Adriana Tanese Nogueira
           Atnhumanize.com


Issues of Mental Health Counseling 2013
                  FAU
   Politics?
   Social matters?
   How psychology is related to social matters?

Activism consists of efforts to promote, impede, or direct
social, political, economic, or environmental change.
Activism can take a wide range of forms from writing
letters to newspapers or politicians, political
campaigning, economic activism such as boycotts or
preferentially patronizing businesses, rallies, street
marches, strikes, sit-ins, and hunger strikes.
(http://en.wikipedia.org/wiki/Activism)
Some activists try to persuade people to change
their behavior directly, rather than to persuade
governments to change or not to change laws.
(http://en.wikipedia.org/wiki/Activism)




In the political sciences, activism can also be
synonym of militancy, particularly for a cause.
Usually, it can be understood as militancy or
continuous action towards a social or a political
change. (http://pt.wikipedia.org/wiki/Ativismo)
You can be an activist in you practice by two
means:


1. Advocacy
2. Theoretical and Clinical Approach
to the client
http://www.psysr.org/
   Asylum                   Peace Education
   Children at Risk         Peacebuilding
   Climate Change           Poverty
   Conflict Resolution      Racial Inequities
   Disability Issues        Reconciliation
   Disarmament              Restorative Circles
   Environment              Sexual Orientation
   Global Violence          Status of Women
   Human Rights             Terrorism
   Humanitarian Aid         Torture
   Human Trafficking        Trauma
   Inequality
Courtland C. Lee, Ed. (2007). Counseling for
Social Justice. Second Edition, American
Counseling Association.

Lee, Courtland C., Ed.; Walz, Garry R., Ed. (1998).
Social Action: A Mandate for Counselors.
American Counseling Association.
In the counseling context, social justice
encompasses the professional, ethical, and moral
responsibility that counselors have to address the
significant social, cultural, and economic
inequalities that may negatively affect the
psychosocial development of various groups of
people.
Social justice relates to counselors’ sense of social
responsibility. It involves counselors taking stands
on social issues and working to eradicate systems
and ideologies that perpetuate discrimination and
disregard human rights.
Journal of the American Mental Health
Counselors Association




          http://www.amhca.org/news/advocate.aspx
What is mental health counseling?

Clinical mental health counseling is a distinct
profession with national standards for
education, training and clinical practice. Clinical
mental health counselors are highly-skilled
professionals who provide flexible, consumer-
oriented therapy. They combine traditional
psychotherapy with a practical, problem-solving
approach that creates a dynamic and efficient path
for change and problem resolution.
(http://www.amhca.org/about/facts.aspx )
Traditional psychotherapy
                  +
Practical solving-problem approach
   Traditional Behavioral Therapy
   Cognitive-Behavioral Therapy
   Emotionally Focused Therapy
   …and many more
The individual has a problem and goes to a
therapist. They work follow this line:

   They focus on the problem (each from a
    different perspective
   Solve it
   And move on
Complex? Interrelated? Multidimensional?
Techniques are supposed to fix a problem, a
defined, specific, objective problem.

                   You learn how to use the
                   technique, to focus on the issue
                   and to fix it. And move on.
You see the whole and its implications,

                    How everything is connected
                    and how we belong to a web of
                    relations, none of us being an
                    island.
Psychological issues relating to social and cultural
reality are present in the first conception of
psychotherapy.
                 Freud. Civilization and Its Discontents
                 1929
                  We all seek pleasure and avoid displeasure
                  Reality doesn’t allow us to reach full happiness
                  Civilization is necessary to survival
                  Civilization is the source of unhappiness
To Freud, the first psychotherapist in history (if
we don’t count Socrates, IVbC), the source of
pathology is society.

   Civilization creates discontent and mental
    pathology within its members through
              repression of instinct.

How could we then fix anyone who lives within society
                and cannot leave it?
To solve the social malaise, Freud proposed the
concept of SUBLIMATION.

Informal translation:
To be able to keep living in the box you need outlets.

Ex. of outlets:
Distraction, drugs, affairs, trips, art, parties, faceb
ook, fights, gossips, soap
operas, music, hyperactivity, etc.
Jung disagrees with Freud. We
               don’t have only instincts in the
               unconscious, but a drive to
               blossom, to become ourselves. This
               drive pushes outwards and it’s
               called INDIVIDUATION.


“One cannot individuate without dealing with the
world, that is, changing the world; as the world can
only be changed by individuated people.”
…a process of psychological integration, having for
its goal the development of the individual
personality. In general, it is the process by which
individual beings are formed and differentiated [from
other human beings]; in particular, it is the
development of the psychological individual as a
being distinct from the general, collective psychology.


  Blocked individuation = mental problems
We are social beings (Aristotle) in relation to a
world that we create and we are able to change it
only when we fully express our own uniqueness.
Then we make a real contribution.


Individuation--being a natural
tendency observable in nature and
prominent in us, human beings--when blocked
engenders pathology, that is, all kind of
psychological malaise.
James Hillman
We've Had a Hundred Years of
Psychotherapy--And the World's
Getting Worse. (1993).
…let’s consider the idea that psychology makes
people mediocre and that the world is in
extremis, that it is suffering from a acute
disturb, maybe fatal, to the limits of extinction.
(Hillman)
In this case, I would say that
what the world needs is an
extreme intensity of thought
and feeling, something
radical and original, in order
to overcome a crisis as intense
as this one.
Psychotherapy conceived as support and
tolerance is not up to the challenge; on the
contrary, it produces counterphobic inclinations
to chaos, marginality, and extremes. Therapy as
sedation: numbness, an-esthesia, in order to calm
down, to relief from stress, to relax, in order to
find acceptance, balance, support, empathy. The
middle term position. Mediocrity.
(Hillman)
…to me the task of psychotherapy is to open the
mind, take care of it; no, not take care but
encourage, even put fire to the rich and crazy
mind, that wonderful bird-place (the image is
Plato’s) of thoughts that flight unleashed…
(Hillman)

 Nothing of the psychic material
 that comes in therapy with the
 patient is mediocre, maybe just
 the first level that is peeled
 right away and easily…”
 (Hillman, p. 174)
The Italian psychoanalyst, Silvia
                   Montefoschi summarizes Jung’s
                   idea of the therapist’s role.

The therapist must be aware
of the contrast individual-
collective, which belongs to
each person’s internal
dialectic. (Both tendencies
being natural: the one to be
like the others and the one to
unique).
To Jung, mental illness is the result of the
blockage of the individuation process and healing
is the recovering of the lost path, therefore the
recovery of the meaning of our being in the
world. (Montefoschi, p. 113)
The therapist succeeds in a treatment precisely up
to the point he or she has arrived in their own
moral development. (Jung, p. 83)

>> You don’t give (to a patient) more than what
you are (have achieved in your own
individuation process).
The therapist is the one able to turn any relation
into the place and the moment of that creative
knowledge that transforms the world. (Montefoschi, p.
115)


As each individual is not an island, so is each
therapeutic setting. The therapist being aware of
the long term influence that he or she exercises on
their patients will need to question themselves
about their stand in the world, of whom both
patient and therapist are representative.
Therefore, the one who wants to move in the field
of psychotherapy “cannot hide themselves
beyond techniques, but need to be completely
themselves in the dialectical human
exchange, that is, the relation with the Other.”
(Montefoschi, 1985, p. 111)
Each time you as a therapist are
 working with a patient/client,
 you are co-creating the world.

Be aware of the world you make
            happen.
   Courtland C. Lee, Ed. (2007). Counseling for Social
    Justice. Second Edition, American Counseling
    Association.
   Freud, S. (1985). Il disagio della civiltà. Torino: Einaudi.
   Hillman. J. (1993) 100 anni di psicoterapia ed il mondo
    va sempre peggio. Milano: Garzanti.
   Jung, C. G. (1981) I problemi della psicoterapia
    moderna. Milano: Garzanti.
   Lee, Courtland C., Ed.; Walz, Garry R., Ed. (1998).
    Social Action: A Mandate for Counselors. American
    Counseling Association.
   Montefoschi, S. (1985). Jung, un pensiero in divenire.
    Milano: Garzanti.

Counselors as social activists

  • 1.
    Adriana Tanese Nogueira Atnhumanize.com Issues of Mental Health Counseling 2013 FAU
  • 2.
    Politics?  Social matters?  How psychology is related to social matters? Activism consists of efforts to promote, impede, or direct social, political, economic, or environmental change. Activism can take a wide range of forms from writing letters to newspapers or politicians, political campaigning, economic activism such as boycotts or preferentially patronizing businesses, rallies, street marches, strikes, sit-ins, and hunger strikes. (http://en.wikipedia.org/wiki/Activism)
  • 3.
    Some activists tryto persuade people to change their behavior directly, rather than to persuade governments to change or not to change laws. (http://en.wikipedia.org/wiki/Activism) In the political sciences, activism can also be synonym of militancy, particularly for a cause. Usually, it can be understood as militancy or continuous action towards a social or a political change. (http://pt.wikipedia.org/wiki/Ativismo)
  • 4.
    You can bean activist in you practice by two means: 1. Advocacy 2. Theoretical and Clinical Approach to the client
  • 5.
  • 6.
    Asylum  Peace Education  Children at Risk  Peacebuilding  Climate Change  Poverty  Conflict Resolution  Racial Inequities  Disability Issues  Reconciliation  Disarmament  Restorative Circles  Environment  Sexual Orientation  Global Violence  Status of Women  Human Rights  Terrorism  Humanitarian Aid  Torture  Human Trafficking  Trauma  Inequality
  • 7.
    Courtland C. Lee,Ed. (2007). Counseling for Social Justice. Second Edition, American Counseling Association. Lee, Courtland C., Ed.; Walz, Garry R., Ed. (1998). Social Action: A Mandate for Counselors. American Counseling Association.
  • 8.
    In the counselingcontext, social justice encompasses the professional, ethical, and moral responsibility that counselors have to address the significant social, cultural, and economic inequalities that may negatively affect the psychosocial development of various groups of people.
  • 9.
    Social justice relatesto counselors’ sense of social responsibility. It involves counselors taking stands on social issues and working to eradicate systems and ideologies that perpetuate discrimination and disregard human rights.
  • 10.
    Journal of theAmerican Mental Health Counselors Association http://www.amhca.org/news/advocate.aspx
  • 11.
    What is mentalhealth counseling? Clinical mental health counseling is a distinct profession with national standards for education, training and clinical practice. Clinical mental health counselors are highly-skilled professionals who provide flexible, consumer- oriented therapy. They combine traditional psychotherapy with a practical, problem-solving approach that creates a dynamic and efficient path for change and problem resolution. (http://www.amhca.org/about/facts.aspx )
  • 12.
    Traditional psychotherapy + Practical solving-problem approach
  • 13.
    Traditional Behavioral Therapy  Cognitive-Behavioral Therapy  Emotionally Focused Therapy  …and many more
  • 14.
    The individual hasa problem and goes to a therapist. They work follow this line:  They focus on the problem (each from a different perspective  Solve it  And move on
  • 15.
  • 16.
    Techniques are supposedto fix a problem, a defined, specific, objective problem. You learn how to use the technique, to focus on the issue and to fix it. And move on.
  • 17.
    You see thewhole and its implications, How everything is connected and how we belong to a web of relations, none of us being an island.
  • 18.
    Psychological issues relatingto social and cultural reality are present in the first conception of psychotherapy. Freud. Civilization and Its Discontents 1929  We all seek pleasure and avoid displeasure  Reality doesn’t allow us to reach full happiness  Civilization is necessary to survival  Civilization is the source of unhappiness
  • 19.
    To Freud, thefirst psychotherapist in history (if we don’t count Socrates, IVbC), the source of pathology is society. Civilization creates discontent and mental pathology within its members through repression of instinct. How could we then fix anyone who lives within society and cannot leave it?
  • 20.
    To solve thesocial malaise, Freud proposed the concept of SUBLIMATION. Informal translation: To be able to keep living in the box you need outlets. Ex. of outlets: Distraction, drugs, affairs, trips, art, parties, faceb ook, fights, gossips, soap operas, music, hyperactivity, etc.
  • 21.
    Jung disagrees withFreud. We don’t have only instincts in the unconscious, but a drive to blossom, to become ourselves. This drive pushes outwards and it’s called INDIVIDUATION. “One cannot individuate without dealing with the world, that is, changing the world; as the world can only be changed by individuated people.”
  • 22.
    …a process ofpsychological integration, having for its goal the development of the individual personality. In general, it is the process by which individual beings are formed and differentiated [from other human beings]; in particular, it is the development of the psychological individual as a being distinct from the general, collective psychology. Blocked individuation = mental problems
  • 23.
    We are socialbeings (Aristotle) in relation to a world that we create and we are able to change it only when we fully express our own uniqueness. Then we make a real contribution. Individuation--being a natural tendency observable in nature and prominent in us, human beings--when blocked engenders pathology, that is, all kind of psychological malaise.
  • 24.
    James Hillman We've Hada Hundred Years of Psychotherapy--And the World's Getting Worse. (1993).
  • 25.
    …let’s consider theidea that psychology makes people mediocre and that the world is in extremis, that it is suffering from a acute disturb, maybe fatal, to the limits of extinction. (Hillman) In this case, I would say that what the world needs is an extreme intensity of thought and feeling, something radical and original, in order to overcome a crisis as intense as this one.
  • 26.
    Psychotherapy conceived assupport and tolerance is not up to the challenge; on the contrary, it produces counterphobic inclinations to chaos, marginality, and extremes. Therapy as sedation: numbness, an-esthesia, in order to calm down, to relief from stress, to relax, in order to find acceptance, balance, support, empathy. The middle term position. Mediocrity. (Hillman)
  • 27.
    …to me thetask of psychotherapy is to open the mind, take care of it; no, not take care but encourage, even put fire to the rich and crazy mind, that wonderful bird-place (the image is Plato’s) of thoughts that flight unleashed… (Hillman) Nothing of the psychic material that comes in therapy with the patient is mediocre, maybe just the first level that is peeled right away and easily…” (Hillman, p. 174)
  • 28.
    The Italian psychoanalyst,Silvia Montefoschi summarizes Jung’s idea of the therapist’s role. The therapist must be aware of the contrast individual- collective, which belongs to each person’s internal dialectic. (Both tendencies being natural: the one to be like the others and the one to unique).
  • 29.
    To Jung, mentalillness is the result of the blockage of the individuation process and healing is the recovering of the lost path, therefore the recovery of the meaning of our being in the world. (Montefoschi, p. 113)
  • 30.
    The therapist succeedsin a treatment precisely up to the point he or she has arrived in their own moral development. (Jung, p. 83) >> You don’t give (to a patient) more than what you are (have achieved in your own individuation process).
  • 31.
    The therapist isthe one able to turn any relation into the place and the moment of that creative knowledge that transforms the world. (Montefoschi, p. 115) As each individual is not an island, so is each therapeutic setting. The therapist being aware of the long term influence that he or she exercises on their patients will need to question themselves about their stand in the world, of whom both patient and therapist are representative.
  • 32.
    Therefore, the onewho wants to move in the field of psychotherapy “cannot hide themselves beyond techniques, but need to be completely themselves in the dialectical human exchange, that is, the relation with the Other.” (Montefoschi, 1985, p. 111)
  • 33.
    Each time youas a therapist are working with a patient/client, you are co-creating the world. Be aware of the world you make happen.
  • 34.
    Courtland C. Lee, Ed. (2007). Counseling for Social Justice. Second Edition, American Counseling Association.  Freud, S. (1985). Il disagio della civiltà. Torino: Einaudi.  Hillman. J. (1993) 100 anni di psicoterapia ed il mondo va sempre peggio. Milano: Garzanti.  Jung, C. G. (1981) I problemi della psicoterapia moderna. Milano: Garzanti.  Lee, Courtland C., Ed.; Walz, Garry R., Ed. (1998). Social Action: A Mandate for Counselors. American Counseling Association.  Montefoschi, S. (1985). Jung, un pensiero in divenire. Milano: Garzanti.