Saturday, 5 March 2016

Learning Journal 21


Responding to difficulties and conflicts

This week we looked into responding to difficulties and conflicts within the therapeutic relationship, which I found quite a useful exercise for me. I found it useful in particular to list and reflect on what I may struggle with, as it enables me to be aware, prepared and knowing of what I may struggle with going into sessions. Then I can respond in a more calm, person-centred and safe way so that I can stay supportive to the client and not get carried away with my own worries, paranoia or feelings that take me away from the clients needs.
Listing what my own difficulties are I came up with a few that have affected my already.

1.     Coming into sessions because another agency has made that person do it. This happens a lot in my drug agency. Social services or even housing can ‘advise’ that it is beneficial for a client to engage with our service. I imagine this will be the same for some areas of counselling. Maybe a partner or a has suggested counselling would help. Perhaps that person wants to want help. I struggle with this because I harbour quite strong feelings that the client has to want to make changes or be motivated. In the drug and alcohol field. How I will work with this difficulty is to know that resistance may be present in this type of client as they enter the help situation, however it is my role to build a relationship with them and work with that reality. If they do not really want to be there, then owning that getting that out in the open and using the time for the best possible thing would be a positive and honest and congruent way to work with that person. It may frustrate me a little that the client may not see anything wrong or any reason to be present, however, that is part of where they are at. I am ok with that if I give it some thought. Being more ok with these sorts of things will come in time as I get more normally set at that default position.
2.    The drug and alcohol field is perhaps the place where being person-centred is hardest to justify, given the amount of harm that can continue if someone doesn’t ‘wake up’. A person can do a huge amount of harm to themselves, others and society. I also happen to believe that the impact of drugs and alcohol on the person’s ability to actually know what is best for them is hugely clouded when a mind-altering chemical or cycle of addiction is thrown into the mix. A person may well deep down know that what they are doing is not helping them self-actualise, however, the cycle of self-medication and feeding the avoidance of withdrawal are very strong forces to add into a situation. To work with this in counselling I would hope to let that person know that they needed to be really honest about what they wanted. I would want them to explore what life would be like without drugs, and were they ready for that? I would like for the person to explore why it is that they used drugs? What is it about the current life that is better for having drugs in it? Given the time and space to do this after we have built up an honest relationship I would hope that just being ready for change if it happens is what will make me a supportive person in their life.
3.    Stuck hearing the same historical story. That’s another thing that I can struggle with. In my mind I’m thinking yes, I hear that, I’ve heard it now 3 going on 4 times. Is there any benefit from repeating yourself? Is it helpful to you to stay stuck? Is it not something you can self-monitor so as to avoid telling the same thing to me again and again? I had a guy tell me repeatedly about how he had been in France and in a car accident and that was when he lost his grip on things. Now while I can accept that, it’s not helpful to hear it over and over in my mind. That is my opinion, and I am ok with that as I feel that it is in the clients interests to know that my internal narrative will start to throttle him if I hear it again. That’s a judgement call I am imposing I suppose but its relevant how that same information will feel if its something that this client does to others and himself, repeatedly hearing himself grind out the same reasons for how he is now. I want to be free and able to let that person know what it is like to hear the same story again. That it’s worth exploring how it is helpful to stay in the past. How I put that is through extreme kindness and care and caution. For example – “Leonard, (fictitious name) listening to you it feels like you have a very firm hold on some traumatic past events. They clearly have had a massive impact on who you were. When we began the session you stated that you wanted to move forward and I was wondering how you could achieve that?” I was wondering how you felt it helped you move forward
4.    Things I simply cannot get my head around will trouble me in a counselling scenario. How will I respond to a client who presents as having abused a child? Or who has treated an animal with cruelty? These must be difficult struggles for many counsellors, if not all. In fact it bothers me somewhat that this makes me somewhat of a cliché. Why will working with someone who has done something that upsets me, prove so difficult? Or is it stark ravingly obvious? Should it prove difficult? Child abuse has become something I can identify with emotionally now, since having children. I was unable to attach to the act before, now reading it in the press can reduce me to tears. However, if I was to work with the person who had committed such an act and they were in front of me, could I see the person and not the act? I would want to be able to act knowing that whatever that person had done, it was them acting in the only way they thought that they could at the time. To them, no matter how awful an act, it seemed like the right thing to do at the time. It is up to me as the humanistic counsellor to know that and trust that what they did was not inherently evil, as all people are inherently good. People have an actualising tendency, although they may make choices that confound me at times, it must remain my free choice to hold them in acceptance, otherwise I would need to refer them on to another counsellor. I would need to raise this in supervision to know if I truly was doing that or just trying to do that. Explore it by going around and around to check my motivation. Perhaps I want to test myself, perhaps I am pretending that I can be accepting, perhaps I am actually able to offer that person the core conditions? Only good and honest inventory of what I’m doing and why will open this up.


This week we did a role-play around the dealing with difficulty. I had a client who was really flustered and brash. This actually fell right into my strong area and for once I found a role play really manageable. I met the fluster and bluster with the opposite, calmness. It’s my strength as a worker. I really that strengths are also weaknesses and so I need to be mindful that my relaxed approach can work wonders with certain types of clients, but can lead to being seen as un-boundaried with others. I need to look at my boundaries in all walks of my life. However on this occasion I took confidence from the exercise and a much needed confidence boost that I can do certain parts of the role to a standard.

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