Showing posts with label systems. Show all posts
Showing posts with label systems. Show all posts

Monday, April 22, 2013



Coincidences (2) …… and causes

 

Coincidences (2) …… and causes
Torrey Orton
April 22, 2013

6 degrees of separation and such matters??

The 6 degrees thing was back in hardcopy sight last week with a few hundred words borrowed from Steve Jones by the Australian Financial Review’s Review (pg. 2R) section on Friday 19, April ’13. It reminded me there is this thing of organic coincidence among us, much closer than many would like to imagine, though increasing the distance as our (advanced?) cultures become more ethnically diverse (which leads directly to DNA diversification, which is good for humanity overall). We are, after all, all out of Africa.

And on they march…coincidences, concurrences (which is a competition for the French!), correlations, co-occurrences – the makings of causes…all the variations on the sense of being in synch with ourselves, others, the world, the multi-verse…Pick your preference if you can; if you can’t, these connections become opportunities for perceived and real dis-connection, being out of synch, feeling out of it.
Sharing house, but a life?

A few days ago one long term patient announced that his girlfriend is house sharing with another patient of mine. What are the chances of that happening? Probably calculable if I can set the parameters, though I couldn’t do the calculation myself. Some of the parameters might be:
·       Prior mental health issue(s), untreated or treated
·       Tertiary education levels
·       Under 35 and over 20
·       Single, and seeking partner
·       Minority backgrounds – race/ethnicity; sexual orientation…
·       Inner suburbs address
·       Share housing
·       Early career in recognised professional field
·       Tertiary educated parents??

These are groupings, presumably linked in some shared way. And if you get enough of them together you have a presumptive causal cluster. Demonstrating it rather than assuming it is the challenge.
But, what possible implication(s) can I draw from the fact of sharing itself, without any presumed other connective effects. So, they happen to share a house. And people share houses with no other connection than the need for sharing (economic/social/and?). These two could not be possible love objects for each other, distinguished as they are by different sexual preferences. Maybe there’s naturally occurring mutual support thru sharing their experiences of therapy with the same therapist…informal quality control reflected back to me as they adjust to our relationship in light of their understanding of it from the other one?? Could be.
Needle, not haystack
This is not a coincidence but a case of finding what I did not know I was looking for. We were wandering along the path in Chamonix towards the Swiss end of town, with Mont Blanc and the Aiguille du Midi across the valley to the right and the local stream just off the path. On our left was a rock face of about 300 meters height forming the base of the lower range facing Mont Blanc. A few ropes were laid down the face from different heights and groups of primary school kids were being instructed in the entry level arts of defying the heights. I grabbed a couple of quick shots of the site and the little scramblers and sent it off to a patient at the time who was struggling to overcome such fears, which she subsequently did…with the slight increase in risk-taking which comes with its acknowledgement by others.

This is evidence of unconscious processes at work, as they often are in the therapy, the scanning for world understanding and the writing parts of my life. Much less so with the Friends of FCC work…or so it seems.
Her past just walked in the door

Then there’s the ex-patient of mine who started her own therapy practice and within a week a facsimile of her PhD candidate self walked in the door, struggling with a similar range of things she had herself back then – doubt, motivational slippage, conflict with supervisors, data collection glitches….normal stuff, except when you are in it; then it’s the pains which assure you the honour of completion is warranted, maybe. Within a couple of days an article had appeared in the New York Times on PhD study challenges, assaying the terrain we had just been revisiting. I passed it on and received a quick acknowledgement of a good fit with her own experience and that of her new patient.                  
And, there are the patients who seem to come in clusters of same-symptoms, same traumas, often over a week or two. This is signalled to me when I start telling one patient of another with similar concerns who I realise in the telling I just saw the day before or the week before. This is probably a case of proximity calling out approximately equal experiences from my recollections of near patients…not that there is a collocation of people and life practices in neat experiential bundles by chance!!!
J’s meeting of future wife D
K and cult colleague J went out to find dinner in Bangkok in the cultish way - begging it from neighbourhood restaurants /cafes. J suggested they ‘find’ the one they would try first by praying for a minute. They did so, and J asked K what God offered and K said there, pointing to a hotel a ways off. J said, “Just what I got”.  And off they went to be waited on by J’s future wife who was in her last hours of a three day employment trial (which she failed). The rest was 20+ years of the deepest marital solidarity which was broken before time by cancer. The cult had gone the way of some bad things well before the untimely cancers seized D.

A bag of lesser treats
·       Our in-laws at Jinks Winery, Tonimbuck, Vic… a classic coincidence which J and I both imagined was going to occur as we got within site of the winery. We’d only been there once before for their elder son’s wedding 3 years ago. We walked in the cafĂ© door and a few steps inside spied them sitting at the nearest table… as if waiting for us. They weren’t, but also weren’t too surprised we appeared.

·       And there’s the guy in the incinerated fire zone of the Murrindindi fire four years ago whose house at Marysville, Vic. was the only one for a mile around NOT touched by the fires which killed 173. When I called hopefully to see if they were still OK, he said “Yes, and our fire insurance lapsed a week ago”!!

·       And there’s the synch of ‘Mother” coming to my mind in patient M’s discussion of recent developments and she having her dead birth mother coming at the same time to her mind though I was thinking of her step mother…but it’s all part of the total system of her family of origin relationships which cue each other...in her and me.
This matter of therapeutic synch is seriously interesting as a possible member of the coincidence genre. It’s a false coincidence, reflecting rather the coming together of minds that are on a sufficiently shared track, where each other’s stories and roles are firmly enough in mind not to have to be held in mind consciously. So, such synching moments in therapy are expressions or emanations of jointness, and also famously the place in which exactly whose mind is speaking at any moment is a wonder to be validated by checking – the principle activity of maintaining clarified jointness.

The emanations take the early form of premonitions of being in synch, of knowing what the other is thinking/ feeling and hence an example of empathy. In ordinary talk, this premonition is found in the listeners regularly completing the active speaker’s sentences before they do or adding the words the speaker is searching for at appropriate times (e.g. when a felt need to confirm correct attention occurs).

Wednesday, March 21, 2012

Learner therapist (15)……Why don’t people do what’s good for them?


Learner therapist (15)……Why don't people do what's good for them?
Torrey Orton
March 21, 2012


Even I don't always do what's good for me… and I know it!


I assume that anyone who shows up for therapy wants to change themselves in some regard. They may actually arrive with the idea someone else should change and discover that they have to change themselves to achieve that. After a while they get somewhere…often after quite a bit of a while, like a year or two of weekly work on complications of the experience underlying their anxiety and depression.


The techniques for improving anxiety and reducing depression are not difficult, but achieving improvement is, in the long term, notoriously difficult. It takes real attention to personal and contextual detail to control panic, for example. I've been through such things on both sides of the therapeutic arena, as patient and practitioner. Getting to the airport well in advance of the advised on-time ensures me low anxiety departures and placid passages. Pre-emption, one of the clearest panic management techniques, works. It took a few years multiple long distance flights per annum of attention to get it clear and do it consistently.


Get real…it's hard to change anything everywhere, almost
Failure rates for weight reduction over the medium to long term are now thought to be partly organic in origin and still people persist. Obesity has so many negative life implications it's a wonder it is achieving an increased representation among the gen pub. Resistance to change also well known in medical practice…and we can see it alarmingly on display in climate change scepticism, financial institution blamelessness and state decimation of populations in defence of the existing order (Syria anyone? Sudan…?)….


…even over quite long terms... and a commercial yield of extinction for some (many) entities along the way… Kodak finally went under this month, 20 years after the digital camera innovation (the invention was 20 years before that) and they could see it coming, but still…like digitisation --- or couldn't they see it coming…and who's to blame for this blindness?? Perhaps they were always going to lose and there are plenty of cases of that.
Well, maybe it's just that the existing habits have not been engaged by a sufficiently compelling motive to give up their hold…we know in some sense that changing will be transformative and that it's almost impossible to believe it will be both doable and effective. Transformation = obliteration opportunity??


So back to me – the case I know the best, and a good example of not doing what's good for me…


One thing I can see is that I do not do what's good for me because that usually involves breaking down a well-established and core self-system. Not just a self-management system but a self-system through which my distinctive (to my senses) public and private self is expressed in values, behaviours, thinkings, sensibilities and sensitivities. Taking care of myself before others is one such system.


The hurt's not bad enough
Another thing I can see is that many of the warning signs or attraction signs for self-care – the sources of motivation - have been defaced, erased or otherwise sidelined by the process of building the just mentioned self-systems. A small example: to deal with a childhood sensitivity to poison ivy I had to learn to avoid its sources: the oily leaves which attack through direct skin contact, pets who carried the oil unknown back to us to be rubbed off in patting and scratching or indirectly through the smoke of burning ivy vines in outdoor fires during winter. Both produced seriously unattractive and distressing weeping blisters across affected skin lasting a week or so. But I liked cutting grass in summer and ice skating in winter and on rolled the attacks until I wintered in boarding school and skated on an enclosed ice rink. It seemed that overall allergy declined with puberty.


I have learned to disregard irritants so that even strongly felt ones withdraw from immediate perception after a few days…the trouble I note for preventive attention vanishes. I think I digress. Maybe I regress, because it came to me in the middle of the night that I am part way through avoiding an FOB test for bowel cancer…not a name to repulse me but the idea of the process certainly does: see faecal occult blood test. And I recognise now that I've done so before successfully – not collect it that is.


The repulsion interacts with an avoidance inclination already mentioned – not doing things that are good for me. So, why not? The reason for doing what's good is not strong enough to compensate for the ugliness of the possibly virtuous process of discovering a potentially fatal condition! That is, the motivating risks are too easy to tick Not Applicable to me.


Up a level…family life as an anti-change system
Another perspective on resistance is that of family life. Try a blended family composed of the remnants of at least two pre-existing ones, harbouring various baggages. Keeping the blend reasonably clear while flexible is a piece of relationship artistry mostly achieved in the moment, over and over again, those in charge and their charges accommodating the unspoken needs of all members as well as possible. The expelled, escaped or lost prior members lurk in the consciousness of their respective partners and children, appearing in the new family as 'hard-wired' response patterns projected on the replacement parents – demands which they may be unsuited to manage by temperament, style or value, or just plain lack of time/energy.


This is a sticky web of affiliations, attachments and associations to be rewoven only with intense effort, and then only partially. Not surprisingly, the couple leading a blend may be resisted by the web's crystallised accommodations and adaptations, which gain strength over time.


It's all a bit like a cat which resists the pills that will save its life being stuffed with the offending capsules by well-intentioned owners…as often unsuccessfully as successfully. I watched an old friend struggle to get the precisely named "Clawed" to take his medicines one morn in Sydney.


It's as hard for the cat to know what's good for it as for us, perhaps, but he's easier to overwhelm for the sake of his good.