Tag: healing

  • The Search 05 (Gestalt Principles)

    In my last post, I talked about awareness as the essential principle of Gestalt Therapy. Here I want to pick up on two other equally important principles of Gestalt: Contact and Personal Responsibility. I do this because my principal orientation is that of Gestalt — I have many other trainings, but Gestalt remains my basic orientation and emphasizes being fully alive.

    This is not to say that other therapeutic orientations are not equally valid (Family Systems, Cognitive Behavioural, Transactional Analysis, and others); it is simply that Gestalt has been most conducive to who I am. Years ago, a mentor of mine said that there are three basic aspects that a therapist needs: a theoretical orientation, extensive work with clients, and the resolving on one’s own personal struggles. The theoretical orientation is useful when talking with colleagues after the therapy session yet is the least important of the three skill of therapy. During the actual session, one is often flying by the seat of one’s pants — there is limited time to think about theory. The second basic aspect is practical work with clients, especially supervised by a more senior therapist (the colleague after the session); it is essential to learning to be present in session. Third and most important is the personal growth of the therapist — if one’s own issues are not resolved, they almost certainly will become points at which the therapy becomes stuck. This is because the primary tool/skill that the therapist brings is his or her own humanity.

    Translating this into the process of being fully alive means first to understand what you are doing for yourself in the process. Second engage in the skills of living so as to develop an effective toolbox. Finally challenge yourself so as to resolve the issues that hold you back.

    My orientation as therapist is Gestalt; my skill is my own humanity.

    I noted last post that awareness is “attention to one’s spontaneously emerging perceptions.” Contact is my ability to be present to the immediacy of now. At that time, I introduced the Action Model (reproduced here) with its First Order perception (F1), Evaluation, Meaning, Intention, Energy, and Response. Contact is my ability to hold these various aspects in my awareness without grasping one or more in immediate reactivity. For example, while in heated conversation with another, can I hold the immediacy of tension in my face while I recall a previous conflict with a sibling, while noting my anger and desire be in conflict, perhaps with awareness of my immediate surroundings and the words being spoken by the other. No one of course does all of this perfectly yet the more I can attend to this complexity, the more I am in contact with my environment, the more I am able to choose my responses.

    The skill associated with Contact is that of patience and awareness. For you the reader, as you are able, pause and look at a chair, a bus, a street sign, a person and note that these are all complex images. What are you attending to with your awareness? What body response are you having? What meaning are you giving to your awareness? What (subtle or not) energetic response is there? What immediate action is associated with your experience (even if not overt movement). In training yourself this way over time, you gradually develop the skill of being in contact with now, and you develop associations between these many areas of awareness. All this becomes the basis of how you respond to the immediacy of the present moment.

    Personal Responsibility is also a manifestation of this complex interaction. The best way I can explain this is with another metaphor: a pot of  stew (with a spoon in it) sitting on a stove being heated. It is one of the best metaphors I have of the human mind.

    It is a pot of Energy; the contents of the pot are aspects of who I am — my values, beliefs, memories, and expectations (my VBMEs, the same as noted as Evaluation in the Action Model). All this arises from my past, most of it learned as part of growing up in my Family of Origin (FOO). The heat is my recent past, adding further energy to  the pot: the current stressors influencing my present (finances, relationships, home and work situations, and miscellaneous aspects such as what I saw in my email last night or heard on the internet this morning). There is also a spoon in the pot, my current environment, which adds to, stirs, and adjusts the contents, adding more energy.

    All this leads to movement of the contents within the pot. When stuff comes to the surface, we call it a Thought or Feeling. When it bubbles out of the pot, we can it an Action.

    As noted, I consider it as one of my best metaphor of the nature of the Mind. What does it demonstrate?

    First, actions empty the pot! Actions are the only way in which the pot is emptied. If you want to reduce emotional energy, it has to be turned into action! More about this later.

    Second, imagine if you put a spoon into the pot and brought out a carrot. Would you ever say ‘the spoon made the carrot’?

    No! It makes no sense. The carrot was already in the pot — the spoon merely brought it to the surface.

    Why, then, do you say, “You made me angry” or “You made me do it”? This is saying that ‘the spoon made the carrot’!

    If you take this metaphor seriously (and I do, very seriously), I am fully responsible for all that I think, feel, and do! Certainly there are spoons, yet I create my world! I have no one to blame and I am fully responsible for all my thoughts, feelings, and actions, for all that happens to me. In fact, the word blame does not exist in my vocabulary.

    Note also that this metaphor is a relational model. The output of one pot becomes the spoon of the next pot as we together create what we call reality. Together, these three skills (of awareness, contact and personal responsibility) allow me to dance with my world, both as an individual and as part of a relational system.

  • The Search 2 – Introduction 2

    For simplicity, I have decided to entitle any future posts related to this book The Search To Be Fully Alive as The Search # – Chapter n #. These may change over time but for now provide consistency. Ideally, there will be about two posts per week.

    I ended the previous post by indicating I will discuss what I mean by ‘being fully alive.’ I regard the term as nuanced and in attempting to grasp this term myself, I draw largely on my client experience, especially of that third group of clients who cleared up the pony tracks of their lives[1] (some of this experience is described in more detail in ‘Appendix D – Recidivism’ of my book Blowing Out the Darkness):

    SC, a long history of drug abuse and violent crimes: ‘For almost two years now, I have been working with Dave … I no longer think about not living, or harming others … I am peaceful with myself most of the time.

    DD, 51yo, well-educated, chronically raging: I had been in counselling on and off since my last year of high school. … I really did not know how or when the change occurred that weekend; I just know that it did. … I have been working with Dave for six months now … The results I want are coming. I am getting the results because of the work I do, not because of anything Dave does. He merely offers me the tools, steering me towards the right tool of the job.

    MK, a 53yo lawyer in burnout: I gained clarity about my long-standing and personally debilitating misunderstanding. … I was just holding it together as best I could, and now I don’t have to. I can actually be more effective.

    JS, a Probation Officer of 25 years experience, commenting on the impart on clients of a single 17-hr weekend (most were only able to come to the single weekend because of transport issues): What strikes me most, however, is the way post-MacQuarrie probation clients communicate that ‘something is different’: they often say they “feel more relaxed”, can “let things go”, feel more capable of making choices about whether or not their emotions escalate, especially over trivial matters. And I find that this is often borne out in their behavior.

    Fundamentally, the people who are more fully alive are peaceful and productive; they have resolved any residual trauma from their past and they cope well with the ongoing stresses of life. When they are angry (or otherwise emotional), they are aware of what they want in their emotionality, yet they do not impose on others; they are able to negotiate what they need. They are rational; they understand and accept that life is a series of difficulties; that wisdom comes from working through such difficulties. They are relational, satisfied with their family systems and their communities. Whatever their belief systems, they usually have a deepening spirituality and trust of life. In spite of the turmoil of our civilization, they strive to contribute.

    So what am I doing as therapist and what am I potentially suggesting to clients in their search to be fully alive? One aspect is that I function from what I call High Intention – Low attachment. My intention is to be the absolutely best therapist and human being that I can be – I do not pretend to be other than who I am. My job is to elicit a relationship of compassion and trust, supportive of effective behaviours, and to challenge ineffective patterns. I do my best and I have no attachment to the outcome (it is not in my control). As part of that, I do not ‘should’ my clients, yet I often challenge the ineffective.

    The vast majority of clients first come because of pain in their lives. Imagine you have fallen into a large hole, and you find yourself with a shovel in your hand. What is the first thing you should do? … My suggestion is put the shovel down! At this point, you do not know if you are digging yourself deeper or digging yourself out (likely deeper). Practically speaking, this means calming your energy so that you can think more clearly, not about how you got in but how you can get out! (Thinking about how you got in is usually not useful at this stage; it is much more useful after you get out. The tools for getting out usually are quite different for the tools needed to stop yourself from getting in again.) Getting out may  be complicated, falling back repeatedly. There are many tools for getting out, and even if unsuccessful for this event, they are potential resources for future events. Then, having gotten out, likely you feel much better, more resourceful — and more able to grasp how you got into the hole in the first place.

    Likely, at this point, you can recognize that you actually had not fallen into the hole; you had been digging yourself into the hole without being conscious of it. Now, instead of beating yourself up for your … (stupidity, arrogance, whatever your favourite criticism is) …, you can potentially recognize that there might be tools for you to manage your personal characteristics. So you start learning these tools also. Eventually you end up with a very well-crafted toolbox of life, and you start to gain the benefits of being more fully alive.

    Sooner or later, you also recognize that all human beings struggle with falling into holes; that no one is perfect and that we are all simply on journeys of life. At this point, you start to build better relationships, recognizing that we are relational beings. Perhaps you also start to develop a spirituality of what it is all about — you don’t have to, yet it generally makes more sense when you do. You don’t have to call it God, just that something bigger is going on.

    Personally, since it may come up later in these posts, I do call it God, sometimes Star Maker. I don’t do it to impose on others; rather, it makes the conversations easier and offers more tools to explore.


    [1] I am very clear that this growth on the part of the clients occurred because they did the necessary work. I was fortunate to be the therapist who was able to facilitate that work with them. I regard myself as a very competent therapist and it is entirely possible that the clients could have done their growth work with some other therapist(s). In writing this book, I talk about myself and my own skills, not to laud myself, rather because I know myself. There are other very good therapists, and unfortunately it is often a fishing trip to find them.

  • The Search To Be Fully Alive

    On my last post, I noted my intention to write a third book (beside my first two, see previous) entitled The Search To Be Fully Alive: The What and The How. This choice came about for two main reasons: I was seeking to engage further both with my blog and with my life. In particular, I was dissatisfied with how inactive I have been with this blog (I have been sporatic since 2020). I decided to combine the two issues by using the blog as a stepping stone to the book, hopefully cutting and pasting future posts to form the body of the book. I hope the book will end up at about 80-100 pages: long enough to be comprehensive and short enough to be readable. As part of this, I have asked for feedback from subscribers as to the clarity and interest of such future posts. Appreciations for same.

    Here I want to address three questions (two here; the third, the next post): 1) why a third book; 2) what does the ‘search’ mean, and 3) what do I mean by ‘fully alive’?

    Much of the answer to all three is summed up in the header to this blog: ‘Between Climate Change, the risk of Nuclear War, and the political instability of our times, we are an angry culture. Unresolved anger is dangerous while resolved anger is powerful. This site is about making the shift to resolved anger. It is also about making the shift to being a mature adult, being at peace and being of service to a world badly in need of leadership.’

    More specifically as to why a third book, it is one of my major ways for me to contribute. I am a retired physician (specialist anaesthetist) and psychotherapist. My first book Blowing Out the Darkness: The Management of Emotional Life Issues, Especially Anger and Rage came from my awareness of how angry we are as a culture. My second book Acedia, The Darkness Within, and the darkness of Climate Change came from the recognition of how powerless and overwhelmed we feel as individuals and as a culture, with consequent anger. This book addresses how we contribute.

    I have deliberately called this book The Search … because, for me and a significant number of my therapy clients, it has been a search. Up until 1983 at age 40 (I am currently 82), I was a very competent physician-anaesthetist when my life fell apart; I knew I was heading in the same direction as my father in that he committed suicide when he was 49. Reputedly at one point, he had said ‘Never go to a psychiatrist who is less intelligent than you are’ — in similar fashion, my limited experience of therapy up to that point was not helpful. Fortunately, I found good experiential therapy and my life changed; it cost me a lot of time and money, which I fortunately had as a consequence of my profession. It entailed major searching, not available to most with more limited life circumstances.

    The outcome was I became a very competent therapist, mainly focused on my own anger management program. As I studied my clients, I came to characterize them as falling into what I came to call ‘pony tracks.’ I imagine you the reader has been to the circus and seen the ponys, the ones the kids ride. The kids are having fun but what about the ponys walking around their well-worn tracks, dressed in their pretty bangles — they look bored or in some other kind of emotional pain. Most clients are like this: in pain undoubtedly, frequently hiding their angst, and lost in the same dysfunction day after day.

    I could work with about 90% of people — about 10% wanted to work with a woman therapist or found me too intellectual or something. They might come for a session or two, and then not return. The rest fell into three roughly equal groups of individuals.

    It would normally take me anywhere between one and six sessions to identify the pattern of pain, the ‘pony track’. We would then discuss the nature of the difficulty and decide what next. At this point, about 30% would say to me something like “You know, now that I recognize the nature of the issue, I can live with it, and besides, it would cost me too much to change it (they might have to give up their marriage or a lucrative job or some other cost).” At this point, we would do some clean-up and they would leave. Remotely they might come back in the future.

    The remaining 60% would want to work further. This would usually entail another three to six months of work whereupon they would get out of pain. Half of them would leave at this point as having accomplished what they wanted, in particular out of pain. Perhaps they would also come back at a future time.

    The final third, again out of pain, would be appreciative yet would say something like “You know, now that I am out of that pony track, I recognize another pony track (often one that they could not see because of the first one)”. Over the years, as I worked with this third group, I found that most people have anywhere between three and six pony tracks, which when resolved (perhaps over two or three years of work), resulted in deep satisfaction in the life of that client. It truly was a search for these individuals to come to this point in their lives.

    That search was made easier in that as a physician in the Canadian province of Ontario, my therapy services were paid by the provincial health plan. A blessing for clients, I eventually switched exclusively to group psychotherapy so as to minimize my client list; clients came to my weekend workshops on anger management as well as word-of-mouth (including other therapists), then they joined one of my groups (no waiting list). This became the basis of my first book.

    Thus the financial burden of the cost was significantly reduced; most people cannot afford extensive therapy. The search is further compromised by finding a therapist who is a good fit yet has the skill and maturity to challenge the client to do the work. The deeper work is not understanding; it is emotional at the other-than-conscious level. I tell clients that the work is frequently that of exploring a swamp looking for buried treasure; as therapist, I know how to explore swamps but I don’t know the client’s individual swamp.

    Next post: Being fully alive.