Promise! It doesn't bother me....


I have a little bit of an OCD problem...it's always been there and I lovingly accept it for the most-part. One of the things that gets my anxious juices flowing is watching my son. He is eight years old and still gets food on his face when he eats, spills it on his shirt, lets his fingernails grow out and inevitably caked with various types of dirt, mud, and other microbes. It makes my skin crawl just thinking about it. On top of that, he "makes a fool" out of himself in public by dancing down the grocery store aisle or doing other acts of performance that cause me to look over my shoulder in fear of what onlookers might think of my child. As much as I try to lovingly parent him to "behave" or to have "good manners" at the table he does not seem to absorb my parental advice. Just when I thought that I was some how failing at parenting, I had an experience that changed my mind.

Many individuals go throughout their childhood without the opportunity to dance in the aisle or play in the dirt. When that happens it seems that the childhood light gets snuffed out and they end out on my couch talking about their childhood and how it continues to plague them into adulthood. As I sit and listen, I realize the joy that my son and daughters have when they "make a fool" of themselves, because they feel something. They feel like dancing, so they do. My daughters dress up as princesses, because they believe they are princesses. My son dances break-dancing (or at least his own rendition) and believes that he really is doing it. Who says they're not? The light in their eyes and the joy in their faces is enough to show that they are fulfilled, connected to themselves and their surroundings, and don't care what others think.

We can learn a lot from children...we should do as they do...

Tuesday, April 19, 2011

Twice Baked Potatoes...

An individual told me today a really funny, but true joke. She said that a friend of hers, who is a pot dealer was getting married. She decided to provide a food item for his potluck supper. All humor aside, she is making "twice-baked" potatoes. I got a good laugh out of that one.

Monday, April 18, 2011

Homelessness Part 2 and more...

In working with the homeless man I mentioned in a prior blog, I realized how difficult it would be for one who has never had social interaction to develop a relationship. It left me wondering how someone who was raised in a volatile and/or neglectful environment could truly develop a positive and long-lasting relationship. My reasoning for this thought is due to child development. A child goes through stages of development. Many theorists, such as Piaget and Erikson describe some of these stages. I will not discuss these stages in this article, though it is important to understand that there is sufficient data to support the idea of human developmental stages. Though they are not the be-all end-all, they can describe and provide a point of reference when studying human behaviors.
Back to the point at hand...this particular person, as well as many others who have come through my door were not afforded the nurturing opportunities that children require to develop emotional, cognitive, and social competencies. This results in a developmental delay or crisis that slows their socialization to a snail crawl speed, where others may be jogging or some sprinting.
What can be done about it?
I have a few thoughts on this question. When one has not had the environment to grow in, I wonder if it is possible to provide one with the hopes that it would create a microcosm of a nurturing environment. For years, a friend of mine has had the dream of providing a therapeutic farm--a place within a city where the traumatized or others can come to heal. The farm would have small animals, gardens, trees, fields of grass, and places for people to come and socialize and work together. Holistic therapuetic services would be provided in buildings or houses on the property that fit with the decour and environment. A store with therapuetic books and toys would also be present for clients and professionals alike. Naturally, there is much more to it when it comes to the logistics, but the dream could be healing to some or many. The environment would be based on Maslow's Hierarchy, in that it would be safe, away from dangers of the world, filled with natural surroundings, and provide work even for those who need it (i.e. caring for the animals, gardens, trees, etc.).
As I think about such a place, I cannot help but wonder how it might benefit individuals to interact with one another, feel part of a small community that they can affect and mold. A place where they are accepted and with others with whom they have things in common. It's just a thought...

Resources
http://www.piaget.org/aboutPiaget.html
http://findarticles.com/p/articles/mi_g2699/is_0001/ai_2699000120/

Wednesday, April 13, 2011

Women's Issues

I had an interesting discussion with a woman that works as a fashion consultant and retailer at a local women's clothing boutique. She said that roughly 70% of all women who come into the store talk about how "huge" or "fat" they are. She watches how even husbands and boyfriends speak to their wives/girlfriends in condescending fashions, as well as mothers to their daughters. She has witnessed mothers grab their daughter's sides and say "look how fat that makes you look," or "see the love-handles you have." Tears have been shed. What could have started out as a lovely date buying clothing or a mother-daughter time ended out as something entirely different.
It is sad how this happens so frequently. It seems that societal norms, as well as the idea of what is or not attractive is damaging individuals and families. I knew that it happened, but to hear it from one who witnesses it every day is disheartening. If the fashion consultant allows, I will interview her regarding her experiences, as well as suggestions on how to help others cope with experiences she has seen.
Jamison

Monday, April 11, 2011

Stuck!

Motivation to change is a difficult challenge for many of my clients. I see individuals who have been sexually, mentally, emotionally, and physically abused. Those that experience these tragic incidents during childhood appear to have developmental crises that were never resolved. Most would say "well, that's a no-brainer," but the hard thing is not pointing out the problem, but helping an individual find a solution. Motivational Interviewing and Solution-focused therapies can be very beneficial in helping the client empower themselves to start moving, again. The Stages of Change are good indicators of where someone is in their personal progression.
The stages are as follows: pre-contemplative, contemplative, preparation, action, and maintenance stages. By using intentional interviewing techniques, one can ascertain where a client is in their stages, why they're there, and what it will take for them to move on.
However, change is always hard. It requires breaking through ambivalent thoughts and feelings, as well as cognitive dissonance. Change is also very unpredictable. Once one moves from their current state to another, they no longer can predict what will happen and fear is the resultant emotion. Therefore, the individual must work through the fear.
Fear can happen due to ignorance or not knowing how to deal with an emotion or thought. Therefore, the way to deal with emotion is knowledge. Sometimes that knowledge is knowledge about oneself and what motivates change to occur. It also requires fighting natural emotional and cognitive responses that are not in harmony with the change one wants to make. Therefore, it can even be internally combustible within the individual during times of extreme upheaval. However, as change occurs, the individual realizes the truth. Their original state before change began was an illusion of personal control. When stuck, we don't have control over anything as we are in a state of stagnation. When one becomes unstuck, they to another state that is no longer predictable. They have to exercise self-control and learn how to respond to unpredictable situations and grow from them. The growth is frightening and can be painful, but the result is liberation from oneself.
Liberation, it seems, comes when we realize we have control over ourselves and nothing else. We can only influence people and our environment, but nothing more. When we realize we don't have control over things outside of ourselves, we no longer require the responsibility of trying to maintain control. We only try to influence to the best of our ability. Those of us with children learn that we cannot make them do anything, but we can teach them positive principles while they're young, provide a loving and nurturing environment, and as they get older allow them to govern themselves with our continued guidance until they move out on their own. Even that can be scary.
Change boils down to dealing with fear, accepting it, even embracing it, and plugging ahead with courage.

For info on Stages of Change, Motivational Interviewing and more, this is a good article. I am by no means endorsing it! The information is applicable.

http://www.aafp.org/afp/20000301/1409.html

Jamison Law

Thursday, April 07, 2011

ACA Podcast: Dr. Gerald Corey Discusses Existential Therapy

Yesterday I listened to an ACA Podcast entitled Existential Therapy hosted by Rebecca Daniel-Burke with Dr. Gerald Corey as the guest. Those who know of Dr. Corey will recognize him as an author or co-author of countless books and articles in the mental health counseling field. Ms. Daniel-Burke asked several questions such as:

1. What is existential therapy?
2. In what ways is the search for meaning a major contemporary challenge?
3. How can a practitioner use the existential approach as a foundation and then integrate other therapeutic approaches, such as cognitive behavior therapy?

Dr. Corey indicated that Existential Therapy is less of a technique and more of a philosophical foundation for a therapist. It contains a belief system about life and how everything, including suffering can have meaning. He spoke of Victor Frankl, the founder for the basis of Existential Therapy and the author of the renowned Man’s Search for Meaning. He also reviewed some of Alfred Adler’s Existential standpoints, and reviewed how cognitive behavioral therapy or other therapies can be used as techniques in conjunction with Existential Therapy.

An interesting point was his discussion on existential anxiety, in that people tend to seek meaning in existence through material means and then find themselves feeling short-handed; thus, resulting in existential anxiety. Existential therapy can aid an individual in overcoming anxiety as they evaluate themselves, what gives them true meaning, and making appropriate changes.

Dr. Corey also talks about the importance of an Existential therapist working on themselves to live a meaningful life. I found that very important as to avoid hypocrisy in the profession. We are all on our own personal existential journeys. He recommended trying new things to expand our own professional and cultural competencies. One example was living or working with a different culture to be able to learn to adapt to another’s lifestyle and to understand how they find meaning.

Overall, I appreciated the information as I am an Existential therapist myself. The information and discussion was educationally simplistic and adaptable to every-day practice.

Jamison Law, LPC, NCC

Corey, Gerald. "Existential Therapy." ACA Podcast HT014. American Counseling Association. 0000, Alexandria, VA : 11 Sept. 2009. Retrieved on 4/5/2011 from http://www.counseling.org/Counselors/TP/PodcastsMembers/CT2.aspx

Wednesday, April 06, 2011

The Homeless Man

I have had the privilege of working as the primary mental health care provider with a middle-aged man who has been homeless for nearly nine years. Plagued by severe mental health problems, he came to my office a year ago in terror of counseling and other people. It took months of silent sessions to finally start getting to know him. It required modifying my therapeutic approach. I am very much a "go-getter" and solution-focused person. However, when the solution requires time and patience, I begin to doubt my approach, because I do not observe overt behavioral changes. But, over time, he began to talk and told me a horrific story of childhood abuses. Rather than engage in sand-tray therapies, EMDR, or other resolution-focused techniques, the relationship building became the therapeutic goal. I found him to be very intelligent. He had spent years in silent contemplation regarding his own life, the lives of others, and the human condition. He was familiar with Freud, Carl Jung, Abraham Maslow, Carl Rogers, and other prominent psychotherapists. He was interested in understanding developmental theories by Erik Erikson and Piaget. He often asked for handouts on the information. I was more than happy to give them as I am a strong supporter in developmental theories, and especially in Abraham Maslow's hierarchy of needs. As time went on, the man began opening up more, expressing his fears of others, including fears of me. He began talking to others in the shelter where he has found refuge. As he does this, it appears (my conjecture) that even the emotional pains and fears he had from childhood traumas are pealing away. This man has taught me the value of unconditional positive regard in the therapeutic process. All he needed, it seems, was someone he could trust; someone that wouldn't tell him that he was mentally ill and broken. Though he has thanked me for my efforts with him, it is I who is truly thankful for what he has taught me as a clinician, and as a human being. Because of this, I would actually love, if it were possible, to continue working with the homeless. I had been afraid before, but have found it invigorating with this one person. The difficulty is finding the funding to pursue this venture. The clinic I work for once received funding for a year to run a free clinic for the homeless. The results were astounding. It all ended with the fall of the economy. Here is to hoping that things will build up so we can continue working with men like him.
Jamison

Tuesday, April 05, 2011

Trauma Education

I had the opportunity to develop and teach a course on trauma counseling at Argosy University. It was the first time this course was offered at the Salt Lake City, UT campus. As part of the class, I decided to use a self-effcacy questiontionnaire at the beginning and end of the class (pre and post-test) to see if self-efficacy would increase in regards to trauma assessment and counseling. there are some limitations to the study, but it is preliminary and is expected. The results were cool for me. the students' self-efficacy scores increased in all areas that the scale (Counselor Activity Self-Efficacy Scale--CASES) measures. I am going to compare them to the original test results and see how it compares. Then, I'll see if I can publish it, even if it is a local journal. It's been fun.
In my studies, I found that there is very little information on trauma counseling in a graduate-level education program. I find that ironic when traumatic incidents can be correlated to many problems in the DSM-IV-TR. I read a recent study on trauma counseling education that included a literature review of the subject. It was disappointing to find that trauma counseling education has had very little research to support the idea that it is required to create effective counselors. Ironic, isn't it?

Addendum:
The CASES measure can be found on the net and requested by Dr. Robert Lent.
Black, T.G. Teaching Trauma without Traumatizing is the study on trauma education. Interesting material.

Wednesday, April 29, 2009

Back In The Saddle...

I took a brief hiatus from writing anything recently. I am getting back in the saddle for my one or two readers out there. Recently, a close family member educated me on a few short phrases that help with obsessive thinking. When there are plaguing worries ask yourself "Is it possible? Is it probable? Is it likely?" And then let the worries run along those lines. It seems to help a bit.

Monday, December 22, 2008

Psychology of Preparedness--Article 2: Dealing With Change



Most of us have heard the adage that the only constant in life is change. It happens every day personally, socially, nationally and more. Most of us, however, do not adjust well to change, whether positive or negative. That has nothing to do with our character, but more with our personalities and how we were raised. I’m going to give a few pointers on how to deal with change and adjust to it.
As with any difficulty that someone may have, I would suggest that you train yourself to become aware of your own response to change. Think of what it may have been like for you if you recently moved, had a child, lost someone important to you, lost a job, lost a home or valued possession, etc. Bring to your remembrance your emotions, thoughts, and even physical problems that surfaced after the change. Did you feel anxiety, sadness, or did you feel numb from your emotions? Did you find yourself feeling sick, experiencing headaches, neck or back pain? Did you start having thoughts of self-doubt, doubting others, doubting your faith? Did your sleeping patterns or appetite change? It’s important to know (for the sake of knowledge, not to judge yourself or the situation) how you responded or reacted. These reactions are indicators of what your body and mind are doing in response to the change. There are techniques and therapeutic methods that can be used to decrease these responses and help as a future prevention, however, that will not be discussed in this article.
Once you are aware of your reactions, then you can look at the actual change itself. What happened and which parts of change did you have direct control or power over? What part of the change can you influence? Most of the time, we do not have power over the actual event of change. At that point, we have to train ourselves to give up our attempt at trying to control the uncontrollable. We can do that by falling back on our foundation (see article 1) and focusing on what we have power over. The truth is, we have power over ourselves, only. There is very little that we can control in this world. That does not render us powerless. We can control ourselves, learn from the past, and prepare for the future. We can only do our best, and our best will change from day to day.
If you have further interest on change, review my blog site http://lawdawgsmentalhealth.blogspot.com/ for more information.

Tuesday, December 16, 2008

Psychology of Preparedness


This topic will include several articles that address current concerns regarding the emotional and mental state of people in regards to the current economy. It will be a definite work in progress. Check back for more information as time goes on. If you have specific requests, put them in the comments section and I will research and write what is needed.


Part I—Safety Needs Are Paramount


The news, whether TV or internet can appear daunting and foreboding with the economic crisis, wars, and other global problems. We learn about the financial industry, the struggling domestic car industry and the government proposals to bail them out. It certainly can raise concerns about individual and business rights and responsibilities, as well as possible constitutional compromises. Such news, I have witnessed, increases anxieties, can induce a sense of future hopelessness, and on the extremes, cause paranoia and zealotous activities. The paramount idea of being prepared for what is going on and what could vs what will happen is safety.
Being prepared is a level of establishing safety for yourself and your family. Abraham Maslow presented a theory of basic needs requisite for human development and enjoyment. In order of importance, those needs are: 1) Physiological, 2) Safety, 3) Love/Belonging, 4) Esteem, and 5) Self-actualization. Self –actualization being the final stage means fulfillment in your life’s pursuits or purpose, which is individual and personal. It cannot be met without the others being met first. In preparing yourself and family, first and foremost prepare for your physiological needs (thus, the purpose of this website). Those physical needs are as follows: breathing, water, food, shelter, warmth, protection from the elements, sleep, sex (believe it or not), homeostasis (a sense of stability and predictability), excretion, physical health, etc. Much of this blog focuses on procedures, ideas, and suggestions to meet these needs. Once physical needs are met, safety is important. Safety is an umbrella term that describes many levels of needs. Those safety needs can include (though this list is not exhaustive) emotional, mental, physical, and spiritual needs. If your physiological needs are being met, then many of the physical safety needs will inadvertently be met as well. However, what do you do with a sense of impending doom, anxiety, hopelessness, etc.? Well, first and foremost I would recommend (as I do to clients) evaluating your core beliefs and values. What kind of foundation of values, beliefs, standards, spirituality, etc. do you base your life on? Whether religious or not (in Utah we all know what the main religion is), everyone has beliefs. Even atheists have beliefs. What you need to do is see if those beliefs help you maintain a sense of emotional and mental safety. If they don’t, then you haven’t gone deep enough to discover what the unshakeable truths are upon which you build everything. If they are shakable, I would recommend figuring something else out that will not be shaken even WTSHTF! Foundation is the key to your sense of safety. Next, is your emotional and mental safety. Often, if your sense of physical and spiritual safety is well established, the mental and emotional safety will automatically follow suit. However, other things help. Ask yourself these questions: Am I a pessimist or an optimist? Do I call pessimism being a realist? What is the first thing I notice in a situation? Is it the negative or the positive? Do I hold on to grudges or do I forgive easily? Do I complain a lot? Do I focus on the fears of what can happen, or do I look at it as a possibility rather than inevitability? Do I stay awake at night worrying about things over which I have no power or control? Do I really have enough information or knowledge of the issues I worry about to merit the time and effort of worrying? The questions could truly go on and on. The point is ask yourself honest and revealing questions to evaluate what kind of anxiety you are creating yourself. If you find yourself worrying about current news, trends, or rumors, I recommend educating yourself from “reliable sources” to learn what you can. If there is truly disturbing news, which is possible, remember what your foundation is and fall back on that. Realize, also, that many of the current issues in the world are not influenced by your day-to-day choices, but by others who may or may not be good or wholesome people. The best we can do is be well-informed and educated and vote for who we can when that time comes. If someone is voted or called into office that you do not agree with, what more can you personally do to change the situation? Most likely, nothing. Remember your foundation and ALWAYS fall back on that. Men and women aren’t in office forever, whether good or bad. Learn to let go of things that you can’t change or control. You have better things to do with your time.
Remember that in these times we are not by ourselves. There are many out there just as concerned as you are. Be proactive in seeking them out. Most of them are probably your neighbors. Be positive in your discussions and avoid the negative “what-if’s.” Always fall back on your foundation to maintain your sense of safety and prepare what you can with your physical needs.


To be continued…

Light and Dark


I had an interesting conversation with a young child the other day. Like most individuals at the clinic, this person had suffered a horrendous type of trauma. And like most, experiences life and their emotions as something dark and foreboding. We talked about light vs. darkness in order to find meaning and healing to the traumatic pain. I explained what darkness is, first. Darkness is not actually a thing, but rather a nothingness. It is what inevitably happens when there is an absence of light. Light, actually has a substance to it though possibly not mathematically measurable, but substance, nonetheless. When light is introduced into a dark space (space meaning an area where there is no light), then darkness is no longer there. Light takes up the space. We then compared it to the emotions that she experiences due to the trauma and how at times they feel dark and empty. I suggested to her that it may be that those "spaces" in her that have darkness and emptiness need to be filled up with something that is light. Something with substance, as light will dispel the darkness. We came up with a list (while doing art therapy) of things that are "light" to her. Light had to be defined as something (people, activities, etc.) that bring her joy and light. We talked about how light makes her feel. What does it feel like when you are frightened in the dark and a candle is lit, or a light is turned on? What does it feel like emotionally and physically? It is important to incorporate all senses. I am finding more and more that incorporating "light" (not just physical) into therapy is helpful as many depressed, anxious, and traumatized individual have a hard time experiencing light.

Thursday, October 30, 2008

Good Therapist and Good Client

There is something to be said about having a therapist who is well-versed in therapeutic inteventions and methods. You can have a therapist who is intelligent, emapathic, compassionate, etc...but, what about the client? Should a client also be a good client? I think so. What would that entail? Definitely someone who wants to be there. Someone who has the desire to change and that does not fight the therapist. Someone also who has a mind of their own and is willing to explore themselves and become more aware of their behaviors. That's my opinion.

Tuesday, October 21, 2008

Different Types of Trauma? It could be...

Abuse in its different forms can be identified as trauma caused by one person to another. Other traumas, such as those sustained from injury, war, accidents, etc. are also traumas NOT CAUSED by the victim. However, it appears that there are traumas that are self-inflicted. Some individuals, due to different issues or personality types or situations appear to inadvertently invite trauma. Such self-inflicted or invited trauma appears to be even more complex than others. Those kinds of traumas appear to result in a level of shame, guilt, and sometimes denial. Thus, those issues need to be addressed before the actual trauma can be resolved. Something to think about.

Tuesday, July 29, 2008

Complex Trauma


Working in the trauma field for nearly three years has taught me the complexities of the human experience. Many clients who come into the clinic not only have experienced severe trauma, but they have identified with it, made it part of their personality and identity, been a direct contributor to the trauma thus being responsible for the trauma itself, or they stay in denial of the trauma to avoid guilt, shame, and responsibility. What makes the situation complex is that there are many layers to the trauma. There is the actual traumatic event(s), the person's interpretation of the events, the person's sense of identity with the trauma, the sense of responsibility, the guilt/shame involved with the trauma, the relationship with the trauma (i.e. if it was caused by a familiar person or situation). Therefore, there is no cookie cutter way to get to the trauma core and resolve everything all at once. There is too much to each individual to take into account every aspect to the trauma experience. The treatment then requires an eclectic and pragmatic approach. Many times, reality therapy is required in order to aid the client to come to grips with what truly happened and normalizing the effects. Some remain in consistent denial and avoid the truth or even lie to themselves or others. Some may even be directly involved with the trauma and responsible for it happened in one form or another. Such a situation is even more complex due to the underlying guilt and shame. If there are negative coping skills used to avoid the feelings of guilt and responsibility, that is just another layer that MUST be addressed and resolved before the trauma is resolved. One layer at a time.

Monday, April 07, 2008

Healing Through Spirituality...


I attended the Saturday afternoon session of General Conference for the LDS church a few days ago. During the session, the apostle, Elder Richard G. Scott gave a fabulous talk that is right up my alley. He talked about healing from abuse. Currently, it is in mp3 format on the LDS website. The link is as follows: http://lds.org/conference/sessions/display/0,5239,23-1-851,00.html
I found it extremely powerful to hear a man of God to speak on mental health and healing from it. He talked about the importance of not delving into the past, forgiveness, and healing through the atonement of Jesus Christ. I find the principles helpful not only for mental health counselors, but for anyone. How helpful would it be to feel that any pain you experience could be released through an All Powerful God? So many therapists, psychologists, theorists, and professionals alike claim that God is "made up" to give meaning, hope, or purpose. What's wrong with that? What else could give greater purpose, hope, or meaning than an all knowing, all powerful, all loving God who gave his life so that His followers might be healed and live? It only makes perfect sense to me for people to exercise hope through such a Being.