Archive for July, 2006

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.

Name and Shame – Modern day pillory?

Monday, July 10th, 2006

Dictionary definition of pillory:
1) A wooden frame to hold the head, hands and/or feet. People were locked in the ‘stocks’ for a period of time as a punishment.
2) If someone is pilloried they are criticised severely, especially in newspapers or on radio and television. “He was pilloried in the newspapers and his resignation demanded�.

Emotions are such an effective way to get people to do what you want. Dare I say it, emotions are a powerful way to control people. Look at these examples that parents can use with children:

Anger – “If you don’t clean your room mummy will get angryâ€?
Guilt – “ If you don’t say you love mummy she will feel sadâ€?
Fear – “ If you don’t behave mummy will go awayâ€? (Fear of abandonment)
Shame – “You should be ashamed of your self for thinking sexual thoughtsâ€?

However shame is in a group of its own in this way. The psychiatrist and prolific writer Charles Rycroft has stated: “Shame is the Cinderella of the unpleasant emotions�.

Of all the emotions shame really hurts, it is painful as all readers undoubtedly would know. Thus people quickly learn that it is an effective tool to get people to do what you think is right. Parents are a good example. Many a parent has said “You should be ashamed of yourself for ……..â€? (Hitting your sister, not eating all your dinner, for masturbating and so on endlessly.)

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However that is not the end of the story. If you thought shame was the Cinderella of the unpleasant emotions then you are wrong. It is nothing compared to public shaming. Humiliating someone is bad enough, but publicly humiliating or shaming them is 10 times more powerful. To threaten to publicly shame someone is one of the most potent threats that can be made.

So what’s the problem?. All children have to learn how to behave and what is right and wrong. One could not disagree with that. Shame lets a child no what is right and wrong. That would then seem to be a good learning experience for them. There is just one problem. Shaming a person, especially publicly shaming a person has one unfortunate side effect. It shreds their self esteem. If you publicly humiliate someone then its like putting their self esteem through one of those shredder machines. It cuts to the person’s core sense of self, chews it up and spits it out.

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As any counsellor will tell you, if you are dealing with a person who’s parents used shame as the primary means of socialising a child then you are going to be dealing with a person who’s self image has been butchered. Such a person will not feel very highly of them self at all.

However it is not only parents who can begin to understand the power of publicly humiliating someone. Teachers have for a long time used such a technique. Controlling a class of 25 students is no easy task so public humiliation can be an effective tool. This reminds me of event that occurred many years ago when I was in second year high school. I recall being in the chemistry lab class and there was a fellow student who was joking down the back of the class. In fact I even remember his surname – Bebbington-Smyth – who could forget a name like that!

The chemistry teacher decided to put an end to all this joking and pulled Mr Bebbington-Smyth out to the front of the class. He was going to make him stand in front of the class and squirm – public humiliation in action. A smart move on the teachers behalf as it also showed to all other students that if you misbehave then you get publicly humiliated.

So standing out in front of the class the teacher stated to Mr Bebbington -Smyth that since he was such a comedian why doesn’t he let us all in on the joke. The expectation was that he would stand there in silence feeling humiliated, being pilloried. However Mr Bebbington -Smyth then proceeded to tell his brief funny story to which everyone laughed at the humour of it all!!! The teachers attempt a public shaming had completely backfired!

Here are some images of pillory from the past.

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Here is a quote from the editor of the Guardian Express newspaper, (March 28 – April 3, 2006.), which is a local newspaper where I live.

“However, the fact remains that three AFL footballers involved had taken illicit drugs. Had they been caught with these illicit substances by the police, they would have been charged and, in all likelihood, named and shamed� Editorial (Page 6)
AFL football is the major sport where I live and three footballers have tested positive for recreational drugs. The press are in a frenzy because a court has ruled that their names cannot be published. They can’t be named and shamed in public.

The press in the state where I live have a policy of naming and shaming members of the public. What does naming and shaming mean?. It means that they will put your name in the newspaper, often with a photograph, often with the name of the suburb and street in which you live, and then a statement of what you have done that is, in their view shameful or immoral. They have no hesitation in using their naming and shaming policy. They will publicly shame members of the general public with great regularity.

I must say this is a little disconcerting because it makes one wonder who is next? What is the next group of the general public who the press will decide deserve to be named and shamed. Maybe its anyone who has had an affair, or anyone who has had a messy divorce, or anyone who has driven whilst being over the blood alcohol limit and hasn’t been caught, or anyone who has been involved in a domestic dispute. As far as I can tell they can pick anyone or any group they like to publicly humiliate. There seems to be no restriction at all on this policy of naming and shaming by the press.

So here he is the head honcho, Rupert Murdoch. Namer and shamer. Public humiliator. Rupert you should be ashamed of yourself. Just think of all the angst, pain and distress that you have caused for those thousands and thousands of people who you have publicly humiliated.

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OMG I suddenly realised!!!!. Have I crossed the line, have I gone over to the other side. Have I become!!!, surely not!!!, heavens no!!!, a namer and shamer. I should be ashamed of my self for doing so.

A chemical solution to a chemical problem

Monday, July 10th, 2006

In the country in which I live one of the treatment approaches to heroin addiction is the use of methadone. This is called a medical or pharmacological approach to drug dependence. The ‘addict’ is given methadone which is a drug that the person becomes addicted to. The theory is that when addicted to methadone the person is able to live a far more stable life than when addicted to heroin. Also as it can be legally prescribed the person does not have to be involved in the underground world of the drug subculture. They have a way of moving out of that subculture.

There are some/many who dislike this method of treatment for heroin addiction. Firstly the person becomes addicted to the methadone and so they are just switching the addiction and are not stopping the addiction. Reportedly, methadone is quite nasty to withdraw from, much more nasty than heroin. So it does come in for some bad press.

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I have met some who strongly dislike methadone and yet I have met others who it has worked quite well for. So again with different treatments it is better to fit the treatment to the person and not the person to the treatment. If it works for the user then do it, if it does not work for the user then do not use it.

There is however another point I would like to raise that questions the pharmacological approach. This is where we get to the title of this article. Methadone is a chemical solution to a chemical problem. It is using a drug to get the person off drugs and thus we have the main problem. The pharmacological approach says: “Do as I say not as I do”. It says: “Take this drug to stop taking drugs”. It is a double message.

Yes one can argue state that there are legal and illegal drugs and that is true, and the user will understand that but still one can say a drug is a drug which is also true. The Child ego state will tend to hear all the words and the rationale, but tend to believe – A drug is a drug.

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So it is a similar situation to a parent who is holding a glass of wine in hand whilst telling the teenager not to take drugs. When the teenager makes such a statement to the parent about the hypocrisy of what they are doing and saying , the parent will usually respond that alcohol is OK because it is legal and drugs are not OK because they are illegal. Again the Adult ego state can understand that but the Child ego state tends to see it in more basic (truer?) terms. Alcohol is a drug that gets you out of it and marijuana is a drug that gets you out of it and that means there is not much difference.

Then we have the parent who is puffing away on a cigarette whilst telling the children they should not smoke. “Do as I say, not as I do” is the double message and with humans words are cheap and behaviour counts for much more and will be much more influential in the effects on the child modelling.

So there is an inherent flaw in treating a drug problem with a drug solution. It gives permission to take drugs. However with some addicts it can be a solution. There are some people who are very dependent type people where the only realistic solution is them getting addicted to something that is less harmful. Those who go to Alcoholics Anonymous (AA) are of this kind. The AA approach is that you are an alcoholic and will always be an alcoholic and that you need a higher authority (god) to assist you in staying off alcohol. In other words you are dependent on the higher authority. So the dependency from alcohol moves to the higher authority. However it is a much better life to be addicted to god than to alcohol and some have remained sober for many many years this way.

Perhaps a chemical solution to a chemical problem is one realistic solution for the highly dependent type of drug user.

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.

Creativity or conforminty

Monday, July 10th, 2006

Graffitist or drone?

Why do we/they seek to drive the creative youth out of our society. To turn them into drones who do what they are told, such as those who express themselves with such art forms like graffiti.

There have been many creative artists over the years and most often the social engineers of a society have tried to squash them back to the norm. Fortunately some resist being pushed into the square and we as a society can benefit greatly. Here is one – Sir Mick Jagger. He has been given and accepted a knighthood in the UK. He is now a pillar of society.

But he was a “graffiti artist� in his time. He broke the rules and the social engineers stamped on him hard.

In 1967 he was arrested and charged with possession of amphetamines and heroin. He was found guilty and imprisoned. He certainly broke the rules just like the graffiti artist.

medium_mick_mug_shot.png Sir Mick Jagger, Knight of the British Empire.

(Wait a minute! The social engineers tell us that if you take amphetamines you go crazy. Well Mick Jagger and his co-accused Keith Richards didn’t go crazy. Maybe the social engineers are treating us like we are dumb arses. Not telling us the whole truth about such things as drugs and expecting us to just accept it like sheep.)

 

 

 

 

 

 

But he also broke other rules. He “drew pictures on the wallsâ€? by writing such songs as – (I can’t get no) Satisfaction:

I can’t get no satisfaction,
I can’t get no girl with action.
’cause I try and I try and I try and I try.
I can’t get no, I can’t get no.
When I’m ridin’ round the world
And I’m doin’ this and I’m signing that
And I’m tryin’ to make some girl
Who tells me baby better come back later next week
’cause you see I’m on losing streak.
I can’t get no, oh no no no.
Hey hey hey, that’s what I say.
I can’t get no, I can’t get no,
I can’t get no satisfaction,
No satisfaction, no satisfaction, no satisfaction

medium_destroylit.jpg Sir Mick in action. I think that says “Destroy” on his T-shirt. That’s a nice sociable thing to project to the impressionable fans.

How did the social engineers react -

The song’s lyrics were extremely controversial in their day; Jagger stated that “the lyrics to this were truly threatening to an older audience. This song was perceived as an attack on the status quo”. The part where Jagger addressed his romantic troubles was also perceived to be overtly sexual suggestive; when the Rolling Stones performed the song on The Ed Sullivan Show in 1966, the line “trying to make some girl” was censored.

And now

Well he has been knighted and the social engineers are now crowing about how their society developed this person and he is the front man of one of the most famous rock & roll bands of all time. Even though they were the ones that tried to extinguish him in the first place!!

(However it should be noted that in true graffitist style, his fellow band member Keith Richards stated of Sir Mick’s knighthood – “I thought it was ludicrous to take one of those gongs from the establishment…it’s not what the Stones is about, is it? I don’t want to step out on stage with someone wearing a fucking coronet and sporting the old ermine. I told Mick, ‘It’s a fucking paltry honour.’)

Graffitists
It seems possible, perhaps even probable that some graffitist now will develop into a very fine artist at a later time. But the social engineers will try their hardest to stop him being creative now and make him into a drone. Then in 10 years when he is receiving accolades for his fine artistry the social engineers will again be there standing next to him taking the kudos for having a society that can produce such fine artisans.

Two examples
In the final analysis one needs to make a choice at least to some degree between creativity and conformity or between graffitist or drone. A good friend of mine (Yoshita Moronaga) an organisational psychologist in Japan writes:

“The structure of Japanese society in itself places a lot of pressure on the individual. It is a sad fact that Japanese society tends to stifle creativity. We even have an expression for this – ‘The nail that stands up will be hammered down’. As one example, Japan has won only four Nobel prizes in science while American researchers have won 158.â€? (As of 1990)

Singapore is in the same situation to some degree. In that society there is very little graffiti and they openly acknowledge that their society lacks creativity.

Eating disorders

Monday, July 10th, 2006

Eating disorders

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I need to eat in order to stay alive. I can’t get food myself. I am dependent on this person to give me the food so I can live. Food – dependency – life. Now that is a problematic equation.

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You have to be perfect. I am dependent on this person. They want my body to be perfect. If I am not perfect they will not give me food. If I have no food I will die.

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I am dependent on this person. I don’t know who I am. This person defines who I am. This person wants me to be alive. If I don’t eat I wont be alive. I can be who I am by not eating. I can be who I am by starving to death.

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 and the law in Australia

Monday, July 10th, 2006

Who is responsible for suicide?

In Australia it is no longer against the law to commit suicide. Gee whoever thought up the law of making suicide illegal was really dumb!!

It is however illegal to assist someone else in attempting or completing a suicide. This includes suicide pacts. When two (or more) people make a suicide pact, that means they may both together take an overdose of medication so that they can die together. If one person dies and the other person lives then the person who survives can be charged with manslaughter or aiding and abetting a suicide.

The surviving person is seen as responsible (At least in part) for the death of the other person. So by entering into the pact you are seen as assisting the other person to suicide, by the making of such an agreement. I suppose by the copycat effect and so forth.

This of course raises the thorny issue of who is responsible for the death of a person who knowingly decides to take their own life.

Question
At which point do you believe you have some personal responsibility for the death (suicide) of the other person.

1. A person tells you 1 month before that they feel like killing self and then do. You take no major action to intervene.

2. A person tell you 1 day before that they feel like killing self and then do. You take no major action to intervene.

3. A person whom you live with has made repeated suicidal gestures and again threatens to. You can’t take any more and go away for a few days and the person suicides. Part of you feels relief that it is all over now.

4. A person threatens to suicide if you leave the relationship. You leave and the person completes a suicide.

5. A person tells you about how bad they have felt for so long and that they will kill them self. You say you understand and then they complete a suicide. You think that that is that person’s decision and OK.

6. A person in the same circumstances (Despair for many years) asks about suicide and you give them the book “Final Exit�. ( This is a book that that clearly describes methods of suicide). They use one of the methods in the book to suicide.

7. A person in the same circumstances (Despair for many years) asks about suicide and you purchase the poison for them as they are not able to move around to get it. They use the poison to suicide.

8. You travel with an incapacitated person to a country where assisted suicide is legal for the soul purpose of allowing that person to suicide and they do.

9. A person in the same circumstances (Despair for many years) asks about suicide and you purchase the poison for them as they are not able to move around to get it, and you prepare and administer it to the person because they are not physically capable of doing so.

In all these scenarios below the person is at least 25 years old, is fully aware of what suicide is and is not of low IQ, effected by drugs, or confused in their thinking. The person is very aware of what they are doing.

At which number do you feel morally/personally responsible for the person’s suicidal death. This is not asking about the legal responsibility for the death, but where you feel morally/personally responsible for helping that person die.