<?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)</title> <atom:link href="http://www.icounsellor.co.uk/feed/" rel="self" type="application/rss+xml" /><link>http://www.icounsellor.co.uk</link> <description>Dean Richardson, MBACP(accred), UKRCP Reg.</description> <lastBuildDate>Mon, 07 May 2012 18:14:18 +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>Platonic-Couple Counselling (Professional &amp; Non-intimate Relationships)</title><link>http://www.icounsellor.co.uk/articles/2012/02/couple-counselling-for-platonic-relationships/</link> <comments>http://www.icounsellor.co.uk/articles/2012/02/couple-counselling-for-platonic-relationships/#comments</comments> <pubDate>Wed, 01 Feb 2012 10:56:20 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Couple Relationships]]></category> <category><![CDATA[FAQ]]></category> <category><![CDATA[Agreement]]></category> <category><![CDATA[Changes]]></category> <category><![CDATA[Counselling for Couples]]></category> <category><![CDATA[feelings]]></category> <category><![CDATA[individuals]]></category> <category><![CDATA[Men]]></category> <category><![CDATA[relationships]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=5476</guid> <description><![CDATA[Platonic relationships sometimes need help too.  By using a qualified &#038; experienced couple counsellor, intimate matters come off the agenda and relationship problems take focus. Working with Dean Richardson in Portsmouth, Hampshire or on Skype, assists platonic relationship to identify and resolve problems.]]></description> <content:encoded><![CDATA[<h2 style='margin:0 0 8px 0;'>FAQ: Platonic-Couple Counselling (Professional &#038; Non-intimate Relationships).</h2><p>For the purposes of this article, I define a &#8220;couple&#8221; is two adults involved in a relationship &#8230; any form of relationship.</p><p>Whilst some assume that &#8216;couple counselling&#8217; is only for couples in an intimate (meaning sexual) relationship, because a couple relationship <em>does not have to be sexual,  marital or a civil-partnership</em>, then couple counselling is also not exclusively for those only in such relationships.</p><p><strong>Couple counselling can be very helpful to platonic relationships.</strong></p><p>By &#8220;platonic relationships&#8221; I would include:<div class='et-custom-list'><div class='one_half'><ul><li>Business partners.</li><li>House-mates / flat-mates.</li><li>Neighbours.</li><li>Friends.</li></ul></div><div class='one_half last'><ul><li>Parent and (adult) child.</li><li>Brothers / Sisters.</li><li>Family members</li><li>&#8230; any relationship where two people are involved with each other and who wish to change.</li></ul></div><div class='clear'></div></div></p><p>And using family systems theory as his model, Dean Richardson&#8217;s <strong> <span class='et-tooltip'>Systemic<span class='et-tooltip-box'><b>Systemic</b> therapy is a branch of psychotherapy that works with families and couples in intimate and platonic relationships to nurture change and development. It tends to view change in terms of the systems of interaction between family members.<br /><a href="http://en.wikipedia.org/wiki/Family_therapy" target="_blank">http://en.wikipedia.org/wiki/Family_therapy</a><span class='et-tooltip-arrow'></span></span></span> Couple Counselling for Platonic Relationships</strong> is ideal for non-intimate couple relationships wishing to change their relationship behaviour.</p><h2>Systemic Couple Counselling.</h2><blockquote><p>Systemic couple counselling is a process that assists two people in a partnership to focus upon their relationship with a view to learning how to change the relationship for both parties&#8217; benefit.</p></blockquote><p>By being deeply interested and curious into how a relationship works, a couple (who may arrive with the story &#8220;we&#8217;ve tried everything already, how can counselling help us when we&#8217;ve already tried everything?&#8221;) can be assisted in seeing new avenues and new approaches that they had not been able to see before.</p><p>And, for platonic partners intimacy &amp; sexual congress will likely not be a topic for discussion &#8211; though if the couple wish to discuss this too them this is available in couple counselling.</p><h2>What we do in Counselling for Platonic Relationships.</h2><div class='et-custom-list'><ul><li><strong>Conversation:</strong> we use verbal communication to discuss the relationship and the changes to be negotiated.</li><li><strong>Diagrams:</strong> we can use drawings (such as the <a title="Ishikawa Diagram (Wikipedia)" href="http://en.wikipedia.org/wiki/Ishikawa_diagram" target="_blank">Ishikawa Diagram</a>) to visually outline how the relationship works.</li><li><strong>Genograms:</strong> we can diagram family trees to document the individual&#8217;s relations&#8217; behaviour, allowing us to identify patterns from our families of origins that are being replayed in this relationship (see <a title="Genogram - Wikipedia" href="http://en.wikipedia.org/wiki/Genogram" target="_blank">Wikipedia Genogram article</a>).</li><li><strong>Role playing:</strong> we can act out different scenarios to see how they work (or don&#8217;t work).  The therapist may take on the role of one or the other partner in order to participate in changing the current relationship patterns (the observing partner can watch a different approach &amp; be invited to comment).</li><li><strong>Role Reversal</strong>: inviting both parties to swap seats and repeat something (such as a recent argument) playing the role of the other partner. This helps both parties see how they are perceived (and misunderstood/understood) by the other, inviting a conversation about what has been mis-communicated.</li><li><strong>Separation:</strong> couple counselling is not bound in keeping a couple together.  If the couple are looking for a way to separate whilst negotiating responsibilities in the separation, couple counselling will support this process too.</li><li><strong>Perturbation:</strong> whilst learning how the current relationship works, we aim to disturb (or &#8216;perturb&#8217;) the relationship behaviour to make room for new ways of behaviour and relating.</li></ul></div><h2>Couple Counselling is not Facilitation, Mentoring or Mediation (and vice-versa).</h2><p>&#8230; but there are similarities and important over-lapping areas (in this table &#8216;counsellor&#8217; refers to a systemic couple counsellor).</p><table class="Mediation_Counselling_Table" border="0"><tbody><tr><td><strong>Mediation.</strong></td><td style="width: 10px;"></td><td><strong>Counselling.</strong></td></tr><tr valign="top"><td>Mediation is a structured process that can be restricted to a small number of sessions.</td><td></td><td>Counselling can be structured too, but tends to invite the couple to decide upon the structure they wish to work in. The work tends to work on the focus of the relationship problem, rather than a set number of sessions, ending with both parties agree the work has been done.</td></tr><tr valign="top"><td>Mediation focuses on the future: how both parties would like things to be rather than have any detailed knowledge of the past.</td><td></td><td>In addition to looking to the future, counselling includes a curiosity towards how the relationship came into being how it is now. This is to support couple&#8217;s learning what contributed to the relationship&#8217;s current status, in order that the couple can put in places processes to manage recurrences.</td></tr><tr valign="top"><td>A mediator does not overtly try to influence the participants or the outcome.</td><td></td><td>The counsellor keeps the same neutral stance, but may also opt (with the couple&#8217;s permission) to &#8220;play&#8221; the part of one partner in a discussion with the other.  This allows both partners to witness a process different to their own, and invites curiosity towards the different approaches.</td></tr><tr valign="top"><td>A mediator relies on both parties being present.</td><td></td><td>The counsellor also requires both parties be present, but if it has been discussed with the couple first, meeting with one (either or both) partner on their own can be helpful provided that the other partner is brought up to date about what was discussed later on.</td></tr><tr valign="top"><td>A mediator doesn&#8217;t explore a person&#8217;s feelings in any depth.</td><td></td><td>The counsellor may explore feelings to the depths acceptable by both partners, so that either partner can learn something of how the other partner functions in response to their partner.</td></tr><tr valign="top"><td>A mediator aims for clear agreement between the parties and how they will deal with specific issues.</td><td></td><td>The counsellor also aims for clear agreements between the couple, except to get there the counsellor would assist the couple in helping them learn &amp; understand how their relationship currently works; by being focussed on the couple&#8217;s relationship the parties can learn how to change behaviours to alter the relationship.</td></tr><tr valign="top"><td>A mediator remains neutral.</td><td></td><td>The counsellor also remains neural, whilst also being supportive of both individuals and the relationship.</td></tr></tbody></table><p style="padding-top: 12pt;">It&#8217;s interesting to note that a mediator&#8217;s professional role appears to be a subset of a professional couple counsellor&#8217;s role and, of course, a couple may choose one approach over the other:-</p><p style="padding-top: 12pt;"><cite>Marriage counseling typically brings couples or partners together for joint therapy sessions. The pathology of the marital breakdown is explored and analyzed.</cite></p><p><cite>Marriage mediation is practical, agreement-oriented and detail-oriented. When a couple identifies specific areas of conflict on which to focus, they learn to use the mediation process to find points of agreement and negotiate conflict-reducing resolutions. Through the process of marriage mediation, couples will be developing and practicing cooperative, respectful, constructive ways of communicating and reaching accord.</cite></p><p style="padding-top: 12pt; padding-left: 30px;">(Citations from <a title="Marriage Mediation" href="http://marriage-mediation.com/" target="_blank">http://marriage-mediation.com/</a> sourced February 2nd, 2012).</p><p style="padding-top: 12pt;">&#8230; and as I am writing as a systemic &amp; object-relations orientated couple counsellor, Marriage Mediation&#8217;s expression of marriage <em>mediation</em> is precisely a subset of the skills that I include in my professional role as a <em>couple counsellor.</em></p><h2>Dean Richardson&#8217;s development from Non-Counselling to Counselling Professional.</h2><p>As this article&#8217;s author, it is my position that mediation skills are a subset of counselling skills (albeit both approaches have an important place on their own).  It is therefore interesting to notice my own development as a mediator/facilitator/coach towards practising as a professional couple counsellor&#8230;</p><p>I began as an IBM-trained business facilitator and coach.</p><p>Originally trained in the mid 1990s, my role as business facilitator was to attend meetings that had nothing to do with my own department/business (hence maintaining neutrality) and assist the meeting attendees to identify problem that got in the way of work issues and work through the problems to a resolution that the meeting attendees wanted. By the end of the 1990s, I took the role of head of the IBM UK Facilitator&#8217;s Network.</p><p>In the late 1990s and early 2000s, IBM UK introduced the concept of coaching &amp; mentoring.  I trained to became one of a team of business coaches; the role of the coaches was to meet with certain IBM employees, whom management had identified, to support and assist the employees in aspects of their careers.</p><p>It was these roles that began my journey into becoming a <strong>BACP accredited counsellor/psychotherapist</strong> &#8211; and it&#8217;s these skills of a counsellor &#8211; and in particular my qualification in couple counselling &#8211; that I offers to couples (platonic or intimate) who are seeking assistance with their relationship (read more about <a href="http://www.icounsellor.co.uk/about/dean-richardson-counsellor/" title="About Dean Richardson" rel="bookmark">Dean&#8217;s professional qualifications &amp; experience as a couple counsellor&#8230;</a>).</p><h2 style="padding-top: 12pt;">Where is Couple Counselling for Platonic Relationships Available?</h2><p>Couple counselling for platonic relationships is available from <strong>Dean Richardson</strong> as follows:-</p><ul><li><strong>Portsmouth &amp; Southsea (Hampshire):</strong> face-to-face meetings centred on the south coast in Southsea (<a href="http://www.icounsellor.co.uk/about/counselling-locations/" title="Counselling Locations" rel="bookmark">click for location information</a>).</li><li><strong>Skype:</strong> video camera conference meetings using three Skype devices &#8211; idea for people who are in separate places, even remote countries (<a href="http://www.icounsellor.co.uk/counselling/skype-counselling/" title="Choose Skype Counselling" rel="bookmark">click for Skype information</a>).</li></ul><p>&nbsp;</p><h2>What to do next&#8230;</h2><p>If you are involved in a platonic relationship with another person, that relationship is causing distress and both you and the other party would like to work on changing the relationship, make contact with Dean Richardson today to discuss options.</p> <a href='/contact/' class='icon-button mail-icon'><span class='et-icon'><span>Contact Dean Richardson...</span></span></a><br class="clear"/><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2012/02/couple-counselling-for-platonic-relationships/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>Can counselling help a couple to separate?</title><link>http://www.icounsellor.co.uk/articles/2012/01/can-counselling-help-a-couple-to-separate/</link> <comments>http://www.icounsellor.co.uk/articles/2012/01/can-counselling-help-a-couple-to-separate/#comments</comments> <pubDate>Sat, 21 Jan 2012 01:27:38 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Couple Relationships]]></category> <category><![CDATA[FAQ]]></category> <category><![CDATA[Counselling ethics]]></category> <category><![CDATA[Counselling for Couples]]></category> <category><![CDATA[Couples]]></category> <category><![CDATA[Divorce]]></category> <category><![CDATA[Domestic Violence]]></category> <category><![CDATA[Ending marriage]]></category> <category><![CDATA[Gay Couples]]></category> <category><![CDATA[Gay Male Couples]]></category> <category><![CDATA[Lesbian Couples]]></category> <category><![CDATA[LGBT Couples]]></category> <category><![CDATA[Marriage Guidance]]></category> <category><![CDATA[Separating]]></category> <category><![CDATA[Solicitor]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=5302</guid> <description><![CDATA[Couples who wish to (or have to) separate amicably, who have children or other responsibilities to manage, can find couple counselling a helpful resource to assist both partners in their separation.  As a qualified couples counsellor, Dean Richardson can help couples in their focus to end their relationship.]]></description> <content:encoded><![CDATA[<h2 style='margin:0 0 8px 0;'>FAQ: Can counselling help a couple to separate?</h2><blockquote><p>&#8220;Couples counselling works to prevent a couple from separating&#8230;&#8221;</p></blockquote><p>The statement, above, is a common myth about couple counselling.</p><p>Some people misunderstand the purpose of couple counselling, thinking that its purpose <em>is</em> to keep a couple <em>staying in</em> their relationship. However, this is a false impression about couple counselling (at least it is about the <span class='et-tooltip'>systemic<span class='et-tooltip-box'><b>Systemic</b> therapy is a branch of psychotherapy that works with families and couples in intimate and platonic relationships to nurture change and development. It tends to view change in terms of the systems of interaction between family members.<br /><a href="http://en.wikipedia.org/wiki/Family_therapy" target="_blank">http://en.wikipedia.org/wiki/Family_therapy</a><span class='et-tooltip-arrow'></span></span></span> / <span class='et-tooltip'>psychodynamic<span class='et-tooltip-box'><b>Psychodynamics</b> is the theory and systematic study of the psychological forces that underlie human behavior, especially the dynamic relations between conscious motivation and unconscious motivation.<br /><a href="http://en.wikipedia.org/wiki/Psychodynamics" target="_blank">http://en.wikipedia.org/wiki/Psychodynamics</a><span class='et-tooltip-arrow'></span></span></span> couple counselling that is offered by <a href="http://www.icounsellor.co.uk/about/dean-richardson-counsellor/" title="About Dean Richardson" rel="bookmark">Dean Richardson</a>).</p><h3>Aims of Couple Counselling.</h3><p>Some of the aims of couple therapy are much more complicated than just a simple goal of staying-together.  Outside of counselling, sometimes a couple wishes to separate &#8211; and wishes to do so with anger and blaming &#8211; but because of the relationship&#8217;s responsibilities (e.g. children) a couple <em>have</em> to continue seeing each other.  They may need a way to manage their separation &#8211; if not with any friendliness then at least with a modicum of tolerance.  That&#8217;s not an easy process &#8211; for obvious emotional reasons &#8211; but the couple can make use of a professional&#8217;s experience in helping relationships end with a negotiated friendliness &#8211; or at least a respectful-enough amicability.</p><p>Talking from a systemic/family-counselling approach (which is my core framework for couple&#8217;s therapy), the focus of couple counselling will be to follow <em>what the couple wish from therapy</em>; some couples will wish to work to keep their relationship together, other couples will wish to separate, <em>and many couples will not know which they want</em> and may change their minds (sometimes several times) during therapy. All of these are perfectly normal and legitimate states for couples ending a relationship.</p><p>So,<strong> yes, couple counselling <em>can</em> help a couple to separate &#8230;</strong> and, if the couple wishes, and with some effort on everyone&#8217;s part, it does.</p><h2>What is Couple Counselling?</h2><p>My name is Dean Richardson and I&#8217;m a qualified systemic/psychodynamic couple counselling therapist.</p><p>Talking from a systemic approach, couple counselling is a therapy that works with a couple&#8217;s <em>relationship</em>, rather than offering therapy for two individuals.</p><p>What does this mean? For example&#8230;</p><div class='one_half'><div class='et-box et-shadow' ><div class='et-box-content'  style='min-height:270px'><p>A therapist <strong>trained only in individual therapy</strong> may meet with a couple, and may first focus upon one partner (listening to them &amp; offering interventions with one person), and may offer an intervention to that one partner: <em>&#8216;how did you feel about his affair?&#8217;</em>  (this is called an open question &#8211; it invites the individual to say more about a matter). The therapist may then turn to the other partner to repeat the process but from the other partner&#8217;s perspective.</div></div></div><div class='one_half last'><div class='et-box et-shadow' ><div class='et-box-content'  style='min-height:270px'><p>A therapist <strong>trained in couple therapy</strong>, however, will practice neutrality whilst listening to the couple reporting their issues in the way that they wish (perhaps equally, perhaps one partner dominates the other before the counsellor intervenes), then may offer an intervention that addresses the <em>relationship</em>, rather than the individuals: <em>&#8216;Who first noticed that the relationship was breaking down?&#8217; </em>(this is called a circular question &#8211; it invites both partners to discuss the intervention).</div></div></div><div class='clear'></div><p>&nbsp;</p><p>The couple counsellor is focussed on the problems <em>between</em> the individuals (the relationship) and is concerned with helping the couple to think about what contributes to the problems of the relationship (and what contributes to better experiences) and as the couple learn how their <em>relationship system </em>works the counsellor invites the couple to think about what aspects of their &#8216;system&#8217; they might want to change.</p><p style="padding-left: 30px;"><strong>Example of a system:</strong> partner &#8216;A&#8217; arrives home from work, partner &#8216;B&#8217; has been at home all day.  Both partners want to be asked how their day went, but neither partner is willing to give the other partner the time to listen to them first.  An argument ensues.</p><p style="padding-left: 30px;">In systemic therapy, the couple counsellor would learn about this system by listening to the couple report their problems with examples.  The counsellor would help the couple learn about this system and with their agreement would support the couple in hypothesising how the system could be changed.</p><p style="padding-left: 30px;">The couple counsellor does not impose normative views nor offer corrective suggestions (&#8216;what another couple would do is &#8230;&#8217;) but works with the couple to help <em>them</em> be <em>creative</em> to <em>come up with ideas</em> on how they might change the behaviour for themselves.</p><h3>The Assessment Sessions &#8211; finding the focus of the counselling work.</h3><p>The focus of a couple&#8217;s therapy will be what the couple want to <em>change </em>about the relationship including their behaviour within their relationship. My role as a couples counsellor includes working with couples whose focus for their couple counselling work is <strong><em>to not stay together</em></strong>.</p><p>In the <a href="http://www.icounsellor.co.uk/counselling/couple_relationship_therapy/assessment-for-couples-counselling/" title="Assessments for Couples" rel="bookmark">assessment for couple counselling</a>, the couple and I will discuss what the couple wants from counselling &#8230; and separation is a legitimate option for couples entering therapy.  Sometimes the decision to separate is made at the beginning of counselling, sometimes it&#8217;s made during counselling. Either is a legitimate option for couples therapy</p><h2>Separating Amicably.</h2><p>Few couples want to separate amicably.  There may be emotional pain and a wish to not be seen as the one who caused the breakup &#8211; <em>&#8220;it was the other person&#8217;s fault&#8221;</em> may be a comforting thought, but it may also not be accurate.</p><p>However, a couple&#8217;s relationship may have created responsibilities &#8211; there is more than the couple themselves to consider.  There may be children involved and other family responsibilities to negotiate.</p><p>Using a divorce lawyer is one option to help the couple negotiate &#8211; but couple counselling is also an option.</p><p>The counsellor&#8217;s position is to remain neutral during the therapy and by not taking sides he is ethically able to help the couple notice imbalances in their behaviour.  This can be a helpful resource to a couple who are trying to remain balanced (very difficult to do at times) during their separation..</p><h2>Separating / Staying together / Unsure?</h2><p>I have worked with couples who wish to work to stay together, and with couples of wish to separate.</p><p>I have also worked with couples who, at the time of the assessment and for several months after, did not know what they wanted to do with their relationship.  Part of the counselling process there was to discover what our focus for the therapy was going to be.</p><p>Also, the focus that is agreed upon in the assessment is not set in stone.  Sometimes, during the course of counselling, one (or both) partner(s) may change their mind &#8230; or begin to find their voice &#8230; and begin talking about wishing to separate. Vice versa, a couple wishing to separate can change their minds during the therapy. In these situations a review of the original focus is perfectly legitimate and the counsellor will assist the couple to manage the changing of minds.</p><p>When mixed-agendas appear (partner &#8220;A&#8221; wishes to stay together, partner &#8220;B&#8221; wishes to separate) the couple counsellor will assist the couple in working with those differing agendas to find a focus that the couple can agree upon.  When a couple change their mind and wish to change their focus of their work (ie separating instead of staying together, and vice versa) the counsellor will help the couple work with that change too.</p><h2>Couple Counselling &amp; Divorce.</h2><p>Couples who have engaged in marriage or a civil-partnership may decide that they wish to formally separate.  Of course, solicitors will be involved for the legal matters but the couple can still meet weekly with me to discuss matters about their separation.  It is often the case that an individual wishes to leave a relationship by &#8220;saving face&#8221; &#8230; and there can be pressure to denigrate their partner (because doing so helps the individual to appear or feel better than the partner).</p><p>Couples counselling can assist with the separation processes so that both partners leave the relationship in a neutral (perhaps even friendly &#8211; though not essential) position.</p><h2>Advice on Separating.</h2><p>Couple counselling can be helpful when a couple decide to end their relationship and need help in separating out the emotions and building blocks that originally joined them together.</p><p>My qualification is in systemic and psychodynamic couples counselling (similar to the training that Relate (ex &#8220;Marriage Guidance Council&#8221;) counsellors receive.  Therefore, I do not give advice nor directions on how to separate.</p><p>Instead I help facilitate the couple in <em>finding their own solutions</em> to how they wish to separate.</p><p>I do this by remaining neutral in the relationship and being curious about many things.  This can help the couple in discovering new information about their relationship, how they operate, and how things go wrong.  With such discoveries, the couple can put into place difference behaviours that can be helpful in relieving some of the distresses of separating.</p><h2>Are you a couple thinking about counselling?</h2><div class='et-custom-list'><ul><li>Read my page on <a href="http://www.icounsellor.co.uk/counselling/couple_relationship_therapy/" title="Choose Relationship Counselling" rel="bookmark">Couple Counselling.</a></li><li>See my <a title="Contact Dean Richardson confidentially" href="/contact/">Contact Me</a> page to send me a message to arrange an initial no-obligation appointment for an <a href="http://www.icounsellor.co.uk/counselling/couple_relationship_therapy/assessment-for-couples-counselling/" title="Assessments for Couples" rel="bookmark">assessment for counselling</a>.</li></ul></div> Dean Richardson offers couples counselling in <a href="http://www.icounsellor.co.uk/about/counselling-locations/" title="Counselling Locations" rel="bookmark">Portsmouth and Southsea (Hampshire)</a> and online via <a href="http://www.icounsellor.co.uk/counselling/skype-counselling/" title="Choose Skype Counselling" rel="bookmark">Skype</a>.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2012/01/can-counselling-help-a-couple-to-separate/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>Will my Counselling be Confidential?</title><link>http://www.icounsellor.co.uk/articles/2012/01/will-my-counselling-be-confidential/</link> <comments>http://www.icounsellor.co.uk/articles/2012/01/will-my-counselling-be-confidential/#comments</comments> <pubDate>Wed, 11 Jan 2012 18:57:32 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Counselling]]></category> <category><![CDATA[Ethics]]></category> <category><![CDATA[FAQ]]></category> <category><![CDATA[BACP]]></category> <category><![CDATA[Confidentiality]]></category> <category><![CDATA[Counselling and the Law]]></category> <category><![CDATA[Counselling ethics]]></category> <category><![CDATA[Criminal offence]]></category> <category><![CDATA[Ethical framework]]></category> <category><![CDATA[Solicitor]]></category> <category><![CDATA[Supervision]]></category> <category><![CDATA[Supervisor]]></category><guid isPermaLink="false">http://icounsellor.cybershrink.co.uk/?p=3003</guid> <description><![CDATA[When a therapist says 'our work is confidential' does that mean exactly what you think it does - and has your counsellor told you exactly what confidentiality means to the counsellor?]]></description> <content:encoded><![CDATA[<h2 style='margin:0 0 8px 0;'>FAQ: Will my Counselling be Confidential?</h2><p>I abide by and adhere to the British Association of Counsellors and Psychotherapy&#8217;s <a title="BACP Ethical Framework" href="http://www.bacp.co.uk/ethical_framework/" target="_blank">Ethical Framework</a>.</p><p>As part of that framework, I practice <strong>confidentiality</strong> with all of my clinical work.  This means that you can speak with me knowing that your friends, your family, your work colleagues and so on will not get to learn what you have said in a counselling session &#8211; and neither will <em>my</em> friends, family, work colleagues and so on.</p><p>But &#8230; what confidentiality also means is that I <strong><em>will</em></strong> discuss your case with a strictly limited number of other professionals for sound ethical reasons.  All clients and patients of therapists should be made aware of this (as you will be during our initial meeting), but unfortunately this is not the case with some other professional therapists.  I make it a particular point to discuss what confidentiality means &#8211; and what are its boundaries &#8211; with all of my clients at the start of counselling.  During our initial meeting I will also give you a printed copy of our counselling agreement.  After all, there&#8217;s a lot to remember during our first sessions.</p><p>Because confidentiality is not just about<strong> <em><span style="text-decoration: underline;">not</span> talking about our therapy work</em>, </strong>our written agreement explains what confidentiality means.</p><p>For example, in addition to the &#8216;not discussing what we say in the room&#8217; part of confidentiality, I will have made you aware that:<div class='et-custom-list'><ul><li>I meet with my choice of clinical supervisor one a month to discuss my cases and my work.</li><li>During my yearly quota of continued professional development (eg training courses), I may refer to certain casework in order to review of reflect upon the case  (you details will be anonymised, meaning I won&#8217;t use your name nor other identifying information).</li><li>UK law may require of me to break our confidentiality if I learn of something that is unlawful.</li></ul></div></p><p>The rest of this article expands upon these matters.</p><h3>Confidentiality &amp; Supervision.</h3><p>As a private practising therapist who is a member of &#8211; and accredited by &#8211; the British Association for Counselling &amp; Psychotherapy, I meet with a qualified supervising counsellor once a month for a minimum of 90 minutes. This is to discuss my practice and my case load and to check that I&#8217;m working to my best, keeping with ethical principals, and dealing with dilemmas that come up in most every case.</p><p>I will, from time to time discuss your case and our work together with my supervisor &#8211; but I will have first made sure that my supervisor does not know you, or is likely to come in contact with you (say, for example, though the workplace).  I will refer to you only by your first name (or another name if you prefer).  If I cannot assure your confidentiality in this manner &#8211; for example if my supervisor knows you in the work place or socially &#8211; then I will seek supervision from another supervisor for the duration of our work together.</p><h3>Confidentiality &amp; Continued Professional Development (CPD).</h3><p>In seeking additional knowledge to keep me up to date with therapeutic thinking, it is sometimes useful to refer to an aspect of a case whilst attending a training course.  If, when we discuss our agreement, you request that I do not refer to you during my CPD then I will respect this.  Even so, it&#8217;s rare to-the-point-of-never-happens nowadays for me to bring up casework willy nilly, and I make sure that anything I discuss within the confines of other therapists in the context of CPD still keeps your identity anonymous and our casework vague enough to never identify you.</p><h3>Confidentiality &amp; UK Law.</h3><p>Confidentiality sometimes has to be broken if I am required to do so by law (for example if you disclose to me your intent of harming yourself or others (including children) or if you disclose intent of committing a serious criminal offence or terrorism).  This may also apply if I learn of someone else who may be being harmed or in danger, or is planning to harm others.</p><p>This does not mean that I will go running to the police the moment that I hear about something illegal, but it is part of my ethical commitments to you to inform you that the law may not protect your confidentiality.</p><p>I will intend to discuss with you of my (admittedly very rare) intent to break confidentiality of our work before I do so, but you need to be aware that the law may require that I take action first and <span style="text-decoration: underline;">without your consent or knowledge</span>.</p><h2>Declining your request to break confidentiality.</h2><p>I have been discussing where confidentiality is maintained but expanded in the form of supervision and CPD, and have discussed UK Law where I may not be able to keep knowledge confidential.</p><p>There is another aspect: your request to reveal information about our counselling work.</p><p>Confidentiality is very important &#8211; even to ensure it is <em>not</em> broken in situations where you request it (for example, giving your permission to a solicitor to request that I give a report about our case work).</p><p>If we are still working together it is best for us to have a sufficiently detailed discussion of the consequences of such events before I decide how I will respond &#8211; <strong>and I will not automatically respond with a &#8216;yes&#8217;</strong>.  What has been, up until this moment, vital to protect needs a serious conversation about why this need has now changed.</p><p>Should our counselling work have been completed, and we are no longer in contact, if I receive a request to reveal the contents of our counselling work with a third party &#8230; even having received your permission (eg written) to do so &#8230; I will decline.</p><h2>Confidentiality &#8211; In conclusion.</h2><p>Counselling is not to be taken lightly &#8211; neither by therapist nor clients.  Clinical work such as counselling and psychotherapy requires ethics, respect and the highest form of protecting both the therapist and the client&#8217;s right to feel safe during the work.</p><p>I take a particularly thoughtful approach to protecting confidentiality &#8211; and this may surprise a number of clients who may assume that (a) nothing is ever revealed about the case to anyone &#8230; or conversely (b) I will summarise our casework to anyone when the client wants me to.</p><p>Confidentiality is vital.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2012/01/will-my-counselling-be-confidential/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>Don&#8217;t I have to be mental to go to a counsellor?</title><link>http://www.icounsellor.co.uk/articles/2012/01/dont-i-have-to-be-mental-to-go-to-a-counsellor/</link> <comments>http://www.icounsellor.co.uk/articles/2012/01/dont-i-have-to-be-mental-to-go-to-a-counsellor/#comments</comments> <pubDate>Thu, 05 Jan 2012 00:33:10 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[FAQ]]></category> <category><![CDATA[Assessment]]></category> <category><![CDATA[Differences between Psychiatry and Psychotherapy]]></category> <category><![CDATA[Mental Illness]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=5074</guid> <description><![CDATA[Someone new to counselling might be afraid that they'll be diagnosed with a mental illness.  This FAQ explains how counsellors and psychotherapists are not psychiatrists and fears of counselling don't need to keep you away if you might like to work through some emotional or cognitive matters that you feel may be holding you back.]]></description> <content:encoded><![CDATA[<h2 style='margin:0 0 8px 0;'>FAQ: Don&#8217;t I have to be mental to go to a counsellor?</h2><p><strong>Answer: no.</strong></p><p>This article is talking about counselling for mental illness&#8230; in fact, a counsellor may not be able to work with you if you are mentally ill.</p><p>Counselling and psychotherapy are not psychiatry.  They are a valuable form of psychological support that can assist you in unravelling problems (sometimes emotional, sometimes cognitive) <em>but only if you are able to participate in the process too</em>.</p><p>If you are diagnosed with a mental illness, then counselling may be contraindicated &#8211; and certainly counselling won&#8217;t be as effective if you were not able to engage in the process with a good (or at least a reasonable) sound sense of yourself and a stable-enough mental health.</p><h3>Beginning Counselling.</h3><p>All counselling begins with an assessment.  This is not a mental diagnosis because counsellors are not qualified to make such diagnoses.  Instead, we are making sure (as much as we are able because we are human and don&#8217;t have foresight!) that you are able to engage well enough with the counselling processes, and with us as your counsellor. </p><p>Counsellors won&#8217;t announce that you have an undiagnosed mental illness during the assessment.  Apart from anything, counsellors are not qualified to make diagnoses of mental health &#8211; although we have experience and training in being aware if there is something amiss in a person&#8217;s mental health (which may help us judge if we are the right sort of therapy for an individual, or might help us to help a client find the right sort of therapy).</p><h3>Counselling and maintaining mental well-being.</h3><p>If we do become concerned for your mental well-being, we have resources (such as our supervision and access to psychiatric support where needed) that we can consult.  This is to make sure that we have your best mental health in hand.</p><p>If we are concerned for your mental health it may be ethical to bring this matter up with you (it&#8217;s not likely we will go behind your back to your GP or other mental-health processional).</p><p>All in all it&#8217;s not very often that a person coming to counselling will cause us to seek such advice, but we are prepared if this might be the case.  At least &#8230; counsellors <em>should </em>be so prepared.</p><h3>Psychiatry &amp; mental illness.</h3><p>Mental illnesses are diagnosed by psychiatrists.  A psychiatrist would fully assess someone in person (ie face to face), taking a history of the person&#8217;s mental behaviour &amp; capacity from the person themselves and also from as many other sources as possible.  More than one problem can be identified during diagnosis.</p><p>Once there is a diagnosis a full treatment plan can be put in place, requiring the psychiatrist to consider medical, social and psychological (eg counselling) treatments available.</p><p>Whilst a counsellor/psychotherapist may be aware of a person&#8217;s mental illness, they are not in a position to diagnose.  An ethical counsellor&#8217;s approach would be to discuss their concerns with their supervisior and other psychological resources before deciding whether or not to discuss with you their observations and their advice about seeing your GP.  Think of this like having a potential problem highlighted for you, and the choice to take the matter any further remains yours.</p><h2>Talk with a Counsellor.</h2><p>If you&#8217;re thinking about counselling and that it might help you, but you&#8217;re afraid that you might be seen by others (or, indeed, the therapist) as having a mental illness, be assured that this is most likely not the case &#8230; irrational fears are certainly very powerful, but we can deal with stuff like that in counselling.</p><p>Talk it through with the counsellor.  You may be relieved.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2012/01/dont-i-have-to-be-mental-to-go-to-a-counsellor/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>Counselling for Closet Gay People</title><link>http://www.icounsellor.co.uk/articles/2012/01/counselling-for-closet-gay-people/</link> <comments>http://www.icounsellor.co.uk/articles/2012/01/counselling-for-closet-gay-people/#comments</comments> <pubDate>Wed, 04 Jan 2012 17:46:54 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[FAQ]]></category> <category><![CDATA[LGBT]]></category> <category><![CDATA[Confidentiality]]></category> <category><![CDATA[Gay]]></category> <category><![CDATA[In the Closet]]></category> <category><![CDATA[Lesbian]]></category> <category><![CDATA[Outing]]></category> <category><![CDATA[Sexuality]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=5048</guid> <description><![CDATA[Some people are gay.  Unlike straight-people, however, all gay people at some time have to choose whether or not to 'come out of the closet' (to coin an old phrase).  Some people seek support from an LGBT counsellor before making a decision on announcing to the world (or at least family and friends) that they are gay, lesbian, transgender or bisexual.  Coming out of the closet is not easy for some, and easier for others, but speaking with an counsellor who works with LGBT people can make the decision easier to work through.]]></description> <content:encoded><![CDATA[<h2 style='margin:0 0 8px 0;'>FAQ: Counselling for Closet Gay People.</h2><p>Whilst my whole website discusses confidentiality, sexuality, gender and my therapeutic practice, it would not go amiss for me to produce at least a brief post that combines all of these counselling features into providing a safe containment for one particular area of society in which I specialise as a therapist: <strong>closet gay &amp; lesbian individuals &amp; couples</strong>.</p><h2 style="clear: left;">Website Search &#8211; close, but no cigar.</h2><p>Someone arrived on this website having searched for &#8216;counselling for closet gay&#8217;.  In response to the query, Google sent the visitor to my search page.  My search software dutifully produced a list of pages that were mostly about counselling, some about LGBT couple therapy, some about me, <strong>but none that expressly spoke about counselling for the closet individual</strong>.</p><p>Notwithstanding I&#8217;m taking a look at my search producing software, it was very clear that the visitor had not been presented with anything about what they were looking for from my website, and they went away.</p><p>Quite rightly.</p><p>But mistakenly so.</p><h2>Counselling for LGBT People.</h2><p>As male counsellor who specialises in offering counselling for the specific needs of lesbian and gay individuals &amp; LGBT couples, it would seem to me that the whole of my therapy service would cater well for those people who are not &#8216;out&#8217;:</p><div class='et-custom-list'><ul><li>The counselling therapy I offer is confidential (read: <a href="http://www.icounsellor.co.uk/articles/2012/01/will-my-counselling-be-confidential/" title="Will my Counselling be Confidential?" rel="bookmark">&#8220;Will my Counselling be Confidential&#8221;</a>).</li><li>I am a specialist in LGBT counselling (read: <a href="http://www.icounsellor.co.uk/counselling/lgbt-counselling/" title="Choose LGBT Counselling" rel="bookmark">&#8220;LGBT Counselling&#8221;</a>).</li><li>The therapy is lead by your individual needs (or those of your relationship, if couple counselling) (read: <a href="http://www.icounsellor.co.uk/articles/2011/09/what-counselling-helps-with/" title="What can Counselling Help with?" rel="bookmark">&#8220;What you can talk about in Counselling&#8221;</a>).</li><li>Although I am physically based in <a href="http://www.icounsellor.co.uk/about/counselling-locations/" title="Counselling Locations" rel="bookmark">Portsmouth</a>, I offer counselling to the English-speaking world via <a href="http://www.icounsellor.co.uk/counselling/skype-counselling/" title="Choose Skype Counselling" rel="bookmark">Skype video counselling</a>.</li></ul></div> Yet, perhaps, my counselling information is (unintentionally) aimed at those LGBT people who are already out and leading happy and successful lives, regardless of their sexuality, but who sometimes wishes to meet with an LGBT counselling to work through some issues.</p><h2>Being in, and coming out of, &#8216;the closet&#8217;.</h2><p>The term being in the <strong>&#8216;closet&#8217;</strong> means that a person&#8217;s sexuality or gender-identification is something other than what appears to the public, but that the person has not yet made a public declaration.  The term goes hand in hand with the phrase <strong>&#8216;out&#8217;</strong> or &#8216;outing&#8217; meaning that when a person becomes known for their homo or bi sexuality, or desire for a change in gender, they have come <strong>out of the closet</strong>, or they have been <strong>&#8220;outed&#8221;</strong> by a third party.</p><p>It&#8217;s perhaps interesting that it is sexual minorities that have to go through this process, as it is perhaps assumed that a person is heterosexual, gender-phoric (as opposed to dysphoric) or cis-gender until other facts are known.</p><p>It&#8217;s perhaps also interesting that as more people &#8211; particularly role (or pseudo-role) models &#8211; announce their sexuality or gender-reassignment (or gender ambivalence as not transgender people feel the need to make a full transition from one gender to another) &#8211; the process of coming out of the closet (outing ones self) is becoming easier and more socially acceptable (Seidman, Meeks, and Traschen (1999) argue that &#8220;the closet&#8221; may be becoming an antiquated metaphor in the lives of modern day Americans).</p><p>Nevertheless, society still assumes one is a heterosexual cis-gendered person until one corrects the notion.</p><h2>Not everyone wants to be &#8216;out&#8217;.</h2><p>It would not be surprising that some people would benefit from discussing their sexuality with a helpful &amp; friendly professional, someone with whom they might feel safe, in order to find support before they go through a (sometimes) traumatic process as outing themselves.</p><p>It is not the counsellor&#8217;s position to encourage self-outing (or maintaining self-closeting) as the decision for action is down the client, with the counselling processing being available to assist the client on reflection: pros, cons, effects, affects.  LGBT counselling is not a solution of itself but a helpful tool.</p><p>In closing, I hope this brief post goes some way to correct, clarify and reconcile my services into a clearer statement of some of the kinds of counselling services that I offer.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2012/01/counselling-for-closet-gay-people/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>On Bringing Couple Counselling to a Close</title><link>http://www.icounsellor.co.uk/articles/2011/12/ending-couple-counselling/</link> <comments>http://www.icounsellor.co.uk/articles/2011/12/ending-couple-counselling/#comments</comments> <pubDate>Mon, 26 Dec 2011 18:05:42 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Couple Relationships]]></category> <category><![CDATA[FAQ]]></category> <category><![CDATA[Assessment]]></category> <category><![CDATA[Counselling]]></category> <category><![CDATA[Counselling for Couples]]></category> <category><![CDATA[Couples]]></category> <category><![CDATA[Domestic Violence]]></category> <category><![CDATA[Ending]]></category> <category><![CDATA[Gay Couples]]></category> <category><![CDATA[Gay Male Couples]]></category> <category><![CDATA[Lesbian Couples]]></category> <category><![CDATA[LGBT Couples]]></category> <category><![CDATA[Relationship counselling]]></category> <category><![CDATA[Stopping]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=4842</guid> <description><![CDATA[A brief discussion on how couple counselling can be brought to an end - whether planned or unplanned.]]></description> <content:encoded><![CDATA[<h2 style='margin:0 0 8px 0;'>FAQ: On Bringing Couple Counselling to a Close.</h2><p>Couple Relationship Counselling is about working in therapy with conflicts in a couple’s relationship.  The couple can be married, in a civil-partnership, being romantically involved or just simply colleagues who have a relationship (business or personal) that has developed conflicts (<a href="http://www.icounsellor.co.uk/counselling/couple_relationship_therapy/" title="Choose Relationship Counselling" rel="bookmark">read more&#8230;</a>).</p><h2 style="clear: left;">Closing States of Couple Counselling.</h2><p>There are two states for the end of couple counselling: resolved and unresolved.</p><p><div class='one_half'><div class='et-box et-shadow'  style='height:200px;'><div class='et-box-content'  style='height:174px;'><p><strong>Resolved: </strong>when the initial conflicts – <em>plus</em> conflicts that appeared during the course of couple counselling – have been worked through to the couple’s satisfaction. Satisfaction may mean: enough so that the couple can work on the issues themselves without further therapeutic intervention.</p></div></div></div><div class='one_half last'><div class='et-box et-shadow'  style='height:200px;'><div class='et-box-content'  style='height:174px;'><p><strong>Unresolved: </strong>when the initial conflicts – <em>or</em> conflicts that appeared during the course of couple counselling – have only been partially worked  through &amp; the couple are still distressed at &#8211; or helpless from &#8211; the conflicts.</p></div></div></div><div class='clear'></div></p><p>Both of these states can be worked with during an ending to couple counselling. Although <em>resolved</em> might appear to be a better state, it depends upon what the couple want as it&#8217;s their relationship (and always has been even with therapeutic intervention).</p><p>When a couple decide to end counselling, working toward an ending is an appropriate choice (rather than simply stopping counselling without notice).</p><h3>Topics for Closing Sessions.</h3><p>In the final sessions it can be helpful to discuss the following:<div class='et-custom-list'><ul><li>What matters presented at the assessment for couple counselling (<a href="http://www.icounsellor.co.uk/counselling/couple_relationship_therapy/assessment-for-couples-counselling/" title="Assessments for Couples" rel="bookmark">read more&#8230;</a>).</li><li>What matters came up during the couple counselling?</li><li>What matters do both partners agree that we have worked through?</li><li>What matters do partners disagree on.</li><li>What matters are left outstanding (any “unfinished business”) – for both partners together, or for each individual partner?</li><li>What might the couple wish to do about the unfinished business?</li><li>What has been gained from the counselling process &#8230; and what is being lost as it ends.</li></ul></div> A purpose of such a review is so that couples counselling can end with the work being reviewed openly.  Both partners can leave therapy knowing what is agreed as being resolved, and what matters are left unresolved.  Knowing what work is left to do means the couple can consciously continue to work on further matters in their own time and their own way.</p><h3>Number of Sessions.</h3><p>The number of sessions to bring couple counselling to a close will be decided in a discussion with the couple.  It&#8217;s preferable that an ending to counselling is brought about once the presenting issues have been worked through &#8211; so the ending is a case of how many sessions would be required to discuss sufficiently the closing sessions topics.</p><p>This, plus any outstanding matters the couple wish to talk about.</p><h2>Ending Counselling without Final Sessions.</h2><p>Leaving counselling without such an ending as discussed above can be unhelpful to the couple’s relationship.  Unresolved conflicts can continue in the relationship – assuming that the relationship continues.</p><p>Sometimes the couple decide they wish to separate and they leave the relationship (couple counselling can also be used to help a couple to separate) and when the couple no longer maintains the relationship, the counsellor’s “client” (the relationship) can no longer be brought to counselling.  Other types of endings can then be discussed.</p><p>So, working towards an ending in couple counselling are an important part of the counselling process.  whether the couple involve the counsellor in the ending or not.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2011/12/ending-couple-counselling/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>Counselling for Couples after an HIV Diagnosis</title><link>http://www.icounsellor.co.uk/articles/2011/12/counselling-for-couples-after-an-hiv-diagnosis/</link> <comments>http://www.icounsellor.co.uk/articles/2011/12/counselling-for-couples-after-an-hiv-diagnosis/#comments</comments> <pubDate>Sat, 24 Dec 2011 20:45:27 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Couple Relationships]]></category> <category><![CDATA[Counselling for Couples]]></category> <category><![CDATA[Gay]]></category> <category><![CDATA[HIV]]></category> <category><![CDATA[Lesbian]]></category> <category><![CDATA[Marriage Guidance]]></category> <category><![CDATA[Relationship problems]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=4856</guid> <description><![CDATA[For couple counselling following an HIV diagnosis, you don't need to be referred to Dean Richardson by your local GUM clinic nor your doctor.  Private HIV couple counselling.]]></description> <content:encoded><![CDATA[<h2>Counselling following an HIV Diagnosis.</h2><p><em>If you are in a relationship – regardless of either of your sexualities – and you are having relationship problems after an HIV test gave a positive result then contact Dean Richardson today to arranging a no-obligation initial session to see if couples counselling could be helpful for both of you.</em></p><p>It has not been unusual for a couple – gay, lesbian or straight – to come to see Dean Richardson for private couples counselling after one (or both) have been diagnosed as HIV-positive.</p><ul><li>Sometimes the couple counselling is about dealing with the shock of receiving a positive diagnosis.</li><li>Sometimes the counselling is about dealing with trust issues raised by one partner being diagnosed.</li><li>Sometimes the diagnosis is cathartic in releasing other matters that have been delayed – but now need someone to help the couple discuss.</li></ul><p>Whatever the core reasons of seeking couples counselling, Dean is a qualified and experienced couples counsellor who works with couples that have received a positive HIV diagnosis (amongst many other couple relationship reasons for counselling).  His couples counselling service in Portsmouth can help a couple negotiate their way through difficult problems resulting from HIV diagnoses.</p><p>The GU clinic may give you and your partner support after an HIV positive diagnosis, but longer term therapy is available privately through meeting with Dean.</p><h2>Arranging a Couple Counselling appointment.</h2><p>You don’t need to be referred to Dean via your local GUM clinic, nor your doctor, you can make your own appointment directly. Initiating private counselling is totally up to you both and can be arranged very quickly. </p><p>Dean is a systemic and psychodynamic qualified couples counsellor that is ideal for assisting a couple in finding their own newly inspired solutions to their own relationship conflicts. Dean’s couple counselling is a confidential service that can compliment the medical treatment that you will continue to receive through your GUM clinic and/or your doctor.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2011/12/counselling-for-couples-after-an-hiv-diagnosis/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <item><title>Mixed-Orientation/Sexuality Relationship Counselling</title><link>http://www.icounsellor.co.uk/articles/2011/12/mixed-orientation-sexuality-relationship-counselling/</link> <comments>http://www.icounsellor.co.uk/articles/2011/12/mixed-orientation-sexuality-relationship-counselling/#comments</comments> <pubDate>Sat, 24 Dec 2011 17:31:41 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Couple Relationships]]></category> <category><![CDATA[LGBT]]></category> <category><![CDATA[Couples]]></category> <category><![CDATA[Gay Couples]]></category> <category><![CDATA[Gay Male Couples]]></category> <category><![CDATA[Lesbian Couples]]></category> <category><![CDATA[LGBT Couples]]></category> <category><![CDATA[Portsmouth]]></category> <category><![CDATA[Relationship counselling]]></category> <category><![CDATA[Relationship problems]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=4832</guid> <description><![CDATA[Mixed-orientation and mixed-sexuality couple relationships can experience problems that are distinctly unique to their partnership.  Dean Richardson is a couple counsellor who specialises in LGBT and mixed-sexuality relationships.  Available in Portsmouth, Hampshire or online via Skype video conference counselling.]]></description> <content:encoded><![CDATA[<h2>Relationship Counselling for Mixed Sexual-Orientation Couples.</h2><p>Couples who are in an intimate, mixed-sexuality relationship or an intimate mixed gender-orientation marriage can experience relationship problems in just the same way as any other couple relationship.</p><p>Whist any trained &amp; qualified couples counsellor could be able to work with your relationship,  <strong>sometimes mixed-orientation couples choose to work with a systemic couples relationship therapist who specialises in working with mixed-orientation couples.</strong></p><p>In Hampshire, and on Skype, that therapist is <a href="http://www.icounsellor.co.uk/about/dean-richardson-counsellor/" title="About Dean Richardson" rel="bookmark">Dean Richardson</a>.</p><h3>What is a mixed-sexuality / mixed-orientation relationship?</h3><p>Not all intimate couple relationships have be composed of people of the same sexuality.  Mixed-sexuality relationships are when both partners identify with a different sexuality to their partner; for example a gay man and a straight woman.</p><p>Whilst such relationships work perfectly fine without therapeutic intervention, they can also develop conflicts that are particular to this type of relationships.  As an example, whilst sex does not have to be the centre of an intimate relationship, when sexual intimacy becomes a problem, mixed-sexuality couples may require a special kind of support in helping the couple to find  their own solutions to such difficult problems.</p><h2>Dean Richardson – Mixed-Orientation Couple Counsellor.</h2><p>Dean Richardson is a fully qualified and experienced couple relationship therapist.  He specialises in working with LGBT couples and couple relationships of mixed-sexualities and mixed-orientations.  He doesn&#8217;t impose traditional values on relationships that are incomparable with heteronormative standards.</p><p>Working with Dean means the mixed-sexuality/mixed-gender-identified couple can continue to feel proud of their relationship. They can regard their relationship problems as an interesting obstacle to be worked with curiosity &amp; inspiration &#8211; a healthy approach through systemic couples counselling.</p><p>You, your partner and Dean will work with the relationship style that you bring to counselling, and we’ll work with resolving the problems that you bring too.</p><h2>How to begin Couple Counselling.</h2><div style="float: right; width: 260px; margin: 0pt 0pt 10px 10px; font-size: 9pt;"><div class='et-box et-shadow' ><div class='et-box-content' ><h3 style="margin: 0pt; font-size: 10pt; font-weight: bold;">Long Distance Counselling.</h3><p><div id='InnerThumbnailWithDescription' class='alignleft ' style='width:69px'><img src='http://www.hampshirecounsellor.org.uk/wp-content/blogs.dir/9/files/et_temp/Skype-S-4669_52x52.jpg' alt='Skype-S' title='Skype-S' class='thumbnail-post' style='width:52px; height:52px;' /><div id='description'>Skype logo &copy <a href='http://skype.com' target='_blank'>Skype</a></div></div>Couples who are separated by distance &#8211; or away from Dean&#8217;s Portsmouth practice &#8211; but who still want couple counselling &#8211; may find Dean Richardson&#8217;s <strong>Skype Couple Counselling Service</strong> useful (<a href="http://www.icounsellor.co.uk/counselling/skype-counselling/" title="Choose Skype Counselling" rel="bookmark">read more…</a>)</div></div></p></div><p><strong>1)</strong> Pick a date/time from Dean&#8217;s <a href="http://www.icounsellor.co.uk/about/appointments-for-counselling/" title="Appointment times" rel="bookmark">availability</a>.  You and your partner will be attending together &#8211; and if you and Dean agree that couple counselling is a suitable form of treatment for you, you will both be attending with your partner for each week&#8217;s session.</p><p><strong>2)</strong> <a href="http://www.icounsellor.co.uk/contact/" title="Contact Dean" rel="bookmark">Contact Dean</a> to arrange an <a href="http://www.icounsellor.co.uk/counselling/couple_relationship_therapy/assessment-for-couples-counselling/" title="Assessments for Couples" rel="bookmark">assessment for couple counselling</a> &#8211; or to discuss with Dean your questions or concerns for couple counselling.</p><p style="clear: both;">Couples counselling for mixed-orientation couples can be a helpful resource to a couple who are struggling with problems that seem unique and insurmountable.  Choose Dean Richardson to help you attend to your unique relationship &#8230; together.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2011/12/mixed-orientation-sexuality-relationship-counselling/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> <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>Being &#8216;Bullied&#8217; in the Therapy Room</title><link>http://www.icounsellor.co.uk/articles/2011/12/being-bullied-in-the-therapy-room/</link> <comments>http://www.icounsellor.co.uk/articles/2011/12/being-bullied-in-the-therapy-room/#comments</comments> <pubDate>Mon, 05 Dec 2011 12:55:24 +0000</pubDate> <dc:creator>Dean Richardson</dc:creator> <category><![CDATA[Therapies]]></category> <category><![CDATA[Boundaries]]></category> <category><![CDATA[Bullying]]></category> <category><![CDATA[Contract]]></category> <category><![CDATA[LGBT]]></category> <category><![CDATA[Technique]]></category> <category><![CDATA[Therapeutic relationship]]></category> <category><![CDATA[Unconscious communication]]></category><guid isPermaLink="false">http://www.icounsellor.co.uk/?p=4638</guid> <description><![CDATA[Bullying occurs for reasons, but perhaps not for the most obvious ones.  Psychoanalytic therapists attempt to use their experiences of patients in order to help the patient learn about themselves - bullying in the therapy room.]]></description> <content:encoded><![CDATA[<p>Whilst naturally getting caught up in Jonah&#8217;s distress &amp; pain (<a href="http://www.icounsellor.co.uk/articles/2011/12/lgbt-teenage-bullying/" title="LGBT Teenage Bullying&#8230;" rel="bookmark">link</a>) I had forgotten that the bully(ies) is(are) also in need of support &#8211; albeit from an angle that&#8217;s perhaps not immediately appreciated.  </p><p>The thoughts in this article come from a psychodynamic understanding of individuals&#8217; psychology and from a systemic understanding of relationships through my practice as a counsellor/psychotherapist.</p><h2 style="clear: left;">Why might a bully bully?</h2><p>I&#8217;d suggest that bullying occurs due to the bully&#8217;s projected hatred/disgust of themselves.</p><p>As we are all people who need to be loved, cared for, taken care of etc, we don&#8217;t like to think of ourselves as being someone who is incapable of being loved.  Whilst some of us do have these thoughts, others avoid such torturous ideas through a process known as a <strong>psychological defence</strong>.  I&#8217;d suggest such a defence&#8217;s purpose might be:</p><p style="padding-left: 30px;">&#8230;<em>make sure that I don&#8217;t know about something that would cause me great pain if I were to become aware of it</em>.</p><p>Being an <strong>unconscious</strong> defensive process, the bully psyche would be using <strong>projection</strong> to help the bully avoid recognising himself as being the person &#8220;in need&#8221; of being bullied.  I mean &#8216;in need&#8217; as being the bully&#8217;s psyche&#8217;s conclusion of what to do with the psychological pain the bully is carrying: destroy.</p><p>The bullying process continues whilst the bully&#8217;s defence continues to successfully keep the bully from recognising that it is himself he&#8217;s attacking through bullying.</p><p>I&#8217;d suggest this is why, anecdotally at least, it&#8217;s said that bullying parents create bullying children &#8211; the pain is passed down from parent to child &#8230; as is the way to deal with it.</p><p>So, bullying is taking place and now we have two people participating in the bullying:  the bully <em>(the initiating participant)</em> and the bullied <em>(the unwilling participant)</em>. The two have entered into a psychologically torturous relationship.</p><p>This relationship is why I suggest that both participants in the bullying are in need of help: the bullied because he (probably) didn&#8217;t see it coming, and the bully to help him understand (and then deal with) his own pain.</p><p>Like a hook-and-eye closure, both participants have something that makes the bullying relationship succeed; both are contributed (at some level) something to the bullying relationship. The bully contributes something so that he gets to avoid his own pain, and the bullied contributes something for the distress to take root.  The bullied acts out the distress that the bully causes (and which may also be the distress that the bully himself is hoping to dispose of &#8211; psychologically he&#8217;s done it successfully by physical means).</p><h2>Psychological &#8220;Bullying&#8221; of the Therapist.</h2><p>Therapists in the therapy room can also find themselves bullied &#8211; but it&#8217;s those who work with unconscious processes (psychoanalysts, psychotherapists &amp; psychodynamic counsellors for example) that will struggle use understand their experience of the bullying process (sometimes a very subtle process, not clearly an attack or bullying) to empathically help the bully come to understand what they&#8217;re not aware of doing.</p><p>Whilst there won&#8217;t be physical torture (discharged by the boundaries &amp; contracting at the start of the therapy), through unconscious processes called <strong>projective-identification</strong> and <strong>counter-transference</strong>, the therapist can find himself under various forms of mental and emotional attack.</p><h3>Attack through unconscious processes.</h3><p>Over my decade+ of work I have found myself:-</p><ul><li>Feeling as if I were going to be physically harmed by a client.</li><li>Have vomited after a client&#8217;s session.</li><li>Being continually contradicted, put right, getting the impression I rarely get things right, but the client still comes to sessions.</li><li>Felt attracted to a client that I would not normally have been attracted to, then shortly afterwards feeling rejected (though I have not acted out the attraction).</li><li>Felt inadequate to a client, no matter how I tried to be helpful.</li><li>Whilst listening to a client tell me how wonderful things are in his life, I have felt utter rage and and a sparkling, tingling, need-to-do-something feeling in my arms and wrists.</li></ul><p>Just a tiny set of examples &#8211; and you may notice how often the word &#8216;feel&#8217; crops up in these examples where I&#8217;ve &#8216;felt&#8217; that I&#8217;m coming off worse as part of the therapy work.</p><p>Plus &#8211; I&#8217;d like to reiterate that these responses, whilst very much in my conscious experience, are hypothetically in response to unconscious material being received from the client.  The client isn&#8217;t sitting there consciously sending me &#8220;be sick&#8221; thoughts.</p><p>Part of my responsibility as a psychodynamic therapist is to struggle to understand what sort of responses I&#8217;m privately having with a client.  It is not my usual practice to reveal my responses (my <strong>counter-transference</strong>) directly &#8211; although this can be appropriate too (an article for another time).  Instead, I will work privately on understanding my responses, my feelings, so that I might gain an understanding of them <em>in the context of the patient</em>.</p><p style="padding-left: 30px;"><em>If I am feeling as if I were going to be physically harmed by a client, perhaps I am receiving an <strong>unconscious communication</strong> from the patient &#8211; something being communicated about the very real alert about harm.</em> </p><p>Sometimes <strong>de-attributing</strong> ownership of my feelings/thoughts can be helpful:  re-framing my fear that instead of thinking&#8230;</p><p style="padding-left: 30px;"><em>&#8216;I&#8217;m afraid that my client is going to harm me&#8217;</em> </p><p>&#8230;I re-frame this into something like:</p><p style="padding-left: 30px;"><em>&#8216;someone is afraid that someone is going to harm someone&#8217;</em>.</p><p>This can lead me into wondering if my client is in fear of being harmed by someone &#8211; someone else, themselves, me?</p><h3>Preparing to share an interpretation.</h3><p>When I&#8217;m ready to offer an interpretation of my counter-transference, I find <strong>Winnicott</strong>&#8216;s &#8216;spatula&#8217; concept helpful.  <a title="Donald Winnicott (Wikipedia)" href="http://en.wikipedia.org/wiki/Donald_Winnicott" target="_blank">Donald Winnicott</a>, worked as a paediatrician (and later a psychotherapist) the 1920s to 1970s.  He found that when he offered a tongue-depressor (&#8216;spatula&#8217;) to a child and allowed the child to discover the spatula for itself, the child would invest more play into the spatula than if Winnicott had indicated the spatula to the child. </p><p>When discovered for itself, the child might invest in the spatula becoming an aeroplane, a giraffe, a car &#8230; or just something that could be held in the hand and waggled a lot! </p><p>When I offer an interpretation of my counter-transference to a client, I allow the client to try and discover the interpretation-meaning for himself (and if he takes no interest I wont force the issue).  I might say something like this:</p><blockquote><p>Y&#8217;know, I&#8217;m a bit puzzled by something;  you see whilst I experience a man who seems perfectly capable to take part in the world, you&#8217;re effective, you take charge, you get things sorted out, I&#8217;m still left with this puzzling sense sometimes of someone who&#8217;s&#8230; I&#8217;m not sure &#8230; maybe concerned of being harmed himself?  &#8230;of being vigilant for attack sort-of-thing?</p></blockquote><p>(I&#8217;m aware that my style can sometimes come across a little like stage spiritualists perform: &#8216;I have the name John &#8211; does anyone here have someone called John in their lives&#8230;?&#8217; &#8211; and perhaps we are using a similar psychological technique of laying out something for someone to discover for themselves).</p><p>As I offer my interpretation, as I&#8217;m offering my &#8216;spatula&#8217; to this client, I&#8217;m trying to allow him enough space so that he might pick it up and play with it himself.  If my counter-transference is accurate (my sense of feeling afraid of being harmed) then the client may invest in what I have just said and flesh it out.  If my counter-transference is not accurate (or I have just hit an area that the client is not ready to go into just yet) then the client may tell me he doesn&#8217;t know what I mean, making no investment in the interpretation at all.</p><p>In offering to understand the sometimes-terrible experiences that I will get from some clients, I&#8217;m working to get to a place where I can invite the client into be curious about what they might be responsible for.  Usually this will be in the context of the problems that they are talking about in therapy &#8211; and sometimes what I have to say challenges the client&#8217;s beliefs.  I try and do this with empathy &#8230; and without necessarily telling them how I am being impacted upon (we&#8217;re here to <em>understand the process</em>, more than we are to <em>watch the content</em>).  At the same time, because I&#8217;m challenging the client&#8217;s defence when I do this, the client may wish to strengthen the defence and not wish to take responsibility for their unconscious part in this interaction.  This will be OK. </p><p>But often I find I have allowed a client&#8217;s door to be opened a little further and more details about the client&#8217;s reasons-for-being-in-therapy come out.  All this from working to understand the impact a client sometimes may have upon me.</p><h2>In Closing.</h2><p>Bullying has purpose. </p><p>When we&#8217;re faced with bullying we quickly recognise the pain that the <em>bullied</em> are suffering and our attention is pulled towards those who are suffering (incidentally, also neatly turning our attention away from the pain that the bully may be projecting outwards too &#8211; neatly falling in line with the bully&#8217;s unconscious intention).</p><p>I&#8217;d offer you the thought that the bully is in great need help and understanding too.</p><div class='page-nav clearfix'></div>]]></content:encoded> <wfw:commentRss>http://www.icounsellor.co.uk/articles/2011/12/being-bullied-in-the-therapy-room/feed/</wfw:commentRss> <slash:comments>0</slash:comments> </item> </channel> </rss>
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