Care for the caretaker

posted on September 22, 2010 at 5:11 pm

This was passed on to me, and I don’t know who originated it, but these are very wise words for anyone who works in a helping capacity …..

1. Be gentle with yourself

2. Remind yourself that you are an enabler, not a magician. We cannot change anyone else – we can only change how we relate to them

3. Find a hermit spot. Use it daily.

4. Give support, encouragement and praise to peers and to management. Learn to accept it in return.

5. Remember that in the light of all the pain we see, we are bound to feel helpless at times. Admit it without shame. Caring and being there are sometimes more important than doing.

6. Change your routine often and your tasks when you can.

7. Learn to recognise the difference between complaining that relieves and complaining that reinforces negative stress.

8. On the way home, focus on a good thing that occurred during the day.

9. Be a resource to yourself! Get creative – try new approaches. Be an artist as well as a technician.

10. Use supervision or the buddy system regularly as a source of support, assurance and re-direction.

11. Avoid shop-talk during breaks and when socialising with colleagues.

12. Schedule ‘withdraw’ periods during the week – limit interruptions.

13. Say ‘I choose’ rather than ‘I should, I ought to or I have to’. Say ‘I won’t’ rather than ‘I can’t’.

14. If you never say no – what is your ‘yes’ worth?

15. Aloofness and indifference are far more harmful than admitting an inability to do more.

16. Laugh and play!

My advice is to choose one or two each week – write them in your diary/type them into your phone/ put them on a post-it inside your desk drawer or on your bathroom mirror …… Accepting our limitations, and taking responsibility for our own well-being is not just a sign of emotional intelligence, but good modelling for those we work with.

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Results and process – what makes counselling/coaching useful?

posted on September 21, 2010 at 4:49 pm

I was talking to Paul Stonehouse this morning about coaching and counselling, and we were reflecting on what it is that clients really gain from working with us. Obviously, for many people, it is the results they achieve: greater clarity about their goals, more freedom in handling their emotions, more authentic sense of who they are, reduced distress and turmoil … the list could go on for a long time.

People also tell us that they feel they’ve learned new skills or techniques that they can continue to use once their work with us is complete. Ever since I read George Miller’s paper on ‘Giving Psychology Away’, I have been committed to explaining what I’m doing while I’m working with a coaching or counselling client: perhaps “I’m encouraging you to consider this from a range of perspectives” or “I’m inviting you to explore which part of your personality was just speaking?”. My intention is, in line with Miller’s suggestion, to help the person become their own therapist, and it is always fulfilling when someone tells me they’re doing this.

Now, these are great results, and I value them. Evaluations of counselling, coaching, psychotherapy usually decide how effective they are by looking at results like these. However, learning new skills and strategies is only part of what goes on. Self-help books can offer the same guidance – but are usually less effective than coaching or therapy. What gives added value to coaching and counselling comes from the process itself.

The process of counselling, psychotherapy and coaching is integral to the results achieved. Talking to a listener who is committed to you, someone who is willing to sit with your pain or fear or confusion while you realise that you can experience this without disintegrating, is as important as developing effective strategies to manage the pain or fear or confusion.  Similarly, the process of continuing to explore an individual’s experience, from a position of not knowing what results they may eventually achieve, can help that person develop the ability to live with uncertainty. A premature search for solutions denies them this opportunity.

This process can only take place if there is a relationship of trust between practitioner and client, where the client feels free to reveal the less socially desirable aspects of themself without being judged. Again and again, clinical trials, NICE guidelines etc. emphasise how it is vital to have a secure therapeutic relationship before embarking on a particular therapeutic strategy. For a therapist or coach to be able to offer this type of relationship, they have to be willing to accept their own insecurities and less socially desirable aspects of their personality – which is why developing self-awareness is such an essential part of the training process.

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Low grade SAD or normal response to the season?

posted on September 6, 2010 at 7:56 pm

So here we are at the beginning of September and it’s raining. I find my energy level a bit low, ditto my creativity, therefore few recent posts. Autumn is my least favourite season – the end of the summer, with winter approaching on the horizon. For much of my working life, September has signalled a new beginning – the start of the academic year – but nowadays that is less significant, and I miss the excitement.

I remember seeing the first greening of the trees back in March with a leap of the heart – and that will be present again next year. A supervisee said to me today ‘Only 5 months till the daffodils are in flower’, which made me  smile – but I don’t look forward to five months of cold and low light levels with enthusiasm. Accepting that at our latitude, seasonal changes are inevitable keeps me in touch with reality, but acceptance is not equivalent to delight …..

My thoughts turn to comfort food – puddings are associated with early autumn for me – apple and blackberry crumble, plum fool etc.  I recognise that in our evolutionary past it was important to build body mass before winter set in, but I don’t need the extra pounds! On Friday I was out gathering blackberries in glorious sunshine. This prompted Forest Gump style reflections that the juiciest berries are always the hardest to reach – but maybe the more accessible ones have more concentrated flavour? We can stretch a bit to reach a particularly tempting fruit, but not so much that we pull a muscle :)

I tell myself that the autumn colouring of the leaves can be a heart-warming sight, and I enjoy Christmas festivities. Using all the psychological tricks I know gets me through the autumn – but I’m also aware for that for some of my clients seasonal affective disorder goes beyond my mild grumpiness. Exposure to bright light can make a difference for many, and accepting that ‘this will pass’  is also helpful.

Taking on a fun and challenging project can reduce lethargy – redecorating a room and taking part in the November NaNoWriMo (National Novel Writing Month) challenge have provided me with antidotes to autumnal glumness in recent years.

What are your top tips for boosting vitality at this time of year?

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Counselling as a route to acceptance

posted on July 12, 2010 at 11:21 pm

I had a great supervision today, with my supervisor of 11 years. I was musing on a theme that seems to be prominent with several of my clients at the moment, that of acceptance.

I’d noticed that several people I’m working with are struggling to accept either some aspect of themself, or of their current situation. As usual, I sought for parallels in my own experience, and realised that some fixed opinions or beliefs I hold – specifically, my unwillingness to work in a large bureaucratic organisation as an employee – are rooted in me trying to stay safe. I’d been wondering what it is that has us hold on to certain patterns of behaviour or perceptions of our self or the world.

Exploring with my supervisor, he suggested that some aspects of ourself, even in supposedly mentally healthy people, are dissociated. This bit of psychological jargon means that there some aspects of our personality or experience which are separate from our core personality. For one client, this might be the experiencing of certain emotions, such as anger – for another, not recognising when particular self-sabotaging beliefs are in control.

Letting go of this self-sabotaging belief, or over-control of anger, means letting go of a certain part of our self which is trying to keep things safe and predictable. I believe that acceptance of these shadowy aspects of the self requires first, recognising their existence, secondly naming them, and thirdly owning them as an important aspect of who we are. Integration is the opposite of dissociation: owning all our automatic behaviours, ways we have of reacting to specific thoughts, feelings or events.
And I try in counselling to help people own these ‘weak’ or ‘needy’ or otherwise unwanted aspects of who they are.

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