Sunday, August 8, 2010

Thinking behind practice – post-structuralism, culture, and individualism


I am doing a series of reflections as part of a post graduate course on Narrative Therapy. Overall there will be about ten reflection papers on various concepts and practices that currently form and shape Narrative Therapy.

I chose this set of readings for reflection because post-structuralism has been a significant influence towards my approach to counselling and other aspects of life.  In the counselling arena it has been liberating for me and my clients.  I have a client, X, who was referred to me by school personnel for anger and defiance issues.  Problems happened over the past year and the school counsellor described him as being “resistant” and unwilling to speak.
In my first meeting with the 15 year old boy at his home, he stood by the door and softly apologised for getting home late before going to his room to change out of his school uniform.  I imagined if I had taken up the image of a “resistant” angry boy as a fixed identity then I might not have noticed such subtle expressions of an alternative identity (Thomas, 2002).
Post-structuralism for me invites a sense of inquisitiveness that leaves no stone unturned, where I become an investigative journalist writing an expose (this was how Michael White described a therapist’s role during a 2007 workshop). The brief referral report on X seemed totalizing of his identity and I chose to open an inquiry into the report, allowing X to read the report and respond to all the statements.  There have been other occasions where I invited clients to expose the labels that structuralist ideas may impose on them and this endeavour has often proven fruitful in uncovering their skills, knowledge, and values in response to problems faced.
In later dialogues with X, many other stories unfolded around his school life that contradicted the problem saturated story.  This included his experience of the injustice inflicted on him by certain teachers who did not listen to his explanations, the experience of humiliation when unusual punishments were enforced on him, and the skill of walking away as a means to prevent anger from blowing up.
In his telling over two sessions, the label of an angry defiant youth was not a problem isolated to his “self” or an identity that pervaded in all contexts. I was delighted when X told me he felt more relaxed after the second session.
In working with youths, I have become more aware of their culture and how the culture encompasses their preferred response to life’s problems.  In reading about psychological colonisation (Arulampalam, Perera, Mel, White, & Denborough, 2006)  it reminds me that as adults we often impose our adult ways of problem solving as the sole acceptable or “normal” way.  I have learned to be sensitive to and to be appreciative of youth culture because privileging their ways invites personal agency and relieves the effort of introducing an alien culture to them.  For each client that I meet, I envision a meeting of cultures and therefore an exciting opportunity to learn more about my client’s life.
References
Arulampalam, S., Perera, L., Mel, S. d., White, C., & Denborough, D. (2006). Chap 3: Avoiding psychological colonisation: Stories from Sri Lanka. In Trauma: Narrative responses to traumatic experience. Adelaide: Dulwich Centre Publications.
Thomas, L. (2002). Poststructuralism and therapy - what's it all about. The International Journal of Narrative Therapy and Community Work(2), pp 91-99.

Working with children

I am doing a series of reflections as part of a post graduate course on Narrative Therapy. Overall there will be about ten reflection papers on various concepts and practices that currently form and shape Narrative Therapy.


What I found valuable in readings about working with trauma and children is the care taken to facilitate the building of “territories of identity” (Ncube & Denborough, 2008; White, 2006) which has helped children speak about trauma in a way that does not re-traumatize them.
I used this approach in a recent first time interview with a 17 year old gay teen whose mum described him as having been traumatized by an encounter with an adult male.  No other details were provided. Our conversations explored various parts of his life such as his love for children, his uncertainty over loving a best friend, and his own knowledge about his sexual orientation since age eleven.  I was wondering how to ask about the details of the trauma but after twenty minutes the details gushed out as he described how a man had tried to have unsafe sex with him without his knowledge.  The tellings about other aspects of his life had somehow equipped him to speak freely on this trauma event.  I am thinking my respectful and curious response as an audience to his tellings also contributed to his feeling safe enough to say more.
Michael White further wrote about avenues for therapeutic enquiry into children’s responses to trauma.  In the same interview, which I transcribed for a clinical consultation with Chris Dolman, I attempted to identify such a response and discovered that I had missed something subtle.  The boy spoke about an “uneasy feeling” and “didn’t want to do it”. After discussing with Chris, it dawned on me that somehow I held notions about the word “response” that were limited to action based responses.  I have now expanded my meanings of “response” to include expressions of feeling and intent that could indicate an entry into conversations about the absent but implicit.
Reading about the experiences of using the Tree of Life metaphor has also sparked off my interest in using it to invite conversations about difficult times in the coming out process of gay men (Ncube & Denborough, 2008).  My main consideration is how to invite meaningful conversations in a short span of time and being careful about re-traumatization. I am excited about the next two months when I facilitate a brief support group programme for gay men.
References
Ncube, N., & Denborough, D. (2008). Chap 4: The Tree of Life: responding to  vulnerable children In Collective Narrative Practice: Responding to individuals, groups and communities who have experienced trauma. Adelaide: Dulwich Centre Publications.
White, M. (2006). Chap 7: Children, trauma and subordinate storyline development. In Trauma: Narrative responses to traumatic experience. Adelaide: Dulwich Centre Publications.

Working with couples

I am doing a series of reflections as part of a post graduate course on Narrative Therapy. Overall there will be about ten reflection papers on various concepts and practices that currently form and shape Narrative Therapy.


I have always wondered since coming into contact with narrative ideas how might couples counselling be practiced.  Jill Freedman and Gene Combs’ writing (Freedman & Combs, 2002) provided me a comprehensive picture of how it could be done.  This helped validate that I was on the right track but somehow it did not address my doubts on the idea of “repositioning” in the definitional ceremony for couple work. It seemed daunting to begin on such a task especially with couples in “high and long standing conflict”.
After reading Michael’s paper on conflict dissolution (White, 2004), it became clearer to me that there was much to be considered and managed by the therapist.  It was a relief to read that it can be “extraordinarily difficult” to reproduce the tradition of outsider-witness responses between a couple.  So far my attempts have been getting into a re-authoring conversation with one partner while the other remains an audience, followed by a re-telling with the other.  This works when emotions are not so intense between them.  I also found the linguagram to be helpful in inspiring me to work with couples through externalizing their values, skills, and knowledges by placing them onto diagrams that can then invite further reflections to thicken the alternative stories (Løge, 2007).  I believe having words in print increases the effect of externalizing the words from the speaker, and thus enables couples to speak and notice the unheard stories about each other without escalating emotions.
I have always valued the strong emotions that are present between couples and amongst family members, and often wonder about how emotions can be part of the re-authoring process.  I noticed my practice had gradually shifted away from a “here and now” stance towards one that emphasized “journalistic enquiry”.  Perhaps this was influenced by what Michael White had mentioned during one workshop about his preference of not dwelling on emotions even though he may be touched by a client’s story.  Perhaps I had misunderstood what he said.  It was only recently that I found a fit for using the “here and now” practices after seeing how another narrative practitioner demonstrated her work.  I feel reconnected with what I value and this brings about greater possibilities for how I wish to work with couples and families.
References
Freedman, J., & Combs, G. (2002). Narrative couple therapy. In Narrative therapy with couples ... and a whole lot more! a collection of papers, essays, and exercises. Adelaide: Dulwich Centre Publications.
Løge, A. K. (2007). Conversations with divorced parents: Disarming the conflict and developing skills of collaboration. The International Journal of Narrative Therapy and Community Work, 1, pp 3-14.
White, M. (2004). Chap 1: Narrative practice, couple therapy and conflict dissolution. In Narrative Practice and Exotic Lives: Resurrecting diversity in everyday life (pp. 1-41). Adelaide: Dulwich Centre Publications.