Archive for the ‘psychology’ Category

The empty chair

Monday, July 10th, 2006

The Empty Chair -
no longer is it the couch.

Rob van Tol

http://bobodoll.blogspot.com

Recently wrote a posting titled, “Stuntz Multiple Chair Work and Me�. Multiple chair work is a psychotherapeutic technique. He discusses this technique with a personal statement about his experiences with it. It is used for many therapeutic reasons, one being an awareness or understanding of self. For instance he states,

“So it was import to access my Parent and deconfuse my Adult … Or, in non-TA terms, I didn’t have either a strong conscience, nor look after myself well. And when I think about the here and now I was (and can still be) influenced by the fears and decisions I made as a child.
It terms of awareness, I was just conscious of being, and unaware of the different intrapsychic conversations I had and how they could be categorised, or what their voices sounded like.�

Thanks Rob for being candid.

I will call it the empty chair technique, and you know what? When I began on this career path I was amazed that people could do it and I was even more amazed when I did it!!. So what is “it�. A person sits in a chair and then an empty chair is placed in front of the person about 4 or 5 feet away. They are then asked to imagine some person or some part of themself in that chair and start talking to them/it. Weird, I know. But people can actually do it. I know, I couldn’t believe it either until I saw it with my own eyes.

There is a thing people can do and that is called ‘Projection’. They can kind of put a part of themself out on to some one or some thing in the world. So a person who is angry can project that anger onto others and they will then see others out there as angry when in fact most of them aren’t. This is how the empty chair thingee works. People project some part of themself into an empty chair.

I have never seen such intense emotions of anger and hatred, fear and terror, sadness and grief, despair, love and affection and so on all expressed to a empty chair!! When first asked to do it most feel a bit odd talking to an empty chair, most get over that in about a minute and then project out onto the chair with sometimes such powerful emotions attached.

Lost child ego state

Lost child

People discover all sorts of things such as the lost child part of themself. Because one was abused, scared or maybe just consistently ignored sometimes the emotional part of ourself goes and hides away. A fairly normal thing for kids to do. If mummy is angry then a good, effective solution is to go and hide. Problem solved (in the short term). The problem is if it happens over and over eventually the child gets forgotten about. Our inner emotional self is lost, we forget about it. When that happens people start doing odd things because their basic needs are not met for a significant period of time. For example our need for affection is not met. A woman starts to find that she is being promiscious. Her needs for affection are not being met and she discovers that sex seems to somehow feed that need a bit and so she starts to confuse affection and sex. Empty chair sometimes allows this lost child to be found again.

Promiscuity

Surviving via promiscuity

Sometimes there just seems to be no hope. Whatever you do is wrong. If you say yes it is wrong and if you say no it is wrong. Or mummy is just so preoccupied with her own ‘shit’ she just has no emotions left over for you. (This is not her fault as she proably had a mummy who was the same). You live in an emotional desert and you stave for feeling. Common in habitual drug users.

Man in empty chair

Other times it is the oppostie. Some one discovers in the empty chair that there is a happy, cheerful girl. The good girl. We get lots of mummy and daddy’s attention. They dote on me but there seems to be some conditions on such attention. It is conditional attention. I get lots of attention when I am happy and good and people notice me and say how sweet I am. Mummy and daddy like that. If I am not happy and not ‘performing’ then I either get told off in some way or just ignored. So in adulthood even when I am at my partner’s funeral I find I am smiling.

Good girl

The good girl

Finally the other one is that distance between the idealized self and the real self. We all have an ideal for self in looks, in education, in sport, in popularity, in success, in being a parent and so on endlessly. Then there is the reality that is different from the ideal. For most the difference is not all that large. But sometimes people put the ideal in the empty chair and it becomes obvious that the difference is a fucking chasam, as big as Ayers Rock. These people suffer as they strive to achieve the unachievable. Often they are olympic atheletes. “If I win olympic gold then I will be a worth while person� is the magical belief. Even if they do happen to win it, it still doesn’t fill the void.

Barbie face compare

In search of the ideal self

The best thing that a psychologist can hear is a person say, “I am happy with who I am�. That is music to my ears. We are all fucked up a bit. That is human nature. If one can see the bigger picture and create a life for self where one can live with the good bits and the not so good bits then one has got it together. One is “cured�. If you can love who is in the empty chair, then my job is done.

Psychology and the church

Monday, July 10th, 2006

This is an email that i worte to someone recently

Some of my thoughts on the topic of psychology and the church. Many view them as irreconcilable, but in my view that is because they have thrown the baby out with the bathwater.

I will use TA vernacular here but all this applies to psychology in general , in particular humanistic (vs behaviouristic) psychology

It is a fact that for most in our society they do not have enough Free Child ego state, (except for special sub-groups like prisoners who have too much Free Child.) But in general society most neuroses result from too little or damaged Free Child. The Parent ego state via the biological parents damages the Child ego state .

The Parent ego state is a rule book that tells the FC what it can and can’t do, so the natural urges and feelings and so forth get stuffed up because it has to conform to this rule book.

What else is a rule book on how to live life? No, no prize for the right answer. The bible, the Koran or whatever. These ‘books’ very clearly and specifically define how the FC must be (ie the 10 commandments)

So psychologies, or more correctly some people using the psychologies have linked the the bible and the prohibitive parental messages

The Parent ego state and the bible are both a set of prohibitions so some psychologies have made the Parent ego state and the church teachings in the bible the same thing. Indeed many parents, particularly in the past would use the biblical teachings to get the children’s FC to do what they though was best. Often this did screw the youngster up.

The Parent ego state and the bible are both a set of prohibitions so some psychologies or those people using the psychologies have said that religion is bad because it messes up humans psychologically. Indeed this has happened when parents use the teaching of the bible to suppress the Free Child ego state.

However in my view this is a misunderstanding of the church/bible/religion. It misses out one factor and that is that thing called faith/belief/spirituality. Many psychologies would say that when a person has achieved a faith/belief/spirituality then they are more self actualized and more a complete person psychologically.

However many never get to that level of heightened self actualization . Instead they are at the level of just getting their basic shit together. So psychology has tended to see religion as a set of bad script prohibitions that just screw up the Child ego state. But that is a misunderstanding of religion. To have a faith or belief in whatever would be seen as a very psychologically healthy thing. So if one wants to use the bible as the thing in which they have a faith and belief then psychologically that would be seen as a good thing. If one uses the teaching of the bible to prohibit the natural human Free Child then you are going to get neuroses.

Cutters

Monday, July 10th, 2006

Recently I came across a blog that was a collection of stories by “Cutters�. Those people who self harm or self mutilate. That is they deface themselves physically in some form either by cutting self, burning self, biting self, pinching self, picking at ones self and so forth.

Bloggers comments
As I have said before blogs seem to allow people to be more candid in what they say about themselves and this can provide invaluable information. To get information from cutters, who are often people in their teens or young adulthood is a difficult thing to do. In face to face discussions I have always found them to be much more reluctant than I have found with those who talk about self harming in blogs. Below are a few examples:
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I’m 27 yrs. old and have been cutting for a few years. It’s been burning before that. At the time, I completely thought that the cutting was rational and logical. It equalled to or amounted to more than what I was feeling at the time. But now I look at my left arm (for some odd reason it’s the only place I’ve hurt myself), and I sometimes feel pangs of regret for it all. I carved in the words pain and numb, and the worst cutting incident happened a few months ago.
Me and my fiancé hit a really rocky patch. It was horrible. My heart was breaking at that moment and I needed something, anything, to dull it, numb it. I grabbed my stash of razors and headed for the parking lot behind our apartment we used to live in.
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I was just curious as to everyone’s preference of object used while cutting/injuring themselves….
i’ve used a knife, a compass (the math kind), safety pins, fingernails, teeth, a razor blade, and probably some other stuff I can’t think of right now
i only used an actual razor once and i don’t understand how people can use razors. maybe i just prefer the dull pain of sawing at a cut until it’s deep enough to seep blood in place of the quick sharp pain of a razor that shows a cut seconds later, though they are good for writing words.
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This is a personal monologue I performed for my basic acting course a couple of weeks ago. It kind of messed me up for a while but I think I’m back to resisting my addiction. In my mind cutting is an addiction. I just wanted to share this with all of you.
I’ve been wanting to tell you and talk to you for ages, before you find out. Some of my friends know and they gave me some moral support and helped me tell some other people. And I really want to stop and I’ve been working hard on it, I mean, the first step is always realising you have a problem and wanting to fix it, right?
I can’t even say it. I’m sorry. It’s-It’s easier to just show you. I cut. I cut my self, I’m a cutter.
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i feel like i want to die. why is it when my friends are sad or upset i feel compelled to cut myself to take over their pain. it kills me every time deep inside! i just wish that the world would end. there is just so much that troubles me i hate everything any more i know i should be happy but i feel like shit. i did cut myself tonight one word on my flesh….death.
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hi i am a new member i am 17 and have been cutting for four years now and every night all i seem to think about is cutting but i seem to be able to resist it… most of the time
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I’m 17 and i’m a cutter. I don’t think i’m writing this just so everyone can know that “I’m” a cutter but just cause i don’t want to feel alone in this anymore. I have only got caught once and i’ve been doing this for like 4 years. I used to cut my wrist until my friend found out and she told… so then now I cut my stomach. Its much easier to hide it if you do it there. Its kind of weird to explain any of this.. Its hard to believe that i’m not the only one that feels this way. I hold everything in and i hide everything behind this invisible mask. and then i cut myself to relieve the pain that i hold inside.
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Hi i’m Nick and i’m 15. I haven’t cut in…i stopped counting the days because it depresses me. But over 167 days. The first time i was three and it lasted until i was 8 and then i started at 12 and that lasted until i was 14. It was really bad when i was 14 and i got caught and now i can’t cut. AND IT HURTS SO MUCH. sometimes at night i just go into the bathroom and clutch the razors and cry. I want it so badly.
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Hi, my name is **********, and I am 16. I have been cutting since I was about 12. I am from Biloxi, Mississippi. I love the scars that are left. I also love to burn myself with a lighter. Right now I have about 30 cut scars, and 2 burn scars. I have been trying to quit, but somehow I seem to go back to it. I have been institutionalised (i think thats how you spell it) twice for cutting. I have attempted suicide 3 times. 2 by overdose, and one by almost hitting a major artery in my wrist. The reason I cut is because my mother never shows me any affection, she has never told me she loves me, or kissed me or shown any love towards me at all.

Cutting and suicidal ideation
There is a common belief that if one cuts or self mutilates then they are suicidal. This is not so. There can be three groups in this way. First there are those who do self mutilate but have no suicidal ideas or urges. They are at little risk of suicide but are at risk of potentially permanently and significantly damaging them self with the self mutilation gone wrong. Second there are those who can have strong and persistent suicidal urges who have no desire to self mutilate. Thirdly there are those who are both suicidal and self mutilate.

Obviously if one is working with a person who self mutilates (or expresses suicidal urges) then it is advisable to firstly begin to understand which group the individual belongs to. Sometimes the lines between them are very clear and sometimes they are much less clear. Often parents can be convinced their son or daughter is suicidal because they have cut self, an obvious conclusion to come to for a distraught parent, but sometimes it is simply not the case

Bodily mutilation as normal?
Now I will set about normalising ‘cutting’. Humans have been physically mutilating themselves and others since time began. Circumcision is a perfect example. That is a clear example of genital mutilation. I remember along time ago in my studies of anthropology learning that some of the Australian Aborigines practised subincision (As a male so I would remember this!). An cut is made along the urethra on the underside of the penis. In some cases the cut goes from the head of the penis right to the scrotum. Now that is what you call bodily mutilation!

Alas guys it does not end there. Customary unilateral castration (monorchy) is known in central Algeria, Egypt, Ethiopia, southern Africa, and some Australian Aborigines. Bilateral castration was common to produce eunuchs for Muslim harem attendants and for several centuries to produce male sopranos or contraltos called castrati for ecclesiastical chants in the Roman Catholic church.

Females fair no better in some countries and over history I’m afraid. FGM as it is politely referred to these days or female genital mutilation.
Female modifications include excision (of part or all of the clitoris — clitoridectomy, female circumcision — and sometimes also of the labia, mons, or both), in much of Africa, ancient Egypt, India, Malaysia, and Australia;
Incision (of the external genitalia, without removal of any part) among the Totonac (Mexico) and tropical South American Indians;
Infibulation (induced adhesion of the labia minora, leaving only a small orifice, to prevent sexual intercourse until the orifice is reopened by incision) in the Horn of Africa and among some Arabs;
Dilatation (of the vaginal orifice, often with incision) among some Australian Aborigines;
Elongation of the labia (tablier), recorded for southern Africa and the Caroline Islands;
Artificial defloration (among Australian Aborigines and elsewhere).

In psychological terms genital mutilation would generally be considered more indicative of problems than cutting of say the arms or the legs. So here we have many examples of cultures having mutilated the genitals of their constituents for many years. So in this sense there is nothing odd about the actual act of mutilating the human body. In this sense it is normal. In addition to these are many other examples of tattooing and scarification, removal of teeth, teeth sharpening, neck lengthening, binding the hands and feet to make them smaller, not to forget all the cosmetic surgery that is now almost endemic in the country where I live. Most of these bodily mutilations which are usually completely voluntary and have been around in many cultures since humans first evolved. Most people when confronted with a person who cuts will be perplexed with the ‘abnormality’ of the act. My point here is that mutilating the human body, by others or by yourself is not an abnormal act at all.

Why?
However when one begins to look at why the bodily mutilation occurred then we do find a difference. A woman who goes and gets her breasts enlarged does it so she believes she looks more sexually attractive in her community. Or a man may cut long scars in his chest so he can later expose the scar tissue to others knowing that it is a sign of increased status in his community. Another man may cut long incisions in his stomach because he feels so numb and distressed its the only way he can begin to feel something. Two very different scenarios. So what are some of the reasons why a person would be a cutter.

1. The tattooing type of cut. Some teenagers can cut (or whatever else) self because it is what the gang (peer group) do. The scar becomes the symbol of belonging to the group and it is their secret ritual that separates them from others, particularly the parents. This is similar to members of a motorcycle club who get a tattoo which signifies them as a member. This type of self mutilation usually does not indicate significant emotional distress in the teenager. The mutilation is often minor and often transitory because it hurts too much.

A derivative of this seems to be the case where the the individual cuts a word into self and thus gets the resultant word scarified into the skin. One of the examples above mentioned a man who cut the word “death� into his skin. Or the example of the 16 year old girl who kept count of her cut scars and burn scars. The scarification symbolises something to the person and the goal is to find out what it is a symbol of and then you know what you are working with.

2. Some report that cutting “makes me feel real�. The technical term for this is derealization. The individual feels there is a sort of gap between them and reality. They feel detached from it. The act of cutting or burning with the resultant pain and then seeing the blood flow allows that ‘gap’ to disappear for a period of time and thus one gains a sense of normality or reality. This most often happens because the Child ego state is excluded. Once the individual begins to access that part of themselves again the derealization reduces and the need for self mutilation should reduce.

3. Similar to number 2 is the person who says that the cutting, “makes me feel something�. In this case there is not a sense of not being connected with reality but with just having very little feeling at all. The person reports feeling numb or just nothing. In some of my work with street kids (homeless) I have seen them on a bitterly cold day just wearing a light t-shirt. They simply do not feel the cold. In such cases it is quite likely that the Child ego state is also very shut off and accessing it again would seem to be the course of action to take. Of course in 2 and 3 the Child ego state has become shut off for some reason and when one begins to reopen it up again those reasons are going to become obvious. Usually it is because the person has suffered some form of trauma, often repeated trauma in their life and the feelings about that will resurface when the Child ego state is reopened. In numbers 2 and 3 one can begin to understand how the cutting could become addictive an some ‘cutters’ report it is. It is the one form of temporary relief that they have.

4. Cutting for tension relief. If the Child ego state is shut down then that works fine in the short term. It stops the painful feelings and makes them ‘go away’. However they do not go away they just sit there in the person and in the long term they start to get ‘louder’. When this happens a symptom of some kind will develop. Some get depressed, some have panic attacks, some get phobias, some hit the bottle or others can begin to cut self. An unexpressed feeling will simply grow in volume the longer it remains unexpressed. In this sense a tension can be seen to grow in a person and cutting maybe one way in which to release some of that tension. And it works, but only in the short term, unfortunately it comes back if it is not expressed in a satisfying form which cutting cannot provide. If it did then the tension would not come back.

5. Finally there is the shock value of the self mutilation. As I mentioned before most people will be shocked when they find out and see the scars of a person who has self mutilated. It is dramatic and it is attention grabbing in most cases. Does the cutter create scars that are in a visible position on the body or do they only do it where it is quite unlikely someone will see it. If the person is doing such scarring so it gets attention then one needs to find out why such a attention seeking is necessary for that individual.

In the city where I live if a person goes into a health center of some sort and shows the scars to the ‘health professional’ then by law that professional must take some action such as recommending hospitalization. If they do not do this then they could face possible de-registration or possible litigation for not providing an adequate duty of care. So if someone wants to go to hospital or be put into the health care system then all they have to do is show the results of their self mutilation to the appropriate person. Such a thing gets a great deal of attention.

This is not meant to be a complete list of reasons why cutter, cut. In fact I am sure it is incomplete but it is a start and i will add to it when appropriate.

Times they are a changin’

Monday, July 10th, 2006

I have been a psychotherapist now for 20 years and have seen some changes in that time. One of the most interesting is the change in the stigma associated with psychology and psychotherapy.
Years ago when someone would come and see me they would park around the corner from my office, wear a hat and enter in the backdoor. To go and see a psychologist carried a stigma. “Only mad people went and saw psychologists�, was the general belief. Only the insane went to such places. So it was something that many kept very quiet and battled with.
Times have changed and now many clients will park right out the front of the office and wave to others as they are coming into the building. It is no longer a stigma at least in a country like Australia. In fact it is fashionable to have a counselor for many now. Its a fashion statement one can make at cocktail parties.

WHY?
A significant section of the community in this country has at one time seen a counselor of some kind. Indeed in the family law court system where there is debate over access to children and/or property, before one can actually go to court the couple have to go through a sort of counseling/mediation session(s) to see if the matter can be resolved there. That amounts to a lot of people in just that way getting counseling.
I also think it is a sign of an affluent society. As the basic needs of food and shelter become more widely met and more secure, people can then start to think about other things. Such as navel gazing and then one can seek assistance when they look into their navel and are disturbed by what they find. People have the time to do that more these days.

Also and even though I hate to say it television shows like Oprah have had an impact. I have had countless people come to me at least partly because they saw this person on such shows like Oprah that in some way reminded them of themselves, and then wanted to investigate it.

Finally occupational ‘counseling or debriefing’ is very wide spread in the country that I live in. Any person who has had some negative experience at work is offered counseling paid for by the company. So this normalizes counseling even if people don’t take up the offer of free sessions.

Whatever the reasons there has definitely been a change over two decades. Of course that is good for me being in the profession. However regardless of the financial concerns I also think it is good that those who struggle with anxiety, depression and the likes do not have to also struggle with a stigma of seeking some psychological assistence.

The Rebellious Child

Monday, July 10th, 2006

The Sex Pistols. That great rock and roll band in the 1970’s

Here are some lyrics from one of their best songs

“Anarchy In The U.K.”

Right! Now ha ha ha…

I am an antichrist
I am an anarchist
Don’t know what I want
But I know how to get it
I wanna destroy the passerby

‘Cause I wanna be Anarchy’

Imagine what would happen now days if the Sex Pistols were making their music, and they wrote a song about Allah. It would make some cartoons look like daffodils.

It can’t be much clearer than the Sex Pistols said it. In a christian dominated society like the UK, to have a high profile band say it as straight as that.

They didn’t say:

She was an antichrist
He was an antichrist
I was an antichrist
I will be an antichrist

They said

I AM AN ANTICHRIST!!!

That is a slap in the face and punch in the stomach at the same time.

Perhaps one can judge the strength of a society on its ability to handle rebellion. It seems safe to say that whenever you try and crush rebellion you are always living on borrowed time. Even if you can make a group of people a group of slaves for you, then you constantly live in a state of fear of a slave rebellion. And who wants to live like that – always looking over your shoulder for the knife in the back.

Hence we get to graffiti. A rebellious act in a society. Don’t try and crush it, instead manage it. Give them some freedom and your problems will be much, much less.

The same is for individual psychology. One must never try and crush/disable/defeat the Rebellious Child ego state. Even when that same ego state is destroying the individual. You manage it and learn to live with it. Even if it brings one to an early death.

The christian dominated UK society managed the Sex Pistols spitting in their face – “I AM AN ANTICHRIST”. Our own Prime Minister in Australia has openly supported no legislation against the burning of the Australian flag, even in these very nationalistic times. In my view a very wise move. Don’t try and crush the Rebellious Child ego state learn how to live with it and manage it. Even if it sometimes spits in your face.

Suicide

Monday, July 10th, 2006

Why would someone do this?

Such an anathema for us people.

We don’t know what to make of it.

Some get angry and call them selfish for hurting the one’s they left behind.
Some get despondent at the waste of human life
Some get contemplative and ask the question why

But whatever your reaction there remains one fact. Each time we are confronted with the image of suicide it reminds us that we are all capable of doing it.

Perhaps that is what we really don’t like about suicide.