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Monday, August 10, 2015

Case #152 - Everyday abandonment

Felice said she was afraid of abandonment.
This is of course a fairly common theme.
I had worked with Felice, and new that she could be somewhat dramatic, and childlike at times. She was young - in her mid 20's.
So rather than go into her 'abandoned' position, I went to a responsibility position.
I told her I was interested in those aspects of this that were out of her awareness -  where and how she did the abandoning.
She had never considered this question before.
This is often the case when people identify with one end of a polarity.
So I invited her into a Gestalt experiment. I would pull at her sleeve, and say 'I need you'. She would pull away…in other words, abandon me.
We then did another experiment - she would act as if her mobile phone was ringing when she was talking to me, and break our conversation to answer it….
We swapped roles, and I did the same.
This brought her to the awareness that abandonment happens often, in all relationships, in small ways. In this sense, the issue became not so much a global one, but a very specific one, rooted in small everyday awarenesses.
This gave her a whole new way to see abandonment - it was not something in the future, to be feared, but something in her present, to be addressed.
In Gestalt we break down global issues - anxiety, anger, depression - into the here and now experience, which people can do something about. There are choices available in the present, that often people are not aware of. By focusing awareness on the present, they start to see those choices, and in that way find empowerment in the face of issues that previously seemed overwhelming.
So then I pointed out that the issue was not so much abandonment, but the repair necessary when abandonment occurred. Given that its part of the fabric of life, its a skill to be learned.
So we practiced - she acknowledged: 'yes, I did that' (e.g., looked away, pulled away), and then she said 'sorry'.
The Gestalt experiment allows us to explore, in very practical ways, the issues that someone raises…to find new outcomes, to try out new ways of being. The result is always new awareness - not just cerebral, but embodied and connected with the emotions.
This brings a sense of integration and completion, even though issues such as this are never 'resolved' in some kind of final way.

Tuesday, August 4, 2015

Case #151 - Digestion - the cure for talking too much.

Odetta said that she talked too much, then felt depleted.
I noted to myself that characterlogicaly, this suggested issues to do with orality, and unmet needs.
She said that she had problems with two different women.
I asked her to pick one of them, and have a dialogue with her, by imagining she was on the other chair.
My instruction was to start with her feelings. Odetta described them as being like a rubber ball in her guts.
I asked her to imagine pulling the rubber band out of her guts, putting it her hand, and the expressing those feelings to the other women.
I did this because I wanted her to be present with her trauma, but not get bogged down in it. From my past work with Odetta, I knew she could easily get lost in her feelings. By pulling the feelings out, she actually could get more in touch with them.
Her expression was then 'I want to throw the ball at you'. This suggested aggression, but in Gestalt we never assume, so I enquired, as she still had not shared her feeling. People often do this, find ways to avoid being in touch with their feelings, or avoid expressing them directly.
So I focused her awareness on this 'emerging figure' as we say in Gestalt. Then she said to the woman 'I like your groundedness'.
I then invited Odetta to say what it was that she wanted, in the present, from the other woman.
Asking her to say this in the present is very important, otherwise people easily get lost in their feelings.
Odetta told the woman 'I want to know how you stay so grounded'.I got her to swap chairs, and reply as the woman - she said 'its because I have positive beliefs'.
I asked her to swap chairs again. Odetta, speaking as herself, said '..but I can't do that'.
This is an important juncture. It means that Odetta is caught in the experience of her powerlessness, likely a historical feeling, as she was a perfectly capable woman, in her current life. But in her 'talking too much', she couldn't take in an instruction or a suggestion - I had found this previously in therapy..that she really didn't take much in.
So I asked Odetta to pause for a moment, and really digest what she had heard. This interrupted her pattern of 'I don't know what I want or what I feel'. Her talking too much was skating on the surface. Yet, to go deeper required not just Gestalt experiments, but taking time slow down, and integrate the nourishment she had been given.
So I left her with this, as homework.
Facilitating process can be supportive, but its also important to know when to allow someone space to integrate. Too much activity is exciting, but not so useful in the long run. And with someone with oral issues, they need to find the place where they are 'full', as otherwise they will keep on talking, and keep on asking. So the therapist has to draw a boundary line.










~

Thursday, July 23, 2015

Case #150 - Distracted...or defiant?

My first comment to Marcy was - I need to ground myself to start with. I was feeling a little flustered, and needed to come into the present. I often found myself tussling with Marcy; it was hard work doing therapy with her.
In Gestalt, the therapist needs to ensure that they are available, and if not, then declaring that is bringing oneself into relationship, so the client knows 'who' they are on the other end of.
The first thing I noticed was her clothes. They were beautiful - traditional Chinese. I commented on that. Not as a compliment to her per se, but because I appreciated them - more in the way of acknowledgement, recognition, and saying something about myself.
I told Marcy that it was easy for me to tussle with her, and I didn't want to do that. I told her I liked her resilience, and also felt irritated and a bit cautious with her.
This kind of authenticity is essential from a Gestalt point of view. To simply work with the client, and ignore my own experience does neither of us a service.
Marcy understood. She often had this experience with people - though they often would not articulate their experience directly.
Next she told me 'I don't dare to show my gifts'.
I asked what these gifts were. And whether she could show them to me now.
When people make general statements, we always invite them to make them specific, and in the present. That makes them available for contact.
Indeed, as I asked this, I saw her tears form.
In that moment, the content was not important. What was significant was a sense of connection in that place. I acknowledged this.
This is what I found difficult about Marcy - it was normally very hard to bring her to this place of contact. No amount of questions, sharing, interventions would drop her into present, open hearted contact.
So, here she was, available, and I stayed with them moment, with her. There was a deeper sense of connection.
Now we were able to do some therapeutic work.
She said her issue was that she couldn't focus on things, was distracted easily. She was interested in so many thing.
I shared with her my own difficulty in not being distracted at times. Such sharing promotes a sense of connection, of shared humanity (in Object Relations terms, Twinship).
This sounded like an embedded pattern, suggesting the field.
So I asked Marcy about the phenomena of distraction and losing focus in her family, growing up.
She explained that her mother had a lot of pressure and expectations on her. But that her mother was also very inconsistent in her response. So Marcy learned to be very rebellious to the pressure.
I shared that I also was a kind of rebel, could be very defiant.
Again, this helped her feel connected, and made way for deeper explorations.
This was also useful, as there is a great deal I know about my own defiance, and that can help me understand something about her rebelliousness, and know what to ask.
Marcy explained how she would like to do meditation regularly, but because of her rebelliousness, it was hard to do this.
So I firstly asked her what exactly this would look like - Marcy needed a lot of grounding, as she often talked in a very abstract way. She said she would like to do 30 minutes, twice a day. Once at 7am, the other time before bed.
I knew from her description of her rebelliousness, that there would be a reaction to this idea, unless it really felt comfortable for her. Getting the details allowed her to name what suited her, and to own that herself.
And, at the same time, I wanted to surface her defiance. So I asked about that part of her…what it said to this schedule.
Of course, the underdog part said - 'no..not committing to more than 5 minutes per session, twice a day'.
I invited her to dialogue between these parts, and the agreement in the end was that she would absolutely do it at least 5 minutes twice a day, and more if she felt like it.
This was a point of integration. It is important not to just go with someone's grand agendas for change, or to do healthy things, even though that might be very good for them…because in the end, unless they do it with their whole being, the underdog will undermine - as she put it 'be distracted and not focus on things'. That was sign that she was split, and it is these splits we pay attention to in Gestalt.

Saturday, July 18, 2015

Case #149 - Fear of knives

Catrina talked about a fear of knives.
When she was 6, she was with her father. She had to make the dinner, by herself.
She cut the veggies in hurry, and slipped on a potato, cutting her finger. There was blood.
She hid it from her father, and never told anyone about it.
As she was telling me this, she was holding her finger.
This was the present dimension of her pain, which I brought attention to.
In Gestalt we generally want to bring things into the room, into the present; to bring awareness into the body, into relationship.
So I suggested a Gestalt experiment. I brought in a knife.
I told her it was inert - it could not jump up. It was at my command. The emphasis in this process was on safety, within the risk - that is the way a Gestalt experiment is conducted.
I put the knife at a distance. Then slowly, in stages, brought it closer.
I touched the handle first. Then the flat of the blade.
I instructed her how to touch it. I then showed her how I could touch the sharp blade itself and not get cut - simply putting my finger on it, without moving.
I demonstrated all this.
Then I invited her to follow the same steps, with her uncut hand.
When it came to touching the blade, I got her to put her finger on my finger, where I touched the blade.
I told her I was there to support her all the way.
This was of course a deeply emotional process for her.
After she successfully touched the knife, and its blade, I brought her to the future, playfully: 'what do you think you husband will say when you come home and are able to touch a knife! How surprised will he be!'. Because she had this knife phobia, she never cooked, so her mother had to stay with them, to cook.
I pointed out that she now had the freedom that her mother no longer had to stay in the house.
This was future pacing - anticipating the result of the changes, extending the effect of the experiment.
Then I did the same slow process with her other hand, firstly with her ring finger.
Then we did the same thing with the finger which had been cut.
Even after this, she still had fear in her body. The knife incident represented more than just the traumatic experience. Her father never gave her any nourishment at all; and her parents would fight, and threaten to cut each other with the knife. So the fear of knives went deeper.
So I played a game - I pulled an angry face, and she startled. I told her my angry face was a 'fake', I was not really angry. So I would count down and then pull the face - increasing safety. Then she was to pull an angry face back. The experience was very intense for her. She screamed, very loudly.
She felt an aching in her chest. We did this several times, then repeated standing (to mobilise the energy). She screamed again, a very sharp sound. I touched her chest as she screamed - to bring awareness to the centre of the pain and anger.
Then she felt her aggression, and wanted to hit me. I took a pillow, and she hit very hard.
After this, there was no fear left.
An experiment like this evolved, starting with the theme, and then developing as the energy unfolded. The client essentially directs what happens, and I pick up the clues, and create the setting.

Thursday, July 9, 2015

Case #148 - Balancing Masculine and Feminine

Sarina was very sad. She said she wanted to balance masculine and feminine within herself.
I noticed her socks - they were red. She said that a master who she followed told her that red was not a good colour to wear - it was too masculine. So now she tries to wear grey colours. She said she was desperate to balance the masculine and feminine energies.  
She had had a successful life. She had been a mayor, the editor of a newspaper. Men liked her.  But she had given up her job because she felt herself too much in the masculine world and did not want to become more like that. Again, she reported feeling sad, and unhappy.
She drove a small jeep. She liked driving jeeps. But she didn't want to drive a big one because it would be too showy, and again, too masculine. There was a conflict within her.
I asked her to choose something to represent that conflict - she chose a red candle. She wanted to put the candle to one side, not have it between us. But when she did that, she started to feel panic.  
She recognised that the  the candle represented her mother. And I was in the father role.  She said that she had lived her life to please her father, and his ambition.  But now, she didn't want to live for anyone else.
So, I took the opportunity of being in the 'father' role to give her some supportive messages. I told her her- its ok to be yourself, to wear red if you want, to drive a jeep if you want; its ok to live your own life. Then you will attract a man who likes you, just the way you are.
Her response to this was to tell me that she would like to take me to the movies.
I took this as an indication that I had shifted roles from representing father, to being more a peer, a man she could get close to, go out with; the erotic dimension of this was coming forward. She was showing me her vulnerability and her yearning, and so I acknowledged this to her.
She came back to her statement about balancing the masculine and feminine.  So I told her a little story. I made it up - about a woman who was capable, and a man who met her and liked her capability. I talked about the man being able to have a balance as well, to show his softness. About both of them moving between masculine and feminine capacities.
A story such as this gives a sense of permission, provides possibilities which may be desired but not as yet achieved. Her indication of vulnerability towards me meant she was in a space to take this in.
I gave her the homework, to light a red candle each day, and to do something that felt feminine for her. She needed to feel herself moving into her feminine, and clearly red was a colour that was important to her - she wore the red socks, even though she wasn't 'supposed to' according to the master.
The emphasis in Gestalt is on the person finding themselves, developing the areas they want to. In this case, masculinity and femininity are very much socially defined. So I wanted to help her explore what that meant for her, to define her own self of self within that. I did not want to replicate the 'master' who imposed his ideas of what it meant to be masculine or feminine.  
Finally I told her another story - of Amelia Earhart, who flew solo across the oceans when this was beyond the sense of what society believed a woman could or should do. This provided her with both an example (support) and also a metaphor, which should could use to construct her own sense of herself as an adventurous woman.

Monday, June 22, 2015

Case #148 - Balancing Masculine and Feminine

Sarina was very sad. She said she wanted to balance masculine and feminine within herself.
I noticed her socks - they were red. She said that a master who she followed told her that red was not a good colour to wear - it was too masculine. So now she tries to wear grey colours. She said she was desperate to balance the masculine and feminine energies.  
She had had a successful life. She had been a mayor, the editor of a newspaper. Men liked her.  But she had given up her job because she felt herself too much in the masculine world and did not want to become more like that. Again, she reported feeling sad, and unhappy.
She drove a small jeep. She liked driving jeeps. But she didn't want to drive a big one because it would be too showy, and again, too masculine. There was a conflict within her.
I asked her to choose something to represent that conflict - she chose a red candle. She wanted to put the candle to one side, not have it between us. But when she did that, she started to feel panic.  
She recognised that the  the candle represented her mother. And I was in the father role.  She said that she had lived her life to please her father, and his ambition.  But now, she didn't want to live for anyone else.
So, I took the opportunity of being in the 'father' role to give her some supportive messages. I told her her- its ok to be yourself, to wear red if you want, to drive a jeep if you want; its ok to live your own life. Then you will attract a man who likes you, just the way you are.
Her response to this was to tell me that she would like to take me to the movies.
I took this as an indication that I had shifted roles from representing father, to being more a peer, a man she could get close to, go out with; the erotic dimension of this was coming forward. She was showing me her vulnerability and her yearning, and so I acknowledged this to her.
She came back to her statement about balancing the masculine and feminine.  So I told her a little story. I made it up - about a woman who was capable, and a man who met her and liked her capability. I talked about the man being able to have a balance as well, to show his softness. About both of them moving between masculine and feminine capacities.
A story such as this gives a sense of permission, provides possibilities which may be desired but not as yet achieved. Her indication of vulnerability towards me meant she was in a space to take this in.
I gave her the homework, to light a red candle each day, and to do something that felt feminine for her. She needed to feel herself moving into her feminine, and clearly red was a colour that was important to her - she wore the red socks, even though she wasn't 'supposed to' according to the master.
The emphasis in Gestalt is on the person finding themselves, developing the areas they want to. In this case, masculinity and femininity are very much socially defined. So I wanted to help her explore what that meant for her, to define her own self of self within that. I did not want to replicate the 'master' who imposed his ideas of what it meant to be masculine or feminine.  
Finally I told her another story - of Amelia Earhart, who flew solo across the oceans when this was beyond the sense of what society believed a woman could or should do. This provided her with both an example (support) and also a metaphor, which should could use to construct her own sense of herself as an adventurous woman.

Monday, June 15, 2015

Case #147 - A wall dissolves

Brittany spoke about having a picture of a wall in her mind, that she felt quite scared of. She talked about not being able to get through it. She felt distress, demoralised, and that it was blocking her way.
In Gestalt we are always interested in anything that looks like 'resistance', a wall being a clear example. Rather than trying to get through it, we explore it, through a Gestalt experiment.
So I invited her to 'be the wall'. I asked another person to come up, and they would swap. The volunteer would play the wall, they would swap, the volunteer would be her, and she would be the wall.
In this way I facilitated a dialogue between her and the wall.
She was initially very scared of the wall - wanted to run away. She identified the wall as 'solid', 'secure' and 'dead'.
I helped her find a distance from the wall where she could stay, and not run. I encouraged her to breathe, to stay with what she was feeling, to stay with the experience of being in the proximity of the wall.
Gradually her fear subsided. She started to be able to feel her own solidity. To feel more secure in herself.
This allowed her to stay with the 'dead' feeling. I brought her into the present, into her breathing, her aliveness, in juxtaposition with the deadness.
This conjunction of polarities is very powerful, as the split parts of the personality start to make contact, something shifts.
Brittany was able to breathe life into parts of herself which she had deadened, out of fear. Her sense of solidity increased. Her disowning of the wall transformed. She was able to find her steadiness, her fear reduced, the wall no longer a barrier, allowing her to now move forward in her life.

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These case examples are for therapists, students and those working in the helping professions. The purpose is to show how the Gestalt approach works in practice, linking theory with clinical challenges.

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Gestalt therapy demonstration sessions

Touching pain and anger: https://youtu.be/3r-lsBhfzqY (40m)

Permission to feel: https://youtu.be/2rSNpLBAqj0 (54m)

Marriage after 50: https://youtu.be/JRb1mhmtIVQ (1h 17m)

Serafina - Angel wings: https://youtu.be/iY_FeviFRGQ (45m)

Barb Wire Tattoo: https://youtu.be/WlA9Xfgv6NM (37m)

A natural empath; vibrating with joy: https://youtu.be/tZCHRUrjJ7Y (39m)

Dealing with a metal spider: https://youtu.be/3Z9905IhYBA (51m)

Interactive group: https://youtu.be/G0DVb81X2tY (1h 57m)