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The Person-Centred
     Approach:
A Relational Therapy

    Dave Mearns
 www.davemearns.com




                       1
Contents
 Working at relational depth;
 Resonance;

 Client processes;

 Working with the client’s
  ‘configurations’ of self;
 Configuration Theory;

 Revising Rogers’ Self-Theory;

 The developmental agenda for the
  therapist working at relational depth;
 ‘Existential Touchstones’;

 Working with Dominic and Rick. 2
RELATIONAL DEPTH
in counselling/psychotherapy



                     3
Mearns, D. & Cooper, M. (2005).
Working at Relational Depth in
Counselling and Psychotherapy.
London: Sage. ISBN 0-7619-
4458-3


                        4
A Schema of Working at
   Relational Depth

   A               B                  C
 Offering       Negotiating      Contact with
relational   client processes   the existential
  depth       and dynamics         process




                                  5
THE PROCESS OF
     RELATIONAL DEPTH
 The counsellor’s humanity is focused upon the
  client;
 the client lets himself experience that
  humanity;
 this creates a huge therapeutic space/safety
  for the client;
 the client experiences himself more fully;

 On an on-going basis the client is more
  sensitive to himself-in-relation.


                                    6
CLIENTS’ VIEWS
   I had been in counselling twice before, but
    this time it was quite different – this
    counsellor was more ‘real’.
   It felt like I didn’t need to be so ready to
    defend myself.
   I found myself saying things that I had
    never said before.

                                     7
   It felt so liberating – I didn’t have to
    pretend the way I always do.
   I felt hope for the first time
   I felt two different things – I felt that I might
    believe in this person – and I felt sick to
    my stomach.
   I was scared – scared that I might have to
    trust her.


                                        8
   I realised that what I had done before in
    counselling wasn’t really getting to the
    heart of things.
   There is a difference between really
    risking and playing at therapy.
   Even just the experience of that first
    session with her made me think A LOT
    about how I am as a counsellor.


                                    9
Encounter, not
  invasion


            10
Two Aspects of
        Relational Depth
   ‘moments’ of relational depth;

   relational depth experienced as a
    continuing relationship


                               11
‘Presented Dimensions’
        of Self



                 12
‘ Approach/ Avoidance’
  towards being met at
    relational depth



                         13
Disguises, Clues,
Lace Curtains and
  Safety Screens


                    14
Creating the conditions for
meeting the client at relational
depth

   High levels of the ‘therapeutic
    conditions’ in mutually enhancing
    interaction.
   The ‘stillness’ and ‘fearlessness’ of the
    therapist.
                                    15
Two aims in offering the client an
engagement at relational depth


   ‘Listening to the expressing rather
    than the expression’

   ‘Meeting the client inside his
    experiencing’

                                     16
‘ Listening to the Expressing/
  Entering the experiencing’
   Tony: I can’t, I can’t, I can’t, I can’t, I can’t
    …..
   Bill: No, ….. you can’t.
   Tony: No one can.
   Bill: (Silence)
   Tony: (Thumping his fist on the floor and
            screaming) I need to kill myself.

                                         17
   Bill: (Silence)
   Tony: I need to go ….. I must go ….. I
          must go away from me.
   Bill: (Silence)
   Tony: I don’t know how to do it.
   Bill: It’s hard, Tony …. It’s hard …..
    like
         there’s no way.

                                  18
   Tony:   No way ….. no way ….. How do
            people do it?
   Bill:   God knows Tony.
   Tony:   Can you warm me Bill?
   Bill:   (Puts his arm round Tony).



                                19
Much later Bill comments on this
meeting:

It’s an example of how you can be with
someone and have conversation
without having any idea what it’s about.
 Yet all the time you can feel them -
and be with them feeling. It was weeks
later that I found out the ‘content’ of
this meeting…

                                           20
Tony was ‘being’ the part of him which
had done some bad stuff. In war people
can do bad stuff that they can’t live with
later. Tony was feeling that part - he
wanted to get rid of it - to kill it or for it to
go away. But, of course, there was no
way to do it - that’s what we were in.

                                      21
Relational depth is
 about the quality of
the relational contact,
   not the quantity


                    22
Relational Depth in
        Everyday Life

 Doug the teacher
 Mhairi the nurse

 Lillian the social worker




                              23
Contents
   Working at relational depth;
   Resonance;
   Client processes;
   Working with the client’s ‘configurations’ of
    self;
   Configuration Theory;
   Revising Rogers’ Self-Theory;
   The developmental agenda for the therapist
    working at relational depth;
   ‘Existential Touchstones’;
   Working with Dominic and Rick. 24
RESONANCE
Through self-awareness in therapy the therapist
becomes conscious of their experiencing, ie. the
immediate present flow of experiences. What they
experience is resonance to both the client’s world
and/or for their own world. Resonance…means
the echo in the therapist triggered by the
relationship with the client (p.181).
[Schmid, P.F. & Mearns, D. J. (2006). Being-With and Being-Counter:
Person-centered psychotherapy as an in-depth co-creative process of
personalization. Person-Centered and Experiential Psychotherapies , 5(3):
174-190].
                                                         25
RESONANCE
   SELF-RESONANCE

   EMPATHIC RESONANCE (concordant
    and complementary)

   PERSONAL RESONANCE (relational
    resonance)

                            26
SELF-RESONANCE

Client:   Shall I love him or hate him? I
           don’t know, I am confused.
Therapist: [thinking of his own partner]
           Good question! You never
           know. (p. 183)




                                27
CONCORDANT EMPATHIC
      RESONANCE
Client:    Shall I love him or hate him? I
         don’t know, I am confused.
Therapist: [primarily sensing the client’s
         confusion] There are mixed
         feelings in you. You experience
         affection, you experience dislike
         and these are in you at one and
         the same time. (p. 183)
                                28
COMPLEMENTARY EMPATHIC
      RESONANCE
Client:   Shall I love him or hate him? I
         don’t know, I am confused.
Therapist: [sensing primarily that the client
         gradually has been growing tired of
         the person he talks about]….or even
         forget about him? (p. 183)



                                   29
PERSONAL (RELATIONAL)
        RESONANCE
Client:     Shall I love him or hate him? I
          don’t know, I am confused.
Therapist: [personally touched by his client’s
          bewilderment]…..which makes me
          aware how much I truly hope you
          come to the right decision for you
          this time. (p. 185)

                                   30
When self-resonance spills over…

   Box 6.3 on page 141 of Mearns, D. &
    Thorne, B. (2007). Person-Centred
    Counselling in Action. Third edition.
    London: Sage.




                                   31
Rani and Tariq
My refugee client, Tariq, was talking about
his experience of torture. My own personal
experience of being tortured generally helps
me to stay close to such a client – I can stay
close when many other counsellors would
be in terror. But this time it got too close to
my own experience and I lost control. As he
described the detail of his torture I felt my
own. I felt every cut of the knife. I came out
in a cold sweat and I started shaking. His
                                   32
voice drifted into the background and
the sadistic smiles of my own torturers
came face-to-face with me. For a while
Tariq didn’t notice me and he carried
on. Then he slowly ground to a silence
and just looked at me. I forced myself
to speak. I had to tell him about me –
not the detail of my story – but what I
was experiencing there and then:

                              33
Rani:   Tariq, I’m shaking with fear.I need to
say it because it is so powerful that I’m
fading away from you. I too have been
tortured – a long time ago. For years it has
not affected me, in fact, it sometimes helps.
But just now it flooded me. I was taken over
by my fear – the enormity of my fear. I’m
hoping that by saying it, it will subside. I can
feel it subsiding as I speak. I’m sorry that I
couldn’t stay with you.
Tariq: I understand.

Rani: I suspect that you do.


                                    34
Contents
   Working at relational depth;
   Resonance;
   Client processes;
   Working with the client’s ‘configurations’ of
    self;
   Configuration Theory;
   Revising Rogers’ Self-Theory;
   The developmental agenda for the
    therapist working at relational depth;
   ‘Existential Touchstones’;
   Working with Dominic and Rick.
                                      35
A Schema of Working at
   Relational Depth

   A               B                   C
 Offering       Negotiating      Contact with
relational   client processes   the existential
  depth       and dynamics         process




                                  36
Client Processes

Existential Process’

‘Psychotic Process’ (Prouty)
‘Fragile Process’ (Warner)
                                 Restricting
‘Dissociated Process’ (Warner)
                                 Existential
‘Ego-Syntonic Process’
                                 Contact
‘Transference’




                                               37
Warner, M. (2000). Person-centred
therapy at the difficult edge: A
developmentally based model of fragile
and dissociated process. In D. Mearns
and B. Thorne Person-Centred
Therapy Today (pp. 144-171). London:
Sage.
                             38
The Developmental Basis of
      ‘Ego-Syntonic Process’
   The person has survived a parenting in
    which love and acceptance was not
    reliable. Negative experiences would
    follow when positives might be expected
    – there was no way to rely on the
    relationship. Ridicule, hate or abuse
    would come when love might be
    expected.
                                 39
   To survive, the person needed to:
       • Find ways to control the relationship

       • Find ways to control themselves in

         relationship.
       • Withdraw their emotional attachment.




                                    40
‘ Sandy’
The fellow who has a parent who is
sometimes nice and sometimes horrible
thinks that is the way the world is. Now, in
my own case, that is how it was. At the
time when I came to the school I think the
difficulty was, among other things, that I
was confronted by Patti [his counsellor],
who was an exceptionally fine human
being and a very affectionate

                                  41
and decent human being. I wasn’t able to
accept the affection, which caused even
more anger because everyone likes to
accept affection. But if you condition yourself
to not accepting affection because, if by
accepting it you only let yourself in for the
next downfall, you put yourself in a position
where you don’t dare to hope that the
affection is for real and you keep testing


                                    42
to find out if it is for real, and that’s the
process where, step by step, you find out
whether it is. In a sense, maybe, that
explains my own need to hurt them,
whether or not the affection would
continue to come…

Bettelheim, B. (1987). ‘The man who
cared for children’. Horizon. London: BBC
Television.

                                   43
Ego-Syntonic Process in
       Adult Life
The person’s self-protective systems
become generalised to other relationships
(cf Sterne’s ‘RIGs’ – ‘Representations of
Interactions that have become
Generalised’). The seriousness of the
resulting pattern can vary hugely. The
person may become:

                                44
   popular but ‘unreachable’;
   alone and lonely;
   controlling;
   cold;
   cruel;
   homicidal and suicidal;


                                 45
In its mild expression their ego-syntonic
process leads the person to be
confused and scared in relationships.
They know that things go wrong for
them and they come to expect things to
go wrong. But they genuinely do not
understand why they go wrong. They
have done their best. They have even
tried to think about what the other
person wants, and be that (within
limits). But it always goes wrong.

                                46
In a more serious expression they attract
relations but fail in relationships because,
ultimately, they have to be so controlling.
They need to define the reality in the
relationship and protect against its changing.
They provide well on a material level, function
well enough in more superficial relationships,
but they must not make themselves
existentially vulnerable. Usually they are
genuinely surprised when the other person
leaves them. Again, they had done their best.
                                  47
In an extreme expression, the person
is dangerous to themselves and
others. They are so threatened by
relationship that their self-protection
manifests itself not in confusion or
controlling, but in detachment and
even violence. Their fear is so
profound and the degree of adjustment
they have obtained so tenuous that
detachment and even destruction (of
self or other) are the only existential
‘protections’ they have left.
                               48
The ‘Hook’ in Ego-Syntonic
         Process
   ‘But there really was someone there to
    love – I saw him – I saw him often’.
   ‘It’s not just a “rescuer” thing – it’s much
    stronger than that’. I couldn’t let him go
    because there were times I really saw him.



                                    49
   ‘It’s so frustrating – sometimes she was a
    wonderful person – she was the fullest
    human being anyone could want…but
    then it would evaporate in tears and
    anger’.
   ‘He couldn’t let me in. For 20 years he
    couldn’t let me in. We could even talk
    about how he couldn’t let me in – Maybe
    that was it – at times he wasn’t who he
    was’.

                                    50
Client Processes

‘Existential Process’

‘Psychotic Process’ (Prouty)
‘Fragile Process’ (Warner)
                                 Restricting
‘Dissociated Process’ (Warner)
                                 Existential
‘Ego-Syntonic Process’
                                 Contact
‘Existential Disconnection’
‘ Transference’



                                               51
Getting beyond
             Transference

   ‘A part of me is not sure she should trust
    you, but…’.
   ‘I can’t believe I’ve just talked about me,
    like that, with an old man like you.’




                                     52
‘Difficult process’ rarely defines the
whole of the person. Often there is a
dissonant part that houses a different
conception of self. Its appearance
can be erratic and its voice very
small.


                             53
A Schema of Working at
   Relational Depth

   A                  B                      C
 Offering       Negotiating            Contact with
relational   client processes         the existential
             (including ‘difficult’      process
  depth
                   process)




                                        54
WHAT IS MEANT BY THE TERM
      ‘EXISTENTIAL PROCESS’?
   It is unique to every person;
   It can only be comprehended by taking a
    phenomenological perspective;
   It may contain a rich mixture of self-
    experiences, self-assumptions, hopes,
    fears, fantasies, terrors, experiences in
    relation to others, assumptions about
    others and deeply held values.
                                    55
   It can contain powerful internal conflicts
    and it can also provide conflict for
    dimensions of the presentational self;
   Its elements and dynamics are
    experienced by the person as more
    ‘fundamental’ to their existence than the
    aspects of their presentational self;
   Consequently, they are closely guarded.
    To be judged by another on the basis of a
    self we are presenting is one thing, but to
    be judged for what we believe is our
    essence is existentially dangerous.
                                    56
SANDRA

I had so much hate inside me. I could never
show it in its raw state to anyone. It came
out in lots of ways but I could not show it in
the way it was to me. I could not show the
bile, the vindictiveness, the ‘foaming at the
mouth’ invective. I could not show it the
way it was to me – I could not even show it
to me the way it was to me. It was too
destructive.
                                   57
PAUL
I can’t describe how I am to me in ways that
will make sense to others. It goes around my
head and body in dream-like waves, at
times coming into the foreground and then
receding. It is all ugly. It is about how I am
all ugly – how, at my core, I am rotten. I can
feel the maggots crawling around inside me,
eating me up. Perhaps they will eat the rot
and help me? How could I show this to
anyone else/ How can I allow myself to see
it?                                   58
BERNARD
Sometimes the real me watches myself at
work. It sees the smooth operator, totally
confident and blustering others with my
confidence. It is as though it is a
magnification of the opposite of who I really
am, Underneath, all I am is a crying little
boy. I am curled up, rocking and sobbing.
My face is puffed up with a lifetime of
sobbing. My eyes are permanently closed – I
can barely endure the pain of what it is to be
me – I cannot open my eyes to see anyone
else in case I see them seeing me. 59
Working with the Client in
 his Existential Process
 He gives you his self as he
  experiences his self.
 What he gives is not dominated by

  relational self- protective strategies
 He finds it impossible to lie.




                                60
Striving to meet at Relational Depth
with the Client in her Existential
Process
 Sandie: Do you really want to know me?
        Like, do you want to meet the ‘me’
        that I am to myself?
 Dave: Yes, I want to meet all of you.
       (Pause)
 Sandie: I kill my babies.
 Dave: Is that meant to put me off?
 Sandie: No, it’s just what I do.
                               61
Dave: (serious eye contact) You ‘kill your
 babies’ ….. It’s a difficult thing even for
 me to say. I have to ‘steel’ myself to say
 the words. They are hard words for me
 to say - I think that’s why I was glib.
Sandie: It’s what I do - the words are me -
 I’ve killed three babies inside me.
Dave:      You sound ….. You sound ‘flat’
 about it - on the outside at least - I don’t
 know what you are ‘inside’ about it …..?


                                  62
Sandie: I need to feel ‘flat’ inside about it
       as well.
Dave: Yes ….. I think I can understand
       that ….. I think I really can ….. it’s
       the only way ….. to …..
Sandie: Survive.
Dave: Yes.
Sandie: Isn’t that funny …..
Dave: That when you feel as you do, you
       still want to survive?
Sandie: Yes - I’ve never thought about
       that before.
                                  63
Striving to meet at Relational Depth
with the Client in his Existential
Process
Bobby: I’ve been feeling really bad things
        Dave - really bad things.
Dave: Tell me Bobby.
Bobby: I don’t know if I can Dave ….. I don’t
        know if I can.
Dave: This is really tough for you Bobby - I
        can see that in your face. You’ve tried
        to make yourself tell me by bringing it
        up. But it’s still maybe not possible. I
        say ‘tell me Bobby’ like I usually do
                                     64
….. but this is not ‘usual’ stuff - this
      is ….. different …..
      (Pause)
Bobby: Dave ….. I want to kill me.
      (Long silence)
Bobby: All the roads lead there - I could
      make a good job of it too.
Dave: I bet you could, Bobby - I’m scared
      to use my imagination.
Bobby: It would be one thing I could do
      well.

                                   65
Dave: What are all the feelings Bobby -
       how do ‘all the roads lead here’?
Bobby: I don’t know if I want to go into it
       Dave - I’ve got to this point and I
       feel a kind of ….. peace.
Dave: Christ Bobby, this is tough for me. I
       knew you were going to say that. I
       want to stay with you in that and I
       want to pull you away from that.
       I’m no use to you unless I can stay
       with you in it.


                                 66
Bobby: That’s not true Dave - it’s nice
      for me to hear that. Anyway,
      you couldn’t stop me.
Dave: I really knew you were going to
      use that ‘peace’ word. I could
          feel how ‘all the roads lead there’. I
      can see how that is a conclusion for
      you ….. and a retribution for you …..
      It’s the same as cutting yourself used
      to be for you, isn’t it?
                                    67
Bobby: Yes, it has the same sense of
       ‘punishment’ and ‘control’ ….. Do
       you understand how important it is
       for me to face this?
Dave: Yes, I do. You must face the
       question that perhaps the only way
       to make retribution is to execute
       yourself.
      (Long silence)
Dave: You will have worked it all out?
Bobby: In detail, Dave - in detail.
      (Long silence)
Bobby: It’s funny to feel so alone, yet with
       someone.
      (Long silence)
                                    68
When a client is met at relational
depth and enters his existential
process, he takes an ‘inside’ view of
his Self. From that perspective he
sometimes experiences his Self in
terms of different ‘parts’ rather than
a single ‘whole’.


                                         69
Contents
   Working at relational depth;
   Resonance;
   Client processes;
   Working with the client’s ‘configurations’ of
    self;
   Configuration Theory;
   Revising Rogers’ Self-Theory;
   The developmental agenda for the
    therapist working at relational depth;
   ‘Existential Touchstones’;
   Working with Dominic and Rick.
                                      70
‘ Taking an “Inside” View of
              me’
When you are close to me I go ‘inside’
myself - and see the different parts of
me. From the outside I look confused
and self-defeating - I don’t look alive at
all. But ‘inside’ me I see the different
parts in their own right. I see the scared
and angry ‘little girl’ and her ‘big sister’
who bosses her around, but who really
loves and protects her. Both of these
parts are very alive.

                                               71
‘ Configurations’
Chapter 6: ‘The nature of “configurations”
within Self’.
Chapter 7: ‘Person-centred therapy with
“configurations” of Self’.

In Mearns, D. & Thorne, B. (2000)
Person-Centred Therapy Today: New
Frontiers in Theory and Practice. London:
 Sage.
                                 72
Definition
A ‘configuration’ is a hypothetical
construct denoting a coherent pattern
of feelings, thoughts and preferred
behavioural responses symbolised or
pre-symbolised by the person as
reflective of a dimension of existence
within the Self.

                            73
Definition of ‘Configuration’
  (Non-Jargon Version)

Sometimes people experience
themselves as having different ‘parts’ to
their Self. Each part, or ‘configuration’, is
well-developed, with its own feelings,
thoughts and ways of behaving which
may be quite different from other parts.


                                                74
Sam: A 23 year old
Traumatised ‘Veteran’
‘I walk around watching people and myself.
I watch myself watching myself. I have a
“me” that I use for everyday life. It does all
the “normal’ things that other people do - it
goes to work - it talks with other people - it
goes to the store - it even makes love with
my wife. It carries on as though nothing has
happened. And I watch it. I stand in the
background and wonder how I can do all that
stuff’.
                                                 75
SOME CONFIGURED
                CLIENTS little princess
Mary: Most of the time I am a
 – all sweetness and light. Butter wouldn’t
 melt in my mouth. My little princess is
 friends with everyone and in general
 people treat her well. She developed in
 my childhood and she is still around. But I
 also have a hard edge – as hard as the
 little princess is soft. I call this part vixen
 me. I shiver when I think about her. She
 would scratch your eyes out – don’t mess
 with her. She too arose in my childhood,
 for good reasons.                     76
Joe: I have strong me and weak me. For
  years strong me hated weak me but that
  has changed during counselling. I
  understand now how weak me came
  about – it wasn’t just that he was ‘pathetic’
  – he was scared, deeply scared. Strong
  me helped me to survive but I need weak
  me too – he has parts of me that strong
  me doesn’t.

                                    77
Mary and Joe are familiar with their
configurations and have even given
them names that reflect their main
themes. For other people there is less
familiarity, less clarity, but still a sense
of pluralism, as with Teri who, in
surviving a hostage situation, had
discovered another dimension of her
self…

                                  78
Teri: At first I just cried. I felt that that was all
 I could do. Then something happened – I
 stopped crying and became cool, clear
 and determined. I started to work out
 strategy. I had read about the fact that
 more hostages survived when they made
 themselves ‘known’ to their captors. So I
 stopped snivelling and started to engage
 these people. I was amazed – this wasn’t
 me speaking, but, in fact, it was. I wasn’t
 ‘acting’ – I was being ‘me’, but a part of
 me that I didn’t recognise.

                                        79
PLURALIST THEORIES

Transactional Analysis (Berne)
Voices (Hermans, Stiles)
Parts (Schwartz)
Sub-personalities (Rowan)
Complexes (Jung)
Objects (Fairbairn)


                                 80
Configurations are not
     ‘metaphors’ - they are
   phenomenological realities

‘fairytale princess me’ Vs   I am as innocent as a
                             ‘fairytale princess’

 ‘vixen me’            Vs     I behaved like a
                              ‘vixen’


 CONFIGURATIONS               METAPHORS
                                       81
Configurations are NORMAL
   ways to hold dissonant
           material


                   82
BUT REMEMBER…


Configurations are NOT
meaningful to everyone



                  83
TWO COMMON NARRATIVES
      CARRIED BY
    CONFIGURATIONS


    SELF-EXPRESSION

    SELF-PROTECTION



                  84
Self-expressive
           Configurations

   The part of me that wants more out of
    life.
   The bit of me that isn’t satisfied.
   The voice within me that screams: ‘Is
    this all there is?’

                                  85
Self-protective
            Configurations

   The ‘me’ that just wants to curl up and
    do absolutely nothing.
   The part that wants to go back.
   The bit that protects me by sabotaging
    new things.

                                   86
Person-Centred Therapy with
   Configurations of Self
     (See Mearns & Thorne: Person-Centred
           Therapy Today, Chapter 7)
   Staying close to the client’s symbolisation;
   Listen for the parts, but don’t invent
    them;
   Avoiding ‘zero-sum’ responding;
   Empathic mediation: helping the parts to
    hear each other;
   Multi-directional partiality: prizing all the
    parts;
   Therapist’s use of her configurational Self.
                                         87
Staying close to the
client’s symbolisation



                 88
Of course, there has always been
the part of me which is the dutiful
daughter and the other one which is
the delinquent but there is another
sense of me as well ..... I can’t
grasp it ..... it is something to do with
sadness .....


                               89
Listen for the parts
but don’t invent them


                        90
LISTEN FOR THEM

Bill: Finally I’m going to be free of John! I
      can’t wait to get him out of my life
       ….(stops talking and looks down)
Dave: Something else Bill?
Bill: When I said that, I felt like crying.
Dave: Is the feeling still with you?


                                   91
Bill:  Yes - it’s in the background. It’s
      behind everything I do.
Dave: It’s behind everything you do…
Bill: It’s always there….always crying.
Dave: Always with you and always crying.
Bill: Yes, but only sometimes do I hear it.
      It never says anything. It only cries.
                                  92
BUT DON’T INVENT THEM
Client:   there is a part of me that is
          dreadfully vulnerable and sad
          ….. she has only a very small
          voice ….. so I don’t hear her
          very often.
Therapist: So I wonder what this ‘hurt
          little girl’ has to say to us
Client:   I don’t know ….. I don’t know …..

                                93
Therapist: From what you said before it
           sounds as though she is not just
           a ‘hurt little girl’ but an ‘abused
           little girl …..?
Client:   I don’t know ….. I don’t know …..




                                   94
Avoiding ‘Zero-Sum’
              Responding

Client:      Part of me feels x ….. and
             part of me feels not x.
Therapist:   So, you are conflicted about
             how you feel?



                                            95
‘ Empathic Mediation’: Being Open
   to the Whole Client helps the
     Parts to Hear Each Other

 The client, Bobby, struggles with the
 confusion around two parts of his Self. One
 part, which he calls ‘mental me’, used to
 protect him and control his existence
 through the use of extreme violence
 towards others and towards himself. But
 there is a newly emerging part, ‘sad me’,
 which is beginning to flood into his
 existence:
                                          96
   Bobby: I cut myself with my knife but still
    the sadness overwhelms me.
   Dave: Cutting yourself was your way of
    staying in ‘control’.
   Bobby: Yes - but it’s not working - that
    ‘mental’ part of me can no longer keep it
    together. He’s in deep shit - his time is
    past.
   Dave: And what does he feel …..?


                                    97
 Bobby: ….. Scared ….. he’s so scared.
  He thinks that if he loses control I will
  be done for ….. He’s almost crying.
 Dave: That’s unusual for him …..
 Bobby: God yes - maybe he’s not so
  different from the ‘sad’ part of me …..
  the sad part can understand crying …..
  God, that’s the one thing he can
  understand.


                                              98
 Dave: Can he understand your fear
  as well?
 Bobby: ….. yes ….. I was good at
  ‘holding things together’. If I can’t hold
  things together, I might be …..
 Dave: You might be?
 Bobby: Dead. The only way to survive
  in my world was to be really ‘mental’ -
  to kill and to mutilate first ….. But it
  comes from fear …. fear and sadness
  are not so far apart.
                                               99
‘ Multi Directional Partiality’
          Honouring all the parts of
                the Client’s Self


Therapist: It seems to me that most of this
 session, so far, we have being hearing
 from that part of you which you called ‘the
 strong part of me’. You have also
 identified other parts of you that were
 quite different from ‘the strong part of me’
 - you called them ‘lotus blossom’ and ‘the
 frightened part of me’.
                                           100
Is it meaningful to check-in with those
  parts - what do you think?
Monica: Fuck them - they are in the past -
  they are history.
Therapist: Right - let me catch up - this is
  new. Is it like they are, really, ‘history’, or
  is it that you would want them to be
  history?
Monica: Fuck you - you won’t let them go,
  will you.

                                               101
Therapist: I am not going to let them go if they
 are parts of you - I am not going to dismiss
 any of you.
Monica: Who pays you anyway! (with humour)
Therapist: Good point ….. Actually, I don’t
 know who pays me. Who pays me?
Monica: Clever bastard.

                                    102
Person-Centred Therapy with
   Configurations of Self
     (See Mearns & Thorne: Person-Centred
           Therapy Today, Chapter 7)
   Staying close to the client’s symbolisation;
   Listen for the parts, but don’t invent
    them;
   Avoiding ‘zero-sum’ responding;
   Empathic mediation: helping the parts to
    hear each other;
   Multi-directional partiality: prizing all the
    parts;
   Therapist’s use of her configurational Self.
                                         103
Contents
   A schema of working at relational depth;
   Resonance;
   Client processes;
   Working with the client’s ‘configurations’ of
    self;
   Configuration Theory;
   Revising Rogers’ Self-Theory;
   The developmental agenda for the
    therapist working at relational depth;
   ‘Existential Touchstones’;
   Working with Dominic and Rick.
                                      104
   Mearns, D. & Thorne, B. (2000).
    ‘Advancing person-centred theory’.
    Chapters 6&9 in Person-Centred
    Therapy Today: New Frontiers in
    Theory and Practice. London: Sage.
   Mearns, D. (2002). Further theoretical
    propositions in regard to Self Theory
    within Person-centered therapy.
    Person-Centered and Experiential
    Psychotherapies. 1(1&2): 14-27.
   Mearns, D. & Thorne (2007). The new
    chapter 2 in Person-Centred
    Counselling in Action (3rd edition).
    London: Sage.
                                  105
Proposition 5

Configurations may be established
around introjections about self.




                            106
Proposition 6

Configurations may also be
established around dissonant self-
experiences.


                            107
Proposition 7

Formative configurations assimilate
other consistent elements.




                            108
Proposition 8

Configurations inter-relate and
reconfigure.




                             109
PAST TENSE DERIVATIVE     PRESENT TENSE DERIVATIVE

                           EMERGING
    ‘ME AS        ‘ME AS I
                           SYNERGY
     I WAS’       AM NOW’
                                     ‘ANOTHER
                                        ME’
                    CONFLICT
BIFURCATION                          DERI VATIVE
         ‘ME AS I’VE
          ALWAYS                       ‘THE
           KNOWN        CONFLICT      CREEP’
            ME’
PROTECTION

              ‘FUCKED
                 ME’
                           Alexander Map
                                                110
‘ Configuration Theory’: Using
theory in the person-centred
approach

   Theory does not predict the behaviour or
    the experience of the client.
   Theory expands the imagination of the
    therapist.



                                   111
‘General’ Psychological Theory
               +
‘Individual’ Psychological Theory



                        112
DIFFERENCES BETWEEN
    CONFIGURATIONS AND THE
     PARTS IN DISSOCIATED
           PROCESS
   Greater separation of dissociated parts
   More personification in the parts
   Information blockage between parts




                                   113
Configurations may develop
   into dissociated parts
    (Warner & Mearns, 2008)




                        114
Reflecting upon our own
‘Configurations’ of Self
   What might be the different ‘parts’ within
    my Self? - If they had a ‘voice’ what
    would they each ‘say’?
   What were my ‘parts’ at earlier times in
    my life? - What did they ‘say’ then?
   How do/did these different ‘parts’ relate
    together?
                                    115
BUT REMEMBER…


Configurations are NOT
 meaningful to everyone



                   116
Contents
   A schema of working at relational depth;
   Resonance;
   Client processes;
   Working with the client’s ‘configurations’ of
    self;
   Configuration Theory;
   Revising Rogers’ Self-Theory;
   The developmental agenda for the
    therapist working at relational depth;
   ‘Existential Touchstones’;
   Working with Dominic and Rick.
                                      117
Rogers, C.R. (1951). A theory of
personality and behavior. In
Client-Centered Therapy (pp.
481 – 533). Boston: Houghton
Mifflin.


                         118
Rogers, C.R. (1959). A theory of
therapy, personality and
interpersonal relationships as
developed in the client-centered
framework. In S. Koch (ed.),
Psychology: A Study of a Science,
Volume 3: Formulations of the
Person and the Social Contract (pp.
184 – 256). New York: McGraw-Hill.

                           119
Rogers, C.R. (1963). The
actualizing tendency in relation to
“motives” and to consciousness.
In M. Jones (ed.), Nebraska
Symposium on Motivation (pp. 1 –
24). Lincoln: University of
Nebraska Press.
                           120
Rogers’ ‘California’
     Period



A ‘Unitary’ Theory
                 121
The ‘value-added’ actualising
          tendency
   Feelings valued over thoughts
   Non-self-conscious ‘being’ valued over
    ‘considered action
   ‘Free-expression’ valued over ‘censoring’
   ‘Radical’ choices valued over
    ‘conservative choices
   “Volume-up” expression of feeling valued
    over ‘volume-down’ expression of feeling
                                   122
COULSON, W. (1987). Reclaiming
Client-Centered Counseling from the
Person-Centered Movement.
Unpublished paper.

Center for Enterprising Families, P.O.
Box 134, Comptche, Ca 95427, USA.


                              123
Reconfiguring Rogers’
 Concept of the Self




                 124
Rogers (1959: 200)



Self = Self-Concept



                125
Mearns & Thorne (2000)

  Self = Self-Concept
         + Edge of
         Awareness
         Material



                   126
A Dialogical Person-
      Centred
 Theory of the Self



                127
‘ Growthful’ Configurations
     (‘self-expressive’)


     ‘ Not for growth’
      Configurations
    (‘self-protective’)
                      128
Proposition 1

The actualising tendency is the
sole motivational force.




                        129
THE ACTUALISING TENDENCY
     IS NOT ‘POSITIVE’
SHEILA is unsettled in her relationship with
Maureen. The relationship has lasted fifteen
years despite the considerable age
difference. But during the past couple of
years Sheila is placing less value on the
security the relationship has always offered
and is craving a more exciting lifestyle.


                                 130
NIGEL was a prisoner of his father’s physical
and emotional abuse throughout his first 14
years. His father would ceremonially tie him
up and beat him once a week on some
pretext – the slightest piece of disobedience
could bring out his father’s belt. Nor were
the beatings only physical – when Nigel
showed signs of doing well at school he
became subject to a torrent of insults. Nigel
survived by ‘going underground’ as a
person. Now, at

                                  131
22 years of age, he runs a drug empire.
He tightly controls his operation and
the people in it, exerting authority at
times with considerable public cruelty.

(Mearns, D. & Thorne, B. 2007. Person-
Centred Counselling in Action, third edition.
London: Sage. Chapter 2.)


                                   132
Proposition 2
The promptings of the actualising tendency
inspire their own resistance within the social
life-space of the person. A working label for
this resistance is the term ‘social mediation’.




                                    133
   I could do more with my life but I am
    scared to lose what I have.

   I need to stop this road – I can see
    where it points and I don’t want it – not
    yet anyway.




                                    134
   I fought my way out of a relationship
    previously, and I lost more than I ever
    imagined.

   Part of me says ‘go for it’ and part of me
    says ‘watch it’ – I need to stay with
    ‘watch it’ for now.



                                    135
   I look at what other people have got
    and I want it like a child wants
    everything. But my child isn’t going to
    make all my decisions.

   Everything seemed to point in the
    direction of leaving the job – I needed to
    be free of it. But my family would have
    lost too much – and that would mean
    me losing too much. So I rolled up my
    sleeves and made the best of it.
                                    136
Proposition 3

A psychological ‘homeostasis’ develops
between the drive of the actualising tendency
and the restraint of social mediation. The
configuring and re-configuring of this
homeostasis is the actualising process.




                                    137
‘In this revision of the theory, the central
concept becomes the actualising process
which is described by the homeostasis of
the imperatives of the actualising
tendency and social mediation within
different areas of the person’s social life
space and the reconfiguring of that
homeostasis to respond to changing
circumstances’.

(Person-Centred Therapy Today: p184)
                                  138
Proposition 4

‘Disorder’ is caused when the person
becomes chronically stuck within
his/her own actualising process such
that the homeostatic balance cannot
reconfigure to respond to changing
circumstances.


                             139
‘ A Tyranny of
    Growth’



            140
“After countless years of going against
my instinct and fitting into other
people’s wishes I finally broke free.
For a time after that I was impossible
to live with – I couldn’t compromise at
all.”

                             141
“It’s like I couldn’t go against my view
of events and what was right for me
in the moment. Having finally got
hold of myself I wasn’t going to let go
– I suppose I was scared I would lose
myself again.”

                              142
“I can see that my sense of myself isn’t
working. Other people are giving back
a different view of myself, and they are
pretty unanimous. They say that I look
‘cold and detached’, when I feel ‘warm’.
It is difficult to know who to trust. Either
they share the same
                                 143
delusion or I have a huge blind spot
that I can’t see past. It is really difficult
to go against my sense of myself – I
have no sense of being wrong. But
these are good people – I need to
pause awhile.”


                                   144
Counselling in the school system of
Fukuoka, Japan.
Morita, Kimura, Ide, Hirai, Murayama.

The student client is not only part of his
community

His community is part of him.
                                      145
Inayat, Q. (2005). The Islamic concept of self,
Counselling Psychology Review, 20: 2-10.

Proctor, G., Cooper, M., Sanders, P. &
Malcolm, B. (eds.) (2006). Politicizing the
Person-Centred Approach. Ross-on-Wye:
PCCS Books.

                                    146
Contents
   Working at relational depth;
   Resonance;
   Client processes;
   Working with the client’s ‘configurations’ of
    self;
   Configuration Theory;
   Revising Rogers’ Self-Theory;
   The developmental agenda for the
    therapist working at relational depth;
   ‘Existential Touchstones’;
   Working with Dominic and Rick.
                                      147
The Developmental Agenda for
the Therapist Working at
Relational Depth
   broadening our experience of
    humanity ;
   expanding the self available in the
    therapy room
    -   configurations
    -   ‘existential touchstones’


                                    148
Broadening our experience of
         humanity
   experiencing and exploring diversity;
   expanding imagination
   facing fears, prejudice
   finding out about other people’s
    experiences
   expanding our life experience


                                    149
   ‘Eventually I realised that if I was going to
    work professionally as a counsellor, I had
    better find out something about the other
    half of humanity. So I started to work with
    men!’
   ‘I never actively accepted myself as
    “homophobic”, but I was. Joining the
    men’s group soon blew that away’.


                                      150
   ‘When it would come to the edge of
    meeting the depths of my clients’
    despair I would always pull back. I got
    over that edge, initially, through reading
    about people’s experiences of despair.
    That would take me into my tears – and
    closer to my sense of my own
    existence.’
                                    151
   ‘An experience which helped me to
    sustain myself [in the work with ‘Rick’]
    was attending an informal ‘rap’ group of
    veterans….I used that group to stay
    connected with the kinds of
    experiencing they spoke about.’
             (Mearns & Cooper, 2005: 107)

                                  152
The Developmental Agenda for
the Therapist Working at
Relational Depth

   expanding our experience of humanity;

   expanding the self available in the
    therapy room
    -   configurations
    -   ‘existential touchstones’

                                    153
The Therapist’s use of
      their own
 configurational self?



                         154
Working all together with ‘Clair’
Extract 1

Dave 1: I really don’t understand why you
         are leaving the job.
Clair 1: No, I knew you wouldn’t.
Dave 2: You mean you knew that I wouldn’t
         understand it?
Clair 2: Yes ….. I’ve seen it for ages. We
         are o.k. when we are working on
         my strong Self - that work has been

                                            155
great - I wouldn’t take anything
         away from it. But my ‘little girl’
         isn’t so sure about you.
Dave 3: She doesn’t trust me.
Clair 3: She doesn’t think you want to
         know her ….. She is pretty scared
         you know.
                                  156
Dave 4: (pause) I suppose we haven’t spent
         enough time on her. (pause) I guess I
         didn’t hear her very well - I didn’t
         realise how bad she felt. I see now
         that I didn’t hear her very well.
Clair 4: I didn’t let her come out very often with
         you. Maybe I thought you wouldn’t like
         me if I really showed you her.
Dave 5: And perhaps I wasn’t as open to her as
         I could have been …..

                                              157
Clair 5: Well, she has got to come out now.
  She needs to become a big girl now. So I
  am holding her hand and walking her out.
Dave 6: And what are you feeling, little girl?
Clair 6: I am scared ….. and I am angry. I
  am not sure if I can trust you ….. But I
  want to trust you.
Dave 7: I want to apologise to you for not
  really listening to you until now.

                                   158
Extract 2 (two sessions later)

Clair 1: It is better now, in here. It feels as
         though there are four of us working
         together.
Dave 1: You mean, two of you and two of
         me?
Clair 2: Yes.
Dave 2: The two parts of you, you have called
         your ‘strong Self’ and your ‘little girl’.
         But you also sense two parts to me
         here?
                                                159
Clair 3: Yes, don’t you?
Dave 3: Yes, but I haven’t given them
  names yet - in here at least - what is your
  sense of them?
Clair 4: One is watching over everything that
  is happening. He is pretty competent, but
  he is also nervous. The other is not so
  used to being here but he has been
  invited. He has got a softness and
  vulnerability which is really good for me.
  He helps me to be ‘soft’ with myself.

                                  160
Dave 4: He helps you to be soft with
  yourself …..?
Clair 5: When it was only your ‘strong,
  competent’ self that was here - then my
  strong self just got together with you and
  there was no space for ‘softies’ - no space
  for ‘softies’ in either of us.
Dave 5: And it is important that we touch that
  ‘softness’ in you …..?
                                   161
Clair 6: It is important that we are all here,
   together. My parts both have strength -
   but they need to ‘get along’ together, like
   yours do.
Dave 6: Maybe I am more ‘tentative’, than I
   look, my ‘soft’ part kind of feels okay with
   this but is a bit unsure.
Clair 7: That is what ‘soft parts’ are like, silly!
   Being ‘unsure’ is part of being ‘soft’.


                                                 162
Dave 7: I think you are more
 experienced at this than me, Clair.
Clair 8: Never mind, we’ll help each other
 along!




                               163
The Developmental Agenda for
the Therapist Working at
Relational Depth

   expanding our experiences of humanity;

   expanding the self available in the
    therapy room
    -   configurations
    -   ‘existential touchstones’
                                    164
Definition of ‘existential
touchstones’
Life events and self-experiences that
have given us glimpses of different
dimensions of ourself and which we can
enter to put us into a feeling state that is
closer to our client’s present experiencing
and thus act as a ‘bridge’ for us into a
fuller meeting with our client.
Mearns, D. & Thorne, B. (2007). Person-Centred
Counselling in Action. Third edition, p.147, London:
Sage.                                          165
Existential Touchstones:
    Vulnerabilities turned into strengths
Three counsellors give us glimpses of
 earlier, difficult experiences that have
 become existential touchstones for them in
 their work:

   The memory of my own earlier aloneness is
    something I can touch to bring me closer
    to my existentially withdrawn clients.


                                  166
   It took me years to get over my own early
    experiences of humiliation – but now it
    doesn’t frighten me any more – now I can
    even use it as a way of getting closer to
    my client’s experience of abuse.
   I don’t think you ever ‘get over’ a major
    bereavement. But it gets to a point that it
    deepens you as a person and helps you to
    be with your client in their own depths.

                                    167
Contents
   Working at relational depth;
   Resonance;
   Client processes;
   Working with the client’s ‘configurations’ of
    self;
   Configuration Theory;
   Revising Rogers’ Self-Theory;
   The developmental agenda for the
    therapist working at relational depth;
   ‘Existential Touchstones’;
   Working with Dominic and Rick.
                                      168
WORKING WITH
    ‘DOMINIC’
  Chapter 5 in Mearns, D. &
Cooper, M. (2005). Working at
Relational Depth in Counselling
 and Psychotherapy. London:
            Sage.




                                  169
Dominic 1: [At the start of session 3]
D1    I shouldn’t have come today. I’ll go away if
      you like.
T1    Because you’ve been drinking?
D2    Yeah – I’ve been drinking.
T2    Do you want to go or do you want to stay?
D3    I wouldn’t mind staying.
T3    I would like that too. But I’d like us to keep
      the tape on like we usually do. Why I say
      that is that I want us to have a record of
      what happens – when you’re pissed it’s
      easy to forget.

                                        170
D4 Fine – I hadn’t realised it was on.
T4 Good that I mentioned it then.
D5 (Long pause) How do you feel about
   me ….. now ….. here.
T5 Dom, I want to tell you that I feel
   absolutely nothing about the fact
   that you’ve been drinking. But you
   asked how I felt about you, now,
   here (pauses) I feel ….. a bit …..
   ‘scared’.
D6 ‘Scared’?                      171
T6 It surprises me too ….. I guess it does
   matter to me that you’ve been drinking
   ….. I’m scared in case we have to start
   again. It’s like I feel that we’ve made a
   really good connection ….. but will that
   still be there …..today. That’s what
   makes me a bit scared.
D7 Like it matters to you?
T7 Yes it does Dom.
D8 Like this isn’t just a ‘game’ to you?

                                  172
T8    I think you know that, Dom. In fact,
      I know you know that Dom.
D9    Yes – ‘sober me’ knows it, but does
      ‘drunk me’?!
T9    I don’t know. Does he? Do you?
D10   Big question – maybe I’ll need
      another vodka before I can answer
      that.
T10   Dom – be here – be here drunk – but
      don’t play fucking games with me.
      Neither you nor I deserve that.
                                 173
D11 SILENCE
T11 SILENCE
D12 You’re really serious about this, aren’t
 you?
T12 As ever.
D13 I’m sorry.
T13 Apology accepted - where should we
 start today?
D14 We started long ago – this is me – this is
 who I am.
                                   174
T14 Yes – you’re right – I see – we started
    at the beginning as usual – but the
    start was different – because you
    were different. Yes, I missed that.




                                  175
Dominic 2: [Later in session 3]
D15   It’s not easy to live up to a ‘holy’
      name.
T15   ‘Dominic’.
D16   Yes – a ‘good Catholic upbringing’
      kept telling me how important my
      name was.
T16   Like it told you what you should be?
D17   Yeah – but it was a fantasy – pure
      fantasy ……………. pure …………….
      fantasy.
                                     176
T17   Their fantasy?
D18 Yeah ……………… It was like I didn’t
    exist … you know?
T18 Like they had some image of you that
    was so far from who you were that it
    was like they were talking about
    someone else.
D19 Got it in one. You’re good at this shit!
T19 Hope so. What are you with just now?
D20 (long pause) …. (looks directly at T)
    ……….. I don’t know what I’ m about.

                                177
T20 (looks intensely at D and moves
    towards him, speaking slowly). That
    sounds like a lot, ‘you–don’t–know–
    what–you’re-about…’
D21 I’m so full of crap.
T21 … and …?
D22 I don’t know whether to believe
    myself or not.
T22 Say more Dom.
D23 I’m just so full of crap.
                               178
T23 You don’t know whether to believe
    yourself or not.
D24 I think I’m serious … sincere. But,
    really, I’m only a drunk … a fuckin
    drunk.
T24 You think that you are serious … and
    sincere. But you are really, only, a
    fuckin drunk.
D25 Yes.
T25 A fuckin drunk – that’s all you are.
D26 (tears welling up)
T26 A fuckin drunk.             179
D27 (hits fist on arm of chair in apparent
    anger… and cries)
T27 Dom, you are angry… and you are
    crying.
D28 I’m so fuckin full of shit (cries).
T28 (moves to Dominic and puts his arm
    round him)
D29 (cries more and more)
T29 It feels like a lonely place.
D30 (looks up at T) Yes… (shivers).
T30 Cold, and lonely…
                                  180
D31 The only warmth comes through the
    bottle – whether it’s ‘single malt’ or cheap
    vodka – it doesn’t matter.
T31 It still works – it still gives a feeling of
    warmth.
D32 It does… I can’t describe it… I’m alive…
    but it’s killing me… and everything I
    love.
T32 Dom – can you really help me get hold of
    this – It sounds really strong – like you
    feel really ‘alive’ – that sounds real
    powerful. But, then, it is also ‘killing’
    you, and everything you love. 181
D33 One part of me is really ‘hooked’ on it
    – it is the only ‘buzz’ I get and I can’t
    get enough of it.
T33 And, there is another part…?
D34 The other part is a loving husband and
    father…
T34 Yes…?
D35 Who is killing his family.
T35 You are carrying a lot… a helluva lot.
D36 And I can’t carry it any more.

                                 182
T36 That sounds serious… No. I don’t mean
    to be ‘glib’ – it really does sound like
    you are serious.
D37 I’ve got to do something.
T37 ‘Do’? What would you ‘do’ Dom?
D38 Either give it up… or give it up.
T38 I think I understand… one ‘part’ – the
    one that is really ‘hooked’ would give
    up on your normal life… and the other
    ‘part’ – the one who is a ‘loving husband
    and father’ would give up the booze.
                                 183
D39 Most people don’t realize how
    difficult a choice that is.
T39 Is it… does it feel like giving up on
    ‘living’ for the ‘life’ you have?
D40 Yes.
T40 SILENCE
D41 It feels like ‘living’ when you’re drunk
    – but it isn’t really.
T41 SILENCE


                                184
D42 I’ve been scared of living – all my life
    I’ve been scared of living. I’ve never felt
    like other people – I’ve never felt ‘sure of
    myself’ the way other people do. If you
    feel ‘sure of yourself’ you can go out and
    do things with your life. If you don’t
    feel sure of yourself you can’t – you can’t
    really do things with your life – you’ve
    always got to make ‘safe’ choices –
    choices that don’t really test you –
    choices that aren’t really ‘living’.
                                   185
T42 SILENCE
D43 And so, I have an ‘ordinary life’ – did you
    see that film?
T43 ‘Ordinary Lives’ – yes.
D44 LONG SILENCE
T44 Are you stuck? Are you thinking about the
    film?
D45 Yes – their ‘ordinary lives’ were blown
    apart when something terrible happened.
    They had taken the safe choices for so long
    that they hadn’t developed the strength to
    deal with real life.

                                  186
T45 And you… what about you.
D46 Part of me tries to break free, but it also hasn’t
    got experience – it doesn’t know how to do it.
T46 SILENCE
D47 SILENCE
T47 I am feeling sad for it. I think I am seeing it
    better. It desperately wants to do something –
    but it has been ‘scared of living’ for so long – it
    doesn’t know what to do.
D48 So all I can do is to go into that feeling of being
    sad – and get drunk. That’s the closest I can get
    to ‘living’.
                                        187
DOMINIC 3: [session 4]
[after spending time going through part of the
tape of session 3]

D49 It is difficult to listen to that.
T49 Why is that, Dom?
D50 Because I’m drunk.
T50 Yes – yes, you are drunk.
D51 I hate listening to it – it’s not me.
T51 It’s not you.
D52 SILENCE                         188
T52 It’s not you.
D53 How can I be like that? How can I be
    a drunk? How can I have let you tape
    that.
T53 Dom… If you want, I can wipe that
    tape right now.
D54 No…………………
    No………………… It’s
    me……………… It is me.
T54 It is you.
D55 ………….. but not a part of me I want.
T55 Do you recognise him?     189
D56 Sure… he’s only a bottle of vodka
    away.
T56 Where should we go with this, Dom?
    Where should we go with this right
    now? Where are you with this right
    now?
D57 I’ve got to meet him.
T57 You ‘heard’ him, didn’t you Dom…
    you really ‘heard’ him.
D58 Yes… yes… I heard him.
T58 You are keeping him out… but, really
    you heard him…               190
D59 I heard ‘me the drunk’. I hate him. I
    cry for him. I cry with him. I am
    him. He is part of me.
T59 And you feel you have ‘got to meet
    him’.
D60 I don’t know what made me say that
    – I hate him. When I’m sober I
    believe he is gone forever. Why did
    I say that ‘I have to meet him’?
T60 SILENCE
    {Dominic meets T’s eyes}
                               191
D61 I have been running way from him
    for years but what I need to do is to
    meet him.
T61 SILENCE
D62 Let’s play some more of the tape.



                               192
DOMINIC 4: [later in session 4]

D63 [Dominic begins to cry as he listens to the
    tape – particularly D34]
T63 SILENCE
D64 It’s like I’m listening to him – to me – to
    that part of me, properly, for the first
    time. I’ve been locked into antagonism
    to him – antagonism and denial and
    hate. I had to deny he was ‘really’ a
    part of me. He was an evil drunk. But
    he is a part of me, not just when I am
    drunk, but every minute of every day –
                                    193
he is a part of me. He is ‘sad’ me, ‘lost’
     me, ‘desperate’ me, ‘crying’ me –
     though I’m also crying now. It’s like
     he’s with me now, and I’m not drunk
     – nor am I going to get drunk… today.
T64 This sounds different – like you are
     ‘meeting’ him rather than ‘dismissing’
     him.
D65 It feels strange – like I am excited but
   also tense – this feels different. It’s not
    like I imagined it. I came into therapy
    to kill that drunk and now I am
                                  194
listening to him and crying for
     him/crying with him. He really is
     part of me – a part that I have not
     been open to – we had to be
     separated by a bottle of vodka.
T65 SILENCE
D66 LONG SILENCE
T66 Where are you in your silence Dom?
D67 I have suddenly become aware that
     you are here.
T67 And how is that for you – that I am
     here – with you?
                                  195
D68 The first feeling was an acute
    embarrassment – but that quickly
    passed. Now it feels good that you are
    here – that you are sharing this with
    me. I feel so excited but also tense –
    might this pass? Could I lose it?
T68 ‘It’?
D69 This is the first time that ‘sober me’ has
    met ‘drunk me’ in a way that he can
    understand him.
T69 Can ‘drunk me’ also understand ‘sober
    me’?
                                   196
D70 Wow – that’s a big question – that’s
    too much right now – that panics me.
T70 In case he can’t?
D71 Yes. It’s like I’ve won a lot at the
    ‘tables’ today and if we go too far I
    might lose it.
T71 Fair enough. I thought I might be
    pushing too far – I knew it was a big
    step. In fact, ‘part’ of me told me not
    to push… and another part – a kind of
    ‘delinquent’ part said ‘go for it’!
                               197
D72 Hah! So the therapist is crazy too – he
    has different parts too.
T72 I’ve been ‘found out’ – guilty as
    charged!
D73 Can we come back to your question
    when I’ve lived with this for a while?
    (smiles)
T73 Why can’t I be as wise as that!

    SESSION ENDS
                                198
This session proved to be critical for
the therapy. ‘Sober’ Dominic had met
‘drunk Dominic’ without judgement
or denial but, instead, with genuine
understanding. In session 5 Dominic
described himself as a ‘partial drunk’,
‘part’ of him was a ‘drunk’ and part of
him was ‘sober’. The problem with

                                      199
these configurations is that the ‘drunk’
can generally undermine the whole
process and take over the definition of
the person. One wonders how many
other people might be described as
partial drunks, if only we could be
present at the meetings of their parts?


                                200
Earning the Right to work with
 Rick: A Traumatised Client


 Chapter 6 in Mearns & Cooper
 (2005) Working at Relational
 Depth in Counselling and
 Psychotherapy.


                        201
Trauma is a
   profoundly
existential event

              202
‘Trauma fundamentally
disrupts the whole assumptive
frame upon which our sense of
self is founded’ (Mearns & Cooper,
p. 65)


                         203
RICK


‘ Fire fight’
‘ Fragging’
Third tour
    Mute

                204
The first of 72 meetings over
           12 weeks


       RICK’S ROOM

     RICK’S SILENCE

 MY ‘WHO I AM’ SPEECH
                      205
MEETING 2



RESPECTING AND
  CONNECTING



              206
ENCOUNTER NOT INVASION




                207
RICK’S TURNING ROUND




               208
MAINTAINING OUR HUMANITY
 WHEN WE GET LITTLE BACK

   What I did get back from Rick
           Staying fresh
          The ‘rap group’
           Supervision.
                            209
TALKING THE TALK




             210
MEETING 15




THE ‘FLYING BOOK’




                211
MEETING 23




THE DAY RICK CRIED




                212
MEETING 25




“ TELL HIM NOT TO COME”




                   213
MEETING 26




THE DAY DAVE CRIED




                 214
MEETING 27




DO YOU TAKE CREAM OR
       SUGAR?


                  215
THE END OF THE
    BEGINNING?
         OR

THE BEGINNING OF THE
        END?
                216

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Pct a relational approach (2010)

  • 1. The Person-Centred Approach: A Relational Therapy Dave Mearns www.davemearns.com 1
  • 2. Contents  Working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 2
  • 4. Mearns, D. & Cooper, M. (2005). Working at Relational Depth in Counselling and Psychotherapy. London: Sage. ISBN 0-7619- 4458-3 4
  • 5. A Schema of Working at Relational Depth A B C Offering Negotiating Contact with relational client processes the existential depth and dynamics process 5
  • 6. THE PROCESS OF RELATIONAL DEPTH  The counsellor’s humanity is focused upon the client;  the client lets himself experience that humanity;  this creates a huge therapeutic space/safety for the client;  the client experiences himself more fully;  On an on-going basis the client is more sensitive to himself-in-relation. 6
  • 7. CLIENTS’ VIEWS  I had been in counselling twice before, but this time it was quite different – this counsellor was more ‘real’.  It felt like I didn’t need to be so ready to defend myself.  I found myself saying things that I had never said before. 7
  • 8. It felt so liberating – I didn’t have to pretend the way I always do.  I felt hope for the first time  I felt two different things – I felt that I might believe in this person – and I felt sick to my stomach.  I was scared – scared that I might have to trust her. 8
  • 9. I realised that what I had done before in counselling wasn’t really getting to the heart of things.  There is a difference between really risking and playing at therapy.  Even just the experience of that first session with her made me think A LOT about how I am as a counsellor. 9
  • 10. Encounter, not invasion 10
  • 11. Two Aspects of Relational Depth  ‘moments’ of relational depth;  relational depth experienced as a continuing relationship 11
  • 13. ‘ Approach/ Avoidance’ towards being met at relational depth 13
  • 14. Disguises, Clues, Lace Curtains and Safety Screens 14
  • 15. Creating the conditions for meeting the client at relational depth  High levels of the ‘therapeutic conditions’ in mutually enhancing interaction.  The ‘stillness’ and ‘fearlessness’ of the therapist. 15
  • 16. Two aims in offering the client an engagement at relational depth  ‘Listening to the expressing rather than the expression’  ‘Meeting the client inside his experiencing’ 16
  • 17. ‘ Listening to the Expressing/ Entering the experiencing’  Tony: I can’t, I can’t, I can’t, I can’t, I can’t …..  Bill: No, ….. you can’t.  Tony: No one can.  Bill: (Silence)  Tony: (Thumping his fist on the floor and screaming) I need to kill myself. 17
  • 18. Bill: (Silence)  Tony: I need to go ….. I must go ….. I must go away from me.  Bill: (Silence)  Tony: I don’t know how to do it.  Bill: It’s hard, Tony …. It’s hard ….. like there’s no way. 18
  • 19. Tony: No way ….. no way ….. How do people do it?  Bill: God knows Tony.  Tony: Can you warm me Bill?  Bill: (Puts his arm round Tony). 19
  • 20. Much later Bill comments on this meeting: It’s an example of how you can be with someone and have conversation without having any idea what it’s about. Yet all the time you can feel them - and be with them feeling. It was weeks later that I found out the ‘content’ of this meeting… 20
  • 21. Tony was ‘being’ the part of him which had done some bad stuff. In war people can do bad stuff that they can’t live with later. Tony was feeling that part - he wanted to get rid of it - to kill it or for it to go away. But, of course, there was no way to do it - that’s what we were in. 21
  • 22. Relational depth is about the quality of the relational contact, not the quantity 22
  • 23. Relational Depth in Everyday Life  Doug the teacher  Mhairi the nurse  Lillian the social worker 23
  • 24. Contents  Working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 24
  • 25. RESONANCE Through self-awareness in therapy the therapist becomes conscious of their experiencing, ie. the immediate present flow of experiences. What they experience is resonance to both the client’s world and/or for their own world. Resonance…means the echo in the therapist triggered by the relationship with the client (p.181). [Schmid, P.F. & Mearns, D. J. (2006). Being-With and Being-Counter: Person-centered psychotherapy as an in-depth co-creative process of personalization. Person-Centered and Experiential Psychotherapies , 5(3): 174-190]. 25
  • 26. RESONANCE  SELF-RESONANCE  EMPATHIC RESONANCE (concordant and complementary)  PERSONAL RESONANCE (relational resonance) 26
  • 27. SELF-RESONANCE Client: Shall I love him or hate him? I don’t know, I am confused. Therapist: [thinking of his own partner] Good question! You never know. (p. 183) 27
  • 28. CONCORDANT EMPATHIC RESONANCE Client: Shall I love him or hate him? I don’t know, I am confused. Therapist: [primarily sensing the client’s confusion] There are mixed feelings in you. You experience affection, you experience dislike and these are in you at one and the same time. (p. 183) 28
  • 29. COMPLEMENTARY EMPATHIC RESONANCE Client: Shall I love him or hate him? I don’t know, I am confused. Therapist: [sensing primarily that the client gradually has been growing tired of the person he talks about]….or even forget about him? (p. 183) 29
  • 30. PERSONAL (RELATIONAL) RESONANCE Client: Shall I love him or hate him? I don’t know, I am confused. Therapist: [personally touched by his client’s bewilderment]…..which makes me aware how much I truly hope you come to the right decision for you this time. (p. 185) 30
  • 31. When self-resonance spills over…  Box 6.3 on page 141 of Mearns, D. & Thorne, B. (2007). Person-Centred Counselling in Action. Third edition. London: Sage. 31
  • 32. Rani and Tariq My refugee client, Tariq, was talking about his experience of torture. My own personal experience of being tortured generally helps me to stay close to such a client – I can stay close when many other counsellors would be in terror. But this time it got too close to my own experience and I lost control. As he described the detail of his torture I felt my own. I felt every cut of the knife. I came out in a cold sweat and I started shaking. His 32
  • 33. voice drifted into the background and the sadistic smiles of my own torturers came face-to-face with me. For a while Tariq didn’t notice me and he carried on. Then he slowly ground to a silence and just looked at me. I forced myself to speak. I had to tell him about me – not the detail of my story – but what I was experiencing there and then: 33
  • 34. Rani: Tariq, I’m shaking with fear.I need to say it because it is so powerful that I’m fading away from you. I too have been tortured – a long time ago. For years it has not affected me, in fact, it sometimes helps. But just now it flooded me. I was taken over by my fear – the enormity of my fear. I’m hoping that by saying it, it will subside. I can feel it subsiding as I speak. I’m sorry that I couldn’t stay with you. Tariq: I understand. Rani: I suspect that you do. 34
  • 35. Contents  Working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 35
  • 36. A Schema of Working at Relational Depth A B C Offering Negotiating Contact with relational client processes the existential depth and dynamics process 36
  • 37. Client Processes Existential Process’ ‘Psychotic Process’ (Prouty) ‘Fragile Process’ (Warner) Restricting ‘Dissociated Process’ (Warner) Existential ‘Ego-Syntonic Process’ Contact ‘Transference’ 37
  • 38. Warner, M. (2000). Person-centred therapy at the difficult edge: A developmentally based model of fragile and dissociated process. In D. Mearns and B. Thorne Person-Centred Therapy Today (pp. 144-171). London: Sage. 38
  • 39. The Developmental Basis of ‘Ego-Syntonic Process’  The person has survived a parenting in which love and acceptance was not reliable. Negative experiences would follow when positives might be expected – there was no way to rely on the relationship. Ridicule, hate or abuse would come when love might be expected. 39
  • 40. To survive, the person needed to: • Find ways to control the relationship • Find ways to control themselves in relationship. • Withdraw their emotional attachment. 40
  • 41. ‘ Sandy’ The fellow who has a parent who is sometimes nice and sometimes horrible thinks that is the way the world is. Now, in my own case, that is how it was. At the time when I came to the school I think the difficulty was, among other things, that I was confronted by Patti [his counsellor], who was an exceptionally fine human being and a very affectionate 41
  • 42. and decent human being. I wasn’t able to accept the affection, which caused even more anger because everyone likes to accept affection. But if you condition yourself to not accepting affection because, if by accepting it you only let yourself in for the next downfall, you put yourself in a position where you don’t dare to hope that the affection is for real and you keep testing 42
  • 43. to find out if it is for real, and that’s the process where, step by step, you find out whether it is. In a sense, maybe, that explains my own need to hurt them, whether or not the affection would continue to come… Bettelheim, B. (1987). ‘The man who cared for children’. Horizon. London: BBC Television. 43
  • 44. Ego-Syntonic Process in Adult Life The person’s self-protective systems become generalised to other relationships (cf Sterne’s ‘RIGs’ – ‘Representations of Interactions that have become Generalised’). The seriousness of the resulting pattern can vary hugely. The person may become: 44
  • 45. popular but ‘unreachable’;  alone and lonely;  controlling;  cold;  cruel;  homicidal and suicidal; 45
  • 46. In its mild expression their ego-syntonic process leads the person to be confused and scared in relationships. They know that things go wrong for them and they come to expect things to go wrong. But they genuinely do not understand why they go wrong. They have done their best. They have even tried to think about what the other person wants, and be that (within limits). But it always goes wrong. 46
  • 47. In a more serious expression they attract relations but fail in relationships because, ultimately, they have to be so controlling. They need to define the reality in the relationship and protect against its changing. They provide well on a material level, function well enough in more superficial relationships, but they must not make themselves existentially vulnerable. Usually they are genuinely surprised when the other person leaves them. Again, they had done their best. 47
  • 48. In an extreme expression, the person is dangerous to themselves and others. They are so threatened by relationship that their self-protection manifests itself not in confusion or controlling, but in detachment and even violence. Their fear is so profound and the degree of adjustment they have obtained so tenuous that detachment and even destruction (of self or other) are the only existential ‘protections’ they have left. 48
  • 49. The ‘Hook’ in Ego-Syntonic Process  ‘But there really was someone there to love – I saw him – I saw him often’.  ‘It’s not just a “rescuer” thing – it’s much stronger than that’. I couldn’t let him go because there were times I really saw him. 49
  • 50. ‘It’s so frustrating – sometimes she was a wonderful person – she was the fullest human being anyone could want…but then it would evaporate in tears and anger’.  ‘He couldn’t let me in. For 20 years he couldn’t let me in. We could even talk about how he couldn’t let me in – Maybe that was it – at times he wasn’t who he was’. 50
  • 51. Client Processes ‘Existential Process’ ‘Psychotic Process’ (Prouty) ‘Fragile Process’ (Warner) Restricting ‘Dissociated Process’ (Warner) Existential ‘Ego-Syntonic Process’ Contact ‘Existential Disconnection’ ‘ Transference’ 51
  • 52. Getting beyond Transference  ‘A part of me is not sure she should trust you, but…’.  ‘I can’t believe I’ve just talked about me, like that, with an old man like you.’ 52
  • 53. ‘Difficult process’ rarely defines the whole of the person. Often there is a dissonant part that houses a different conception of self. Its appearance can be erratic and its voice very small. 53
  • 54. A Schema of Working at Relational Depth A B C Offering Negotiating Contact with relational client processes the existential (including ‘difficult’ process depth process) 54
  • 55. WHAT IS MEANT BY THE TERM ‘EXISTENTIAL PROCESS’?  It is unique to every person;  It can only be comprehended by taking a phenomenological perspective;  It may contain a rich mixture of self- experiences, self-assumptions, hopes, fears, fantasies, terrors, experiences in relation to others, assumptions about others and deeply held values. 55
  • 56. It can contain powerful internal conflicts and it can also provide conflict for dimensions of the presentational self;  Its elements and dynamics are experienced by the person as more ‘fundamental’ to their existence than the aspects of their presentational self;  Consequently, they are closely guarded. To be judged by another on the basis of a self we are presenting is one thing, but to be judged for what we believe is our essence is existentially dangerous. 56
  • 57. SANDRA I had so much hate inside me. I could never show it in its raw state to anyone. It came out in lots of ways but I could not show it in the way it was to me. I could not show the bile, the vindictiveness, the ‘foaming at the mouth’ invective. I could not show it the way it was to me – I could not even show it to me the way it was to me. It was too destructive. 57
  • 58. PAUL I can’t describe how I am to me in ways that will make sense to others. It goes around my head and body in dream-like waves, at times coming into the foreground and then receding. It is all ugly. It is about how I am all ugly – how, at my core, I am rotten. I can feel the maggots crawling around inside me, eating me up. Perhaps they will eat the rot and help me? How could I show this to anyone else/ How can I allow myself to see it? 58
  • 59. BERNARD Sometimes the real me watches myself at work. It sees the smooth operator, totally confident and blustering others with my confidence. It is as though it is a magnification of the opposite of who I really am, Underneath, all I am is a crying little boy. I am curled up, rocking and sobbing. My face is puffed up with a lifetime of sobbing. My eyes are permanently closed – I can barely endure the pain of what it is to be me – I cannot open my eyes to see anyone else in case I see them seeing me. 59
  • 60. Working with the Client in his Existential Process  He gives you his self as he experiences his self.  What he gives is not dominated by relational self- protective strategies  He finds it impossible to lie. 60
  • 61. Striving to meet at Relational Depth with the Client in her Existential Process Sandie: Do you really want to know me? Like, do you want to meet the ‘me’ that I am to myself? Dave: Yes, I want to meet all of you. (Pause) Sandie: I kill my babies. Dave: Is that meant to put me off? Sandie: No, it’s just what I do. 61
  • 62. Dave: (serious eye contact) You ‘kill your babies’ ….. It’s a difficult thing even for me to say. I have to ‘steel’ myself to say the words. They are hard words for me to say - I think that’s why I was glib. Sandie: It’s what I do - the words are me - I’ve killed three babies inside me. Dave: You sound ….. You sound ‘flat’ about it - on the outside at least - I don’t know what you are ‘inside’ about it …..? 62
  • 63. Sandie: I need to feel ‘flat’ inside about it as well. Dave: Yes ….. I think I can understand that ….. I think I really can ….. it’s the only way ….. to ….. Sandie: Survive. Dave: Yes. Sandie: Isn’t that funny ….. Dave: That when you feel as you do, you still want to survive? Sandie: Yes - I’ve never thought about that before. 63
  • 64. Striving to meet at Relational Depth with the Client in his Existential Process Bobby: I’ve been feeling really bad things Dave - really bad things. Dave: Tell me Bobby. Bobby: I don’t know if I can Dave ….. I don’t know if I can. Dave: This is really tough for you Bobby - I can see that in your face. You’ve tried to make yourself tell me by bringing it up. But it’s still maybe not possible. I say ‘tell me Bobby’ like I usually do 64
  • 65. ….. but this is not ‘usual’ stuff - this is ….. different ….. (Pause) Bobby: Dave ….. I want to kill me. (Long silence) Bobby: All the roads lead there - I could make a good job of it too. Dave: I bet you could, Bobby - I’m scared to use my imagination. Bobby: It would be one thing I could do well. 65
  • 66. Dave: What are all the feelings Bobby - how do ‘all the roads lead here’? Bobby: I don’t know if I want to go into it Dave - I’ve got to this point and I feel a kind of ….. peace. Dave: Christ Bobby, this is tough for me. I knew you were going to say that. I want to stay with you in that and I want to pull you away from that. I’m no use to you unless I can stay with you in it. 66
  • 67. Bobby: That’s not true Dave - it’s nice for me to hear that. Anyway, you couldn’t stop me. Dave: I really knew you were going to use that ‘peace’ word. I could feel how ‘all the roads lead there’. I can see how that is a conclusion for you ….. and a retribution for you ….. It’s the same as cutting yourself used to be for you, isn’t it? 67
  • 68. Bobby: Yes, it has the same sense of ‘punishment’ and ‘control’ ….. Do you understand how important it is for me to face this? Dave: Yes, I do. You must face the question that perhaps the only way to make retribution is to execute yourself. (Long silence) Dave: You will have worked it all out? Bobby: In detail, Dave - in detail. (Long silence) Bobby: It’s funny to feel so alone, yet with someone. (Long silence) 68
  • 69. When a client is met at relational depth and enters his existential process, he takes an ‘inside’ view of his Self. From that perspective he sometimes experiences his Self in terms of different ‘parts’ rather than a single ‘whole’. 69
  • 70. Contents  Working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 70
  • 71. ‘ Taking an “Inside” View of me’ When you are close to me I go ‘inside’ myself - and see the different parts of me. From the outside I look confused and self-defeating - I don’t look alive at all. But ‘inside’ me I see the different parts in their own right. I see the scared and angry ‘little girl’ and her ‘big sister’ who bosses her around, but who really loves and protects her. Both of these parts are very alive. 71
  • 72. ‘ Configurations’ Chapter 6: ‘The nature of “configurations” within Self’. Chapter 7: ‘Person-centred therapy with “configurations” of Self’. In Mearns, D. & Thorne, B. (2000) Person-Centred Therapy Today: New Frontiers in Theory and Practice. London: Sage. 72
  • 73. Definition A ‘configuration’ is a hypothetical construct denoting a coherent pattern of feelings, thoughts and preferred behavioural responses symbolised or pre-symbolised by the person as reflective of a dimension of existence within the Self. 73
  • 74. Definition of ‘Configuration’ (Non-Jargon Version) Sometimes people experience themselves as having different ‘parts’ to their Self. Each part, or ‘configuration’, is well-developed, with its own feelings, thoughts and ways of behaving which may be quite different from other parts. 74
  • 75. Sam: A 23 year old Traumatised ‘Veteran’ ‘I walk around watching people and myself. I watch myself watching myself. I have a “me” that I use for everyday life. It does all the “normal’ things that other people do - it goes to work - it talks with other people - it goes to the store - it even makes love with my wife. It carries on as though nothing has happened. And I watch it. I stand in the background and wonder how I can do all that stuff’. 75
  • 76. SOME CONFIGURED CLIENTS little princess Mary: Most of the time I am a – all sweetness and light. Butter wouldn’t melt in my mouth. My little princess is friends with everyone and in general people treat her well. She developed in my childhood and she is still around. But I also have a hard edge – as hard as the little princess is soft. I call this part vixen me. I shiver when I think about her. She would scratch your eyes out – don’t mess with her. She too arose in my childhood, for good reasons. 76
  • 77. Joe: I have strong me and weak me. For years strong me hated weak me but that has changed during counselling. I understand now how weak me came about – it wasn’t just that he was ‘pathetic’ – he was scared, deeply scared. Strong me helped me to survive but I need weak me too – he has parts of me that strong me doesn’t. 77
  • 78. Mary and Joe are familiar with their configurations and have even given them names that reflect their main themes. For other people there is less familiarity, less clarity, but still a sense of pluralism, as with Teri who, in surviving a hostage situation, had discovered another dimension of her self… 78
  • 79. Teri: At first I just cried. I felt that that was all I could do. Then something happened – I stopped crying and became cool, clear and determined. I started to work out strategy. I had read about the fact that more hostages survived when they made themselves ‘known’ to their captors. So I stopped snivelling and started to engage these people. I was amazed – this wasn’t me speaking, but, in fact, it was. I wasn’t ‘acting’ – I was being ‘me’, but a part of me that I didn’t recognise. 79
  • 80. PLURALIST THEORIES Transactional Analysis (Berne) Voices (Hermans, Stiles) Parts (Schwartz) Sub-personalities (Rowan) Complexes (Jung) Objects (Fairbairn) 80
  • 81. Configurations are not ‘metaphors’ - they are phenomenological realities ‘fairytale princess me’ Vs I am as innocent as a ‘fairytale princess’ ‘vixen me’ Vs I behaved like a ‘vixen’ CONFIGURATIONS METAPHORS 81
  • 82. Configurations are NORMAL ways to hold dissonant material 82
  • 83. BUT REMEMBER… Configurations are NOT meaningful to everyone 83
  • 84. TWO COMMON NARRATIVES CARRIED BY CONFIGURATIONS SELF-EXPRESSION SELF-PROTECTION 84
  • 85. Self-expressive Configurations  The part of me that wants more out of life.  The bit of me that isn’t satisfied.  The voice within me that screams: ‘Is this all there is?’ 85
  • 86. Self-protective Configurations  The ‘me’ that just wants to curl up and do absolutely nothing.  The part that wants to go back.  The bit that protects me by sabotaging new things. 86
  • 87. Person-Centred Therapy with Configurations of Self (See Mearns & Thorne: Person-Centred Therapy Today, Chapter 7)  Staying close to the client’s symbolisation;  Listen for the parts, but don’t invent them;  Avoiding ‘zero-sum’ responding;  Empathic mediation: helping the parts to hear each other;  Multi-directional partiality: prizing all the parts;  Therapist’s use of her configurational Self. 87
  • 88. Staying close to the client’s symbolisation 88
  • 89. Of course, there has always been the part of me which is the dutiful daughter and the other one which is the delinquent but there is another sense of me as well ..... I can’t grasp it ..... it is something to do with sadness ..... 89
  • 90. Listen for the parts but don’t invent them 90
  • 91. LISTEN FOR THEM Bill: Finally I’m going to be free of John! I can’t wait to get him out of my life ….(stops talking and looks down) Dave: Something else Bill? Bill: When I said that, I felt like crying. Dave: Is the feeling still with you? 91
  • 92. Bill: Yes - it’s in the background. It’s behind everything I do. Dave: It’s behind everything you do… Bill: It’s always there….always crying. Dave: Always with you and always crying. Bill: Yes, but only sometimes do I hear it. It never says anything. It only cries. 92
  • 93. BUT DON’T INVENT THEM Client: there is a part of me that is dreadfully vulnerable and sad ….. she has only a very small voice ….. so I don’t hear her very often. Therapist: So I wonder what this ‘hurt little girl’ has to say to us Client: I don’t know ….. I don’t know ….. 93
  • 94. Therapist: From what you said before it sounds as though she is not just a ‘hurt little girl’ but an ‘abused little girl …..? Client: I don’t know ….. I don’t know ….. 94
  • 95. Avoiding ‘Zero-Sum’ Responding Client: Part of me feels x ….. and part of me feels not x. Therapist: So, you are conflicted about how you feel? 95
  • 96. ‘ Empathic Mediation’: Being Open to the Whole Client helps the Parts to Hear Each Other The client, Bobby, struggles with the confusion around two parts of his Self. One part, which he calls ‘mental me’, used to protect him and control his existence through the use of extreme violence towards others and towards himself. But there is a newly emerging part, ‘sad me’, which is beginning to flood into his existence: 96
  • 97. Bobby: I cut myself with my knife but still the sadness overwhelms me.  Dave: Cutting yourself was your way of staying in ‘control’.  Bobby: Yes - but it’s not working - that ‘mental’ part of me can no longer keep it together. He’s in deep shit - his time is past.  Dave: And what does he feel …..? 97
  • 98.  Bobby: ….. Scared ….. he’s so scared. He thinks that if he loses control I will be done for ….. He’s almost crying.  Dave: That’s unusual for him …..  Bobby: God yes - maybe he’s not so different from the ‘sad’ part of me ….. the sad part can understand crying ….. God, that’s the one thing he can understand. 98
  • 99.  Dave: Can he understand your fear as well?  Bobby: ….. yes ….. I was good at ‘holding things together’. If I can’t hold things together, I might be …..  Dave: You might be?  Bobby: Dead. The only way to survive in my world was to be really ‘mental’ - to kill and to mutilate first ….. But it comes from fear …. fear and sadness are not so far apart. 99
  • 100. ‘ Multi Directional Partiality’ Honouring all the parts of the Client’s Self Therapist: It seems to me that most of this session, so far, we have being hearing from that part of you which you called ‘the strong part of me’. You have also identified other parts of you that were quite different from ‘the strong part of me’ - you called them ‘lotus blossom’ and ‘the frightened part of me’. 100
  • 101. Is it meaningful to check-in with those parts - what do you think? Monica: Fuck them - they are in the past - they are history. Therapist: Right - let me catch up - this is new. Is it like they are, really, ‘history’, or is it that you would want them to be history? Monica: Fuck you - you won’t let them go, will you. 101
  • 102. Therapist: I am not going to let them go if they are parts of you - I am not going to dismiss any of you. Monica: Who pays you anyway! (with humour) Therapist: Good point ….. Actually, I don’t know who pays me. Who pays me? Monica: Clever bastard. 102
  • 103. Person-Centred Therapy with Configurations of Self (See Mearns & Thorne: Person-Centred Therapy Today, Chapter 7)  Staying close to the client’s symbolisation;  Listen for the parts, but don’t invent them;  Avoiding ‘zero-sum’ responding;  Empathic mediation: helping the parts to hear each other;  Multi-directional partiality: prizing all the parts;  Therapist’s use of her configurational Self. 103
  • 104. Contents  A schema of working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 104
  • 105. Mearns, D. & Thorne, B. (2000). ‘Advancing person-centred theory’. Chapters 6&9 in Person-Centred Therapy Today: New Frontiers in Theory and Practice. London: Sage.  Mearns, D. (2002). Further theoretical propositions in regard to Self Theory within Person-centered therapy. Person-Centered and Experiential Psychotherapies. 1(1&2): 14-27.  Mearns, D. & Thorne (2007). The new chapter 2 in Person-Centred Counselling in Action (3rd edition). London: Sage. 105
  • 106. Proposition 5 Configurations may be established around introjections about self. 106
  • 107. Proposition 6 Configurations may also be established around dissonant self- experiences. 107
  • 108. Proposition 7 Formative configurations assimilate other consistent elements. 108
  • 110. PAST TENSE DERIVATIVE PRESENT TENSE DERIVATIVE EMERGING ‘ME AS ‘ME AS I SYNERGY I WAS’ AM NOW’ ‘ANOTHER ME’ CONFLICT BIFURCATION DERI VATIVE ‘ME AS I’VE ALWAYS ‘THE KNOWN CONFLICT CREEP’ ME’ PROTECTION ‘FUCKED ME’ Alexander Map 110
  • 111. ‘ Configuration Theory’: Using theory in the person-centred approach  Theory does not predict the behaviour or the experience of the client.  Theory expands the imagination of the therapist. 111
  • 112. ‘General’ Psychological Theory + ‘Individual’ Psychological Theory 112
  • 113. DIFFERENCES BETWEEN CONFIGURATIONS AND THE PARTS IN DISSOCIATED PROCESS  Greater separation of dissociated parts  More personification in the parts  Information blockage between parts 113
  • 114. Configurations may develop into dissociated parts (Warner & Mearns, 2008) 114
  • 115. Reflecting upon our own ‘Configurations’ of Self  What might be the different ‘parts’ within my Self? - If they had a ‘voice’ what would they each ‘say’?  What were my ‘parts’ at earlier times in my life? - What did they ‘say’ then?  How do/did these different ‘parts’ relate together? 115
  • 116. BUT REMEMBER… Configurations are NOT meaningful to everyone 116
  • 117. Contents  A schema of working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 117
  • 118. Rogers, C.R. (1951). A theory of personality and behavior. In Client-Centered Therapy (pp. 481 – 533). Boston: Houghton Mifflin. 118
  • 119. Rogers, C.R. (1959). A theory of therapy, personality and interpersonal relationships as developed in the client-centered framework. In S. Koch (ed.), Psychology: A Study of a Science, Volume 3: Formulations of the Person and the Social Contract (pp. 184 – 256). New York: McGraw-Hill. 119
  • 120. Rogers, C.R. (1963). The actualizing tendency in relation to “motives” and to consciousness. In M. Jones (ed.), Nebraska Symposium on Motivation (pp. 1 – 24). Lincoln: University of Nebraska Press. 120
  • 121. Rogers’ ‘California’ Period A ‘Unitary’ Theory 121
  • 122. The ‘value-added’ actualising tendency  Feelings valued over thoughts  Non-self-conscious ‘being’ valued over ‘considered action  ‘Free-expression’ valued over ‘censoring’  ‘Radical’ choices valued over ‘conservative choices  “Volume-up” expression of feeling valued over ‘volume-down’ expression of feeling 122
  • 123. COULSON, W. (1987). Reclaiming Client-Centered Counseling from the Person-Centered Movement. Unpublished paper. Center for Enterprising Families, P.O. Box 134, Comptche, Ca 95427, USA. 123
  • 125. Rogers (1959: 200) Self = Self-Concept 125
  • 126. Mearns & Thorne (2000) Self = Self-Concept + Edge of Awareness Material 126
  • 127. A Dialogical Person- Centred Theory of the Self 127
  • 128. ‘ Growthful’ Configurations (‘self-expressive’) ‘ Not for growth’ Configurations (‘self-protective’) 128
  • 129. Proposition 1 The actualising tendency is the sole motivational force. 129
  • 130. THE ACTUALISING TENDENCY IS NOT ‘POSITIVE’ SHEILA is unsettled in her relationship with Maureen. The relationship has lasted fifteen years despite the considerable age difference. But during the past couple of years Sheila is placing less value on the security the relationship has always offered and is craving a more exciting lifestyle. 130
  • 131. NIGEL was a prisoner of his father’s physical and emotional abuse throughout his first 14 years. His father would ceremonially tie him up and beat him once a week on some pretext – the slightest piece of disobedience could bring out his father’s belt. Nor were the beatings only physical – when Nigel showed signs of doing well at school he became subject to a torrent of insults. Nigel survived by ‘going underground’ as a person. Now, at 131
  • 132. 22 years of age, he runs a drug empire. He tightly controls his operation and the people in it, exerting authority at times with considerable public cruelty. (Mearns, D. & Thorne, B. 2007. Person- Centred Counselling in Action, third edition. London: Sage. Chapter 2.) 132
  • 133. Proposition 2 The promptings of the actualising tendency inspire their own resistance within the social life-space of the person. A working label for this resistance is the term ‘social mediation’. 133
  • 134. I could do more with my life but I am scared to lose what I have.  I need to stop this road – I can see where it points and I don’t want it – not yet anyway. 134
  • 135. I fought my way out of a relationship previously, and I lost more than I ever imagined.  Part of me says ‘go for it’ and part of me says ‘watch it’ – I need to stay with ‘watch it’ for now. 135
  • 136. I look at what other people have got and I want it like a child wants everything. But my child isn’t going to make all my decisions.  Everything seemed to point in the direction of leaving the job – I needed to be free of it. But my family would have lost too much – and that would mean me losing too much. So I rolled up my sleeves and made the best of it. 136
  • 137. Proposition 3 A psychological ‘homeostasis’ develops between the drive of the actualising tendency and the restraint of social mediation. The configuring and re-configuring of this homeostasis is the actualising process. 137
  • 138. ‘In this revision of the theory, the central concept becomes the actualising process which is described by the homeostasis of the imperatives of the actualising tendency and social mediation within different areas of the person’s social life space and the reconfiguring of that homeostasis to respond to changing circumstances’. (Person-Centred Therapy Today: p184) 138
  • 139. Proposition 4 ‘Disorder’ is caused when the person becomes chronically stuck within his/her own actualising process such that the homeostatic balance cannot reconfigure to respond to changing circumstances. 139
  • 140. ‘ A Tyranny of Growth’ 140
  • 141. “After countless years of going against my instinct and fitting into other people’s wishes I finally broke free. For a time after that I was impossible to live with – I couldn’t compromise at all.” 141
  • 142. “It’s like I couldn’t go against my view of events and what was right for me in the moment. Having finally got hold of myself I wasn’t going to let go – I suppose I was scared I would lose myself again.” 142
  • 143. “I can see that my sense of myself isn’t working. Other people are giving back a different view of myself, and they are pretty unanimous. They say that I look ‘cold and detached’, when I feel ‘warm’. It is difficult to know who to trust. Either they share the same 143
  • 144. delusion or I have a huge blind spot that I can’t see past. It is really difficult to go against my sense of myself – I have no sense of being wrong. But these are good people – I need to pause awhile.” 144
  • 145. Counselling in the school system of Fukuoka, Japan. Morita, Kimura, Ide, Hirai, Murayama. The student client is not only part of his community His community is part of him. 145
  • 146. Inayat, Q. (2005). The Islamic concept of self, Counselling Psychology Review, 20: 2-10. Proctor, G., Cooper, M., Sanders, P. & Malcolm, B. (eds.) (2006). Politicizing the Person-Centred Approach. Ross-on-Wye: PCCS Books. 146
  • 147. Contents  Working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 147
  • 148. The Developmental Agenda for the Therapist Working at Relational Depth  broadening our experience of humanity ;  expanding the self available in the therapy room - configurations - ‘existential touchstones’ 148
  • 149. Broadening our experience of humanity  experiencing and exploring diversity;  expanding imagination  facing fears, prejudice  finding out about other people’s experiences  expanding our life experience 149
  • 150. ‘Eventually I realised that if I was going to work professionally as a counsellor, I had better find out something about the other half of humanity. So I started to work with men!’  ‘I never actively accepted myself as “homophobic”, but I was. Joining the men’s group soon blew that away’. 150
  • 151. ‘When it would come to the edge of meeting the depths of my clients’ despair I would always pull back. I got over that edge, initially, through reading about people’s experiences of despair. That would take me into my tears – and closer to my sense of my own existence.’ 151
  • 152. ‘An experience which helped me to sustain myself [in the work with ‘Rick’] was attending an informal ‘rap’ group of veterans….I used that group to stay connected with the kinds of experiencing they spoke about.’ (Mearns & Cooper, 2005: 107) 152
  • 153. The Developmental Agenda for the Therapist Working at Relational Depth  expanding our experience of humanity;  expanding the self available in the therapy room - configurations - ‘existential touchstones’ 153
  • 154. The Therapist’s use of their own configurational self? 154
  • 155. Working all together with ‘Clair’ Extract 1 Dave 1: I really don’t understand why you are leaving the job. Clair 1: No, I knew you wouldn’t. Dave 2: You mean you knew that I wouldn’t understand it? Clair 2: Yes ….. I’ve seen it for ages. We are o.k. when we are working on my strong Self - that work has been 155
  • 156. great - I wouldn’t take anything away from it. But my ‘little girl’ isn’t so sure about you. Dave 3: She doesn’t trust me. Clair 3: She doesn’t think you want to know her ….. She is pretty scared you know. 156
  • 157. Dave 4: (pause) I suppose we haven’t spent enough time on her. (pause) I guess I didn’t hear her very well - I didn’t realise how bad she felt. I see now that I didn’t hear her very well. Clair 4: I didn’t let her come out very often with you. Maybe I thought you wouldn’t like me if I really showed you her. Dave 5: And perhaps I wasn’t as open to her as I could have been ….. 157
  • 158. Clair 5: Well, she has got to come out now. She needs to become a big girl now. So I am holding her hand and walking her out. Dave 6: And what are you feeling, little girl? Clair 6: I am scared ….. and I am angry. I am not sure if I can trust you ….. But I want to trust you. Dave 7: I want to apologise to you for not really listening to you until now. 158
  • 159. Extract 2 (two sessions later) Clair 1: It is better now, in here. It feels as though there are four of us working together. Dave 1: You mean, two of you and two of me? Clair 2: Yes. Dave 2: The two parts of you, you have called your ‘strong Self’ and your ‘little girl’. But you also sense two parts to me here? 159
  • 160. Clair 3: Yes, don’t you? Dave 3: Yes, but I haven’t given them names yet - in here at least - what is your sense of them? Clair 4: One is watching over everything that is happening. He is pretty competent, but he is also nervous. The other is not so used to being here but he has been invited. He has got a softness and vulnerability which is really good for me. He helps me to be ‘soft’ with myself. 160
  • 161. Dave 4: He helps you to be soft with yourself …..? Clair 5: When it was only your ‘strong, competent’ self that was here - then my strong self just got together with you and there was no space for ‘softies’ - no space for ‘softies’ in either of us. Dave 5: And it is important that we touch that ‘softness’ in you …..? 161
  • 162. Clair 6: It is important that we are all here, together. My parts both have strength - but they need to ‘get along’ together, like yours do. Dave 6: Maybe I am more ‘tentative’, than I look, my ‘soft’ part kind of feels okay with this but is a bit unsure. Clair 7: That is what ‘soft parts’ are like, silly! Being ‘unsure’ is part of being ‘soft’. 162
  • 163. Dave 7: I think you are more experienced at this than me, Clair. Clair 8: Never mind, we’ll help each other along! 163
  • 164. The Developmental Agenda for the Therapist Working at Relational Depth  expanding our experiences of humanity;  expanding the self available in the therapy room - configurations - ‘existential touchstones’ 164
  • 165. Definition of ‘existential touchstones’ Life events and self-experiences that have given us glimpses of different dimensions of ourself and which we can enter to put us into a feeling state that is closer to our client’s present experiencing and thus act as a ‘bridge’ for us into a fuller meeting with our client. Mearns, D. & Thorne, B. (2007). Person-Centred Counselling in Action. Third edition, p.147, London: Sage. 165
  • 166. Existential Touchstones: Vulnerabilities turned into strengths Three counsellors give us glimpses of earlier, difficult experiences that have become existential touchstones for them in their work:  The memory of my own earlier aloneness is something I can touch to bring me closer to my existentially withdrawn clients. 166
  • 167. It took me years to get over my own early experiences of humiliation – but now it doesn’t frighten me any more – now I can even use it as a way of getting closer to my client’s experience of abuse.  I don’t think you ever ‘get over’ a major bereavement. But it gets to a point that it deepens you as a person and helps you to be with your client in their own depths. 167
  • 168. Contents  Working at relational depth;  Resonance;  Client processes;  Working with the client’s ‘configurations’ of self;  Configuration Theory;  Revising Rogers’ Self-Theory;  The developmental agenda for the therapist working at relational depth;  ‘Existential Touchstones’;  Working with Dominic and Rick. 168
  • 169. WORKING WITH ‘DOMINIC’ Chapter 5 in Mearns, D. & Cooper, M. (2005). Working at Relational Depth in Counselling and Psychotherapy. London: Sage. 169
  • 170. Dominic 1: [At the start of session 3] D1 I shouldn’t have come today. I’ll go away if you like. T1 Because you’ve been drinking? D2 Yeah – I’ve been drinking. T2 Do you want to go or do you want to stay? D3 I wouldn’t mind staying. T3 I would like that too. But I’d like us to keep the tape on like we usually do. Why I say that is that I want us to have a record of what happens – when you’re pissed it’s easy to forget. 170
  • 171. D4 Fine – I hadn’t realised it was on. T4 Good that I mentioned it then. D5 (Long pause) How do you feel about me ….. now ….. here. T5 Dom, I want to tell you that I feel absolutely nothing about the fact that you’ve been drinking. But you asked how I felt about you, now, here (pauses) I feel ….. a bit ….. ‘scared’. D6 ‘Scared’? 171
  • 172. T6 It surprises me too ….. I guess it does matter to me that you’ve been drinking ….. I’m scared in case we have to start again. It’s like I feel that we’ve made a really good connection ….. but will that still be there …..today. That’s what makes me a bit scared. D7 Like it matters to you? T7 Yes it does Dom. D8 Like this isn’t just a ‘game’ to you? 172
  • 173. T8 I think you know that, Dom. In fact, I know you know that Dom. D9 Yes – ‘sober me’ knows it, but does ‘drunk me’?! T9 I don’t know. Does he? Do you? D10 Big question – maybe I’ll need another vodka before I can answer that. T10 Dom – be here – be here drunk – but don’t play fucking games with me. Neither you nor I deserve that. 173
  • 174. D11 SILENCE T11 SILENCE D12 You’re really serious about this, aren’t you? T12 As ever. D13 I’m sorry. T13 Apology accepted - where should we start today? D14 We started long ago – this is me – this is who I am. 174
  • 175. T14 Yes – you’re right – I see – we started at the beginning as usual – but the start was different – because you were different. Yes, I missed that. 175
  • 176. Dominic 2: [Later in session 3] D15 It’s not easy to live up to a ‘holy’ name. T15 ‘Dominic’. D16 Yes – a ‘good Catholic upbringing’ kept telling me how important my name was. T16 Like it told you what you should be? D17 Yeah – but it was a fantasy – pure fantasy ……………. pure ……………. fantasy. 176 T17 Their fantasy?
  • 177. D18 Yeah ……………… It was like I didn’t exist … you know? T18 Like they had some image of you that was so far from who you were that it was like they were talking about someone else. D19 Got it in one. You’re good at this shit! T19 Hope so. What are you with just now? D20 (long pause) …. (looks directly at T) ……….. I don’t know what I’ m about. 177
  • 178. T20 (looks intensely at D and moves towards him, speaking slowly). That sounds like a lot, ‘you–don’t–know– what–you’re-about…’ D21 I’m so full of crap. T21 … and …? D22 I don’t know whether to believe myself or not. T22 Say more Dom. D23 I’m just so full of crap. 178
  • 179. T23 You don’t know whether to believe yourself or not. D24 I think I’m serious … sincere. But, really, I’m only a drunk … a fuckin drunk. T24 You think that you are serious … and sincere. But you are really, only, a fuckin drunk. D25 Yes. T25 A fuckin drunk – that’s all you are. D26 (tears welling up) T26 A fuckin drunk. 179
  • 180. D27 (hits fist on arm of chair in apparent anger… and cries) T27 Dom, you are angry… and you are crying. D28 I’m so fuckin full of shit (cries). T28 (moves to Dominic and puts his arm round him) D29 (cries more and more) T29 It feels like a lonely place. D30 (looks up at T) Yes… (shivers). T30 Cold, and lonely… 180
  • 181. D31 The only warmth comes through the bottle – whether it’s ‘single malt’ or cheap vodka – it doesn’t matter. T31 It still works – it still gives a feeling of warmth. D32 It does… I can’t describe it… I’m alive… but it’s killing me… and everything I love. T32 Dom – can you really help me get hold of this – It sounds really strong – like you feel really ‘alive’ – that sounds real powerful. But, then, it is also ‘killing’ you, and everything you love. 181
  • 182. D33 One part of me is really ‘hooked’ on it – it is the only ‘buzz’ I get and I can’t get enough of it. T33 And, there is another part…? D34 The other part is a loving husband and father… T34 Yes…? D35 Who is killing his family. T35 You are carrying a lot… a helluva lot. D36 And I can’t carry it any more. 182
  • 183. T36 That sounds serious… No. I don’t mean to be ‘glib’ – it really does sound like you are serious. D37 I’ve got to do something. T37 ‘Do’? What would you ‘do’ Dom? D38 Either give it up… or give it up. T38 I think I understand… one ‘part’ – the one that is really ‘hooked’ would give up on your normal life… and the other ‘part’ – the one who is a ‘loving husband and father’ would give up the booze. 183
  • 184. D39 Most people don’t realize how difficult a choice that is. T39 Is it… does it feel like giving up on ‘living’ for the ‘life’ you have? D40 Yes. T40 SILENCE D41 It feels like ‘living’ when you’re drunk – but it isn’t really. T41 SILENCE 184
  • 185. D42 I’ve been scared of living – all my life I’ve been scared of living. I’ve never felt like other people – I’ve never felt ‘sure of myself’ the way other people do. If you feel ‘sure of yourself’ you can go out and do things with your life. If you don’t feel sure of yourself you can’t – you can’t really do things with your life – you’ve always got to make ‘safe’ choices – choices that don’t really test you – choices that aren’t really ‘living’. 185
  • 186. T42 SILENCE D43 And so, I have an ‘ordinary life’ – did you see that film? T43 ‘Ordinary Lives’ – yes. D44 LONG SILENCE T44 Are you stuck? Are you thinking about the film? D45 Yes – their ‘ordinary lives’ were blown apart when something terrible happened. They had taken the safe choices for so long that they hadn’t developed the strength to deal with real life. 186
  • 187. T45 And you… what about you. D46 Part of me tries to break free, but it also hasn’t got experience – it doesn’t know how to do it. T46 SILENCE D47 SILENCE T47 I am feeling sad for it. I think I am seeing it better. It desperately wants to do something – but it has been ‘scared of living’ for so long – it doesn’t know what to do. D48 So all I can do is to go into that feeling of being sad – and get drunk. That’s the closest I can get to ‘living’. 187
  • 188. DOMINIC 3: [session 4] [after spending time going through part of the tape of session 3] D49 It is difficult to listen to that. T49 Why is that, Dom? D50 Because I’m drunk. T50 Yes – yes, you are drunk. D51 I hate listening to it – it’s not me. T51 It’s not you. D52 SILENCE 188
  • 189. T52 It’s not you. D53 How can I be like that? How can I be a drunk? How can I have let you tape that. T53 Dom… If you want, I can wipe that tape right now. D54 No………………… No………………… It’s me……………… It is me. T54 It is you. D55 ………….. but not a part of me I want. T55 Do you recognise him? 189
  • 190. D56 Sure… he’s only a bottle of vodka away. T56 Where should we go with this, Dom? Where should we go with this right now? Where are you with this right now? D57 I’ve got to meet him. T57 You ‘heard’ him, didn’t you Dom… you really ‘heard’ him. D58 Yes… yes… I heard him. T58 You are keeping him out… but, really you heard him… 190
  • 191. D59 I heard ‘me the drunk’. I hate him. I cry for him. I cry with him. I am him. He is part of me. T59 And you feel you have ‘got to meet him’. D60 I don’t know what made me say that – I hate him. When I’m sober I believe he is gone forever. Why did I say that ‘I have to meet him’? T60 SILENCE {Dominic meets T’s eyes} 191
  • 192. D61 I have been running way from him for years but what I need to do is to meet him. T61 SILENCE D62 Let’s play some more of the tape. 192
  • 193. DOMINIC 4: [later in session 4] D63 [Dominic begins to cry as he listens to the tape – particularly D34] T63 SILENCE D64 It’s like I’m listening to him – to me – to that part of me, properly, for the first time. I’ve been locked into antagonism to him – antagonism and denial and hate. I had to deny he was ‘really’ a part of me. He was an evil drunk. But he is a part of me, not just when I am drunk, but every minute of every day – 193
  • 194. he is a part of me. He is ‘sad’ me, ‘lost’ me, ‘desperate’ me, ‘crying’ me – though I’m also crying now. It’s like he’s with me now, and I’m not drunk – nor am I going to get drunk… today. T64 This sounds different – like you are ‘meeting’ him rather than ‘dismissing’ him. D65 It feels strange – like I am excited but also tense – this feels different. It’s not like I imagined it. I came into therapy to kill that drunk and now I am 194
  • 195. listening to him and crying for him/crying with him. He really is part of me – a part that I have not been open to – we had to be separated by a bottle of vodka. T65 SILENCE D66 LONG SILENCE T66 Where are you in your silence Dom? D67 I have suddenly become aware that you are here. T67 And how is that for you – that I am here – with you? 195
  • 196. D68 The first feeling was an acute embarrassment – but that quickly passed. Now it feels good that you are here – that you are sharing this with me. I feel so excited but also tense – might this pass? Could I lose it? T68 ‘It’? D69 This is the first time that ‘sober me’ has met ‘drunk me’ in a way that he can understand him. T69 Can ‘drunk me’ also understand ‘sober me’? 196
  • 197. D70 Wow – that’s a big question – that’s too much right now – that panics me. T70 In case he can’t? D71 Yes. It’s like I’ve won a lot at the ‘tables’ today and if we go too far I might lose it. T71 Fair enough. I thought I might be pushing too far – I knew it was a big step. In fact, ‘part’ of me told me not to push… and another part – a kind of ‘delinquent’ part said ‘go for it’! 197
  • 198. D72 Hah! So the therapist is crazy too – he has different parts too. T72 I’ve been ‘found out’ – guilty as charged! D73 Can we come back to your question when I’ve lived with this for a while? (smiles) T73 Why can’t I be as wise as that! SESSION ENDS 198
  • 199. This session proved to be critical for the therapy. ‘Sober’ Dominic had met ‘drunk Dominic’ without judgement or denial but, instead, with genuine understanding. In session 5 Dominic described himself as a ‘partial drunk’, ‘part’ of him was a ‘drunk’ and part of him was ‘sober’. The problem with 199
  • 200. these configurations is that the ‘drunk’ can generally undermine the whole process and take over the definition of the person. One wonders how many other people might be described as partial drunks, if only we could be present at the meetings of their parts? 200
  • 201. Earning the Right to work with Rick: A Traumatised Client Chapter 6 in Mearns & Cooper (2005) Working at Relational Depth in Counselling and Psychotherapy. 201
  • 202. Trauma is a profoundly existential event 202
  • 203. ‘Trauma fundamentally disrupts the whole assumptive frame upon which our sense of self is founded’ (Mearns & Cooper, p. 65) 203
  • 204. RICK ‘ Fire fight’ ‘ Fragging’ Third tour Mute 204
  • 205. The first of 72 meetings over 12 weeks RICK’S ROOM RICK’S SILENCE MY ‘WHO I AM’ SPEECH 205
  • 206. MEETING 2 RESPECTING AND CONNECTING 206
  • 209. MAINTAINING OUR HUMANITY WHEN WE GET LITTLE BACK What I did get back from Rick Staying fresh The ‘rap group’ Supervision. 209
  • 211. MEETING 15 THE ‘FLYING BOOK’ 211
  • 212. MEETING 23 THE DAY RICK CRIED 212
  • 213. MEETING 25 “ TELL HIM NOT TO COME” 213
  • 214. MEETING 26 THE DAY DAVE CRIED 214
  • 215. MEETING 27 DO YOU TAKE CREAM OR SUGAR? 215
  • 216. THE END OF THE BEGINNING? OR THE BEGINNING OF THE END? 216