Tag: Acceptance

  • Belonging

    By Prashant Bhatt

    Scenario- A single mother in her forties trying to reconstruct the story of her life without a toxic dynamic with her ex, when she went into emotional relapse after he reneged on child support.

    Goal setting phase: Precontemplation and Contemplation

    In the initial phase of therapy, we went through her story of moving from India to the US, living in a big house, supporting her husband to establish himself in the IT sector, bringing up two daughters, supporting her own and her in-laws’ families,  things started going south.  After a bitter three years of legal wrangling she finally managed to get a divorce. She moved to Canada and is nurturing her daughters. Her first Diwali as a single mom was a moment of realization of her changed circumstances.

    We went through the beginning and course of her relationship with her ex, who she says is the only intimate partner she has ever had. However, this was not true for her ex, who has had other intimate partners. On being asked on her family of origin, using the family sculpting technique (describe a dinner in your childhood, where were the family members sitting, what were they talking, how were they interacting with each other, and what was the atmosphere like- and given what you know now- how would you rearrange that dinner) she was able to reconnect to threads of her life which had become dormant in the quarter century relationship with her ex, nurturing the family, immigration and the stress of the breakup.

    What do I need from therapy

    The Humanistic approach of Carl Rogers believes that every person tries to grow towards light, just as a plant in a basement will move towards sunlight. If one gives the necessary conditions of empathy, unconditional positive regards and genuineness, persons who have never told their story will see areas of growth. 

    To her repeated question of what I need from therapy, I held back and told her I am just a fellow traveler, and she has to make her choices, in her context. I can point out her blind spots, but the choice to work upon them will be hers. Making sense of abuse and neglect and putting one’s life narratives together can be done  by looking at Carl Rogers’s theory of personality in which he states that the organism reacts to the field as it is perceived. For the individual, this perceptual field is reality.

    Dissecting the layers: Tell the story of your life without your Ex. 

    After almost two sessions of listening to her story as she was telling, with only two conditions- 1- she should do her homework 2- she should keep a journal of the story-teller- (how the story is being told by the story teller) I asked her to tell her story without her ex. “Keep him in the parking lot, and let us now see what is in your car, who are your co-passengers, how did you reach here, where are you going, how will you reach there.”

    This was a Pause Moment when she had a loss of words. It was also a moment of realization when she realized that even over two years of divorce there are still unprocessed hurts, unaddressed feelings which are creating raw hurts daily, and she is re-traumatizing herself. We went into the Attachment Trauma model and are processing different aspects of Belonging and Becoming.

    If you would like to process an issue/ relationship in your life, and get a customized step by step plan of action, you can contact- Prashant Bhatt-6478181385.

    We collaborated using the Integrative Couples and Sex Therapy (ICST) model to explore areas of Passion, Intimacy, Commitment and Kindness.

     

    Tools- 1- Story and Story of the Story Teller

               2- Parking Lot

               3- Family Sculpting

     

     Story and Story of the Story Teller

    Story- Revisiting who where when why what how

    Eg- When I first met ….                   Where did we go

                        What shared memories         Who knew then  Who knows now

    Story of the story teller-  How I tell myself this story

     Eg- How does this relate to my character, life, now.

           Am I telling this story from a Victim or Victor point of view or am I detached

           Are there any resentments, hurts, unprocessed feelings which need to be addressed

     

     

     

     

     

    Parking Lot 

          Revisiting- who are my fellow travelers

           Review-   If I tell my story without this person, how will it be different

          Practice- Telling the story, while putting that person/event into the Parking lot

        Parking Lot- let me not ride the wave of anger, resentment, desires, clinginess (positive or negative) towards a particular person , circumstance or event, and see how my hour, morning, day, week, become different 

     Keep a Log – using the Parking Lot Tool

      Log when you started getting these persons/events/circumstances out of the Parking Lot and started driving them..

    How did your approach, hour, day, week change

    Discuss

    ….

     

     

     

    Family Sculpting

    Sculpting is imagining each person where they were sitting in a family meal together. What were they saying? How was the atmosphere? What happened six hours before that meal together? 

    If it was an ideal meal, how would the persons sitting interact with each other

    What do I need to do to make a shift from the real to the ideal? How realistic is my plan? Can I do something measurable and meaningful to change the dynamic? For example- we cannot change past hurtful remarks or ignoring of near and dear ones, but one can make living amends and decide to live differently and be present, be calm, relaxed and appreciate and value our current near and dear ones.

    Write a paragraph on this theme and bring to next session

  • Time to Remember, Time to Act

    by Prashant Bhatt

    August 31 is International Overdose Awareness Day (IOAD or Overdose Day), a global event observed on 31 August since 2001. Its purpose to raise awareness of overdoses 

    “Time to remember. Time to act” is the slogan used by campaigners.

    Key facts

    In 2023- 8,049  apparent opioid toxicity deaths (7% higher than the same period in 2022). In the period of Jan 2016 to December 2023 there were 44592 apparent opioid toxicity deaths, most in males (72%) with ages 30-39 being the most affected (29%). 

    Fentanyl was associated with 82% of these incidents in 2023, an increase by 44% since 2016. (Public Health Agency of Canada; June 2024)

    Stigma and Secrecy: Echoes of Silence

    As a primary school student, I came to know about overdose, after the death of one of the family members of a colleague of my father. This was in Pune, Western India in the 1970s. Over the decades, being in the medical profession, I have known many who have become dependent on prescription medications, recreational drugs and beyond. Every medical campus has such cases, though there is a lot of stigma, secrecy and no open discussion. 

    These silences in campuses, communities have left an echo, which can be heard in the lives of those affected by addiction.

    Resisting the Czar of the Heavens: The 12 step path to Recovery: 

    Why don’t you choose your own conception of God” 

                                            Ebby T to Bill W- the co-founder of Alcoholics Anonymous

                                             Page 12, Big Book of Alcoholics Anonymous

    Coming to the recovery movement from the Oxford group, Bill W tells of how the icy intellectual mountain resisted the Czar of the Heavens, whose creative intelligence and universal mind he had doubted for long. He tells of how Ebby T told him to be willing to believe in a power greater than himself. A loving fellowship can be a good place to start.

    Creating and such nurturing safe spaces where persons from different walks of life come and share their experience, strength and hope helps build a program of Recovery.

    One learns to learn from one’s resistance and be open to hear what has worked for others, and to develop a personalised program of recovery. For persons who are struggling with finances, family issues, faith, a fellowship where one can share without judgment is a key to recovery.

    Third Wave CBT: Acceptance and Commitment Therapy (Hayes, Barnes-Holmes & Roche, (2001). 

    Hayes and colleagues (2001) researched on the why change occurs using the relational frame theory, on how humans relate to time, each other and space and explained the why of how change occurs in cognitions, behaviour and systems. This was an evolution from 2nd wave CBT which emphasized on cognitions as developed by Aaron Beck and Albert Ellis(1960s, 1970s), and 1st Wave CBT – the Behaviourism of Skinner (1950s). CBT evolved from the Humanism of Carl Rogers (1950s) and the Psychodynamic empire of Freud (First half of 20th century)

    In his book, A Liberated Mind, Stephen Hayes talks about the cultural messaging -just snap out of it- as shown by the messages given by the character Peggy and her dialogues with Pete. He goes on to say how psychotherapy and counseling in the mid 20th century are partly responsible from such cultural messages- which just tell to “Snap out of It” . (Hayes, 2020)

    JUST SNAP OUT OF IT

     

    Hayes talks about the cultural messaging in Distraction, Avoidance, Indulgence which are not changing the basics. Acceptance and talking to the parts which one is avoiding has been a way forward to develop context rather than just trying to change the content of thought.

    The six core therapeutic processes of ACT are acceptance and willingness, cognitive defusion, present-moment awareness, self-as-context, values, and committed action. 

    Acceptance means gently holding whatever arises. This could be done by rating one’s presentation after filming as mentioned previously. Present-moment-awareness is a non-judgmental mindfulness exercise. Consider a client with social anxiety who overestimates criticism and has excessive self-focus. The techniques can be used to allow the individual to notice the behaviour of others by observing their verbal and non-verbal cues (Bennett-Levy et al.,2004; Kinnerley, Kirk & Westbrook, 2017; Stoddard & Afari, 2014).

    Summary of Themes 

    1- Overdose deaths are on the increase, they are shrouded in stigma and secrecy

    2- Loving someone in recovery can take a toll. Attachment theory, neuroscience, cutting edge 3rd wave CBT like ACT can help family members who are preoccupied with taking care of or controlling another person at the expense of one’s own needs.

    3- Different approaches to recovery can help evolve a personalized program

     

    Resources and Links

    Greening, T., & Kirschenbaum, H. (2013). THE DEFINITIVE BIBLIOGRAPHY ON PERSON-CENTERED PHILOSOPHY AND CARL ROGERS. On Becoming an Effective Teacher: Person-centered teaching, psychology, philosophy, and dialogues with Carl R. Rogers and Harold Lyon, 193.

    Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A précis. Relational frame theory: A post-Skinnerian account of human language and cognition, 141-154.

    Hayes, S. C. (2020). A liberated mind: How to pivot toward what matters. Penguin.

    Overdose Basics

    Overdose Basics – International Overdose Awareness Day (overdoseday.com)

    International Overdose Awareness Day – Wikipedia

    Opioid- and Stimulant-related Harms in Canada: Key findings — Canada.ca

    Public Health Agency of Canada; June 2024. Federal, provincial, 

    and territorial Special Advisory Committee on the Epidemic 

    of Opioid Overdoses. Opioid- and Stimulant-related Harms 

    in Canada. Ottawa

    https://health-infobase.canada.ca/substance-related-harms/opioids-stimulants/

    International Overdose Awareness Day: 31 August (overdoseday.com)

    If you would like to explore these areas in detail, we offer individual therapy based on mindfulness based practices. We also offer 3 hour workshops to groups if they are interested in getting an overview of the components of ACT therapy, and see whether it will work for them.

    Contact: Prashant Bhatt, 6478181385 (text with name please)
                      Candlestick Counseling Services-9055932287

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