Thursday, June 28, 2012

Appreciation (46) – Generator refit

Appreciation (46) – Generator refit

Torrey Orton

June 28, 2012

25 minutes for a decade of life

I went to the electronics repair shop a few weeks ago, sat around for 6 hours and had a 25 minute refit. My pacemaker was replaced. Two weeks later I'd hardly know it. There's no visible change in my behaviour or appearance. For the inexperienced (even my GP's nurse receptionist) I offer a touch of the soft but unyielding pad which is the "generator" sitting just below the skin on my left front shoulder. About 3cm square by 1 deep. Recently, I almost fell into a slightly competitive 'I'll show you mine if you show me yours' with a patient bearing babyhood scald scars he needed to share. It's that I don't really believe the generator is there unless I see it. Showing others is a validating experience in my reality stakes.

Things I learned: a pacemaker IS a generator; it produces pulses to prick the heart back into action if it forgets to beat here or there (which is my potential affliction; it only happened once in the last ten years, for which I have had the distinction of the generator ever since); I can sleep through many things, including this procedure for which anaesthesia was provided locally (I felt that); staff told me I snored throughout (perhaps because it was a valium assisted take off?). Wish I could sleep normally. Can't seem to learn that.

I walked out at the end of the six hours, fuelled up with a latte and a Danish (first eats in 18 hours apart from a single round of skinny sandwiches and some juice or tea immediately post insertion – and no seconds), stood around for a taxi and got home to remind myself not to wave my hands over my head in triumph. The generator leads in my heart might get loose. It takes a month to get them so organically enmeshed that the body around them will collapse before they do. Well, so a surgeon told me my first time around. He said a patient of his came back from a car accident where the pacemaker had borne the brunt of the impact without the slightest skip in performance. Rugged. What, me worry? I didn't bother to ask what else remained of said patient.

Unfortunately they haven't improved battery life, while allegedly 'improving' the guardian performance. A bit like laptops and such…ever improved and still unreliable. The generator's reliable enough but a bit short of breath one would think.

Maybe by writing this I'll understand why I think it's a bit of joke, this whole body decomposition thing that is advancing maturity. The fact doesn't get in the way when I'm doing things requiring the slightest bit of attention. But there's obviously a background discussion within me because it surfaces as a low grade wonder about my prospects of being here tomorrow when my attention is free. The generator is not likely to be a major player in the culmination of my maturity, but its presence is a reminder.

Back to the waiting room on the day: there were four or five generator insertion candidates lying around (it was pre-op after all, not a cafe) one of whom was a young woman I'd guess to have been 25 max. She was scared. Probably her first generator. Maybe I was/am, too, for my second.

Monday, June 25, 2012

Learner therapist (12)……and misses

Learner therapist (12)……and misses

Torrey Orton

June 25, 2012


 

Stories of my therapeutic errors

I am somewhat obsessively tuned to my mistakes, a commitment moderated by a fairly balanced level of professional self-regard. However, it seems that mistakes continue to occur in sufficient numbers and powers to guarantee the balance falls slightly towards the obsessive side. From my point of view, my reputation is better than my performance.

It is of course also the case that some of these may not be mistakes but effects of unreadiness… a condition afflicting both patient and therapist in unequal and differing measures. The patient is often not ready for certain lines of self-development. I may be unaware of the unreadiness because it has not surfaced clearly…and often does not until the patient decides not to show up anymore (though often, again, to return a year or two later when readiness has re-emerged!). Timeliness is near to all in effectiveness.

What follows are some examples which set mistakes in the context of the commanding injury which was the central object of therapy. Where obvious, I note my unreadiness. Theirs can only be guessed, if it was a factor at all.

A lost childhood

She was sent to me because she had seen another therapist unsuccessfully, had a powerful, wholly justifiable anger about her upbringing, had an Asian background I know the historical context for closely. She wanted to get over the anger – tools and techniques, please, for keeping the feelings at bay. I lost her after one session. So, another therapist failed her. I imagine she needed not to be lost more than I needed not to lose her.

I knew it at the end of the session. She sprang a surprise demand on me: Show her how she would get rid of her bad feelings fast. I'd spent a lot of the session listening to her story of separations – first her parents from each other, then she from her mother; then she from her grandmother who had brought her up in father and mother's absences: all perceived by her as abandonments, some of which she railed energetically against at the time they occurred, most notable of them that from her grandmother, the only real parent she'd known. The story was laced with appropriate venom, sadness, outrage and insight.

She signed up for another session and did not reappear.

A lost hope

A convicted paedophile who was trying to recover a workable social self. I felt I wasn't getting anywhere after 8 sessions and raised that with him – that he might want to see someone else. He didn't say no, just disappeared. My sense of not getting anywhere was real, but there wasn't anywhere to get to other than acceptance and support in the struggle to be…a role I have trouble with out of my own passivity? I have to constantly pay attention to the quiet depressed.

A lost trust

The engineer who should, but did not think he could, lead; always second guessing himself in a contest with chronic I'mnotgoodenoughitis…couldn't bear anything like a judgement because he judged himself to distraction. I, after 15 sessions, needed to make a judgment about his progress and he disappeared. I couldn't frame it right, though I had repeatedly worked on distinguishing 'evidence-based' judgments from judgmental ones. No evidence-based judgment, no progress. But there had been progress of concrete sorts, it seemed.

He was at that point going backwards for reasons we couldn't get a grip on. The triggers were not clear. And the pattern reiterated events of a year earlier which led to medication and time off work. An incipient anxiety I had not seen clearly, acknowledge clearly enough?

A lost bet

28 year old, under-employed, anxious single child of divorced parents with an injustice chip on his socially phobic shoulder…who desperately wanted me to validate his interpretation of a speeding infraction which he saw as the reason for his alienated social life, to agree that the authorities had been wrong in taking his right to drive away for 12 months (a fairly large speeding infraction).

This went on for 6 months until I finally suggested we stop, since I was not going to validate the causal chain he was using to contain his troubles; they just couldn't fit under the rubric of a miscarriage of road safety justice. He agreed, and was a little further ahead in his struggle with loneliness, injustice, physical complaints and dangling between his parents.

A next step

With many of these I imagine I would not lose them now, having improved my sensitivities in some of the faulty areas. But, now I will have other insensitivities, newly minted on the back of those improvements as my attention is preoccupied with their potentials and not their risks!

To get better at recognising unreadiness – mine or a patient's – and acting on it when the occasion arises is no simple matter. Unreadiness may be a cover for unwillingness, which in turn is a surrogate, possibly, for rejection, for not liking or approving of the other (going both ways, of course). And what my patients are here to see me for is almost always some rejected part(s) of themselves. These rejected parts involve some sense of rejection by others for those parts and therapy is meant to be a rejection free zone. That's pretty much recognised as a precondition (though not a permanently applicable one) for recovery of self.

Join me next Learner Therapist exploring this implication – the interpersonal politics of relationships.

Friday, June 15, 2012

Travel funnies 2012

Travel funnies 2012

Torrey Orton

June 15, 2012


 

The eyes of the beholder lose out again?

It's that time of year again. Travel time. Well, not quite for another month, but then we did have a small trial run to Magnetic Island, Queensland a week ago as a warm up for the main event in July, of which more later.


 

The Supervisory Loo


 

I realised shortly after this experience that I had had it before – 6 years ago in a restaurant in Shanghai's Xintiandi district. There I discovered that the men's urinal was mirrored in the hand basin wall out into the passageway through which men and women approached their respective loos. For all these years I've thought this was a peculiarly Chinese design. Now I think more broadly. It's a peculiarly loo designer fetish, maybe.


 

The supporting evidence is:


 

This time it was a restaurant loo in the somewhat less salubrious port of Townsville. Here the supervision was of pissers by same sex washers, sans the intrigue of multi-sex passers-by offered in Shanghai. This urinal ran down the wall alongside the doorway in, with the stalls arrayed at a 90 degree angle to it down the room and hand washing along the opposite wall. Here's the rub – the string of washing up basins were backed by a 1 meter by 3 meter mirror which gave the first hand basin an unavoidable line of sight enfilade of the action down the urinal.


 

Weird. Seen anything like it in your travels?? Or, maybe, of course, the only fetishistic designer here is my beholding of the facilities, a perspective strengthened by the multi-cultural evidence of my senses. Travel good; truth a wonder.

Tuesday, June 5, 2012

Learner therapist (19)…… systemic problem-solving improvement in relationships


Learner therapist (19)…… systemic problem-solving improvement in relationships
Torrey Orton
June 5, 2012


More tools for talk …and how therapists could help them do it.

 
Problem solving is hard to do

 
Daily life is full of stumbling efforts to fix things, the larger the system the bigger the stumbles…and yet we move on, even with sub-optimal solutions, or even solutions which aggravate the situation.


Striking when the iron is hot is good if you don't burn yourself or the other in the blow. Emotional and conceptual clarity are the key. Hot things cannot be cooled too much or they lose their energy, too hot and you lose your hand, or more. So, how to get started? If the start is wrong what follows will very likely get worse.


An overfull mouth
Problem solving is conceptually obvious and practically mind-bending because the feelings, issues and contexts to be handled are beyond presentation at once. So they have to be parcelled up both to make them accessible to the other and to get them organised for ourselves so they can stay organised under pressure from unexpected forces in ourselves, and the other!


Remember the overfull mouth of thought/feeling/action words which rush for exit at the moment you start opening a volatile issue. This is the everyday challenge of the damaged relationship, ending often in irradiating outbursts or cast-iron inhibitions. Such patterns can be improved a bit by a flexibly systematic approach. It has steps roughly as follows, which are straight out of rational problem solving handbooks. The order of steps matters, but the process should be recursive – doubling back on itself to keep the direction in view, because what we are seeking in such processes comes only fully to light as we go through them. The fullness of the task is seldom known from the start.
I like to think of problem solving as a process like a tumbleweed rolling along the slight inclines and divides of a Mallee farm on a windy day, picking up bits of this and that as it rolls, including other tumbleweeds, dropping off some same bits as well, and ending up in a mass of intertwined tumblers at the fence line where they begin to anchor, safe from the ploughing and reaping of daily farm life to provide the start for the next season. Not even a video of a tumbleweed rolling along can capture all the facets and phases of a problem-solving process, so I'm not too unhappy with my serial depiction below. Just remember to allow yourself to acknowledge all the associations which arise as you pass through it.


The problem solving sequence – an example


StepActivityWords / dialogue


Propose –getting something on the agenda; taking initiative


First, a proposal answers the question: 'what should we talk about?' - a statement of the issue of concern to one party, including a description of what it is, why it matters to you and what you want the other to do with it. This should also include an estimation of time required to deal with it and proposal for timing and location of the discussion.


Proposal contents are often supplied by the issues chart developed in the first session. This also serves as the base for a shared running agenda and progress documentation.


Flagging of volatile material is usually essential to progress with an issue. Start with simple issues which can be executed in one step if the relationship is in perilous condition.


(H) I want to get started on one of our issues. It's not too hot, but warm enough to make me focussed on it. It's our messy house problem. I'd like to get started tonite and have some solution(s) by next Monday. I expect it will take a few hours since we already understand it pretty well. We could start tonite just getting clear – maybe 30 minutes after the kids are in bed - and then follow up with options and decisions over the next nights.
How's that strike you?


(J) Yup, tonite at 9 say, but only ½ hour for starters. I've got a report to read for work, too.


The recursive moment*


Acknowledge and clarify – ensuring joint ownership of the issue; being responsive


Second, acknowledgement and clarification answer the question; 'do we know what we are doing?' Three steps establish shared understanding of the proposal and a willingness to proceed with it: one, mirroring / paraphrasing back the proposal; two, adjusting it to confirm joint ownership; and three, deciding when to discuss it.


Later that day
(J) So, I want to be really clear what you're proposing. What I got earlier is: you want to take up the "messy house" issue with the aim of having it fixed by Monday, right?


(H) That's it.


(J) OK, I want a little detail of what you think the issue is so I'm sure we're close enough to start. We've made that mistake before…


(H) Well, I mean we've got a lot of stuff lying around and more coming in while we can't find last week's mags…


(J) That's roughly what I think it is, too…so I'm ready to set a time


(H) OK, let's agree a discussion schedule with next Monday as completion time, if possible.
The recursive moment


Explore - establishing what matters to both – engaging with personal meanings


Third, exploration answers more precisely the question 'what's this all about?' by clarifying in detail why it should be important to both parties; this will involve especially establishing the meaning the issue has for both: its place in their personal and joint lives. This may result in a reformulation of the issue, usually more specific and actionable.


…..
(J) …messy to me is not being able to find things…and you?


(H) ...well, more finding every walk space cramped by piles of stuff and things looking just "messy"!


(J) So what if it's messy..?


(H)..Uhm, 'messy' I can't stand...feels like everything's out of control and then I feel out of control…you know what happens then.


(J) Uh huh, things get messy between us and I begin to feel things are out of control…


(H)..so in a funny way we're both bothered by messy – me first and then you following on as my bother bothers you!!


(J) and that reminds me of another factor – when your mother's eagle eyes are cast over us each time she visits…!!!
The recursive moment


Options –creating

Fourth, options answer the question 'now what's imaginable?' Usually there are already some options on the table, standing in clashing opposition to each other. The task is to turn them from positions into options. Trying to complete an options assessment in a single go will likely jam the creative, intuitive systems - throwing you back into clashing positions.

Spread option finding over a couple of days at least. Provide a shared repository for potential options (e.g. a chart on the fridge). Follow the rules for issues charting: include everything and dispute nothing. Test for assumptions which limit the range/depth of possibilities. A good handle on restrictive assumptions is the word 'should'.





(J) … remember, we're starting with an anything goes phase here…


(H) Sure ...we already mentioned a few things we could do to reduce the 'messy' like: get an idea of what minimum mess is for us both, find some cleaners to organise the mess, and try out a holding pen for incoming stuff to corral the mess before it spreads .What else might be useful??


(J) For me it would be good try reducing my daily contributions to our mess…


(H)…and maybe for me to reduce my complaining about that, too..


(J) And, then there's your mother: maybe we could agree on an approach to her expectations?? Maybe signalling how irritating her observations are…or inviting her to make some useful suggestions about how to deal with mess?? Scary thoughts, huh?




The recursive moment


Decide


Fifth, decision(s) answer the question 'now what's possible, probable and practicable?' A decision should have an action set in a time framework with some mutually visible quantities attached to it.

Start with simple decisions which can be executed in one step if the relationship is in perilous condition.

Making effects of the solution testable is a way of ensuring commitment and the option of fine-tuning or changing the decision.

(J) …so let's go with the cleaners first just to get the stuff neater, more packed, and we'll get a better feel for the shape of the next steps.


(H) OK, and while we're at it we'll get them to price a more thorough solution – some storage options, some disposal options and so on. Does that follow?


(J) Sure, but only if we have a way of keeping track of how these steps are unfolding, especially how we are managing variations to the solutions as they emerge….


(H) Well, that will probably be harder than agreeing and implementing these first steps…


(J) Probably, so we shouldn't be too hard on ourselves if we're a bit slack now and then….


(H)…and here comes my mother again…How about this: we do some of what we've just suggested and then run the result by her for her observations??...


(J)…and then modify our next steps somewhat. Sounds good…too good? Anyway, I'll get after the cleaners tomorrow and let you know when things are happening!!.


The recursive moment, with special focus on how this solution(s) relates to other parts of your lives together, especially the problematic ones, as reinforcer or detractor from their progresses.


Notice that 3 out of the 5 steps are concerned with establishing the relationship focus of the problem-solving process. This is to ensure a good 'political' foundation for the detail work. This foundation is the basis for shared facts being created in the process – that is, each of you will get a fair go - speaking opportunities should be jointly monitored and adjusted (some things take more time than others, etc., especially if new aspects come into view like long term experience hooks which have blocked earlier work on this subject); and, there's a method for interrupting if hot things suddenly emerge.


The Options and Decisions steps can be unfolded in much greater detail, but technique will not replace bad 'politics'. The temptation to be too rational, too linear, which problem solving techniques usually offer, is often experienced as a power play if the process is failing. It may not be meant that way, especially if your personality is of the more rational, technical sort. Bridging a personality gap, or experience gap, or values gap is the job of interpersonal 'politics' not technique.




Afterword - Some matters of value(s)
Apart from the four 'theories' mentioned in the previous article, there are some other factors affecting relationship improvement out of relationship dysfunction. Here's a few:
Not all outcomes can be equal in the short term; sometimes not even the long term…

 
Not all needs are known at the start of any problem-solving effort, so unpredictable surprises will arise.

 
Not everything is within ones, or both's, power.

 
Doing heavy relationship lifting on a weak preparation is a self-fulfilling expectation of failure, a sign of unconscious pro-forma efforts at improvement. Do not try to do serious things when too tired or preoccupied to do them.

 
Small wins on small things are wins; they provide the whiff of success. Stopping yourselves from diminishing small wins is a critical move.

 
'It all depends' is the correct answer to any invitation to judge the rightness or wrongness of any action. Getting the dependencies right will largely answer the question of right or wrongness. Effectiveness is the most important standard.

 
The most important principle of relationship development is principled flexibility.

 

 
*So, what are the implications of this step for the one(s) which have come before? E.g. does our work at this point change the scale, scope, salience of the previous one(s)?
...and what are the implications for the next step(s)? E.g. what do we need to do to improve them? …what conditions or constraints should we apply to them?

Sunday, May 27, 2012

Appreciation (44) – Otti Lost


Appreciation (44) – Otti Lost
Torrey Orton
May 27 , 2012








Lost – 17 March '12
1 yr old male, neutered, micro-chipped, smallish, lean, long tail, white patches on feet; Frayed stretch collar with bell
Indoor and outdoor cat
Much missed
Big reward!!
Jane and Torrey Orton,
11 Wertheim St.


This is what / who we lost two months ago…here one morning, gone the same evening…last seen overlooking a neighbour's yard from the crab-apple tree at that point where he was almost too far up and out to get back, though he had often enough before. So it wasn't catty incompetence that got him. Perhaps it was his mini-cat look, never seeming likely to grow into one of the monsters (the aptly named Grace Jones for one) we've had over the years, or just a late bloomer in the maturity stakes – all the makings of a perfect storm of activity when aroused in the post dinner rush around the house which, decreasingly over our 5 month acquaintance, included some surges up the curtains rising to our 12 foot ceilings.


He had a memorable capacity for escaping the grip of a shoulder hug, from having been passively hoisted up to my standing shoulder height for a nuzzle. This was him indulging me of course, and his will ran out after a minute. Unlike some of his predecessors, he did not launch a flurry of escape moves, tearing up a shirt or sweater on the way. He extended himself arching down from under my arm like a slinky slowly opening up its rings, without pushing from the back. More like a worm moving its forepart along the ground while the after remains still, then catches up as the fore remains still. All the while he was reaching for the floor and got there sound and painlessly. Recovered dignity and distance with little rejection or recrimination.


I miss him still 10 weeks later with spontaneous expectations he'll be waiting for breakfast (always too late in his mind) or begging for dinner (never too early in his mind*), in both cases doing a winding dance around and between my feet on the way towards the kitchen. Never a good move for me, but his anyway. The passage was always marked by an incessant pulse of kitten squeaks he was only just outgrowing.


There was and is an amazing hole in the house left by something so slight, Egyptian cat-like bat ears notwithstanding. He was especially present at bed times and mornings – first to bed, first to rise; the latter less pleasing because he always debarked for eats 45-60 minutes early and signalled expectation and disappointment by head-butting the service sector and squalling from the distance of the dining room.


Wildly appreciated, too short stayed, too soon gone.




*cats differ from dogs in being able to turn their minds on and off around humans; that's why they are the superior pet. They're in charge, sometimes, with the force of disregard always present as a seeming threat to the authenticity of their smoodging devotion.

Monday, May 14, 2012

Learner therapist (18)…… systemic communication improvement in relationships


Learner therapist (18)…… systemic communication improvement in relationships
Torrey Orton
May 14, 2012


Tools for talk …and how therapists could help them do it.

 
Motivating hope
One thing that's hard to sustain, not to say increase, is productive motivation. A useful starting place is to assess the couple's motivation for the improvement of the relationship. I usually do this early on by asking both to assess their present hope on a 1(near nothing) to10 (totally committed) scale. It is a gut-feel judgement which later provides a shared benchmark for progress, especially if the first assessment is quite different between them. This activity also outs the unspoken doubt between them about where they really stand at the moment. The level of motivation is felt as the level of present danger to the relationship.

 
Another pathway to motivation is the couple's needs, especially their shared ones. Some couples are a bit short on shared needs, apart from those involved in building a home. Such goals are often divvied up on an implicit, gendered expectation set: boys take care of X and girls of Y, as has been the case for millennia. Exploring needs is a next step in the session process. But the path is often blocked by unspoken wants.


Getting started speaking the unspeakable…
Speaking which is constrained by the threat of repeated dysfunctional communication is hard to do. It is even harder if there are secrets imbedded in the undiscussables which have been withheld for fear of the dysfunction. Secrets often include personal hurts acquired in the relationship and never acknowledged to each other – experiences of disrespect, lack of interest, disdain: the stuff which gives "dissed" its power.


So, how to get started outing the unspeakable between them? I use a strict approach. It goes like this:


'We're going to start looking at the issues which need resolution for the relationship to improve, survive, or deal with its failure (there's no escaping having to talk, even in failed relationships).These issues will be recorded in language as close to your own as I can get it. The record will be kept in public view and will be available for you to take away with you….

 
The process is simple, but rigid. Each of you will get as many chances as you need to make contributions to the list of issues. You can only make one at a time, sharing turns back and forth. Here's the hard part: everything either of you want to say will be included on the list; the other may not contest or engage with any issue at this time; nor may you.

 
However, you may request an example if you are not clear (most couples seldom need examples – they know what the issues are for each other and many of them are shared, with slightly different meanings, and even if they have not been spoken openly to each other before.

 
Clear? OK…

 
Then, take a few minutes to consider what issues you want to raise. It's really helpful to be very specific. For example, it turned out for one couple that a kitchen renovation project was the forum in which they could explore their respective perceptions of being unrecognised by their partner for contributions they make to the family! This had been going on for months, but the needs driving it had not been heard, or sometimes spoken, or even clear to the couple themselves.

 
So, who wants to go first?'


Having finished for the session, I give them a copy of the chart and the suggestion they add new items as they come to mind over the week, refine existing items to sharpen their clarity and order them in their shared view of the items' importance. This last step yields the starting place for the next session and, often, who will take the lead, since issues are seldom held with the same intensity by both members of a couple.


Without such a tool there's little way to shift the burden of mutually animated distress from a divisive to an engaging motivation source. That distress has two origins: one, the perception of the unfair, inappropriate and so felt to be punishing behaviour by the partner; and two, the frustration of being unable to effectively parry or contain the perceived threat of punishment. The frustration is the more dangerous and less discussable of the two, hence often inaccessible while being the primary motivation of the moment. Not knowing what / how to do something effective is more threatening than doing something wrong which at least counters the threat, even though reigniting it! The cycle is understood and sustainable…often for years. It is the systemic communication dysfunction.


Another system - systematic communication: start with flagging
To break through the systemic dysfunction a systematic approach is necessary. The Wants and Needs exercise makes a start. What follows is another piece of such an approach, a piece which helps break the surge of threatening feelings that characterises the dysfunction for each couple. Common triggers may be either an outburst of anger or a joint withdrawal into a throttled silence.


'Here's a technique for getting a grip on the feelings yourselves before they get a grip on you! It's called flagging. It involves letting the other know when an inflammatory feeling (as defined in the investigation above) is on the horizon. Sometimes one of you knows when such a feeling is emerging before the other; you can feel it in their body language, or in your own. Being able to identify and express such feelings is the most important skill for your future (it will apply across your life). This skill allows interrupting the dysfunctional cycle and, eventually, pre-empting it – keeping the dysfunction at bay by reducing and eventually removing the uncontrollably conflictful conditions in which it thrives!

 
Flagging is simply mentioning that a disruptive feeling is on the horizon of your talk as early as it comes into view. Like the sun, it will be hard to see because it is so bright and oversized at first sight. Eyes naturally shutter. Defenses naturally stutter.

 
We'll do regular work on this technique because it provides the basis of shared facts to anchor difficult discussions. At this point what's shared is the fact of having disruptive feelings. What you will learn is the skill to control feelings by sharing them rather than hiding them. Agreeing that a conversation is likely to be difficult provides a safe space you both can retreat to in the process. The 'flag' marks a need to retreat so it can occur without feeling like and being an assault on the other.'


Content problems – incomprehensible experiences of others, or ours
Some communication dysfunction arises from unshared experience. There is a special kind of talk content problem, namely when the couple's original injuries are from experiences the other has never had, or could never have. Under the pressure of long-term perceived disregard between the couple (re-injuries of old injuries, plus new ones acquired as adults in failing relationship(s)) it is difficult not to hear the other's special needs as another ploy in the competition for attention and control. The perceived claim of the ploy is that the speaker has special needs which justify their demand for attention at this moment. These 'ploys' are repeated regularly in the couple's life, which the other reacts to in a patterned way (in turn perceived as 'ploys'), reinforcing the sense of disregard…and so on it goes. The shared part of such experiences is the fact of feeling unheard. The source may be incomprehensibly different life experiences.


What's such an experience difference look like? Here's one couple example. Just saying these facts to each other was only the beginning of the possibility of understanding their deepest automatic responses (defences) to perceived rejection.


She said, starting to cry uncontrollably: I remember being sent away for two months to summer camp aged 5 so my returned run-away 12 year old sister could "have space" as recommended by a social worker returning her…with the understanding for years after that I should "behave" or get into rouble from father for I knew not what; the reason for the runaway was never discussed…so the boundaries of expected behaviour were never clear, just implicit.

 
He said: (shaking with inner turmoil) I just remembered myself going down the hall of the hospital 30 years ago to see the back specialist in terror about the outcome (I was put in a body brace for 6 months) and mother (who was with me) not asking how I felt, and me feeling I couldn't say because she and father were unable to run the family themselves and I - aged just 14 at the time, eldest child - was carrying the load, down to doing the shopping, cooking and so on.


Another content problem – the unshared, cultural world view. Increasingly people marry, or couple, 'out' of their culture of origin, partly to escape it into something which feels more welcoming. Trouble is, they often do not know the other culture deeply and find some surprises which usually show up as deeply felt role guidelines for men and women. This is a similar, but other, matter to the unshared injuries above.


Treatment for a content problem – a little lecture
When there is impenetrable life experience underlying the dysfunction a structured set of 'lectures' by each member of the couple can be useful. Their subject is: 'how it is to be me with this injury I have'. Note that this step assumes the couple have acknowledged injuries and that these are not going away in the foreseeable future; they are conditions of the relationship. However, one of the coping mechanisms the psycho-socially injured use is to handle everything themselves, so it's hard to share the injuries without feeling they are masking a plea for special treatment or concern, or feeling they are opening themselves to re-injury. Catch-22.


Ensuring both have a go helps mitigate this defence. Negotiating the order of presenting, a detail in managing the process, also helps make it a shared event. Having had the experience of doing shared issues charts, the rules for this exercise are easy. The lectures are presented without objection or contention. Only questions of clarification may be asked or checks of clarity made by paraphrasing impressions to the speaker. A single session should do for two lectures. Follow-on homework could be to continue the exploration, roughly equally dividing time between them. All this is also practice in equal opportunity provision for hearing and speaking between them at all times – another shared platform for joint self-management.


4 systemic social dysfunctions contributing to couples' system dysfunctions


Finally, a systemic reflection. Each of the following social system dysfunctions warrants an article in its own right, so I'll just sketch them here. They are often active in couples' thinking as principles of dis-engagement. They are principles or assumptions in the background. So I call the bunch of them a 'theory'.


One dysfunction: there is a widely held and reinforced 'theory' that injuries can be moved on from; that just trying harder is all that's required; that getting help is a sign of weakness and is probably why one was injured in the first place. This 'theory' is promoted in many ways daily, often without specific intent to do so. Its component beliefs are just assumptions more or less inhabiting much contemporary social thinking, especially in the personal development fields…for example, "don't act the victim"; "that's victim thinking", and so on. The implication, often mentioned by patients, is that to attend to an injury is self-indulgent or a kind of covert pleading for advantage in the relationship – two faces of selfishness. In addition this theory encourages the very sort of behaviour which intensifies injuries: making them secrets.


Another 'theory' is the handmaiden of the first: that we are all responsible for our responses to others', actions regardless of what those actions are. That is, we can choose not to be angry, sad, etc. if we interpret the actions differently. To do so requires a disconnection from the early warning system of our self-protective feelings. It also cannot always be activated before a threat sneaks through to us, not even if we are very skilled at flagging because some of our life is emerging, not planned and scripted, nor scriptable. This responsibility theory implies our perception of hurt is our fault. Change the perception, change the hurt. Not easy when we are children. Not supported when we are hurt adults - see theory one above.


A third theory is that everything is just a perception, the handmaiden's dressing room clerk. Assertions that someone else's experiences are "just a perception" and so explicitly not worthy of receiving greater attention than any other perceptions (especially the speaker's) can be heard in everyday life. It is of course true that experiences are perceptions, so the assertion has the power of an accusation that the other is seeking special consideration for their experience. It also avoids, often intentionally, the challenge which is how do we share perceptions reliably, which we actually do in much of life.


A final 'theory' problem: everything in our culture encourages us to think as and be freestanding individuals, but we need the other to see ourselves. One definition of a psychopath is a person who cannot understand how others feel, and does not care. On the other hand, the socially phobic always care first about how other people see them. All of us may experience moments of feeling desperately exposed to or defiantly indifferent or rejecting of others' judgments. Driving our flights around this spectrum is the need to know and value ourselves – a need we cannot fulfil alone. The economic individual is a psycho-social figment. The therapeutic acknowledgment of this fact can be found in the growing awareness that major psychological trauma cannot be treated solely as an individual injury…it is a social one, too.


Next article will take up how to solve problems – turning issues into actionable matters. Or,


'So you've flagged a hot issue. Now what?'

Monday, May 7, 2012

Appreciation (45) – Age 69, or 70


Appreciation (45) – Age 69, or 70
Torrey Orton
May 7, 2012
"Happy first day of your 70th year …"
…Jane said on the way out this morning, by chance reminding me I'm going to write about the latest fact of my aging. Now this is not new, neither as subject of my blogging (though not usually an Appreciation) nor a context factor of increasingly inescapable presence to me. After all, I've had two major hospitalisations in the period between January 10, 2011 and Dec. 19, 2011, with a minor due in the next month to replace a declining pacemaker. This last will be only 30 minutes of locally anesthetised open and shut, plug and play shoulder slicing. Peanuts for health care. Scarcely a day in the hospital.
But I'm aware that being 69, and coming up to the marker day yesterday, is a benchmark for me most notable for its neighbourhood to the real marker of 70. Why real? Well it feels like the entry point to old age.
I couldn't say to a couple of friends why 69 seems so strange to me …like being unremarkable because it is only the entry's forecourt or a life step's set off point and so escaping its due notice for being what happened before the main event - a look at the real thing, the peak of 70. As so often with life, I, like my patients, fail to notice the facilitating precursors to my benchmarks - achievements or failures – and so miss the benchmarks occasionally.
I'm not doing what the aged/elderly/old are supposed (in my historically determined mind) to be doing. I'm seriously involved in four activities of hope: confronting the HoGPIs* at the Fertility Control Clinic (actually, hope humbling), writing about that activity and anything else I can think of that refuses to go away (hopeful) and doing 20+ hours a week of one-to-one therapy (actually effective to a reassuring extent – hope rewarded). I can't remember the fourth one, though as with all fading memories I have the memory of once having thought it!!
With all this, what's to worry about? Only the unfinished business of getting a guaranteed escape clause if the lights come down. Pre-emptive euthanasia is not available here.
Statistically I've another 10 yearsish. And the things which give me hope and/or challenge it, will be around as much from now on as they have been up til now. If I look at this fact from Charles' point of view my real life has only just begun, since I am a beginner at street struggles (the FCC defence), a novice at writing (blog) and an late life pro at therapy. Maybe I'll discover the missing fourth activity of hope. What's not to learn? At least what I think I'm supposed to be needn't constrain what I become.
Happy birthdays to you, too.
*Helpers of God's Precious Infants