Showing posts with label therapy. Show all posts
Showing posts with label therapy. Show all posts

Friday, January 09, 2015

Negative Psychology? Or Is It Focusing on People?




A few nights ago, I was up until a far too late hour with a sibling discussing various topics regarding mental health, addiction, trauma, etc. As can happen, I found myself going into a monologue about the subjects. This happens due to a passion that I have for them. Over the years I’ve had opportunities to attend trainings and supervision on various subjects. What I find fascinating is when two seemingly unrelated subjects or ideas come together in a correlational fashion. Therefore, I was discussing these types of experiences with him. As we continued our discussion, I did not find myself enlightened by the topic as I had heretofore experienced; but, rather, I found myself becoming saddened and despondent. I remember the moment when I was aware of my mood change when I had finished talking about the effects of pornography and other addictions on the brain and my brother asked, “Is it possible for the effects to be reversed? Or for the person to experience some kind of full recovery?” At that point was when I had realized that I had backed myself in a corner. I had been focusing on the psychological research that I had studied, which is very negative. In fact, that is one of the complaints of the psychology field is that it can be negatively focused, which is why Positive Psychology became a movement. We finished the conversation and I went to bed. The next morning I was still feeling despondent. I meditated on the “why” of my mood and realized that I had, once again, focused so heavily on the research that I forgot about the human aspect of this field. The study of people does not take into account the people as it looks for correlations in variables. Now, I’m not saying that research does not carry importance, as research is highly beneficial, but the people no longer become the focus as the variables and how they interact with other variables carry more weight. But, I digress. 

As I was reflecting on what we had discussed and the sense of sadness it brought due to the negative results of mental health problems I had a very strong impression come to my mind. It was simply put “What are you going to do about it, Jamison?” At that moment, the sense of hopelessness disappeared and I experienced a feeling of empowerment and I asked myself the question, “what can I do about it?” The answer, then, was simple. I can keep trying. I can keep trying to work with people to help them see that despite their struggles, traumas, addictions, disorders, negative experiences in all of their forms that they have inherent value just by virtue of being alive and being a member of the human family. Is that not what counseling is about? Our clients struggle with various maladies of the human experience which bring them to question their value. We call these struggles disorders as a means to classify and measure. But, at the end of the day, do we not all have moments of depression, anxiousness, traumas, addiction, behavioral outbursts, etc.? Therefore, what I can do is engage anxiously in a positive cause to try to help where I am able and hope that my interaction and interventions will result in an increase of self-awareness. I can provide treatments that are intentional and purposeful that help give others an idea of the direction they hope to go that they might liberate themselves from “disorders” with which they are plagued. And, maybe, along the way I too can learn more about myself, have more self-awareness, and learn (piece by piece) of my own value as a member of the human family.

Tuesday, May 27, 2014

Psychodynamic Therapy, Narcissism and Shame

I have been slowly reading a book on Skills of Psychodynamic Counseling. Psychodynamic counseling theories and methods stem originally from Freudian Psychoanalysis; however there are some inherent differences. The book is interesting as it focuses on the foundations of the theory. One really great quote about this style of therapy is "Psychodynamic therapy involves the interaction of two minds which influence each other both consciously and unconsciously" (Howard, 2010, p. 15). The book talks about the therapeutic alliance being important to the method, just as it is in other methods such as Person-Centered Therapy. The difference is, that it indicates that there are two relationships occurring simultaneously. The first is the relationship between the counselor and client as adults. The counselor honors the client for coming to them and provides an environment where trust can be encouraged and fostered. The second is the subconscious relationship which involves the counselor as an adult and in a position of authority and the client's subconscious, which can be likened unto a child. In order for the client to have a positive counseling experience and to process childhood subconscious issues, the adult-adult relationship must be well-established. Where narcissism and shame come into play has to do with the relationship. A client who comes to me may have feelings of shame due to the fact that they have not been able to deal with their problems on their own. This can result in a hurt ego, and narcissism itself, is damage to the ego which resulted in shame; then, the ego overcompensates for the shame by inflating itself and becoming grandiose. Therefore, in order to heal, the issues of shame must be addressed at a child-like level which cannot happen unless the first relationship is established. I find these ideas fascinating and wonder how often we try to exert power over others due to our positions of authority and how it affects their own childlike egos. Just some food for thought. Dr. Jamison Law Howard, S. (2010). Skills in psychodynamic counselling & psychotherapy. California: Sage Publications, Inc.

Monday, May 19, 2014

What Do Counseling and Heavy Metal Have In Common?

Hello everyone, The title, this time, does have something to do with the article! A recent situation got me thinking about the use and necessity of therapeutic confrontation. Much of it stems from having been at a training where individuals are trained in therapeutic relationship skills. One of the techniques that is taught is therapeutic confrontation. This technique means to demonstrate discrepancies or to point out discrepancies or dissonance that a client is experiencing. I particularly like the term dissonance, as it is a musical term. When two notes that are typically 1/2 or one step from each other are played together, it sounds “off.” They don’t fit together like a typical chord and it can sound “grating” on the ears. A lot of music such as heavy metal uses dissonance as a means to excite or bring an anxious response to the crowd. If you've been to a concert before, you know what I’m talking about! People do the same thing internally. They may believe one thing, but behave in an opposite fashion. This creates anxiousness. Or, a client will feel one way about one thing, and yet go against it. I.e. An abuse survivor may be afraid of the abuser, but seek out love and affection from abusers as a means to compensate for a feeling of unworthiness or inferiority. As a counselor, we can point out the discrepancies in a following manner: Counselor: “For the past few minutes you’ve been describing to me quite a difficult event. You reported feeling guilty for what happened and for how you responded, yet on the otherhand, you continue to do it. What can you tell me about that?” The point is to bring the client to a greater level of awareness of their behaviors, cognitions, and affects that are not adding up. Many counselors believe pointing out the client’s flaws is a means of confrontation; however, pointing out flaws can actually increase the client’s anxiousness, guilt levels, and even cause damage to the therapeutic relationship; thus, slowing down the process with the client and inhibiting growth and change. Therefore, it is important to learn appropriate methods of confrontation before engaging a client in their discrepant behaviors. Motivational Interviewing can be a good method to help with confrontation. Youtube has multiple examples of what it looks like. If you have any questions, let me know! As always, it is a pleasure to chat with you all! Dr Jamison Law

Sunday, July 22, 2012

Disney, Service, Compassion, and other things...

It’s amazing what you learn from the people you are trying to serve. You may approach a task with the idea, like most, that you are an expert at the task, and that you might know best. However, the point of serving is to exercise an empathetic eye and ear to those who are receiving your services. This thought has come to my mind as I have been reading “How to Be Like Walt.” I already wrote a small blarticle (blog+article) about this book, but the further I delve into the author’s information and humor about Walt Disney, the more I see the innovation behind Disney’s approaches to business and human beings. First, the author indicated that Disney was never trying to make money. He loved what he did, he believed in it, and it required money to do it; therefore, it was only a means to an end. We all know who Walt Disney was, and we know that he was no slouch when it came to money, as well. Then, why do we seek after money in trying to serve? It doesn’t make sense. I’ve tried it and I was miserable. I tried it the way others said to do it; the way the universities told me I had to do it; and the way that the “experts” said. I wonder if it is the incorrect way, though. Therefore, these are just my thoughts on some observations I’ve been thinking about. I began my career path as a mental health counselor about 12 years ago. I had spent two years as a volunteer for my church in another country where I served others. My parents paid my way for the experience and I worked hard. During that time, I found that I enjoyed working with people, getting to know them, learning from them, and teaching them. Therefore, when I returned back to the States, I decided to pursue a service-oriented career. I talked at times with my dad and others about opening up a ranch for at-risk youth. The focused activities would include learning how to care for and ride horses, as well as do cattle drives. Other activities would include care for their camp and cabins as an attempt to instill a desire to work hard and to find the joy that work can bring. Alas, it did not happen, but it was the beginning of my pursuits. Now, I have been working as a clinical director for a residential treatment facility for addictions for the past year. It was a great career move and I have spent the past 12 months learning, a lot. During my time there I began doing exit interviews with residents during their last day of treatment. I would ask them a few questions at first, but then narrowed it to one: “If you returned here a year from now, what would you like to see change and what would you like to see remain the same.” Almost always, and I don’t exaggerate this, they would say that they do not want the atmosphere and environment to change. They said that the front-line staff and the therapist staff members worked well together. They treated each other as equals. Most importantly, they felt the compassion that the staff members have for them and the other residents. They felt welcome and a part of a community. They felt on equal ground with the other residents, the line staff, the therapists, the administrators, etc. The residents said that the therapy was good (whatever that means) and that they learned a lot, but the emphasis was on equality and compassion. It makes me wonder if that is a catalyst for change. Is it possible that having compassion for your fellow man is a huge piece of successful change? My guess is yes. There is plenty of evidence to demonstrate such whether its from Christian texts, Buddhist beliefs, or psychological texts by Carl Rogers. Therefore, I would make a few suggestions to those who are in the service-oriented field. 1. Get to know your clients on an individual basis (by clients I mean anyone you serve whether you are a therapist, scout leader, parent, parishioner, or music teacher). 2. Do not be afraid to be human with your clients. Many people see us (therapists, etc.) as being an expert, and therefore, there is a power differential, which can lead to defenses and resistance in clients or ourselves. Don’t forget that you eat, sleep, and that your heart pumps red blood just as your clients. Be a vulnerable human. For more information on vulnerability, see http://www.ted.com/talks/lang/en/brene_brown_on_vulnerability.html 3. Holistic approaches: Not every client is the same. Be open and willing to help the client from their viewpoint, not yours. At times, yours may have to be the voice of the expert, but most people are an expert at their own lives. If you don’t know how to help a person, ask someone who does. You don’t know everything and you’re not supposed to. Be bendable and ethical. 4. Watch for patterns of behaviors that are indicators of your clients’ needs. They will show you what they need if you just pay attention. 5. Be equal with the people you serve. 6. Have fun with your service. If you don’t know how to live after the manner of happiness, it is hard for others to want to follow you. A. Bandura indicated that people need social models to follow at times. Social models are people with similarities of a others that provide a model or likeness that others can follow. These are just my ideas for now. Until next time.

Wednesday, July 11, 2012

Business and Mental Health...Do They Coexist and Can They?

Over the past few years, I have worked for several business owners who were clinicians and even fewer who were not clinicians. It is understandable that a business must focus on the "bottom line" in order to maintain itself. I have seen poor marketing result in a decline of client flow, which then resulted in budget cuts, lay-offs, or loss of benefits. I have seen bosses who consider penny pinching the only way to run a business and it affect the clients and the workers, thus affecting the environment. I have yet to see a healthy balance of employee and client-focused business practice that creates an environment of trust and safety for all involved. I find it ironic that the mental health industry focuses heavily on aiding the individual, family, and society to learn how to maintain a sense of interpersonal and intra-personal safety, and yet the business practices may not match. I'm not saying this as a global problem and I'm not trying to overgeneralize. Simply put, my experiences are on the negative end and I am curious if business practices can match person-centered styles that we as clinicians attempt with our clients? My belief is yes. I have recently been reading a book called "How To Be Like Walt" by Pat Williams. There are many books about Walt Disney, his life, his profession, his personality, and his follies. I am enjoying this one, because it appears to embody the American Dream that Walt Disney attempted to live. It certainly does not say that he was by any means a saint. Appropriately, the book reviews his personality and behavioral flaws that negatively affected his employees and relationships. On the other hand, it reviews the story of a man with a dream to provide entertainment with a high level of excellence and to keep pushing the limits of the field of animation and family-oriented entertainment. It is interesting that he was willing to sacrifice so much of his own personal comfort to, at times, pay his staff more than he was making. His brother, Roy, would focus on the books and the "bottom line," but Walt pushed those limits to make his dreams come true. There were many failures. I appreciate reading about those. However, it appears in the end that he was very person-focused and person-oriented and sacrificed his own bottom line. Again, I am not endorsing him or his business models as the be-all end-all; just simply one example of many that demonstrates that the bottom line is important, but it does not have to be what drives a business. In mental health, there needs to be a similar approach. Seek for excellence as a clinician or clinical practice with the desire to be better for the sake of being better, all while attempting to be client and employee-focused even at the expense of the owner's pocket. This can create a sense of unity and appreciation for all employees involved and then the client-care quality can increase.

Tuesday, May 17, 2011

Living the Pirate's Code to Become a Man! (or something like that).



As a therapist, I am always looking for new ideas on how to build a relationship with a client and help them to discover for themselves what they need to do to change. Back when I started I had all kinds of time to think up new creative methods. I was working mainly with children at the time and the movie Pirates of the Caribbean: The Curse of the Black Pearl had been released. I was amazed at how attractive the idea of being a pirate was to children. In fact, one little boy would use toy swords in our play therapy center and try to re-enact (with me) the scene where Captain Jack Sparrow and Will Turner dual in the blacksmith shop. He knew the scene word for word and even tried to do the footwork. It was fun, all except for the bruises I would get on my hands and fingers. When I say dual, I mean that I would stand there and try to not let the kid hit me.
This activity brought to mind the possibility to create a level-based play-therapy treatment program for kids who were struggling with behaviors. I began to research information on pirates and piracy (i.e. hierarchy on a ship; how money was divvied out; responsibilities of each individual on a ship; the pirates’ code, etc.). I found the information intriguing. So, I spent a few weeks writing up a treatment protocol for individual and group therapy based on the ideas of pirate hierarchy. I was only able to use some of the principles (due to funding) with some of the kids. They loved it, and I had fun with it! I wish I would have had more resources to do it at the time. It was specifically tailored for boys, rather than girls, but could have been adapted.
Below is some of the information and ideas I compiled. It was just a fun “idea” and anyone is free to read it. I think I had been in the industry only for about a year when I started thinking it up. If anyone takes any ideas from it, just remember where you got it from. If you use it, modify it, and turn it into something big, I will only require a 10% payment of everything you make. Just kidding.
The title of the program was “Becoming A Man.”
This program will serve teenage and latency age populations, both boys and girls. The concern is that many of the positive characteristics and traits from older generations are not being learned by today’s generations. The reasons are not important, nor are they an emphasis in this approach.

This program will involve an individual, group, and family therapeutic approach. The group therapy approach will be primary and the individual and family secondary. The goal of the treatment program is to provide a naturalistic therapeutic environment and activities that foster positive trait and characteristic growth, therapeutic healing, relationship building, and life skills training. It will be an 8 to 12 week program that is open/closed. Open, in that it will constantly be cycling through the objectives and activities so that anybody can join during any point of the process. Thus it is a continuous group without beginning or end. Closed in that once a person joins the group they and their parents or caregivers must sign a contract to complete the regime once it has begun. If a client misses a session then the group will hold a council to agree if the client should be allowed to come back into the group. The point of this is to teach the child the importance of loyalty to a group and integrity–fulfilling their word. It is recognized that there are valid reasons for missing a set appointment. It will still continue with a group council as this will foster growth for the group who will serve as merciful judges of the situation. The group must learn to work together and be compassionate in all situations.

The program will have three tiers or levels that a client can graduate from. The first is attaining and incorporating positive traits and characteristics. These include morality, responsibility, respect, integrity, loyalty, courage, spirituality, team work, and trust (this is not the final list). The objective is to provide activities and experiential interventions that foster growth and dvelopment of these traits and characteristics. Some of the desired activities will include ropes course, natural group dynamics, games (outdoor–capture the flag), wildernes survival skills training, campfire groups, drum circles, and various character tests that will be provided at random without notice. The tests will be done in a manner that appears natural and ordinary. One example will be to leave a large bill (money) out in the open where the kids meet for their group. They will be unsupervised at this point (as if the therapist had stepped out of the room). The test is to see what the group will do about the money being left out in the open. The therapist will not ask about the money upon return and act as if all is normal until the group starts. Then, the therapist will confront the group about the money, unless it is not brought up by the clients. This will test their integrity and honesty. Another example will be derived from the Parable of the Talents from the New Testament where they will be entrusted with an object and instructed to “make it grow.”
Other activities will be trust walks (preferably in a natural setting where there are trees and obstacles to challenge the clients. The clients will also be required to maintain an active exercise regimen which they will keep track of and be required to reach specific goals. Thus, they have many responsibilities to carry out. The main desire, also, is to provide an outdoor setting that has been purchased for the clinic that has natural resources, places to build a ropes course, and the capability of including possible farm animals such as sheep, etc. The purpose is to include animal care as a way to increase responsibility for others.

The therapeutic healing aspect will be incorporated as a part of the group process. Naturally, many clients will have specific traumas and difficulties that they have not yet been able to overcome. Sand-tray work, EMD/R, and other non-traditional trauma resoution therapies will be provided on an individual basis. Those treatment goals will be individual to meet each client’s special needs. Many of these clients will have witnessed difficult things to comprehend and thus will need a compassionate and empathetic therapist to guide them through this process. The individual appointments will be made on a client-to-client basis. The main goals of the individual therapy will be to decrease symptoms related to trauma and provide individual life skills training to maintain personal mental and emotional health. Thus, the program will maintain the general purpose of the Trauma Awareness and Treatment Center.










BECOMING A MAN–A PROGRAM FOR BOYS AND YOUNG MEN
The purpose of this approach is to help young boys (ages 7-18) develop a strong foundation of attributes, traits, and characteristics that will help them survive as a strong person in society. The ideas were thought up after working with young boys and men who had been abused by a father figure, been through a divorce, or have never had a male role model. Most of these boys in this clinic have behavioral problems, lack of insight, past traumas, and other mental health problems. The hope is to help them become motivated through positive and negative consequences/reinforcements, achieving goals all while having a fun time in a positive therapeutic environment and a growth promoting home. The program ideas are not only based on helping motivate the child, but also to help the child’s primary caretaker become an integral part of the process.

THE PROCESS
1. Choose a male role model or more than one. Do research on them to describe what makes them a man and worthy of being emulated. 1 pg minimum. You may have the help of a parent or someone else that you choose.

2. Choose a few specific personal values and characteristics that define a man. (These attributes will be added to an already existing list to accentuate the personal values of the client). These attributes will be what constitute the treatment objectives–an increase in their ability to use and portray these values while decreasing negative symptoms and behaviors. The goal of the treatment is to create a foundation upon which the clients can build their own character.

3. The reward/consequence system will be progressive leading towards the final goal and objectives as stated in 2. The rewards will become greater with the client’s therapeutic progress and responsibilities. Therefore, the increase in rewards must have a positive correlation to the increase of positive behaviors and responsibilities as outlined by the treatment objectives.
The child will maintain a journal or “crew log” of his assignments, daily observations, and positive and negative consequences. Each week he will be given two assignments from the treatment objectives and will receive small consequences for his actions, be they positive or negative. There must be a certain percentage of his ability to complete the assignments for him to progress to the next level. Each new level will involve new responsibilities on top of the prior responsibilities. Therefore, with each rank he attains, we will receive a greater reward plus greater responsibilities. The rewards will be defined in the description of each level.

4. The child’s parent(s) or caretaker(s) MUST be highly involved and follow through with the reward/consequence system. It requires consistency and love. It may also be necessary to involve other systems that are influential to the child. I.e. teachers, schools, clubs, other therapeutic centers.

5. The negative consequences must be awarded at the moment of the negative behavior, but in a positive manner that will give motivation for continued change and growth. I.e. “Reproving betimes with sharpness...and then showing forth afterwards an increase of love toward him when thou has reproved, lest he esteem thee to be his enemy; that he may know that thy faithfulness is stronger than the chords of death. Let thy bowels also be full of charity towards all men...” Doctrine and Covenants 121: 43-45. Thus the caretaker’s job is to provide a safe loving environment that fosters healing and change. If this is not provided the progress WILL FAIL. A parent will need to follow a love and logic approach to the consequence and reward system. They must not reward the child with anger or demeaning words as this will cancel out any other reward or consequence. The parent must display patience and good faith in their child despite their behaviors. However, the parent will provide the appropriate consequence for negative behaviors. The consequence would be best if it were related to the negative behavior. Most importantly as well, the child needs to have positive reinforcements that outweigh the negative. The rewards and consequences must be documented by a simple tally mark every day, as well as the completion of specific treatment assignments and the display of objective completions.

6. The actual treatment interventions will be pragmatic to fit each child’s unique neds. It will involve, however, modeling, psychoeducation, trauma resolution (all methods), parent training, experiential therapy, personal journaling, etc.

7. Each level will have a meaning with value to the client. They will be ranked and must be something personal and of intrinsic value to give the client a sense of pride, honor, and growth. (Boys Scouts program). The program is to serve as a right of passage of growth into manhood. The pirate ship and crew system will be used currently as a description of levels. Also, Black Bart Roberts democratic-like system will be implemented, although modified to fit the program.

8. The program will involve outcome measures. The BASC or Achenbach will be administered before and after to measure symptoms/behavior progress. There will also be brief symptom/behavior measures filled out weekly by the primary caretaker (use Joe’s children’s group measure).

Attributes and Characteristics of a Man

What Makes a Man a Man?
A man...
1. Is respectful of others despite their age;
2. Does not take advantage of others or hurt others purposely;
3. Gives respect to other men, women, girls, and children despite their race, ethnic group, or religion;
4. Is honest;
5. Will emote (talk about what he feels and thinks in an assertive manner) effectively and not act aggressively;
6. Is responsible for the charges/jobs that have been given to him and for his own actions;
7. Kind and loving and knows how to discipline in a positive manner.
8. Works hard;
9. Can accept criticism (and knows that he is always growing and developing, therefore he can acknowledge his strengths and weaknesses);
10. Can provide for, and protect his family in an effective manner.


One example of a man that can be emulated is the 16th US President, Abraham Lincoln. Information on his life and character can be found from multiple sources. Not only was he the President, but he was a man who suffered from severe depression, but found the inner strength and motivation to maintain a strong quality of life. He overcame many downfalls and unsuccess.
The following is a beautiful poem written by Walt Whitman after President Lincoln’s assassination. It describes Lincoln as a Captain of a ship that had “weather’d every rack,” yet was victorious in its purpose and ended in his death.

ABRAHAM LINCOLN
Walt Whitman (1819–1892). Leaves of Grass. 1900.

193. O Captain! My Captain!


1

O CAPTAIN! my Captain! our fearful trip is done;
The ship has weather’d every rack, the prize we sought is won;
The port is near, the bells I hear, the people all exulting,
While follow eyes the steady keel, the vessel grim and daring:
But O heart! heart! heart! 5
O the bleeding drops of red,
Where on the deck my Captain lies,
Fallen cold and dead.

2

O Captain! my Captain! rise up and hear the bells;
Rise up—for you the flag is flung—for you the bugle trills; 10
For you bouquets and ribbon’d wreaths—for you the shores a-crowding;
For you they call, the swaying mass, their eager faces turning;
Here Captain! dear father!
This arm beneath your head;
It is some dream that on the deck, 15
You’ve fallen cold and dead.

3

My Captain does not answer, his lips are pale and still;
My father does not feel my arm, he has no pulse nor will;
The ship is anchor’d safe and sound, its voyage closed and done;
From fearful trip, the victor ship, comes in with object won; 20
Exult, O shores, and ring, O bells!
But I, with mournful tread,
Walk the deck my Captain lies,
Fallen cold and dead.

The level system of this program will be derived from the Pirate Code, mainly due to the semi-democratic nature of how their ships were run. Although their goal was to pilage and plunder, they had to maintain a “tight ship” in order to attain their ultimate design. The following is a brief explanation of their semi-democratic nature and a Pirate Code by Black Bar Roberts. The point of using this as a level system is to provide a fun nature to the process. Afterall, what child is not enthralled with the prospect of being like Captain Jack Sparrow from “Pirates of the Caribbean?”

The Pirate Code: Democracy among Thieves

Though no universal code of conduct was acknowledged by all, many pirate captains established a set of rules with which each crew member was expected to comply while on board.

Many of these social contracts were remarkably democratic for their time and place in the world. As pirates, sailors had an unprecedented level of control of their destiny. In an assault to the traditional command structure at sea, pirate captains allowed the crew to vote in a new captain if a dispute warranted it. Good leaders gathered the support of their men, and many well-known pirates achieved their stature not by force, but by majority vote!

Another revolutionary concept was the pirate welfare system. Crew members injured in battle were given compensation for their injuries on a sliding scale of severity. A leg, for example, would have been worth more than an eye.

The eleven-article contract below was used by Black Bart Roberts. It must have been effective, for he was one of the most successful pirates of all time—capturing more than 400 ships over the 30-month span of his career.

The Pirate Code of Black Bart Roberts

1. Every man shall have an equal vote in affairs of moment. He shall have an equal title to the fresh provisions...
2. Every man shall be called fairly in turn by the list on board of prizes. But if they defraud the company to the value of even one dollar, they shall be marooned. If any man rob another he shall have his nose and ears slit, and be put ashore where he shall be sure to encounter hardships.
3. None shall game for money either with dice or cards.
4. The lights and candles shall be put out at eight at night, and if any of the crew desire to drink after that hour they shall sit upon the open deck without lights.
5. Each man shall keep his piece, cutlass and pistols at all times clean and ready for action.
6. No boy or woman to be allowed amongst them. If any man shall be found seducing any of the latter sex and carrying her to sea in disguise he shall suffer death.
7. He that shall desert the ship or his quarters in time of battle shall be punished by death or marooning.
8. None shall strike another on board the ship, but every man's quarrel shall be ended on shore by sword or pistol...
9. No man shall talk of breaking up their way of living till each has a share of 1,000. Every man who shall become a cripple or lose a limb in the service shall have 800 pieces of eight from the common stock and for lesser hurts proportionately.
10. The captain and quartermaster shall each receive two shares of a prize, the master gunner and boatswain, one and one half shares, all other officers one and one quarter, and private gentlemen of fortune one share each.
11. The musicians shall have rest on the Sabbath Day...

http://www.piratesoul.com/piratelife_detail.aspx?id=1

LEVEL SYSTEM
Level 1: Powder Monkey–scrub brush and crew log. This term was first used in the British Navy for the very young men who made up most gun crews in the 17th century. In contrast to a pirate officer who was elected, these men were forced to perform what was some of the most dangerous work on the ship. They were harshly treated and rarely paid, and if they avoided being mortally wounded in their service, desertion was probably as attractive as having very little hope of being promoted.

Level 2: Gunner–pistol. A gunner would be the leader of any separate group manning artillery. His special skill would be in aiming, but he would oversee the four to six men required to take the gun through the steps of loading aiming, firing, resetting, and swabbing for the next load. He would also work to ensure the gun crew’s safety in avoiding dangerous overheating or excessive recoiling of the weapon. A master gunner would help to coordinate the timing and accuracy of the individual crews especially when a broadside was ordered.

Level 3: Boatswain–bag of gold. This position may be compared to the modern chief petty officer. A boatswain’s whistle. A ship of any size would require the boatswain to oversee several junior officers who would share his responsibility for the crew’s morale and work efficiency as well as the maintenance and repair of the hull, rigging, lines, sails, and anchors.

Level 4: Quartermaster/First Mate. Some pirate ship crews had this position as the captain’s right-hand man and the one who would assume his role if he were killed in battle or could no longer perform his duties. This was often considered the job of a lieutenant in a regular navy, and most pirate crews chose a quartermaster instead of a First Mate. A large portion of the captain’s traditional role and power into the hands of an elected quartermaster who became second-in-command and almost a co-captain through his representing the best interests of the crew. As a foreman, he was in charge of maintaining order, distributing rations and supplies delegating work, and guarding and dividing plunder. In fighting, the quartermaster decided what ships were worth it and often led any boarding party, ultimately deciding what loot to keep. When discipline or punishment was necessary, only he could give it, but even then it was with the agreement of the captain or the vote of the crew. He was more or less second in command.

Level 5 and Final Level–THE MAN OF MEN!: Captain. He was elected as a sort of president of the shaky ship democracy, someone already respected for their leadership and navigation skills who would be level-headed and decisive in the heat of battle. He had to be cut from a different mold, because previous experience had taught most that life at sea was harsh enough without an inexperienced or cruel leader making it worse. It was during engagements that this man would be expected to rise above and help bring victory, but in most other occasions on ship, he was more or less another voting member, delegating most of the everyday tasks to the quartermaster or other junior officer. In these times, he was to be an even-tempered father who maintained the barest level of discipline necessary to hold the family venture together. This father could be voted out and even thrown off if he became passive or wavering, went against the majority vote, became too brutal, or simply no longer performed his duties to the liking of the pirate ship crew.

SCORING SYSTEM

Finally, the following is one idea of how the consequence system can be tallied on a weekly basis. The desire is for the caretaker and the child to work together in maintaining a tally of the consequences and objectives that are completed during the week. The actual scoring system will be kept by the therapist. It is highly important for the caretaker to be objective during the weekly tallying.

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!

Sunday, May 15, 2011

ACA Podcast on Carl Rogers--A Brief Review



This is a brief review of a podcast from the American Counselors Association (ACA). The ACA provides podcasts wherein they interview key professionals and specialists. This particular podcast was aired on February 8, 2009 with speaker Dr. Howard Kirschenbaum regarding the esteemed Carl Rogers. Carl Rogers was the developer of person-centered therapy which is now one of the front-running therapeutic philosophical approaches worldwide. Below you will find a few notes I took and a brief summary (some verbatim) of the podcast, as well as the URL where one can listen to the podcast. I recommend it!

HT007 -- CARL ROGERS, the Person-Centered Approach

Sunday, February 08, 2009 7:42 PM

Speaker Dr. Howard Kirschenbaum is the author of The Life and Work of Carl Rogers . He is Professor Emeritus and former chair of Counseling and Human Development at the Warner Graduate School of Education at the University of Rochester, in New York. Dr. Kirschenbaum is the author of more than 20 books on education, counseling, and history.

Dr. Kirschenbaum first talks about some of the personal issues that Carl Rogers had. Carl Rogers struggled with alcohol dependency for the last few decades of his life. It is one of several areas that show him as a more dynamic and “human” individual.

Kirschenbaum stated, regarding Rogers that “Person centered approach is a context of counseling and psychotherapy is an approach by which the relationship between the counselor and client is paramount. Rogers described the relationship as consisting of 3 necessary and sufficient conditions…core conditions. The therapist’s congruence or realness, empathy for the client (sensitive understanding of the world as the client experiences it), and an unconditional positive regard for the client (appreciation and respect as a person of individual worth and autonomy). If those conditions were offered by the therapists…and the client could perceive the conditions to a minimum degree, then a relationship would be developed that would enable the client to change in positive ways. The client-centered approach changed over the years, but the core is the three conditions.”

The counselor serves as a helpful and supportive person to enable the client to do their own work. The client is their own expert. Before Rogers, the therapist was the expert on the client. Rogers’ approach was “revolutionary.” Each person can arrive at their own answer.
Rogers never said that human beings were inherently good. He said that they are basically trustworthy when provided with the positive conditions for growth and self-actualization. Negative conditions bring about a warped individual. They will do what they must to meet their needs, even if done in a warped manner. Rogers was optimistic that if nurturing conditions were provided, a client would grow.

Person-centered approach is less of a theory and more of a philosophical means of being a therapist (in the U.S.). In other countries, it is the leading means of therapy. It is taught as a distinct approach and is empirically supported.

To learn more, listen to the full podcast.
http://www.counseling.org/sub/podcasts/feed.xml

Friday, May 13, 2011

All I Wanted Was A Diet Mt. Dew!



I went to the 7-11 to get a Diet Mt. Dew. It had been a very long day at that point. The cashier asked if I would be interested in buying a snack, which I did. Then, upon leaving, and feeling great about my purchase (particularly the Mt. Dew), I heard a loud high-pitched voice. I turned to see a scene of a mother yelling at her toddler child for not sitting on the ground while she browsed the movie section. I saw two other children, who I assumed to be hers also walking around. She appeared distraught or frustrated or a combination of the two. As I opened my car door, I began to wonder what that mom had experienced that day. By no means was I judging her for her actions with her toddler. I can't imagine the toddler enjoyed being yelled at, but I've been in her shoes...a long day at the office, grading lots of school papers, and returning home to disgruntled children and me wanting to "blow up." The amount of stress and anxiousness she must have been feeling was apparent in her body movement, her facial expressions, her actions with her child, etc. I can imagine her body is being flooded with stress hormones and adrenaline at those times, and that over time it will wear down her body, her capacity to think and react in a rational and emotionally constructive manner. It sounds exhausting. I only say this, because I have felt it before, just as most of us do. Rather than focus on the moment, though, I would wonder what might help this woman to feel more calm generally, so that when stressful moments come her fuse is not shortened. Some thoughts come to mind with how to deal with day-to-day stressors. Most of them are behaviorally and cognitive in nature.

1. Organize and prioritize: I know that we all have many responsibilities. Organize them and prioritize them according to importance. Sometimes, even important things need to be put aside for a time. Trust me, the world will not stop turning if we can't get everything done NOW.

2. Ask for help: Life becomes overwhelmingly stressful when we feel alone. I wonder who that woman had to turn to for help. At times it requires a little bit of creativity to provide ourselves with respite, even if it is only at night when the kids are asleep. However, there is usually someone to turn to. Some examples are having friends to trade off with for babysitting when needed. Family members, church or club members, etc. Find someone.

3. Take time for yourself: This is something that is not done enough in society. Life is too busy. Give yourself time to slow things down and take a few moments to read a chapter in a book; call a friend; write in a journal; drink a soda (or something else you like--preferrably healthy); or write a blog!

4. Self-inventory: Make a list of the things that you say to yourself or mutter under your breath regarding yourself. What is positive and growth-promoting? What is not? Negative self-talk must be replaced.

If you have any other ideas, share them in the comments section.

Tuesday, May 10, 2011

Late Night Mumblings...



It has been a long day, but I have a few thoughts. A colleague of mine, Dr. Gray Otis (President-elect of the American Mental Health Counselor Association) and I were discussing how the mental health of life changed with the industrial revolution. With the advent of technology, the advancements of science and education, etc. distance has been gapped and information availability is possible where it used to be scarce. It has made life "easier" in a sense. However, as we discussed one day, it has had its side-effects. There is less one-on-one socialization; less outdoor activities; less agricultural activities; and just less physical movement in general. Rather than experiencing a horrific catastrophe or natural disaster, what can we do to have a more balanced lifestyle? Here are a few suggestions.

1. Simplify: Make your days and routines more simple. Learn to say yes to the things that are important and no to the things that are not. Being assertive is not a crime.
2. Go outside: Adults and children have forgotten the joys of being outside. Don't "think" about it. Just do it. I remember the days when I would strap my fishing pole to my BMX bicycle and ride three miles outside of town to fish in the Bear Lake Canal with my brothers and cousin. I remember fishing for "crawdads" in the local creeks with rolled-up jeans and wading barefoot through the cold water. I remember marveling (and still do) at how the sky seems to glow when it snows at night.
3. Balance Needs and Wants: We all want our toys. Learn to balance what is important as to not overwhelm yourself with the newest and best things. Make sure the needs are truly needs and not wants. If you are not sure, take a look at Maslow's Hierarchy of Needs for a few ideas. (http://psychology.wikia.com/wiki/Maslow's_hierarchy_of_needs)
4. Laugh: Learn to laugh at yourself and to not take life so seriously. If things feel overwhelming, as yourself if what you are worried about is bringing you joy. Most likely, it is not.

Come up with some of your own ideas. What are they? Post them in the comments section.

Friday, May 06, 2011

Pirates of the Caribbean!



My family and I just returned from an extended vacation in Californa and Disneyland. My all-time favorite ride is Pirates of the Caribbean. The creativity, the music, the ghosts, and of course, the saying "Dead Men Tell No Tales" continues to ring in my ears even a week after leaving. At ofttimes while meandering through the cursed coves in the rugged boat I wonder what would happen if the ride broke down, the lights would come on, and what I might see. I am afraid that the fun illusions might lose their luster and appeal if I could see the ride in its true form. I might see more fully the warehouse walls and ceilings, faded painting and chipped characters. The lights would change my perception and beliefs of the make-believe world Walt Disney envisioned.
Many times, our life is similar to the Pirates of the Caribbean ride. We live with a certain beliefs in ourselves in the warehouse of our mind and hearts, believing them to be true. Our internal warehouse may be filled with shadows and meandering corridors that though comfortable, are not an accurate representation of reality. It is only when the lights turn on that we see the illusion. We can learn that the things we believe about ourselves and our value and self-worth are incorrect. We find that the dimness obscures our vision of the luminous people we are with infinite value and capacity. How often do we dim ourselves out or let others dim us to maintain in relative comfort that can actually damage our personal growth?
I had a conversation about this with an individual recently. We were discussing how their fear of change is like a shroud of comfort that kept them from moving forward. They even admitted, (quite wisely I might add) that fear is comfortable and safe, because it is predictable and stable. Facing the fear and trying something new can be even more frightening, because it requires looking into the unknown, trying new things, and even failing. I told the individual that when Disneyland first opened, the streets got so hot from the weather that the asphalt began to melt, and that attractions did not work as planned. It could have been considered a failure or flop, but somebody kept trying. Very similar to how Thomas Edison continued trying until he succeeded with making the first practical commercial light bulb (he wasn't the first to make the light bulb--just clarifying that). The only way to change is to try, which will require not succeeding the first time--and that is okay! It is only after trying many times that we discover more about how to do it correctly, and little by little the light turns on, the illusion fades, and we see who we truly are.
Although, I hope the Pirates of the Caribbean never breaks down. That's an illusion I enjoy!

Practical Ways to Begin Change

For those who want to work on personal change, here are some solution-focused steps.

1. Awareness: Be aware of what you want to change and have a final goal. How do you want to be when it's all said and done? Write it down!

2. Steps: What is the first step you need to take? Most of the time, it is just trying. The first step is the hardest, because we're afraid it will fail. However, the truth is (turn the light on now) that we truly never fail unless we try. It's part of the process. Failure is when we do not try or even begin.
Once you begin, work at BEING what you want to BECOME. William James said that it is better to act into the correct way of thinking than to think your way into the correct way of acting. It's hard to do, but it's supposed to be. You're exercising muscles you've never used. You'll be emotionally and mentally sore, just as you would after a few workouts.

3. Pat yourself on the back: Give yourself encouragement, even if you don't want to. Act into the correct way of giving yourself encouragement.

4. Endure: Don't quit. If you need to take a break, that is okay; however, don't quit.

Hope these are helpful. If you have any other suggestions that you have used, or want more specific information, let me know.