Showing posts with label little steps. Show all posts
Showing posts with label little steps. Show all posts

Thursday, April 7, 2011

Learner therapist (4) a breath of life?


Learner therapist (4) a breath of life?
Torrey Orton
April 7, 2011


In my search for patients' agency, and the author within who drives them (if other things don't get there first), I'm increasingly noticing little signals of activity. This is a matter of small sounds and slight expressions. These may grow into loud sounds and gross expressions as modelled for us all with indelible memorability by Homer Simpson.* Among the hardest things to say for the injured are words of self-approval or words disapproval of family sources of their injuries. I suspect such words are what are coming into hearing/view through the little breaths below.


I offer these signals as enticement to others to share their bits in the hope that we can develop a taxonomy of little expressions to join the forces of little steps. The point here, as there, is to enhance patients' awareness of ways in which and times at which they are taking small steps towards their emerging selves. It is our responsibility to provide such help, since they are often blind to their own agency and ignorant of the myriad forms it can take.


Small breaths…



 
For instance, "phuuh" is a sound I cannot spell. Yet it reaches me these days like a declaration of dry despair, usually arising out of the flatlands of a psycho-spiritual plateau, often mid-session midway through a therapy engagement. It is a quiet, almost inaudible expression barely strong enough to be heard, more seen than heard in the slightly pursed lips of a patient. Or myself, too, I'm noticing these days. The sound occurs often in synch with a slight movement of the head away from the line of eye to eye engagement, the kind of movement which also signals an emerging insight or feeling.
Apathetic






Irritated



 
Further along this spectrum lies a dry spitting sound - "pffft" - which ejects a thought or feeling mildly but certainly. It often has a comment hidden in it. The speaker seems not to quite embrace it, but the thought is out enough that it cannot be restrained. The "pffft" is more about getting the fact that they have a thought out than making that thought visible.


Disturbed


Another grade along is the wet, spat ejection….a slight swear.
Annoyed



 
"Doh" or "doah" – derisive mimicry of dopey other(s), which, depending on the tone of speaking, may be cuttingly abrasive (an aggression) or just a twitch of the rhetorical tail (a slight gotcha).


Angered



"pfauuugh" is towards the other end of the exhalatory spectrum, a clear rush of derisive disapproval, amazement that another does not share one's own insight, sensitivity, …..or one missed it oneself!!


Enraged


These can all be applied recursively – directed at oneself as well as others. I'm not sure of my classification of expressions by feeling levels, but there's something systemic about them in the anger spectrum. Kassinove and Tafrate's "Anger Thermometer" has 10 grades of anger marked by ten vocabulary steps. These are more distinctions than I know how to use, but some psychs feel comfortable enough to publish them so facility with the distinctions may be useful.



*By the way, 50 years ago when in boarding school, an expression indistinguishable from Homer's "doh" was a popular reproach to another teenage dope's intellectual or behavioural vacuity of the moment. No one escaped the title! How did it transit all those decades?? Is this just another item in the records of the eternal return?? If the latter, then 'doh' arises from a deep cultural meme or, as the neuropsychs might have it, hard-wiring.

Friday, January 7, 2011

Recognising little steps…of interest!!


Recognising little steps…of interest!!
Torrey Orton – January 7, 2011


If you don't recognise the step you've just taken,
you won't know where you've come from,
where you are, or
where you've got to….

 
  • T. O. in talking to Ian, 301110


Of all the wonders of therapy, the ways of learning are the grandest and most marvellous. They are also often invisible to the client at the start of their development / recovery. Part of their obscurity to the actor's eye lies in their size – they are little steps, in little ways about large matters for them. We are not accustomed to seeing the detail of our behaviour except when we are learning something for the first time. Then attention to detail is absolutely required because we are, in a sense, making it up as we are doing it.


In addition, habitual behaviour depends on precisely not looking at the detail of its production; it functions automatically to free us up to pay attention to more demanding, non-routine matters. In that respect we are intentionally, but unconsciously, blind in that area at that moment. Hence the jolting shock of discovering that the terrain we were crossing has a suddenly more demanding character – a hole that could not have been seen until we were on the edge of it, and missed then because we were looking down the track.


Rough surface
The stumble tells us, if not a fall which is more damaging. I've had a couple of these driving lately where a "rough surface" sign should have been and wasn't, and a dented wheel rim was almost the price. The whack /thump of the plunge into a 10cm hole was followed half a second too late by my "oh shit…" appreciation of its arrival. For a therapy client such holes are just what their defences are arrayed to prevent: having certain kinds of feelings which are attached to certain life experiences – the triggers of their anxiety or depression. The learning needed for recovery is through pathways inhabited by their feared experiences so as to disarm those experiences, and eventually pre-empt them.


This in turn requires not merely learning kinds of actions, but at the same time learning that they can act in certain circumstances. A simple example is that of a very low self-esteeming depressed person who winces if complimented and never in their own hearing utters a word of self-approval for anything. They may act self-approvingly occasionally – like by starting therapy or sustaining appropriate exercise or health regimes or performing competently at work. But the evidence of their action has to be pointed out to them, and then it may take a while (weeks or months) to be accepted as such.


A tool box
So noticing that change is occurring is often not easy. Focus on effective action(s) is hesitant, interrupted by recurrent holes in their paths. Sustenance along the way may be an offering of small steps and picking up new ones from a therapist's tool box. It assumes there is a knowable set of domains of human needs / functions that are capable of development. There are six compartments in it, at the moment: mental competences – intellectual and emotional; physical competences – perceptual and performative; moral competences – evaluating and enacting; cultural competences – role flexibility and integration; spiritual competences – vision and celebration; and political competences – initiative and inclusion.


These obviously overlap. Development of mental competences will often have components of the other 5 competences built in or implied by the mental. The political and moral are interdependent. Competences do not occur in a pure, isolated form. Rather they will appear as the aspect of a moment of life which is pivotal for the client's development needs at that time. Or, it will appear as the aspect which circumstances both demand and provide as opportunity for their development.


For therapy clients, and millions of would be self-improvers, there is only one question. Can I actually change who/what I am now in any respect (assuming I know who or what, other than I am, I want to be and that becoming that is not merely a purchase away)? The failure rate of aspirational (diet fads, makeovers of various sorts, exercise regimes) and inspirational (spiritual, semi-religious and wholly religious regimens) is well known, though the latter are more promising than the former. These are the hunting grounds of shonks. That they survive regulatory regimes and constant warnings ensures us that the felt need to change is great (whatever its provenance).


The following is a prompt for self-recognition. These can be used to structure and prompt self-reflection. Here are the six of them (the tools in the box) in some detail.


Mental competences – intellectual and emotional:
  • A little meditation step for beginners – noticing that you did not do the exercise you committed to doing; thinking about doing the exercise you decided to do daily, even though you did not do it!!
  • Seeing something well-known differently, as did this contributor to the "Learning to act right" series, can open doorways of perception and action which revolutionise a struggle for personal effectiveness.
  • Noticing a major change of mood which happened quietly – e.g. discovering that he was not anxious about getting to an appointment on time, though the normal conditions for being anxious were all there!!


Physical competences – perceptual and performative:
  • Not doing my aikido practices for a long break (3 months) and then returning to find that I could remember all of them (21 moves) and more importantly I could see/feel parts of them which I had not noticed before, and so could improve them for the first time.
  • Feeling that an unknown hill has been topped in a performance activity – sport, art, craft or technology.


Moral competences – evaluating and enacting:
  • Suddenly seeing that a feeling of revulsion at another's behaviour arose from one's own conflicted values about that behaviour – that one thought at the same time that the behaviour was wrong and that the other had a right to their own values!! See Trusting judgment for an example in detail.
  • Recognising that one's injuries cost pain and produced strengths, which others do not have because they have never faced the same challenges.


Cultural competences – role flexibility and integration (eg. gender):
  • Realising that one had tried a new food, music, painting without first doubting it…had experienced it in itself, as itself, etc.
  • Seeing the world thru another culture's eyes – e.g. gender roles – and acting to meet or join that world.


Spiritual competences – vision and celebration:
  • People with religious upbringings which they have rejected, or been rejected from, often benefit from revisiting it by attending a service, a function (confession, baptism) or just the music.
  • Noticing that his professional practice had ceased to be onerous and become what he looked forward to, almost from the finish of the previous practice session.


Political competences – initiative and inclusion:
  • Writing a letter about a personally salient issue.
  • Speaking up in public about a group issue, at work or socially.
  • Inviting others to participate in a public process, at work or socially.


Search for interest
What's going on here is a search for interest(s), for the feeling of interest which is the core feeling* among the many striving for our attention. Little steps can often be identified by asking, 'What's my interest at the moment, what's in my actions now that is driving them??' But then you have to notice a step to ask the question. Certainly we can do that, but maybe we can do it quicker and with greater certainty. We know that the steps are moments of desired change. Even missteps can be useful signs of development, since the acknowledgment of them indicates there is a value or standard in the background which is evaluating our actions. Back to the discussion with Ian:
If you don't recognise the step you've just taken,
you won't know where you've come from,
where you are, or
where you've got to….




*"The emotion of interest is continually present in the normal mind under normal conditions, and it is the central motivation for engagement in creative and constructive endeavors and for the sense of well-being. Interest and its interaction with other emotions account for selective attention, which in turn influences all other mental processes."


Emotion Theory and Research: Highlights, Unanswered Questions, and Emerging Issues
Carroll E. Izard , Annu. Rev. Psychol. 2009. 60:1–25
Emphasis supplied.