<?xml version="1.0" encoding="UTF-8"?> <rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:wfw="http://wellformedweb.org/CommentAPI/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" ><channel><title>iCounsellor.co.uk - Portsmouth&#039;s Professional Private Therapist (Individuals, Couples, LGBT) &#187; Psychodynamic counselling</title> <atom:link href="http://www.icounsellor.co.uk/articles/tag/psychodynamic-counselling/feed/" rel="self" type="application/rss+xml" /><link>http://www.icounsellor.co.uk</link> <description>Dean Richardson, MBACP(accred), UKRCP Reg.</description> <lastBuildDate>Sun, 20 May 2012 19:34:38 +0000</lastBuildDate> <language>en</language> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <generator>http://wordpress.org/?v=3.3.2</generator> <atom:link rel="hub" href="http://pubsubhubbub.appspot.com"/><atom:link rel="hub" href="http://superfeedr.com/hubbub"/> <item><title>&#8216;Tis the Season of Projective Identification &#8211; Fa la lah!</title><link>http://www.icounsellor.co.uk/articles/2011/12/seasonal-projective-identification-over-christmas/</link> <comments>http://www.icounsellor.co.uk/articles/2011/12/seasonal-projective-identification-over-christmas/#comments</comments> <pubDate>Mon, 19 Dec 2011 13:26:17 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Christmas]]></category> <category><![CDATA[Counselling]]></category> <category><![CDATA[Holiday Season]]></category> <category><![CDATA[loneliness]]></category> <category><![CDATA[Melanie Klein]]></category> <category><![CDATA[Object Relations]]></category> <category><![CDATA[Projection]]></category> <category><![CDATA[Projective Identification]]></category> <category><![CDATA[Psychodynamic counselling]]></category> <category><![CDATA[relationships]]></category> <category><![CDATA[Wilred Bion]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=4692</guid> <description><![CDATA[The Holiday Seasons can make people who embrace solitude switch into feeling miserable loneliness.  Object Relations psychodynamic theory may shed some light on this socially-related unconscious process.]]></description> <content:encoded><![CDATA[<p><strong>A brief hypothesis on the painful loneliness experienced by some as a hypothetical result of projective identification from others.<br /></strong></p><p><em>&#8216;Tis the season to be jolly.</em></p><p><em>Fa la la la lah, la lah, lah, lah.</em></p><p>As I said a pre-Christmas farewell to a colleague last week, he referred to this period as the &#8216;nonsense&#8217; season.  It got me thinking: if this holiday season could be nonsense &#8230; to whom might this period make no sense?</p><h2>Opting-out of Christmas.</h2><blockquote><p>&#8220;How do we opt out of Christmas gifting w/o being Scrooges?&#8221;<br /><strong>Jenney</strong> &#8211; <a title="Savings Advice Forum" href="http://www.savingadvice.com/forums/general-discussion/21940-how-do-we-opt-out-christmas-gifting-w-o-being-scrooges.html" target="_blank">Savings Advice Forum</a>.</p></blockquote><p>For many people, the approach of the season switches on certain automatic behaviour.  Behaviour coming from certain assumptions and certain expectations:<div class='et-custom-list'><ul><li>We must prepare to buy gifts for people.</li><li>We must buy the right sort of food.</li><li>We must write and sends greetings cards to people.</li><li>We must begin deciding with whom we will spend days like Christmas and New Year&#8217;s Eve.</li><li>We must remember people whom we&#8217;ve barely given a thought to during the year.</li></ul></div> Notwithstanding this list comes from this author&#8217;s keyboard, there&#8217;s an interesting lot of &#8216;must&#8217; in the list.</p><p><div style='' class='et-box iCFacebookWidget et-shadow iCSideComment'><div>For those who are without families &#8230; the holiday season becomes nonsensical</div></div> For most, preparation for the seasonal behaviour can be stressful and it&#8217;s a chore.  For some, this behaviour is natural and pleasant. For some, this behaviour (whether acted out by themselves, or observed in others) it is a painful reminder that there are few-or-no reasons to participate in this seasonal &#8216;must&#8217; behaviour.</p><p>For those who are without families &#8211; whether biological or extended &#8211; or few or no friends, the holiday season becomes nonsensical. How easily it seems one can be forgotten whilst it seems everyone is running around preparing for a jolly season. Those not participating in the season can, perhaps, emulate the jolly behaviour of buying gifts for people, yet one may also be carrying a heavy heart suspecting that what few social contacts they have will disappear during the holiday season as people venture off towards their families-of-original loaded with tokens of &#8216;musts&#8217;.  One can emulate the behaviour or buying the right food for Christmas day, yet one knows that the food won&#8217;t be shared with anyone.  One can decided with whom they will spend holiday days, but it&#8217;s likely that friends and and those who are reasonably close will have already decided to attend family events &#8211; leaving others who are not family behind.</p><p>Rather than simply being &#8216;nonsense&#8217; for some people, I&#8217;d offer that this seasonal period can be an extremely painful reminder of the solitude that some tolerate.  Solitude that is tolerated &#8211; even embraced &#8211; with pleasure during the counterpart of the year, but a solitude that borders on becoming unbearable loneliness during this  holiday season.</p><h2>Year-Round Solitude versus Seasonal Loneliness.</h2><blockquote><p>&#8220;You&#8217;d like some other bears!&#8221;<br /><strong>Dr. Gina Toll</strong> &#8211; &#8216;<a title="IMDB: In Treatment" href="http://www.imdb.com/title/tt0835434/" target="_blank">In Treatment</a>&#8216;</p></blockquote><p>A human being is a social being &#8211; he needs to not be alone.  So, how can it be that solitude (the state of being on one&#8217;s own) does not feel lonely (sad at having no friends/company)?</p><p><div style='' class='et-box iCFacebookWidget et-shadow iCSideComment'><div>Internalised objects can be a factor in how one approaches being on one&#8217;s own</div></div> From an object-relations perspective (<a title="Object Relations (Wikipedia)" href="http://en.wikipedia.org/wiki/Object_relations_theory" target="_blank">Wikipedia</a>), our psyche grows in relation to our position with respect to others, and our experiences of them.  Good and bad experiences of significant people from our lives (parents, siblings, teachers, lovers etc), are stored within the psyche as mini-templates: in theory, they become &#8216;internalised&#8217; objects.</p><p>One&#8217;s good &amp; caring mother stored away in the &#8216;loving mum object&#8217; gives some of us the sense that we are cared for, even when mum has passed away a long time ago. </p><p>Conversely, those of us who were given the experience that we were <em>not</em> cared for, could be stored away in the &#8216;persecutor object&#8217;, remaining a reminder that as a human being we are someone who others will not care for.</p><p>I&#8217;d offer the thought that internalised objects can be a factor in how one approaches being on one&#8217;s own.  The word &#8220;solitude&#8221; is used to describe a choice &#8211; that in being without company one feels good.  Loneliness is used to describe no-choice &#8211; that in being without company one feels bad.  Solitude is pleasant because one does not sense being alone when accompanied by supporting internalised &#8216;good&#8217; (or good-enough) objects, whereas perhaps loneliness is the lack of good objects/the presence of bad ones.</p><h2>Object Relationships &amp; Seasonal Nonsense.</h2><blockquote><p>&#8220;the self, exists only in relation to other &#8216;objects,&#8217; which may be external or internal.&#8221;<br /><strong>New World Encyclopedia</strong> &#8211; Entry: <a title="Melanie Klein - Object Relations" href="http://www.newworldencyclopedia.org/entry/Melanie_Klein" target="_blank">Melanie Klein</a></p></blockquote><p>It makes me wonder how in our society the change in social behaviour (eg the approach to Christmas) effects the meta-structure of the psyche&#8217;s internalised objects of participants, observers and affectees.</p><p>If, during the year, one can tolerate one&#8217;s place in social relationships (e.g. occasional social-meetings with friends, but primarily spending time on one&#8217;s own) there would appear to be something in the shift of social behaviour (&#8220;we must now prepare for Christmas&#8221;) that shifts the meta-organisation of the internalised objects for some (&#8220;I am in solitude&#8221; shifting to &#8220;I am lonely&#8221;).</p><h2>Containment of &#8216;the loneliness&#8217;.</h2><blockquote><p>&#8220;projective identification may unconsciously aim to get rid of unmanageable feelings but it also serves to get help with feelings&#8221;<br /><strong>Patrick Casement</strong> &#8211; Further Learning From the Patient (cited in <a title="Patrick Casement - Projective Identification" href="http://en.wikipedia.org/wiki/Projective_identification#cite_ref-15" target="_blank">Wikipedia Article</a>)</p></blockquote><p>It would be my hypothesis that those who are capable of tolerating, even enjoying, being on one&#8217;s own become those who, hypothetically, are capable of holding the fear of loneliness that rest of society must split-off and discharge in order to participate in Christmas.</p><p><div style='' class='et-box iCFacebookWidget et-shadow iCSideComment'><div>Intolerable pain within the infant is, unconsciously, sent out to another person ( a care-giver ) who will contain the projection</div></div> It&#8217;s not uncommon to read Twitter and Facebook posts that many people complain of the commercialisation of the season.  Minor, barely-heard protests from some people about feeling caught-up helpless in the season.  I&#8217;d offer that in order to participate in this season &#8211; that one <em>must not be alone</em> during this holiday period &#8211; that wish for non-compliance must be temporarily blanketed.</p><p>From the works of <strong>Melanie Klein</strong>, and later <strong>Wilfred Bion</strong>, we have come to understand that the mechanism of &#8216;<strong>projective identification</strong>&#8216; (<a title="Projective Identification - Wikipedia" href="http://en.wikipedia.org/wiki/Projective_identification" target="_blank">Wikipedia</a>) intolerable pain within the infant is, unconsciously, sent out to another person ( a care-giver ) who will contain the projection, maybe process it into something more tolerable, and hold it until the infant psyche is able to take it back later.</p><p>This meta-process allows something that is very painful &#8211; or in conflict with other mental demands -  to be sent away from the psyche that cannot manage it for now, placed into a psyche that can manage it better for the period.</p><p>This process is made use of in most psychotherapies (psychoanalytical, psychiatry, psychodynamic counselling) where the therapist may become aware of &#8216;containing&#8217; or &#8216;receiving&#8217; something on the patient&#8217;s behalf.</p><p><cite>A patient revealed some news that the therapist believed he was meant to find worthy of congratulations; whilst the patient sounded excited about the news the therapist, instead, felt huge waves of rage that he was not able to associate with the apparent glad-tidings.  The therapist pondered that he may have been &#8216;containing&#8217; something split-off that the client could not manage; could not manage at the same time of holding onto the thought that this news was good. </cite></p><p><cite>Notwithstanding other explanations (such as the therapist&#8217;s own personal constructs: possible jealousy about the news), the therapist used this experience to inform his questions: gently wondering out loud with the patient about the news and its implications.  What later appeared in the work was the patient&#8217;s terrible fear about the responsibilities this news would require of him; that the patient was terrified of the implications and responded to his fear in a very angry manner.</cite></p><p><cite>Hypothetically, therapist had experienced the patient&#8217;s split-off and unconsciously communicated rage.  The therapist had found himself in a state of conflict:  being expected to reply &#8216;congratulations&#8217; but filled with something quite opposite.  The patient &#8211; without the rage &#8211; was able to participate in a normal celebratory appearance whilst delivery the news. The therapist appeared to have been left holding the unacceptable part until the patient was able to take it back.</cite></p><p>During this time of the year for Christian-based societies, people either have to participate in the &#8216;jolly season&#8217;, or be able to tolerate the shadow-side of not-taking-part. Those who do not follow the masses have to have huge courage to go it another way.</p><p>After all, we still refer to &#8216;Scrooge&#8217; as a warning to all who do not participate in this meant-to-be-jolly time.</p><h2>A Seasonal Hypothesis.</h2><div class='et-custom-list'><ul><li><p>The holiday season approaches and folk are filled with ambivalence: good times ahead / bad times ahead.</p></li><li><p>To be participating in this holiday season, the psyche may need to split-off the more &#8216;horror&#8217; parts that would interfere too much taking part in Christmas.  The need to be away from the celebrations (to be on one&#8217;s own) are split-off.</p></li><li><p>Via projective-identification, others who are more capable of tolerating &#8216;be on one&#8217;s own&#8217; can hold the &#8216;horror&#8217; during the season. </p></li><li><p>Result: a part of society is able to participate in seasonally-expected behaviours, is able to cast off the parts of one that would wish to recognise the nonsense of the period for what it really might be (commercial etc), and others in society who are, perhaps, more used to the pain of non-participation will contain the seasonal-pain until the holiday season dies away for another year.</p></li></ul></div><h2>In Closing.</h2><p>This is not a jolly hypothesis.</p><p>But it is intended intended to offer a thought &#8211; perhaps a rescuing thought &#8211; to those who are subject to massive-yet-unexplained changes in their feelings during such holidays seasons as Christmas (and as it&#8217;s author, I&#8217;m aware that this brief essay turns a blind eye to other hypotheses in order to focus on this one).</p><p>Perhaps, whilst you are enjoying your holiday season and a moment of &#8216;Oh I wish I wasn&#8217;t here&#8230;&#8217; creeps into your thoughts, maybe that might be your <a title="Wiki: Jiminy Cricket" href="http://en.wikipedia.org/wiki/Jiminy_Cricket" target="_blank">Jiminy Cricket</a> moment.  Perhaps someone might enjoy a thought or a message sent their way.  After all, someone may be suffering extra painful loneliness, tolerating in order for you to be able to participate in what you must consider as a Happy Christmas.</p><p>Nonsense?</p><p>Comments welcome.</p><p>&nbsp;</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2011/12/seasonal-projective-identification-over-christmas/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>Choose Brief-Focal Counselling</title><link>http://www.icounsellor.co.uk/counselling/brief_focal_counselling/</link> <comments>http://www.icounsellor.co.uk/counselling/brief_focal_counselling/#comments</comments> <pubDate>Sun, 27 Feb 2011 15:00:33 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Assessment]]></category> <category><![CDATA[Brief]]></category> <category><![CDATA[Brief therapy]]></category> <category><![CDATA[Chichester]]></category> <category><![CDATA[Fareham]]></category> <category><![CDATA[Focal]]></category> <category><![CDATA[Gosport]]></category> <category><![CDATA[Hampshire]]></category> <category><![CDATA[Hampshire Counselling]]></category> <category><![CDATA[Havant]]></category> <category><![CDATA[Hayling Island]]></category> <category><![CDATA[Petersfield]]></category> <category><![CDATA[Portsmouth]]></category> <category><![CDATA[Portsmouth Counselling]]></category> <category><![CDATA[Psychodynamic counselling]]></category> <category><![CDATA[Sessions]]></category> <category><![CDATA[Southampton]]></category> <category><![CDATA[Southsea]]></category> <category><![CDATA[Southsea Counselling]]></category><guid isPermaLink="false">http://icounsellor.cybershrink.co.uk/counselling/brief/</guid> <description><![CDATA[When you need a brief solution, you'd choose Dean Richardson's brief focal therapy. Brief therapy is a specialised, time-limited form of counselling  that offers you a set number of sessions (discussed between you and Dean at the beginning). By being focussed upon a single, important subject, the counselling work becomes swift, concentrated ... and budget-able.  Brief psychodynamic counselling is not suitable for everyone ('open-ended' being another option), but whether six sessions, twelve, or a number specific to your needs, Dean will help you decide if this can be a good therapy for you...]]></description> <content:encoded><![CDATA[<div class='et-testimonial-box iCTestimonial'><div class='et-testimonial-content'><div class='et-testimonial clearfix'><div class='t-img'> <img src='/files/2011/09/users_ex57.png' alt='' style='width:57px;height:57px;'/> <span class='t-overlay'></span></div> <span id='TestimonialText'>We met just 3 times - it was helpful to look over my concerns ... and I didn't need to do any more after that!</span><div class='t-info'> <span class='t-position'><a href='/contact/' class='icon-button mail-icon'><span class='et-icon'><span>Contact Dean Richardson</span></span></a></span></div></div></div><div class='t-bottom-arrow'></div><div class='t-bottom-shadow'></div></div><div class='et-box iCPageTOC et-shadow' ><div class='et-box-content' ><h2 class='toc'>Contents</h2></div></div><div class="et-box iCFacebookWidget et-shadow"><iframe src="//www.facebook.com/plugins/likebox.php?href=http%3A%2F%2Fwww.facebook.com%2FiCounsellor.co.uk&amp;width=260&amp;colorscheme=light&amp;show_faces=true&amp;connections=8&amp;border_color=white&amp;stream=false&amp;header=false&amp;height=290" scrolling="no" frameborder="0" style="border:none; overflow:hidden; width:260px; height:290px; margin:5px 0 5px 25px;" allowTransparency="true"></iframe></div><h2>An Introduction Brief/Focal Counselling.</h2><p>Dean Richardson offers a form of therapy for individuals called brief/focal short-term psychodynamic counselling. This is a a type of fixed-number of sessions of therapy available to individuals only (<a href="http://www.icounsellor.co.uk/counselling/couple_relationship_therapy/" title="Choose Relationship Counselling" rel="bookmark">click for couples counselling</a>).</p><p>This approach can be beneficial to some clients with certain criteria (explained below). It is important, however, to realise that the time-limited/brief approach is not suitable for everyone, and an assessment at the start of counselling will be helpful in determining if offering brief counselling is in the client&#8217;s best interests.</p><h2>How Brief/Focal Counselling can help.</h2><p>Brief counselling can help with an individual who wishes to focus upon a clear, defined issue, in a limited amount of time.</p><p>The relationship between the client and counsellor must be good to be able to achieve this focussed work. Client and counsellor meet weekly for an agreed set number of sessions (agreed at the start of the work).  The structure of the work is the same as open-ended counselling (session lasts for fifty minutes, weekly, same time/location each week).  Because brief therapy work concentrates upon a specific matter the therapy aims not to expand into other subject matters.</p><h2>What&#8217;s involved in Brief/Focal Counselling.</h2><div class="ICinfobox_post"><h3>A short summary of Brief Counselling.</h3><div class='et-custom-list'><ul><li>An agreed focus for the therapy work.</li><li>A fixed number of sessions.</li><li>Brief work must be suitable for the client&#8217;s needs before commencing.</li><li>Although other matters may come up during counselling, these matters may need to be put aside (at least for this contract).</li><li>The client and counsellor must be motivated and focussed to do this form of therapy.</li><li>The relationship between counsellor and client must be good to achieve this focussed work.</li></ul></div></div><h3>Benefits of Brief Counselling.</h3><div class='et-custom-list'><ul><li>The therapy lasts for a certain &#8220;known&#8221; amount of time (and budget).</li><li>The end date of the therapy is known at the start (which can be helpful on the focus of the counselling).</li><li>The client is aware of how much money the counselling will cost.</li><li>Only a specific matter is worked with, agreed between counsellor and client upfront.</li><li>It can be useful to be able to measure the outcome of the counselling (discussed &amp; agreed upfront), although this is in no way essential or compulsory,</li><li>The rapport between client and counsellor is good, and therapeutically reliable (the client having had at least one beneficial relationship in their life).</li><li>Uses client&#8217;s own insight into their problem,</li><li>Works if the area of conflict can be agreed upon.</li></ul></div><h2>When Brief/Focal Counselling is not Suitable.</h2><p>The counsellor is responsible for judging during the assessment if the client is suitable for brief therapy or if such therapy may cause harm to the client (eg based upon the client&#8217;s level of functioning) when, instead, the counsellor may offer other forms of therapy (such as open-ended counselling). Other counter-indications for brief counselling may include:</p><div class='et-custom-list etlist-x'><ul><li>The client is unable to focus adequately on one matter, instead requiring the time and space to make use of <a href="http://en.wikipedia.org/wiki/Free_association_%28psychology%29" target="_blank">free association</a>.</li><li>The client is unmotivated to focus on a particular matter within the limited amount of time.</li><li>It is felt by the client and/or counsellor that the client&#8217;s needs would not be adequately met by focussing upon just one matter.</li><li>When setting a deadline to a psychological or emotional matter would be inappropriate (eg the client is motivated to select short-term work only because of costs or due to an EAP offering only of a fixed number of sessions, when the client&#8217;s needs are greater than that offered &amp; beyond the therapeutic interventions available).</li><li>The client&#8217;s ability or potential for insight is limited (insight = a kind of self-realization or self-knowledge).</li><li>The client may be dependant on the counsellor for providing solutions, rather than be motivated to be an active participant in their own therapy.</li><li>From a psychodynamic point of view, the client&#8217;s defence mechanisms and resistance are too high/too ingrained to invite self-change during brief therapy.</li></ul></div><h2>What to do Next&#8230;</h2><p>If you are interested in potentially receiving brief psychodynamic counselling, contact Dean Richardson to make an appointment for an assessment.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/counselling/brief_focal_counselling/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> </channel> </rss>
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