Carl Rogers' Counseling Skills CAN WORK!

I just returned from a week long Residency experience with a National University. During this Residency faculty members are assigned to train Mental Health Counseling students in basic counseling skills. Many of the skills are based on, though not limited to, skills that Carl Rogers suggested. Much of Rogers' Human Centered counseling approach was based on the idea that all people are inherently good, and that if individuals are provided the opportunity to receive unconditional positive regard from a professional, then the chances of personal growth increases. Carl Rogers also said that the therapeutic relationship is necessary and sufficient for change. Therefore, counselors are trained to utilize methods such as reflective listening (i.e. being an emotional mirror), echoing, paraphrasing, summarizing, appropriate use of open/closed-ended questions, validation, etc. to help clients feel that they are receiving an empathetic ear to their problems; thus having the environment to promote change. If you want to learn more about it, click on this youtube link to see Carl Rogers talking about his method and demonstrating it in the all-too-familiar case of Gloria. What I find to be interesting is that the basic counseling skills can transcend just the counseling office. There have been times that I have worked with couples where they have an issue with communication. It is interesting to see what can happen if they are taught how to use these basic communication skills in their relationships. They can learn how to talk with their significant others and be able to come to a better understanding of one another. They can also be used as a teacher or instructor communicates with learners. As counselors begin their training in the field, I would strongly suggest that they study the methods that Carl Rogers and other humanist psychotherapists utilized as a means to understand how a therapeutic relationship can help a person change. Think about it, how often do we need an understanding ear to work through our own problems? Being skilled in these methods allows that to happen and can often lead to a person discovering the answer to their own questions. Thus, the client is left empowered and accountable to themselves for their own change and growth. The counselor then becomes a willing observer and partaker in their process, though they do not provide the answers, which strengthens the counseling relationships and maintains ethical boundaries. When I began as a counselor, I remember being overwhelmed with how many clients who wanted the "answer" to their problem. Can you imagine how much knowledge one would need, as well as how much responsibility one would have if they truly did have all of the answers? Also, can you imagine the liability and accountability one would have if their answers are not "correct" for the client? Therefore, a person who can competency use basic counseling skills can provide a means to help their client/learner find their own answers. See you later. Dr Jamison Law

Gene Roddenberry Missed His Calling!!!! Star Trek and Mental Health!!!

I had an interesting conversation with a friend and colleague over the weekend. We were traveling from Utah to Denver for a class and while sitting comfortably in our Southwest Airlines seats (this is not a sales pitch for them) we discussed our thoughts and feelings on Star Trek. I know, I know it sounds hokey. I will get to my point why being a Trekky can have many positive aspects to it. I will get to those in a minute, but first I will explain my point-of-view on how Star Trek can have a positive influence on people.

I was raised on Star Trek. I remember watching Star Trek: The Motion Picture with my dad as a young boy and finding the idea of trekking through space at warp speed, meeting new people and civilizations to be intriguing, exciting, and educational. Besides, what little boy wouldn’t like to have the capacity to sore through the sky and space in a spaceship—especially the Starship Enterprise?

My space fascination continued into adolescence and then adulthood as Star Trek gave way to The Next Generation. I loved this series and still watch the re-runs. You can imagine my excitement when the new Star Trek movie came out in 2009, with a whole new set of actors and ideas. Oh, how the boyhood space-aged fantasies were re-awakened! I recall that year perusing the internet for information on the movie, when one day I came across a website (that I cannot recall) that talked about the ideas of Star Trek—i.e. seeking out new life and civilizations; boldly going where no one had gone before; living the Prime Directive; bettering oneself just for the sake of betterment. While reviewing it, I came across an excerpt from the comment section. It was a man who said he was a police officer in Los Angeles (or one of the large cities in California). He said that coming home at night and watching Star Trek: The Next Generation renewed his sense of hope in people and society. He described how his job at times could dishearten his ideas on who people were, and that the ideas of Star Trek rejuvenated him. I could relate to that to an extent with the sense of therapeutic burnout always looming over my head. I’ve found that I look for things that rebuild my sense of hope, just as this man.

Now, coming back to the present, my friend/colleague and I revisited the idea of Star Trek. I expressed, somewhat embarrassingly that I found the ideas attractive; though I know they were not attainable any time soon (possibly even farfetched). I was pleased when he expressed the same sentiment. But, now as I sit writing, I wonder if it is NOT impossible. I know that is a double-negative and I placed it there on purpose. Society is not ready for a place like the United Federation of Planets where there is no concept of money, poverty, or inequality, etc. Where people can learn and better themselves how, where, and in whatever manner they wish. BUT, what are we doing in our own homes or with ourselves to make our own little relative world peaceful in such a manner? I watch many people in the helping profession trying to change the world, but I would ask, what are you doing with yourself? Are you living what you preach? Are you teaching your children and those around you how to live the way you feel the world should be? Are you meeting resistance with your own resistance when you feel that peaceful resolution should be the road? I know that in my own little Universe (i.e. home) that when I am trying to focus my attention on bettering my children or even my wife, my efforts can become self-serving and be met with resistance and unhappiness. But, if I am focusing on my own actions and on how my moods, behaviors, and examples are being seen by my children…and I am trying to better myself for the sake of betterment…my children follow suit, my home is peaceful, and my Universe is no longer in upheaval. A lot can be learned from watching an episode or two of Star Trek. Try it out!

YES! Mondo Vacation for Me!

I took a brief hiatus from blogging, working, schooling, studying, and mostly thinking. I just spent two days in Las Vegas and seven days in Anaheim. Six of those Anaheim days were fun-filled with my wife, three children, and family members at Disneyland and California Adventure! Though mini-vacations help get through the stress of day-to-day activities, there is nothing more rejuvenating than time away from everything in a warm climate surrounded by family and loved-ones. We live in a difficult time where life requires constant running, therefore, we need to get away from it all. There is no better way to do it than to leave your own home, town, or even State and visit a place you enjoy.
Once I return home, it will be back to working as a full-time therapist, part-time University instructor, full-time doctoral student, and much much more. But, I'm ready to get back to the grind for another year and will be planning my next vacation shortly.

Mini Vacations or Mondo Vacations?

Dr. Larry Beall, PhD, a local psychologist and expert in traumatology has been running a clinic in Salt Lake City, UT for over 15 years. Over that time he has written or authored many papers and other helpful tidbits of information that have not been published. I came across one of these that he entitled "Mini-vacations" which was a list of 100 small activities that one can do to "vacate" from daily activities and deal with daily stressors. Though the ideas seem simple and irrelevant, it often time seems that it is just those small and simple things that keep us going. Taking time to "smell the flowers" and remain present in the moment can give us the well-needed rejuvenating relaxation to finish out a day, finish a homework assignment, or keep us from wanting to cause harm to our own children :P I know that the last comment may seem uncouth, but I know that many of us feel stressed with our children at times.
Reading through the list I was reminded of the time I was completing my undergraduate degree while trying to maintain employment. I spent many hours at the American Fork Library crouched over books and typing on my archaic IBM laptop. To remain interested, I would promise myself time to read one to two chapters in a fiction book of my choice. Most of them were sci-fi and I even dabbled in the Vampire Chronicles by Anne Rice. Once finished with my chapters, I would return to the assignments. The mini-vacations kept me going and kept the stress from becoming overwhelming. What can you do to just keep going?

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!

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

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

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.

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.

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.

Responsibility

I struggle with an issue in the trauma realm. Most of the clients I work with fit in the "victim" category. Many victims struggle with "learned helplessness." On top of that they experience intrusive symptoms that result in avoidant behaviors. Some of them experience so much emotional, physical, and mental pain that they can become nearly incapacitated (that is an overgeneralized statement, but I used it for discussion only). Many of them begin to "become" their disorder or symptoms, thus completing their journey to learned helplessness. Once they get to that point it seems that their accountability and responsibility is out the window. When does pain resolution in trauma work and responsibility meet?