Tag / Psychotherapy

by Therapy place uk

Much love, your brother …

My younger sibling would be turning 50 this year. I wonder what would have been explored in the last half century had that sibling survived?

I think of what pleasures and pains would have been created if I had always had the youngster beneath me in the family. I wonder how my own life experience would have been altered by being the big brother?

As a four year-old, my rather large bedroom in the eaves of the house I grew up in was ready to be divided for the coming of the newest member of our household. I clearly remember how my parents began to manipulate my thinking in preparation for the commencement of the building works. It was ‘going to be fun’ having a smaller room. I’d ‘get to choose my own bedspread’ – I’d even be allowed one that represented the cockpit of a racing car, if I’d ‘just give up [my] protests, see sense and take a positive view’. Of course, being four, I didn’t really understand what was going on and I certainly didn’t understand why my older sister was getting to keep a room of her own with all of her stuff and things in it. There would be no consequence of reduced space for her. I was very resistant and, although I say it myself, rightly so!

Skip forward a few months and a different message was circulating in my life. Unseen, but not unfelt by me, my mother had lost the baby that was due in the family. Suddenly my peace was being shattered by another direct assault on my space: apparently there was someone already in existence who might be coming to share my room. The audacity! An adopted child – whatever that meant. We were now expecting a cuckoo!

As it happens, the cuckoo-child never arrived. But as time followed on I was next introduced to the idea of emigration to Australia, where we would all ‘get new lives’.

The changes seemed to mount and I really didn’t like all of this unsettled social soup that we were living in. Most noticeably, my mother’s health began to deteriorate – her body quietly rejecting something. Loss in her was transformed into chronic painful illness. By the time a full seven years had passed from the loss of the child we were finally moving – but it wasn’t across the globe. Leading up to this move, the basement of our house, which my ‘aunt’ lived in, was converted into a self-contained flat. A new bathroom was created on the ground floor, and then the three upper floors that had been my family home were split  to form yet more self-contained properties. My ‘aunt’, a casualty of this change, moved out. It was a personal loss.

On the day before the morning I started secondary school we moved to a small house away from my friends. It seemed that for seven years one loss became another. Loss transformed until it couldn’t be clearly seen what was actually missing anymore.

Imaginations and dreams gave way to decomposition as I watched my father retreat into what I would later realise was depression. My once-safe comforting mother had, by then, almost totally dissolved into pain and anger. When both my parents were in their final phases of life I dared to fully and directly bring up the loss of the youngest member of our family – but it was ‘too late’, too hidden, ‘hardly remembered’ they said. My child that had sought the adult answers continued to be denied the required explanations, but therapy helped give the events a narrative by which to understand the family loss, pain, anxiety and depression.

Having permanently returned to my home city this year, the ‘golden’ anniversary of all that loss, I allow myself to wonder what different path there might have been if that younger sibling of mine had made it though. RIP Little One.

Much love,

Your brother

Duncan challenges you to …

… reach out to a sibling whatever your shared history.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2019 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information. 

by Therapy place uk

The virgin executive

I know I’ve left it late in the session – but I’ve got to start working on this dream with you …

Patient:      … it’s definitely part of the sequence.

Therapist:  We can always make a start. It’s important to capture the energy while it’s fresher; we can come back to it then.

[The therapist’s eyes close to listen.]

P:               I walk into this huge organic building. It’s like it’s made of pushed-up earth but it towers above me – not like a skyscraper – although it’s tall. I get this strange essence that it is alive. It has a heavy ring towards the top – like some form of viewing platform or an escape route. Before I enter the building I’m in a clearing. I don’t know if it’s some sort of jungle that I’ve walked through? Tall, overpowering grasses sway in the perfect temperature.

T:               Perfect temperature?

P:               Yeah, sunny but not hot; cool, not cold. Like those wonderful spring days when the world hints at what summer will bring. That first day when you slip off your winter clothes. You feel the world on your skin after all that insulation.

T:               Le Sacre du printemps?

P:               Sacred spring?

T:               Yes.

P:               There’s an air of real danger outside. I can hear an old woman’s voice that carries across the clearing. She is singing a song I know. I can’t sing it though; I know that I mustn’t sing the words.

T:               What might happen if you did?

P:               I don’t know … but, as always, there’s something very dangerous about stepping into the building. I can see the vestibule is open. It’s not very big. I’m a bit concerned I could get stuck if I start to walk in. It’s like that claustrophobic feeling I had when I went caving as a teenager. Then I realise something bad will only happen if I step in knowing the words. I try not to hear the song; I cover my ears. I try not to sing the words in my head. I know the song foretells the future and the future that waits in the building could change my life in big ways. My heart’s beating really heavily; I feel drenched in sweat. I’m just about to turn back as a group of young women flock around me and push me through the entranceway. The instant I’m inside the building, the women fall to the floor.

[There is a long silence. The therapist doesn’t move. The sound of water being gulped and swallowed invades the space.]

T:               Are the women dressed or naked this time?

P:               Bound in cheesecloth. Full-length dresses. Like they’re in some sort of shroud. I run my hand over one of them expecting warmth, a subtle smoothness beneath the material, but I realise she’s made of sand or perhaps salt. I can’t swallow.

[A glass chinks just before the gulping sound enters the room again.]

P:               I look round the white inner space. All the people have divided into two separate groups.

T:               Are they doing anything? Saying anything?

P:               They form up a procession that leads out of the space. They pass some sort of holy metal object or relic along the line and I’m forced to follow it right out of the building.

T:               Atmosphere?

P:               It’s incredibly powerful … spiritual. I’m laid to the ground by the procession. I feel very free. When I look up there is a sage woman looking at me. She rests her hands on my head and then, with an opening of hands, I’m thrown high into the air, floating on a passage of energy.

T:               Any other signs or symbols from the dream series?

P:               Just those obvious recurring ones …

[The patient pauses.]

P:               When I look down the young women have begun to draw circles on the ground. I can see one particular fire-haired woman. She gets lost in the action and is suddenly abandoned in the main circle.

T:               Do you know what’s about to happen at that point when you’re in the dream?

P:               I do. I know exactly what’s going to happen next. But I wake up before she starts to dance.

T:               You want to see it?

P:               No, I don’t want to see her die this time.

T:               Not even for the elements – the soil, the flame, the drops of water or the breeze?

P:               No, not to appease the gods. It’s changing. For once, in the dream, I realise I want my life. I don’t want to be reborn a young woman, no renaissance life. I want to be anima rising. To use my life.

[Her eyes move towards the clock. He smiles at her warmly.]

T:               Well, the outline’s told. I think we can pick up on it next session. Perhaps we can reflect on the sand/salt women and the change to the sacrificial dance?

Duncan suggests …

Reading Man and His Symbols by C G Jung, since knowing when things are a sign and when they are a symbol of something else is one of the most important things we can learn.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2020 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information. 

by Therapy place uk

Saying goodbye

‘On the outside the emotions are being covered?’

‘Yep, there’s a terrible risk in saying “goodbye” that something on the inside will rupture out of me.’

‘Rupture?’

‘Yes, I remember standing on stage … in my mid-20s. I was addressing the audience and was about to thank a member of my band, someone I’d been really close to since I was a child who was emigrating to Australia after the gig. I was stopped in mid-sentence … a syllable more and I would enter the rupture. I turned my face from the audience. The silence on stage was horrific. I don’t remember what next.’

‘You say “rupture”.’

‘When my mother died, I was stuck. The complex grief of losing a mother that I’d only related with well for part of my life left this dark grey block in my chest and the back of my head. I knew I needed to cry but I couldn’t bear to hear the awful sound that wanted to exit me every time I started. Eventually, I turned the music up so loud I couldn’t hear myself cry. But it’s not what I did … not what it sounded like coming out of my body. My inner ears told me what my outer ones couldn’t.’ [Silence]

‘Rupture?’ [Silence]

‘Yes … rupture. The most guttural gasp and then, and then it vomits this sound. [Silence] I’ve heard it from other people. I think it’s the actual sound of loss?’

‘Is it fearful to lose then?’

‘Isn’t … isn’t it fundamental to loving? To connection? The only way to not experience it as far as I’m wired would be by dying so you couldn’t experience loss.’

‘Do I need to worry about that last sentence?’

‘No, no … God no. Nothing like that. It’s that saying goodbye is so fundamental.’

‘So, as it’s a patient that’s brought this up for you, what do you need from supervision today?’

‘I need to say that I have a daughter. A therapy daughter, you know that. It comes from the fact that she adopted me, as a therapy dad. She led, I followed. I had the space in my life to be that figure for a while.’

‘It’s been what? Four years?’

‘Yes, four. There’s been longer, much longer, but I was “therapy uncle”, “good person”, “repairing therapist”, “the first good guy”.’

‘Never therapy dad?’

‘Never “therapy dad”. You know that bit in the training film for therapists, Gloria … the bit where Rogers says, “Gee Gloria, right now, in the moment, I think I do love you like a father”? It kills trainees. They aren’t ready for how it can work in the room. They think it’s a no-no – like he’s made a mistake. But what’s therapy without love? Isn’t it about a form of love? Safe, ethical, non-erotic love?’

And then it hits.

‘Anny is my daughter. I love her as such because she needed me to. So that the therapy could work, so that she could let go of things, discover, rediscover and then let go.’

‘You have a daughter.’ [Silence] ‘You have a daughter.’ There is another pause as the listening therapist collects himself. ’Okay, so we know you understand the process. You know how to deliver safe, therapeutic love to women and men. It’s been a particular theme for you over the last five or six years. What’s different this time?

‘This is only just in my head but … I think it’s that I have to realise that therapy dad is a foster dad. He has to let go. Fully. No matter how much he loved. He has to have played the full role, a surrogate, but when the job is done … [there is a long silence; the room charges with emotion] … when the job is done he has to make space to receive the next therapy son, daughter [niece, nephew].’

‘It’s part of our work for some patients.’

‘Yes patients – from pati – one who suffers.’

‘Imagine that everyone demanded this from us each session!’

The supervision couple laugh together. Letting go of the tension.

‘We supply what our Ps need; it’s a privilege.’

‘Honour?’

‘Yes, honour.’

‘And I wouldn’t change a moment of it, not for all those projections and transferences we have to hold.’

‘But saying goodbye!’

‘I was once given a wonderful message in a card from an “Anny” of mine.’ The supervisor reaches into a tin that is on the side of the desk. ‘There’s a whole bit before this, but here’s the bit that really showed such deep understanding of saying goodbye for me.’

There are things in this world

that even when they live in the past

and can no longer grow into the future,

retain their beauty forever.

For a moment the therapists catch each other’s eyes and each sees in the other the familiar sparkle of light when it catches water.

Duncan recounts from a ‘therapy daughter’ …

“I feel able to fly, but I am sad to leave”

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2020 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information. 

by Therapy place uk

Judgment to be made

The thought is in my head: I’m a cheat, a liar. No, worse than that, I’m a phoney and a fraud …

The thoughts come fast because, in the moment, I know the conflict between my human self and my professional role is in play. I’m also in trouble because I’m quite sure congruence has deserted me.

Although the thoughts are challenging ones to be throwing at myself, if you knew what I was thinking about the person sat looking at me through the screen you might agree with my self-assessment. The difficulty is not just that I’m suffering a lack of congruence but that I’m deeply caught in negative countertransference and so my empathic response has taken absence without leave. 

Without being able to reach for empathy, the therapist’s chair feels a lonely and dangerous place.

It’s difficult to hear things from him that make me consider him in a new, negative light. My inner human self is ranting at him: What did you expect to happen? Could you not see your own stupidity, your own selfishness?

My supervisee isn’t giving me time to gather my professional thoughts; a set of words about how responsible he feels has just collided with his own self-loathing about the choices he made. But his split doesn’t mirror my own internal human/professional dust-up.

The space that the two of us have relied on in all our years of working together feels closed off. I’m still wrestling with these thoughts as he starts to emote deeply. He looks disorientated and his face has become red and mottled as if he were an alcoholic sitting on a park bench, complete with bottle of Bucky wrapped in a brown paper bag. As I hear his intake of breath and moan of grief, the tears and snot that were hanging off the end of his nose drip out of the lense’s gaze.

Unlike many of my colleagues who, perhaps erroneously, only think of in-room work as ‘face to face’, the 371 miles between Alastair and myself has never seemed a vast distance. Indeed, how much more face to face can you be than the 40 centimetres between face and screen on each side. I can see the threads of blood in the whites of his eyes.

Over the years we’ve worked collaboratively, I’ve watched him deal with some dire moments as a therapist and a human being. When his sister was killed in a road traffic collision we worked so carefully and trustingly together on his departure from, and return to, his case load. The loss of a long-term patient to motor-neurone disease was another moment when my admiration for his care and thoughtful practice grew. His attention to that patient seemed to make so much difference to the end of her life. He felt pain and I shared some of it with him in the supervision space.

I’m working really hard for the supervisory couple. I’m fighting for us. I feel the need to converse with my own therapist. He may have died years ago but he’s often with me in the room as an internal supervisor. We talk in the shadow, considering how, in the collective unconscious, there are some serious waves of communication going on between Alistair and me. And then my old clinical supervisor is sitting on my shoulder, asking me – no, interrogating me – about my lack of tolerance in the room.

I’m monitoring my breathing pattern. My body is just engaging with the kinesthetic memory of deep relaxation. And I’m back. I’m in my professional-self.

This is better. Feel the space! The walls have moved far away. Some of my other consultants over the years flow to the space – from therapeutic and supervision engagements. It’s quite a team to have on my side.

Spaces in the therapeutic profession are very considered and complex things. There are the outer ones, the room, the being together in a space and then there are myriad ever-changing inner ones. I know what I have to say, with congruence reintegrated; I know it will feel risky but we have always worked with honesty and I will have to let him judge me as I might still be judging him.

I begin to talk, my professional risking forward what I hope will be considered a balanced tone – something my inner human had temporarily been without. ‘I’m hearing in all this that you feel, somehow, it was definitively you who brought Covid into the family. That you contracted the coronavirus from your in-room work and that made you responsible. Now, you’re heartbroken. It’s not only the loss in your family – it’s also because you aren’t in a place where you can support your patients with the trouble they’re experiencing in life while you are stuck in your own guilt and grief. Perhaps, given that you know I’m only working online during the pandemic, you’re also wondering if I’m looking down on you from a point of judgment?’

There is a pause.

He breathes deeply …

Duncan cogitates …

The above raises what can be a deeply uncomfortable reality: the binary split between human-self and professional-self in an encounter. 

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2021 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information. 

by Therapy place uk

Don’t do it, Mr Collingwood …

I think I first noticed the man because he looked uncannily like a school teacher I’d had a positive relationship with. It didn’t seem to matter how many times I went to the supermarket, the man was always there. I’d say inside my head, ‘Good morning “Mr Collingwood”’ in that distinct rhythm we are all taught to address teachers by as school children.

Sometimes I’d meet ‘Mr Collingwood’ in one of the aisles; on other visits I’d see him, almost hunkered down, in the far corner of the car park, close to the railway line – my favourite parking spot.

When someone looks familiar, I think we signal something to the other person – perhaps we radiate a connection in the unconscious that they respond to.

Over the warm summer months it felt comfortable striking up a non-verbal, nodding acquaintance. When you see someone often enough on a regular route or passage, you begin to notice things about them. What I observed about ‘Mr Collingwood’ was that despite his slender frame he was always eating, but there were only ever two things he consumed: a large baguette pulled straight from the bread rack, cellophane wrapper rolled a little way down as he consumed it; or a family size bag of salt and vinegar chipsticks. Both the baguette and the chipsticks were eaten in a very similar manner – thumbs to the back of the packaging and fingers to the front. He would tilt his head down to a fixed position and then the packaging was raised close to his mouth as the food from within was consumed. It took a few observations before I was certain, but it became clear that bread was eaten inside the supermarket yet the salt and vinegar snacks were only ever eaten outside. In fact, the more often I saw him with the savoury snacks, the more I noticed he ate the sticks in a manner reminiscent of a horse with a nose bag, munching up the hay.

I’m not that certain how many times I actually saw ‘Mr Collingwood’ and I’m not sure how quickly I realised he had mental health issues, but we were exchanging a few words by the time the clocks went back in autumn. We never went beyond an ‘It’s warm today …’, ‘For the time of year …’ type of conversation, but it seemed appropriate, safe, friendly – respectful, even.

Shortly before Christmas, on my journey to the supermarket I was overtaken by a police car. At the roundabout, which is the entry road to the store, I could see, close to my parking spot, another police car. The traffic quickly began to back up at the railway crossing and it was clear that a late middle age man, stripped to the waist, was in major distress in the middle of the track. Those with mental health problems need to be treated sensitively and it is incumbent upon police officers to respond in such a manner. Being the first at a scene like this you’d hope the officers had extensive training in how to calm a situation and deal with the distress. But how can this really be expected of a service that was created for very different purposes? I took a look at the officers. They were young and I’m certain trying to do their best, but watching the scene from the car park it was apparent that every time a uniformed figure approached and shouted out to the half-naked figure, a wave of distress racked the figure’s body. He repeatedly raised his hand then smashed his fists on his body like a man boxing an internal shadow he was trying to rid himself of. I looked around for ‘Mr Collingwood’ and my heart leapt; for a moment I didn’t catch my breath and then a tear pricked my eye. It was poor ‘Mr Collingwood’ who was on the railway line. I pushed myself forward for a few metres and talked to the female officer closest to me.

‘I wonder if I can help?’ I asked.

‘No sir, we have to keep you back this side of the line,’ she replied.

‘I know this man a little; I’m a psychotherapist.’

What the hell am I saying!! This isn’t my line of work anymore. I’ve not worked in a hospital department since 2004.

‘We have called for an appropriate medical professional sir, if you could just stand back please.’ And I watched as three other officers tried to herd ‘Mr Collingwood’ like a farm animal.

I’ve not seen him since at the supermarket; I miss our nods and acknowledgements of the simple things we’ve noticed of the day. I hope you are well ‘Mr Collingwood’, I hope you are well.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2019 as part of the Three Men with a Blog project.)

by Therapy place uk

Dying Twice

This year, and for the first time, the anniversary of my father’s death some years ago passed by without me remembering …

It had been a short drive to the nursing home my father had moved to eight days previously. My wife and I had been his primary carers for close to a decade but when, fourteen weeks earlier, he had fallen and broken his hip, his move away from his home and into the healthcare system sparked in him a serious decline. There was also a touch of guilt at the freedoms his move was affording to us.

As we neared the care home, an ambulance on an emergency call passed us. A minute later we drew up behind it and a paramedic vehicle already parked at the home. My wife said to me, ‘It’s for your father.’ I winced; I felt her to be right.

As we strode down the corridor of the second floor suite in which my father had taken residency, a member of staff addressed us: ‘Are you here to see Brian?’

‘Yes,’ we both smiled.

There was already a temporal shift occurring – odd, I thought, no one has addressed us in such a way before. A nurse blocked our path to my father’s room: ‘You’re Brian’s relatives?’ Somehow, in a moment, we were all in her office. My wife looked pale: ‘You’d better sit down Mrs Stafford.’ But there was a dreadful tension and confusion in the space. With my psychotherapist’s hat on I honed in on the emotion – there was huge anxiety being broadcast from this experienced nurse. After a few words she left us saying, ‘I’ll just check on your father’s condition.’ It hit my wife and me at the same moment and we rushed along the corridor.

Bundling into my father’s room we saw a paramedic ‘shouting’ at the prone and half naked figure: ‘Come on Brian … stay with us.’ My father’s chest heaved in physical distress as a bag covered his mouth and another medic prepared to shock him. His skin had the waxy hue and paleness I’d seen on my mother as she passed away.

In the small living space that had become my father’s whole world the paraphernalia of modern emergency support was strewn all around. My wife was first to enunciate her horror: ‘What are you doing this for?!’

For several weeks in three separate medical establishments my father, despite his communication difficulties caused by a stroke some years earlier, had made himself understood – he wanted to die. For the long years before he broke his hip my wife and I had cared for my father, it had been difficult to watch his almost daily decline; he had been a proud, principled and independent man, a teacher and an artist. At eighty, long overdue, he become a published poet. Difficult as it was to watch, we respected that this was a man fading out at his own request. And yet here we were, thrust into the most terrible of moments – a man who wanted to die being forced back into a world he no longer had an interest in. Our protestations that my father be allowed to pass away brought yet more tension into the room. The ‘shouting’ stopped, but our fourteen weeks of frustrations at the NHS care system were too much for me and my wife.

In counterpoint we made our cases aloud to the six medics about respect and civilised treatment. But apparently, my father’s DNR (do not resuscitate) wishes had not been recorded in the requisite manner. Procedure and regulation were in the way of care and welfare, and overrode my father’s desires.

For his entire adult life, my father voted for a system that respected people, treated them well; a welfare state, a national health service, free at the point of need – one of the marks of a civilised and mature society. Those entrusted to administer NHS continuing healthcare had already attempted piracy with his rights and, now, these paramedics were clearly having to apply procedure rather than the human care they so obviously wished to dispense.

My father was being denied his wish to die peacefully and with respect. This was a system seeking to revive him so that it might take him back to a hospital he had already refused to be taken to, in order that he could ‘die’ once more, probably on a trolly in a corridor in A&E.

Before all was lost, the senior paramedic took control and through several different stages and conversations that involved myself and my father’s GP the paramedics were allowed to ‘withdraw’. And then the room was quiet and my father once more calm. His beloved radio could be heard in the corner of his room and death once more began to claim his body. Peacefully and with us as comforters for his passage he was able to complete his life, with respect and dignity.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published on Three men with a blog in 2018.)

by Therapy place uk

Walking with distress

Moving forward under our own steam on two legs is, in itself, an expressive thing. Look around as you move through the city or the country and you will see people doing it – using their bodies and expressing something about their actions, their direction – the stroller ambling along, the I’m late, I’m late followed by, or bumping into, the smart phone addict head down in a separate world, still checking social media on the way from one meeting to the next. But what’s happening with the inner voice? What past directions and journeys are being played in the inner self?

When I take people for a walk-and-talk session they are curious about how it might work. They are often stuck in life, distressed with it or perhaps bereaved. Inner symbols reveal as you walk: things we pass trigger memories, and the pace and openness of not being trapped within four walls help some very difficult thoughts to make their way out of the unconscious into the conscious realm. And, of course, nature and the environment makes itself very much part of the work. This might make sense as to why therapists so often use tree imagery on their websites. Sometimes a rabbit really is a symbol – vitality and rebirth are never far when you take therapy for a walk …

Read on for some of my free verse triggered by the walking therapy I offer.

Pace: on walking with distress

Walking, walking, walking. Pacing things through. We are in the world right now.

Talking, listening, watching. Right at the very edge of life. ‘I remember how my father laughed at me as we drove down the hill. I was about to shit my pants and he was laughing, crying with pleasure … at my distress.’

Concrete, gravel, turf, tarmac, the water at our side. ‘If you add the negative moments up and you add the neutral and the positive, you don’t get what you expect.’

Walking, marching, ambling, pausing, listening, watching. ‘The whole marriage is lost.’ Loving and losing, kissing and hating. Steps pass by as seconds rotate in time. [Again] ‘Were more of them good than bad?’

A courting couple in the back of a car cuts like a knife. Pace, control and then, then, there is just loss. ‘An intense toothache. Everyone knows toothache. Through the whole body, the mind, to quiddity.’

Walking, walking, walking, talking, talking, talking, listening, listening, listening. ‘We finally managed to break down the door but he was already dead, squashed against the back of it.’

If we looked over the bridge once, what would happen? Twice? Would a third time make the pain greater or lessen it? ‘Would you jump?’ How much would I remember of my story?

Moving, moving, now always moving. ‘It helps with the pain; it stops that claustrophobic tightness in my head.’ ‘Are these things in your head or are they in your body?’ The sensation of the cradle rocking, the soft, soft murmuring song before I fell asleep.

Pain, pain, pain, stabbing at the pith. Not needing to let go today, not quite rocked, not stepping away just yet. Step, mirror, step, mirror, step, walking, talking, listening, ‘expressing?’.

What does the body say? ‘A question? What does the body say?’ ‘Feel?’ ‘Say!’ ‘Oh look, a rabbit! Lots of them.’ ‘And the body?’ [Slowly] ‘L-o-o-k, t-h-e-r-e-’s a r-a-b-b-i-t-?’ ‘Yes.’ ‘Yes.’

Walking, walking, walking, talking, talking, talking, listening, hearing, feeling, hearing?
‘Yes.’ Feeling? ‘Oh, look, another rabbit!’

***

I highly recommend taking therapy beyond the four walls of the consulting room out into the real world and seeing what happens for you. NB this idea makes many therapists anxious about controlling the situation and the space – but they can get help with that.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2019 at part of the Three Men with a Blog project.)

by Therapy place uk

Mother Nature

It’s pretty snug in the back of the café on the high street. Soft fried eggs are being popped by chips on most tables, washed down with builders’ strength teas while unapologetic white bread – spread with margarine – is busy mopping up baked bean sauce.

Across the aisle, to my right, a table of five sit talking – three young women in their mid-twenties, a giant of a man (probably thirty) and an angelic blonde child of about fifteen months who is sat in a high chair with her back towards me.

I’m not quite sure what first draws my attention to the group but I’m suddenly aware of something completely chilling. The woman closest to the child (who appears to be her mother) displays open anger and disgust, for no apparent reason, towards the child, who is finger feeding herself.

I am so tightly aligned with the mother’s eyes that I can’t believe she hasn’t seen me looking directly at their dyad. I’m unsettled. Here in the friendly atmosphere of my favourite greasy spoon, where I have never heard cross words spoken or seen tension displayed. Here in this friendly high street enclave I am deeply disconcerted at some momentary flashed expressions.

And now I’m no longer enjoying the acidic bite of the tinned tomatoes that accompany my eggs, chips and beans. My human ability to read two of the six universal emotions purported by Ekman and Friesen* have seen to that.

Mother is looking blankly at the child. Across the table engaged with her friends and partner she appears inconsistent: sometimes smiling and engaging but then turning to her child with poison and what I see as resentment. Father strokes the child’s head for a moment. Mother, checking to see the others are engaged away from her, flashes more disgust at her child. Mother’s upper lip is raised, the bridge of her nose wrinkles and her cheeks are high.

I think I raise my right hand to my mouth to try to cover the words I’d like to shout across the room. I want to stand up in the back of the café and address my fellow regular patrons. ‘Am I the only one who can see this?’ I’d shout. I want to race across the room and ask what is wrong with this friendship group that they do not challenge this mother, their friend. Why do they not want to protect the Angel from this storm?

I’ve lost my hunger and I am left in a universe of uncertainty. Did my own mother feel these emotions towards me when I was a child?

Angel, who has been so calm and contained for one this young, reaches over her plastic feeding bar and attempts to get to more food. Her father strokes her head gently once more. Mother stretches to the food, breaks off a crust of toast and drives it in the air past her daughter’s eyes to her own mouth, and drops it in. Every gesture aimed at Angel says, ‘I hate you; you disgust me.’

I deploy my inner therapist as my own referee against demonising this young mother.

Thankfully, mother and friends are ahead in their meals and don’t look as though they will sit and talk after they finish. Dad produces hand wipes for mum to clean Angel’shands. The three engage, and Angel is allowed to witness and absorb more of her mother’s bile. Mother’s eyes dart around her friends and partner. She places the first wipe, now dirty, on Angel’s head; it looks like she wants to humiliate Angel, turn her into a rubbish dump. She begins to roughly clean her other hand. Father’s long arm reaches over and removes the wipe from Angel’s head and places it on the table. Mother smiles at her partner in a sarcastically petulant manner, then turns a disgusted face once more towards Angel – dismissing her.

My inner therapist has decided he is watching the acting out of an envious attack from mother to the child who has stolen her lover. It is dangerous, raw and uncomfortable to see. How have I been able to be this voyeur? How have I not been seen watching in plain sight?

Father rises from the table, stoops and picks up Angel from her chair. He holds her lovingly in an embrace and I see, as they twist around, the brightest of faces, a smile and a giggle. Now moments later mother is manoeuvring the empty pushchair through the café. She looks depressed, abandoned, weighted by the world.

The observation is over. I am unsettled: ‘What could I have done?’

I so hope I will not read of a mother and child killed on the nearby railway crossing or of Angel battered and abused, then removed into care.

This breakfast has left me feeling empty; I’ll not forget it for a long time yet.

* Ekman, P. and Friesen, W.V. (1971). Constants across cultures in the face and emotion. Journal of Personality and Social Psychology, 17(2), 124–129.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2018)

by Therapy place uk

The Zen of Frank

As a student in the 1980s I had a Critical Analysis teacher who rarely turned up on time for lectures …

In fact, he often didn’t turn up until the very last moments of a session but always managed to hush his students’ chorus of criticism by turning the negative comments back on his accusers. 

In his first term of teaching me, I was as indignant as any other student. But as the months went by I observed his behaviour. With his educational conjuring, this quiet and charismatic man began to gain more and more of my attention. It seemed to me that Frank wasn’t skiving or avoiding teaching; he was watching us individually and as a class – sometimes from a vantage point elsewhere in the college. He enquired of us why it was we wasted the time he was ‘giving us’. Why did we ‘generally loaf around, smoke in doorways or hang out of windows’, especially as there was obviously so much still to learn?

It was the final term of the first year before Frank began to attend as many classes as we, his students, did. Several of us were still some way off working with the set texts our course was supposed to be about. And yet those same classmates were now engaged in infantile battles with Frank over whether he really did know the meaning of every word in the Oxford English Dictionary (from memory, he was never foiled). 

Youth and naivety potentially led us to waste a lot of our time along with projecting onto others the blame for our individual lack of performance.

The last time I saw Frank was, appropriately, a few moments before I left college for the final time. It was a hot summer’s day – the sort many small boys enjoy because of the huge numbers of flying ants building up to their nuptial flight. As I walked through the gates and headed for my motorbike, I caught a glimpse of Frank kneeling on the ground observing insects with more of an amused look of a young boy than a 60 year-old man.

I ambled over to him and we began to converse. A few sentences in, I delighted in telling him that I thought I’d probably learned more from his non-lessons than I had from all my other subjects combined. He smiled, and I continued: ‘And I think I understand what you were trying to do for us. It was all about taking responsibility for our own actions, doing our own work, seeing things how we see them and making use of that knowledge.’

I stopped and smiled back at him. He put out his hand, I accepted it, and we shook with vigour. ‘Keep thinking; keep watching; keep looking,’ he said. He turned away and got back down on his knees to continue his insect observation.

Almost 40 years on from the lessons of Frank, I suppose he will certainly have passed on from this mortal coil. However, his facilitating approach hasn’t. The unconventional methods deployed during those Critical Analysis lessons would be impossible to use in a teaching role this century – and yet from a therapeutic chair they still look deeply valuable. Frank’s style was rooted in creating informed, personal growth. For some of us at least, the approach lay good grounds for the development of complex grey thinking in a world of blacks and whites, but there was much more in it than that. 

These days, when Frank crosses my mind during a session I can be pretty certain that the work of growth is deeply in play – the focus in those moments will so often have turned towards becoming truly, richly, deeply the person they were looking to become before everything else got in their way. Frank didn’t appear to care for the ego of attribution of knowledge, only that you learn and find the things you need for your journey. But once in a while I like to mention his name, to tell others of a great teacher who has stayed with me – as relevant in therapy as he was in the arts. 

(This article was originally published on Three Men With a Blog.)

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited.

by Therapy place uk

Helping men to help themselves 

Men2018

It’s been a little while since I blogged about men and therapy. So, at the start of the year, when many people decide to put things in order and turn to psychotherapy and counselling for some clarity about their lives, I thought I’d write something that might help men take a therapeutic step.

It’s a sad fact that, according to the latest 2016 release from the UK Office for National Statistics, men still make up around three-quarters of deaths by suicide and yet are only reported to make up just over one-third of referrals to NHS talking therapies. So, if that sobering statistic makes you think, read on …

Access to therapy isn’t about men vs. women. It’s much more about why, as men, we might find barriers to getting help.

The continued high suicide figures for men by comparison to women suggest there is definitely something going wrong for us men – but taking your life by your own hand is just the start of the male distress story. It’s also true that around three-quarters of adults who choose to ‘go missing’ from home are men, and close to 90 percent of rough sleepers are men. It’s men who are three times more likely to become dependent on alcohol and three times more likely to report frequent drug use. Men also make up two-thirds of drug deaths, 95 per cent of the prison population, and commit more than 85 per cent of violent crimes. Additionally, they are twice as likely as women to be victims of violent crime. Sadly, men have lower access than women to social support networks, and are 50 per cent more likely than women to be detained and compulsorily treated as psychiatric inpatients.

If we look at boys, then we see they perform less well than girls at all levels of education and that close to 80 per cent of children who are excluded permanently from schools are – you guessed it – boys.

While there might be a number of reasons that these gender differences exist, what’s really important to perceive is that, for a large number of men, life is difficult.

When it comes to depression we already know from practitioners’ reports and some academic research that the commonly recognised and described symptoms of depression – being tearful, withdrawn, lacking in motivation and energy – are a more typically female presentation of the issue. Men will actually often express symptoms in an externalized way that we call ‘acting out’. This might be through uncontrolled anger, addictive behaviours that are used as a cover up for the felt distress, or the use of physical aggression. And, of course, if you express your depression in these sorts of ways it tends to compound difficulties in the social world, and will often make family, friends and professional helpers less sympathetic in their response.

Data drawn from population level studies suggest that men who are in psychological distress are more likely than women to choose coping strategies that don’t help them adjust adequately or appropriately to the environment or situation. A popular strategy might be to self-medicate through alcohol, drugs, or porn and/or sexual addictions. Of course, generalised data about gender is just that: general! And so it doesn’t tell us about any one individual. But my experience since joining this profession at the beginning of the 21st century certainly adds up with the data.

This blog hasn’t sought to offer a quick fix or a set of tools to use. What it has done is outline to anyone who reads it that we might need to approach men and their problems in a different way. Men need a space that will reflect their male nature in a positive frame. Sometimes that means that a male therapist can be a good starting point – although it is suggested by some research that as long as the  space takes a ‘male positive’ stance men make better progress. For other men it might be the environment in which they access their therapy that helps them to make progress – for example, men can thrive during online sessions or walk-and-talk sessions where the therapist is alongside them rather than sitting face-to-face.

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In my own practice, I see more men than women (excluding couples work) and I offer face-to-face sessions as well as online video-based counselling, psychotherapy and coaching through FaceTime or What’sApp. I also provide single-session therapy and one-off walk-and-talk therapy sessions (on particular days throughout the year) in Cambridge, Bath and Bristol. And, of course, a one-off session can become a gateway to deeper ongoing work …

Statistics for this blog were drawn from sources reporting between 2014 and 2016, including those from the Office for National Statistics.