NEWSLETTER

2009 Articles



Newsletter No. 45 September 2009
This Edition: Beyond Words

AGM
Quiet Spaces: No Words
Silent Witness: What’s Happening When Words Are Not Enough
The Science of the Still, Clear Mind
Reflection on the Work of Silence
Management Committee Report
Quotes from Ian Percy

PACAWA News Team
Editor: Susanna Howlett
Editorial Committee: Gill Falconer, Rosealeen Tamaki, Susanna Howlett
Artwork/Production: Mandy Becker Knox

Thank you to Artproof Printers and Coral Pearce for assisting with distribution.
 

ANNUAL GENERAL MEETING/PROFESSIONAL DEVELOPMENT SEMINAR

THURSDAY 17 SEPTEMBER 2009 7 PM – 9 PM.

St John of God Conference Centre
Level 3, The Function Centre.
25 McCourt Street Subiaco

The PACAWA Committee warmly welcomes all members to our AGM and Annual Presentation Award, followed by a presentation from Judy Griffiths:

Inter and Intra Communication: Unfolding a Deeper Understanding of Inner Life Forces

Presenter: Judy Griffiths BA (Hons), CQSW, MAASW

Following university in the UK in the 1960s, Judy qualified as a social worker and was an active member of the British Association of Social Workers and the Group for the Advancement of Psychoanalytic Psychotherapy in Social Work. In her early career, she worked with the dying and their families in two London teaching hospitals before joining the prestigious Family Welfare Association, a community agency in London using psychoanalytic principles in working with people experiencing a wide range of family crises. With the professional focus of FWA, in common with the majority of her colleagues, she went into psychoanalysis. Since the 1970s her work and professional development as a psychotherapist have followed the analytic tradition and tutelage.

When Judy came to Perth in 1987 with her family, she established a clinical practice in Swanbourne as a psychoanalytic psychotherapist. She continues to be supervised in her clinical work by two Sydney psychoanalysts. She sees adults in psychotherapy, working mostly long term. She has a particular interest in how people survive and grow through traumatic loss. She is a group worker and runs a Balint Group. She has conducted five Infant Observation Seminars, of which three have been for the New South Wales Institute of Psychiatry Infant Mental Health Postgraduate Qualification. Judy also teaches, conducts workshops and supervises clinical practitioners.

Attendance at PACAWA meetings counts towards meeting continuing professional development criteria for all levels of PACAWA membership, as well as for registration on the PACFA Register. A certificate of attendance is provided at each meeting.

PACAWA members are encouraged to attend – no fee.
Interested non-members are invited and welcomed and are charged a fee of $25.00. Tea, coffee and snacks will be provided.

PACAWA MEETING DATES 2009/2010:

Friday 27th November 2009
Note: One Day Workshop: 9 am – 4.30 pm

Thursday 4th March 2010
Professional Development Presentation: 7 pm

Thursday 3rd June 2010
Professional Development Presentation: 7 pm

Thursday 16th September
AGM and PD Presentation: 7 pm

Friday 26th November 2010
Christmas Event for Members: 4 pm

 


 
Editorial: Quiet Spaces: No Words

Silence, reflection, meditation, mindfulness, stillness: No Words. A suitable topic for this edition, my final as editor – from one who by nature launches into words overly much (sure to send a meeting off on a side track) and loves dialogue as the food of life!

My recent retraining in Hakomi psychotherapy, which is saturated with mindfulness practice and works interiorly within mindfulness as a method of assisted self study, led me to relate mindfulness to the established methods of psychotherapy which develop the observing self in therapists and clients. Although not as specifically mapped as Buddhist mindfulness practice, so many forms of psychotherapy follow a similar route to self awareness: the awareness/centering methods of gestalt therapy, the ‘free floating attention’ of reverie in psychoanalytic psychotherapy, the ‘participant-observer ‘ in psychodrama, ‘active imagination’ in Jungian analysis, the mindfulness-based stress reduction methods in cognitive behaviour therapy and the no-self connection with narrative understandings of storied self. All are working in the realm of studying the phenomena of consciousness and behaviour. All are developing the capacity to pay attention to the inner world of responses as they happen in the moment for the purpose of transforming interpersonal habits, reactivity and sense of self in relationship.

My contribution to this edition exploring silence in the counselling session and mindfulness/ meditation as an adjunct to psychotherapy, is to recommend a do-it-yourself book which may work for people who are self reliant in character, reluctant to enter a psychotherapy/ counselling relationship or who are wary of spiritual guides: Mindfulness in Plain English. (2002) by Bhante Henepola Gunaratana. Boston: Wisdom Publications. After years of exploring various teachers, groups and forms of meditation and finding them not suiting, my dear husband read this book, ‘got it’, uses a suggested mindfulness method from it and now enjoys regular benefit from daily practice. (Maybe there is a future newsletter article here - Partners of Therapists?) This book distils the essential elements of mindfulness practice in detail distinct from the rituals and Asian cultural context in which Buddhism emerged. At the same time the book honours and illuminates the tradition from which it came.

Regular stillness practice, breathing with awareness, is recommended for every therapist - to become an observer of your own experience and maintain this observing self when you work. Such attention can be in one’s life as a regular practice, in the deep listening with clients, between sessions as a clearing space in readiness for the next client, or as the interior supervisory space contemplating the client or session that stays in the mind calling for further attention. In the practice of ‘second attention’, of looking deeply into things, wisdom arises.

Although stepping down from the editorship I look forward to continuing to write on occasion for future newsletters. It has been affirming to receive so many responses to the recent request for feedback as to electronic format or hard copy. There is a clear mandate for hard copy. May the next editor be encouraged to step forward.

Susanna Howlett
PACAWA Newsletter Editor

 

SILENT WITNESS:
What’s happening when words are not enough?

She sat as though pinned to the floor of my therapy room: pressed up tight against the glass doors, both hands glued to her face, fingers spread slightly apart to allow a reasonable view of the room and me, the therapist. Thirteen years old, Janny had already lived through more than most adults. I asked the usual questions to open our dialogue. Questions were met with a silent shrug, a shaking of her head from side to side, hands never moving from their role as guardians of her gaze.

After about 10 minutes I offered assurance I felt very comfortable to sit and say nothing, that I didn’t need to say anything, I was comfortable simply being with her. We sat in silence for the next two hours. No words being said, just being in each other’s presence. So where did that come from? What happened in that session hadn’t appeared in any of the text books I’d read. In fact, the documented history of this client would most likely have discouraged this style of therapeutic approach. Janny was in foster care with a long history of foster placement breakdowns, recently home from an extended stay in an adolescent psychiatric unit, recovering from a daily cocktail of anti-psychotic medication, and so her history went on. Too much to mention here. Janny became a valued teacher helping me understand silence and its therapeutic value. Some months after our weekly sessions began Janny revisited that first session and told me “You were the first person to let me hurt. Everyone else needed to manage me.” If only I’d known that’s what I was doing!! Today Western civilization has become communication drenched. Mobile phones, skype, internet, appliances that speak to us – we’ve got it all. Or so it seems. Except for the distinction between communicating and connecting. In therapy, the value of having the space, and time, to sit in silence and connect with each other, to feel the resonance between self and other, cannot be underestimated. Those moments of authentic meeting, moments when nothing is being said, but each person has a chance to simply experience the other’s presence, give us a privileged opportunity.

In the ‘space between’ (what as a novice therapist I used to call the ‘X factor’) much needed time becomes available - to process input both from the outer world (therapist dialogue) and from the client’s inner world. Giving time to processing input allows something new to come forward rather than language directing attention along familiar problem-focused pathways; dialogue that can sometimes divert attention away from the ‘central essence of connection with ourselves’ (Bradway, Chambers & Chiaia, 2005, p.40). Providing the space for authentic moments of meeting, reflecting, connecting brings forward moments of clarity when the client or therapist makes an unintended ‘surprising’ contribution to the process. Despite what sounds paradoxical, creativity happens in stillness, not in action. Waiting in stillness for those moments of surprise, moments of creative emptiness can seem very strange and alien to the client – especially if they have used words to avoid acknowledging and expressing the inexpressible. Therapists too can feel uncomfortable with silence – sometimes thinking that words are our passport to success, the most valued currency of our trade. When we can step aside and allow times of complete presence and attention, being a silent witness becomes a ‘powerful agent of cure’ (Cozolino, 2004, p.20).

Questioning and reflecting on our own level of comfort with silence and stillness is crucial. ‘Meeting another human being in the space allows for a deeper meeting or for something different to happen’ (Bradway, Chambers & Chiaia, 2005, p.31). We come to understand how presence and giving time to developing resonance influences the interactions between participants in the therapeutic encounter.

Silence as a therapeutic intervention certainly has something going for it. Over a decade ago my young client helped me begin the exploration of what happens in those moments when nothing is being said. Our encounter gave me cause to reflect on my own relationship with silence and the work of tolerating silence and stillness. Grof (1998) has continually referred to an inner healing mechanism – or wisdom – within the human psyche. He encourages therapists to develop an ability to tap into, trust the existence of, and work actively with the healing direction demonstrated by clients’ inner wisdom. Using all our ways of knowing – our training, our mind, body, heart (and, dare I say – informed intuition or instinctual knowing) - creates effective interactions in therapy. Including times of silence, sitting in the space between without words provides therapeutic encounters with simple, perhaps mysterious, but powerful opportunities for surprise and change.

Helen Wilson

Helen Wilson has been in practice as a psychotherapist, counsellor and supervisor for the past 18 years. Stepping outside ‘mainstream’ for several years in the early nineties, she studied Transpersonal Psychology, Sandplay Therapy, and Expressive Therapies, dabbled in Tai Chi and occasional ‘visits’ to the world of Dervish Whirling, tried her hand at painting as a hobby and explored depth psychotherapy. She specialises in expressive arts-based therapy, with a focus on client-directed outcomes. Helen is a part-time lecturer at University of Notre Dame in Fremantle and also conducts a small private practice working with individuals, couples, families and providing professional supervision.

References

Bradway, K., Chambers, L., & Chiaia, M. E. (2005) Sandplay in three voices: Images, relationships, the numinous. USA: Brunner-Routledge.
Cozolino, L. (2004). The making of a therapist – A practical guide for the inner journey. New York: W. W. Norton and Company.
Grof, S. (1998). The cosmic game: Explorations of the frontiers of human consciousness. New York: SUNY Press.

 

The Science of the Still, Clear Mind

There are now thousands of encouraging scientific studies on the benefits of meditation. In 2007 however, the University of Alberta in Canada published a 210-page meta-analysis of the literature. It concluded that nearly all the studies were too flawed to be of any scientific value due to poor design, researcher bias, low numbers, no double-blinds or control groups etc. It also complained that the studies rarely attempted to define what meditation was or to present any explanatory theory of how it could produce a particular effect. In this article, I’ll particularly address those two issues.

Meditation is easy to describe, despite the diversity of techniques. In my experience, I find that the vast majority of meditators typically do a ‘sitting’ (or ‘lying’) meditation of 15-25 minutes. In this time, their bodies relax (through inactivity, if nothing else); they calm their minds by focusing on something - the breath, the body, a mantra etc. and they gradually detach themselves from the inevitable mental distractions. These are the three key skills that define meditation: relaxation, focus and what we can loosely call ‘awareness’ or ‘mindfulness’. Meditators rarely think much about what they are doing. They learn through repetition, via what is called ‘procedural’ rather than ‘semantic’ memory. They gradually recognise the feeling of doing it well and how to induce it. It is more like learning to ride a bicycle than learning facts.

Furthermore, I’ve observed that even people who love meditation rarely practice it for more than a couple of hours a week. Since we know that skill acquisition is directly related to the amount of training, this suggests two things. Firstly, that even this modest effort produces worthwhile results, if falling well short of excellence. Secondly, that although meditation is often described in hyperbolic language (pure consciousness, transcendence, God-realisation, etc.), the experience of the average meditator is likely to be far more ordinary and indeed more useful. Given this, we can define meditation as any technique that relaxes the body quickly and makes the mind relatively still and clear. I’d like to emphasise that I see meditation as the technique and not the state of mind, if only because there doesn’t seem to be one ultimate unitary state. Meditation explores a huge range of states from the virtually unconscious trance states to the hyperconscious, in-the-moment states. The skills that define meditation, however, remains much the same regardless of the objective.

Although one’s mind can feel exquisitely still, silent and clear in meditation, it is best to regard these as relative, not absolute, terms. The body and mind are constantly active, day and night. In meditation, they just become more quiet than usual. ‘Stillness’, in other words, is about shedding unnecessary tension, having the right amount of muscle tone and arousal and restoring homeostasis. It is about inner balance, not perfect immobility. ‘Silence’, on the other hand, is when the mind stops talking to itself. It indicates the shift of attention from actively thinking to passively sensing. As meditators gradually detach from thought, the resulting spaciousness allows the normally invisible network of their ongoing body sensations to come to the surface. A relaxed body, unstimulated by thought, usually feels delightful. Peace, stillness and silence, in other words, are grounded in physical sensations.

Nonetheless, our brain activity never stops. Its standby mode is to have multiple circuits buzzing at once in case they are needed. The best way to calm the mind is through what brain scientists call ‘sustained attention’; to consciously give priority to one mental activity over the alternatives. This activity – focusing – is also what makes meditation different from merely relaxing. When we focus well, the circuitry relating to that task becomes activated - it receives more blood flow. At the same time, the peripheral circuits are inhibited - less blood flow. Focusing actually uses less energy than if we let our minds drift. This is why the yoga tradition regards deep, sustained focus, ‘samadhi’, as a synonym for tranquillity.

Enhanced body awareness is invaluable to a meditator. The quality of focus is invariably brittle until the body is thoroughly relaxed. Good focus has a strong but gentle quality, like ‘oil flowing from a jar.’ However, it still needs support from another cognitive skill, variously called ‘interference control’ or ‘distraction management’ or, to use a broader term, ‘supervisory attention’. Focusing is particularly the function of the orbitofrontal cortex, just above the eyes. ‘Supervisory attention’, however, operates from further back, in the cingulate gyrus. While the orbitofrontal cortex operates like a spotlight, the cingulate gyrus operates like a radar. It endlessly monitors the succession of peripheral thoughts, sensations and feelings that William James called ‘the stream of consciousness’.

Supervisory attention is roughly equivalent to ‘mindfulness.’ This is often defined rather grandly as ‘non-judgemental awareness’ or the ‘detached observer mind’ or as ‘pure consciousness’, or the ability ‘to see things exactly as they are’ with no ego-involvement. In fact, mindfulness is, and needs to be, far more self-interested and judgemental than this. Supervisory attention is actually a cluster of functions. Firstly, it identifies the particular stimuli that catch its attention. Within milliseconds, it evaluates each one: ‘Is this worth giving attention to, or not? If it is, how much and when?’ Finally, it chooses between alternative courses of action: ‘At this moment, shall I continue focusing on the body or think about this new input?’

To do all this, it can’t ‘just watch’ the stimuli; it first has to arrest it. Long before thoughts surface in consciousness, they have triggered off the brain regions responsible for physical action. Thoughts initiate a literal ‘acting-out’ within the body which is why thinking makes us agitated.

Mindfulness is about becoming conscious of, and then restraining, the subtle impulses of the mind and the body. It is like slowing down the video to catch the detail and significance of what is actually happening. This is when a meditator can say “I know this thought or feeling is in my mind, but I don’t need to respond to it.”. Mindfulness, or ‘supervisory attention’, therefore involves: the ongoing identification of stimuli, impulse restraint, evaluation, and the selection of alternative courses of action – all happening continuously at the speed of milliseconds.

This may seem quite busy and it actually is. Paradoxically it is essential for a calm, clear mind. Relaxation and focus alone can’t get there. They need awareness to make them strong and protect them from decay. The combined result, however, is a mind that is still, clear, perceptive and intelligent in its responses: a great outcome.

So what does the science, such as it is, tell us about meditation? It finds that good meditators tend to be healthier, probably because they are more relaxed. They have enhanced muscular awareness and visceral, gut-feeling awareness. They score highly in left frontal hemisphere functions of rational thought and attention, which are also correlated to more positive affect. They have good impulse control, i.e. are calmer and more emotionally cool. Nonetheless, science doesn’t sit comfortably with meditation. The meditation traditions invariably believe in a strong duality of body and mind. No respectable scientist does and nor do I. Meditation is a straightforward practice that has genuine, measurable results. However, it will always lack scientific credibility until its advocates stop claiming authority from the antiquated beliefs of the past.

Eric Harrison

Eric Harrison is the founder of Perth Meditation Centre and has taught meditation to thousands of people since 1987. His books on meditation are now published in 10 languages and 15 countries worldwide. www.perthmeditationcentre.com.au

 
Reflection on the Work of Silence

Silence is hard to come by; if it were a commodity it would be at a premium for many of us. We live in a world of noise. And there are different types of noise, some natural and welcome, some not: household appliances, cars and machinery, communication technology. Natural noises like rain, wind, thunder, waves crashing on the beach can vary as to be welcome or no. And then there is the noise of whatever occupies our heart and mind. This is what some of the great masters of eastern and western philosophy and religion referred to as the monkey mind (an Australian version would be the tree full of noisy pink and grey galahs). This is the mind that races all of the time with thoughts, plans, lists, worries and more. When we are captive to the monkey mind we are not present to ourselves; we are literally not in our bodies, we are always somewhere else.

Friends of mine who had been through a difficult time and were very stressed and worn out with worry were recently offered a quiet time in a house on the south coast. They gladly accepted the offer but promptly took another couple and their teenage children with them! Needless to say they were not able to rest. Blaise Pascal once said that more than half the world’s ills come from how people cannot sit quietly in a room by themselves: a reference to the old adage that we are human beings and not primarily human doings.

Silence is once again at the forefront in western culture. It has been welcomed back as a way of enabling healing and wholeness. In a CBS news transcript of May 24th 2006, journalist Jessica Vrazilek, quoting Roger Ulrich professor of architecture at both Texas A&M University and University College London, as saying that noise reduction in hospitals assisted in patient recovery. At Hollywood Presbyterian hospital there was a 2008 memo in which the Director of Patient Relations stated that there would be a ‘SHHH Program’ where silence would enable patient healing.

I have found silence useful in counselling sessions (provided the purpose of silence is explained), in meetings when committees have become bogged down. Even angry silence is a useful practice to allow people to return to being present to themselves and the purpose at hand. Beauty and health spas have taken silence as part of the packaging they offer to the wearied travellers of our culture. While silence has always been the staple of the many religious orders of the many faiths. But noise reduction alone is not the only solution as much of the produced noise of the world cannot be completely reduced. When it comes to dealing with the monkey mind that is a different matter. In my own experience working with silence is more about working with my inner noise. I do that primarily through meditation. And here I am specifically referring to silent meditation rather than guided imagery or more structured forms of meditation.

Meditation, now sometimes referred to as a personal or a spiritual technology, is an ancient and varied discipline. What is most striking about meditation and silence in general is that it has naturally arisen across culture and history. Although we often see meditation as a spiritual discipline this not strictly so, at least not in terms of spirituality being limited to a religious context. Buddhists would contend it to be a non-religious practice. There is the work of the Esalen Institute in the U.S. which is focussed more on personal development and the Australian Cancer Council uses meditation as a way to wholeness, if not healing, in a non-spiritual context.

More importantly, the work of scientist and author Jon Kabat-Zin of the Centre for Mindfulness in Medicine, Healthcare, and Society (University of Massachusetts Medical School), has changed not only mainstream medicine but also corporate and industrial use of his research, and the lives of many individuals. In his most recent book he writes: “To come to our senses, both literally and metaphorically on the big scale as a species and on a smaller scale as a single human being, we first need to return to the body, the locus within which the biological senses and what we call the mind arise …Coming to our senses is the work of no time at all; only of being present.”

It has been in my own practice of meditation that I have encountered myself. One of my wise teachers taught me that it is the distractions we encounter in meditation, the things that arise, that help us to be more present to ourselves. I’m not talking about how the nose starts to itch or the seat or cushion is uncomfortable or the worry that we left the iron on. There are deeper things that can arise. When things arise in meditation they must never be suppressed or beaten down but rather acknowledged and put to one side gently while we continue with the practice of meditation. It is later we can come back to whatever has arisen. It may be as simple as sensing one’s own drivenness or it may be as complicated as dealing with a troubled relationship. I have found in my own meditation experience a real sense of compassion for others, for my immediate environment, for simplicity, a generosity of spirit, and a heightened sense of beauty. As such, these experiences have been about wholeness and balance, which at core is really about being present to my self.

Of course it is not to say that we should hanker after continual silence but it is clear to me that periods of silence go a long way towards balance and health. I find it profound that such a simple thing as a time of silence can be so powerful, so rewarding and so important to my being. A little silence goes long way. Gandhi once said: ‘In the attitude of silence the soul finds the path in a clearer light and what is elusive and deceptive resolves itself into crystal clearness.’

Paul Vincent Cannon

(ven.) Paul Vincent Cannon is an Archdeacon in the Anglican Diocese of Perth based in Merredin with supervisory oversight of Anglican communities, lay leaders and clergy throughout the eastern wheat-belt and goldfields.

Paul provides pastoral care, spiritual direction and resource to these communities.

References

Vrazilek, Jessica. 2006. The Healing Power of Silence. New York CBS News, May 24, 2006, www.cbsnews.com/stories/2006/5/24/health/main1653740.shtml
Duran-Lopez, Gabriella. 2008. Silent Hospitals Help Healing – SHHH Program. Hollywood Presbyterian Hospital, Los Angeles, California, 2008 www.hollywoodpresbyterian.com
Kabat-Zin, Jon. 2009. Opening To Our Lives: Jon Kabat-Zin’s Science of Mindfulness. on Speaking of Faith April 16, 2009 www.speakingoffaith.publicradio.org
Stein, Joel. 2003. “Just Say Om. The Science of Meditation” in TIME. Rockefeller Centre NY, August 4, 2003, pp 48 – 54.


 

MANAGEMENT COMMITTEE REPORT

National News

The Australian Register of Counsellors AND Psychotherapists (ARCAP) is now an entity, since 1st July 2009. It is a delight to acknowledge how creative discussions can lead to such an occurrence despite such apparent vast differences, particularly at the onset of negotiations.

Rosealeen Tamaki (PACFA delegate) and I will attend the PACFA Council meeting and AGM in Melbourne next month (August). The structure of PACFA, the Council and how it liaises with members is all up for discussion. ARCAP will, of course, also be an agenda item! ARCAP Opening Doors (See PACFA eNews May/June ‘09)

National conference: AUSTRALIAN DREAMING: COMING TOGETHER

The first combined ACA/PACFA conference is being held in Canberra in October. Register your interest now; don’t miss out in being part of this exciting event. See flyer in your latest copy of eNews or visit the PACFA website at www.pacfa.org

Local News

Committee Changes

David Malkin has stepped down from the role of Vice-President due to work commitments and having held the role for eighteen months. We take this opportunity to thank David for his contribution and wish him well.

He is replaced by Susanna Howlett. Thank you Susanna and welcome to the role of Vice-President.

Professional Development Meeting

The June PD meeting was a presentation by David Harvey and Jackie Lewis. It was an interactive and engaging session on the use of art in counselling/psychotherapy. Feedback was offered that the nature of the session led members to ‘join’ more effectively with each other than they would in other forms of PD, particularly when the focus is more didactic in nature. See website for more information.

Something NEW from PD Friday 27 November

In keeping with the management committee’s promise at the AGM to consider offering more in terms of professional development this year and in keeping with your input at the open discussion in March, we have decided to offer a FULL DAY of Professional Development this year. This replaces the usual Christmas event scheduled on that day. The theme will revolve around professional issues and support for practitioners. It will be a lively, interactive and nurturing day, with support from complementary practitioners offering ‘tasters’ of their work during break times. So add the date 27th November 9 am – 4.30 pm to your diaries and allow yourself to have some well-deserved professional input and nurturing.

Brochure of Private Practitioners

The brochure of private practitioners that is distributed to over 2000 GPs is, as you are no doubt aware, due for renewal this year. The forms are available online and it is your responsibility to ensure that you are listed correctly and forms are completed and returned.

Changes to Membership Criteria

Following PACFA training standards review for 2009, PACAWA has updated its training standards. This assists in the process of compliance and eligibility for entry to the PACFA register and, additionally, now the ARCAP register. The changes are not retrospective and will only affect members who commenced their training after January 1st 2009. As trainers it is important to note the trainees who may have commenced training prior to December 2008 who will not be assessed under the 2009 regulations. Please advise them of the possibility of accessing membership under the old regulations.

In keeping with changes at National level, the PACAWA Management Committee in conjunction with the membership sub-committee has introduced some changes to membership categories:

  1. A ‘Full’ member will now become known as a ‘Clinical’ Member
  2. The introduction of a new category of membership: The new category will be called Counsellor/Psychotherapist Intern category. Please note that this category is for those members who have completed their formal academic training and have still to complete the two hundred hours of client contact in order to be eligible for Provisional Membership.

The new category brings the total number of membership categories to four (4) and they are:

  • Clinical member
  • Provisional member
  • Counsellor/psychotherapist Intern member
  • Trainee member

Voluntary Suspension

Please note that the title of Voluntary Suspension has been renamed as Voluntary Leave of Absence. This leave is available to members who are ill, having time out to have a baby, travel overseas, etc. and is available for a maximum period of two years. An application for leave of absence is assessed on an individual needs basis.

Website

The management committee are currently considering an upgrade of the website. The trial of having membership renewal forms available online seems to be working well. Thank you to those of you who have returned your renewal forms and for those of you who haven’t please attend to it ASAP

We welcome your feedback on the process.

Audit of Clinical Members

Thank you to those of you who have responded in regards to feedback re audit non-compliance. Your feedback was greatly appreciated and was taken into consideration when deciding on a policy re audit non-compliance. Essentially, if you are audited you will have three months to submit documentation to the membership sub-committee and if you fail to submit in that time frame, you will be given support to do so and failing that your membership will be suspended for three months. The main message here is: if you are struggling and haven’t kept your records up to date, please let the committee know as soon as possible so that they can support you in finding a best way forward. Our experience of last year’s audit and being a ‘first’ was very encouraging in that the majority of those audited did keep records that were easily accessible and the audit was a straightforward process.

Please keep in mind that the audit process is a means of maintaining high standards of practice in keeping with a best practice service provision to clients.

Newsletter: Invitation to comment

Discussion continues in regards to changing the newsletter from ‘hard copy’ to an electronic version. Thank you to those of you who responded to Susanna Howlett’s invitation. Thus far, we had seven responses supporting a move to an electronic version and twenty eight in support of keeping it as a hard copy. Susanna steps down from the role of editor in September and we are looking for an enthusiastic, available and willing person to take on the role and also take part in decision making at committee level. If you think you could fit that bill, please email president@pacawa.asn.au or Susanna via admin@pacawa.asn.au for more information.

Final reflection

As counsellors and psychotherapists, we on the management committee have chosen to give some time to the profession as it is evolving and are happy to do so for a limited time. Please consider giving of your time for a limited time; a bit like a relay race, or the Olympic torch run, albeit nothing as glamorous, we each hold the torch for a short while. There are a few positions coming available on the committee in September, namely the Treasurer; Professional Development Coordinator and Editor of PACAWA News. Is it your turn? Are you ready to run?

Rosemary Watkins
President
And on behalf of the Management Committee

 

Quote from Ian Percy

“Buddhist-inspired mindfulness: the conventional narrative self and non-self”.

Apart from narrative, literature aligned with Buddhist-inspired mindfulness meditations has appeared recently on the psychotherapy scene. Variations of cognitive behavioural and psychoanalytic approaches are the most prominent in attempting an integration of philosophies and practices. Mindfulness meditation encourages a gentle focus on immediate present experience, observing bodily sensations, mental impressions, feeling states and so on as they appear moment-to-moment. Attention is directed with kindness and equanimity towards whatever objects of mind or body appear. As each impression arises it is not clung to nor pushed away but simply experienced and let be, making space for the next impression to arise and fall away. There is a quieting of the interpretative and conceptual mind, a deliberate quest for a non-discursive lived experience. Narrative creation, which relies on imagination and memory, is muted as meditators seek to reduce the proliferative thinking and rumination that often fills the mind. This is a time for resting from expectations, ideals and opinions. All is observed as a flow of becoming, a continuous mind/body movement that transforms itself into another mind/body movement, into something other than it was. Mindfulness can bring a precise awareness to this fluidity of the mind/body. Not only is this grasped intellectually but also there is an experiential realisation that every thought, every feeling, every movement of the body, every breath, indeed every experience and every thing has come and gone. What we commonly refer to as ‘me’, the relational narrative self, is part of this moment-to- moment flux. Specific combinations of these ever-changing mental and physical events create a particular person yet, from the Buddhist view, there is no permanent or essential self to whom these events are happening. Non-self, the notion that there is no substantial inherent self, does not deny the unique histories that each person lives; it does not imply that a person doesn’t exist, just that a person is ‘no-thing apart from these relations’. This emphasis on flow, interrelatedness and non-self lessens the tendency of people to attach to, personalise and internalise unpleasant or pleasant mental, emotional and bodily states as evidence of their core or true self.”

Percy, Ian (2008) 'Awareness and Authoring: the idea of self in mindfulness and narrative therapy', European Journal of Psychotherapy & Counselling, 10:4,355 — 36. To link to this Article: DOI: 10.1080/13642530

 


Newsletter No. 43 February 2009
This Edition: Conversations

Conversations across the Distance
Conversations Within and Between: A glimpse into Internal Systems Family therapy
News from Broome
Professional Development in Bunbury

 
Editorial: Conversations Across Distance

Our first meeting for the year in March offers conversation about our way of working and professional needs across the distance of frameworks and modalities of practice. This first edition of PACAWANews brings conversations from practitioners across the vast landscape of Western Australia with its unique communities. The news in this issue is from the north west to the south west as well as business from the eastern coast. I hope other practitioners beyond the metro area - the Goldfields, Bruce Rock, Geraldton, Albany, Esperence - will also write in and tell us what is happening for them. Urbanites might also be inclined to write about the particular opportunities and difficulties of city living and how this affects people in reworking their way of being and living.

As well as kilometres, the distance created through languaging from the diverse frameworks and methodologies supporting the work invite ongoing conversation. Rosemary Watkins’ article assists appreciation of the perspective of Internal Family Systems therapists and this way of viewing the work.

The March 09 PD meeting is stimulated by the Christmas 08 meeting and the conversations where we discussed the differences in concepts, constructs and names for things between psychotherapy traditions. Thoughtfulness was brought to bear on the use of different names for the counselling/psychotherapy relationship itself according to frameworks: client/patient/participant – therapist/counsellor/psychotherapist - clinician/practitioner/facilitator, etc. - each of these with its own embedded worldview.

There is perhaps the possibility of integrating different viewpoints, where the unifying centre is one’s self and where frameworks become transformed in the spontaneity of encounter with the client. Where the languaging with the client is meaningful and resonates with the client. Where therapists reflect, think and formulate new frameworks for peer consideration to achieve clarity around the emerging issues as they engage with their clients.

PACAWA is formed as an umbrella association which offers a professional watering hole to counsellors and psychotherapists who come from widely divergent approaches, training backgrounds and types of training. Each has its own style, beliefs and structure and yet, in keeping an open mind as to the value of each, the gap is closing. We aim to maintain the conversations and keep each other informed, to promote cross pollinating and build collegial relationship. We welcome the differences, stay interested in the learning edges and are respectful of the enduring common values that make the work effective and safe for the people who seek assistance and those who provide it.

Susanna Howlett
PACAWA Newsletter Editor

 

Conversations Within and Between:
A Glimpse into Internal Family Systems Therapy

“I hate you”
“Try and make me then”
“Even Cinderella got to stay out until midnight and you want me home by 11.30pm!”
“Why can’t you be like other parents?”

These types of pleas and statements ring out in many a household where there are teenagers. They are often a result of frustration at feeling controlled, stifled in some way, when the shiny, delicious freedom of music, dance, shopping malls, an ability to walk the streets, take buses and trains (without mum and dad) and being with peers calls to them seductively.

On the other side of this outburst, there frequently lies a beleaguered, battle-weary parent who bemoans: “What ever happened to my sweet, cooperative, pleasing, little girl or boy?” What has happened? Has the thoughtful child disappeared? Or is he/she just taking a back seat for a while and allowing another ‘part’ to have a voice?

‘Parts’ of a person is the language in Internal Family Systems therapy (IFS), a model developed by Richard Schwartz and his colleagues that I had the privilege of being exposed to some years ago while attending a conference in Boston. According to Schwartz, the concepts are not entirely new but the model is unique and it draws on ideas from two different sources- intrapsychic process and family process.

“Part of the model’s uniqueness is that it brings these two streams together, creating a confluence that enriches each and also produces something new- a systemic approach to the mind” Schwartz,1995 p2

Rather than trying to bring all the parts into one big Whole, Schwartz and his colleagues prefer to think of all the parts as having a valuable role to play and a need to relate to each other in a healthy way under the guidance/leadership of the ‘Self’. As in all families, the internal family can run into strife and ‘parts’ can become polarised, resources can be distributed unfairly, one part may want to lead more than another or effectively manage to completely silence another, or one ‘part’ may have too much responsibility; for example Schwartz says: “the approval seeking parts may have too much responsibility, influence and access to resources, whereas the assertive parts have too little”.

A key principle of IFS is that people will relate to their ‘parts’ in much the same way as their parents related to those ‘parts’ of them, e.g. if a parent emphasises the importance of pleasing others while frowning on the child’s angry responses, he/she is likely to allow the pleaser part to dominate and ignore the angry or assertive part of the self. It is described by Schwartz as a “collaborative, nonpathologising and enjoyable” way of working with clients.

Many people can relate easily to the language of ‘parts’ i.e. “the part of me that wants that job and the part of me that’s not so sure”. It has the potential to assist people to see themselves and others as ‘bigger’, not just ‘the angry boy’ or the ‘depressed man’.

I invite you to think of yourself now and your own ‘parts’. How balanced is your own internal family system? Who leads, and is the ‘who’ that leads in the therapy setting different to the ‘who’ that leads at home or with friends? Allow yourself the luxury of getting acquainted with the rich inner landscape of your own life, of the many aspects or ‘parts’ of you. After all you live with yourself more often than with anyone else, it might be nice to know who it is that you are spending that much time with!

As for myself, I have spent (as many of you will have done) long hours on self-reflection and getting to know ‘me’, noticing the times of being loving, warm, thoughtful, connected, of experiencing great joy and the times of being in touch with the randomness, the utter chaos of life and aloneness. Becoming familiar with the parts of me that have been encouraged since childhood such as ‘the caretaker’ and the ‘good child’ and working on freeing those parts so that they don’t block any, including therapeutic, relationships.

As therapists, we are all aware of the need to ‘know the Self’ and the IFS model can offer an enjoyable and effective way of exploring our ‘inner family’. The aim is to lead from the Self which, according to Schwartz, is both an ‘active compassionate leader’ and a ‘state of consciousness’. Therapist ‘parts’ that can potentially become a hindrance in the therapeutic setting include: striving managers, caretaking/rescuing, approval-seeking, or angry ‘parts’.

Difficulties can arise, according to Schwartz, in a person’s inner and external worlds when ‘parts’ are leaders rather than the ‘Self’ in turn potentially leading to poor self-concept and poor communication within and between internal and external relationships.

This is a brief outline of some aspects of IFS. It is not intended to be an in depth description of concepts or to describe all the applications of IFS in the therapeutic setting. It is one model I integrate into my work with some clients and they have found it very helpful. Another beneficial aspect of it is that clients can be encouraged to use it in other settings. It can be used very effectively with individuals and also with couples, or families (like the one described in the first paragraph) in opening up more of each other for each other.

I invite you to open up more of you for you! As the writer John O’Donohue describes it: “You come home to yourself and learn to rest within.”

Rosemary Watkins

Rosemary Watkins is a psychotherapist, supervisor and trainer in private practice in Bentley. Rosemary is the current President of PACAWA.

References

O’Donohue, John. (1997) Anam Cara: Spiritual Wisdom from the Celtic World. Great Britain: Transworld Publishers.
Schwartz, Richard C. (1995) Internal Family Systems Therapy. USA: The Guildford Press.

 

News from Broome

In 2005 ten Aboriginal people from Broome, Derby and Beagle Bay began their formal training as Indigenous counsellors with myself as coordinator at the Wirriya Liyan Indigenous Counselling and Psychotherapy Centre in Broome. These people were all employed in a caring or managerial capacity in local organisations, a number of whom had many years’ experience already in a counselling role. There has been a triple challenge involved with this first intake: designing a culturally appropriate training as well as meeting standards of all Australian training institutions; undertaking the training, and at the same time seeking an accreditation system to support legitimacy in the work place for graduates. The programme has been sponsored by the Sisters of St John of God Ministries.

The first graduates of the programme are delighted to share with you that they have completed 400 hours of training and are now undertaking the required supervision practice. Early in 2009 they expect to receive the Diploma of Counselling and Psychotherapy from the Tertiary Accreditation Council under the auspices of the Australian Medical Association which is currently our Registered Training Organisation. Following this the participants hope to receive a Graduate Certificate when they submit their major essay: "Psychotherapy from an Indigenous Perspective". We are proud to say that this will be the first group of qualified Aboriginal counsellors/psychotherapists from the Wirriya Liyan Programme in Broome. Wirriya Liyan graduates are enthusiastic about continuing their professional development so that they can be available to the people who seek their services by providing the opportunity for healing and well being in their communities.

We are grateful to the St John of God Health Care Social Outreach who recently sponsored us in a field excursion to visit counselling related agencies in Perth. We were able to join Murdoch Masters in Counselling students for our final group supervision with them face to face (previously conducted by video link-up), to attend the Aboriginal Mental Health Conference in Perth and to meet with members of PACAWA Committee who kindly gave us their time and support and some direction for the future.

We are looking for supervisors to consult with across the distance by Skype or by telephone conferencing. If you have some time to spare please contact us on wirriyaliyan@westnet.com.au. Altogether across the two intakes, there are sixteen participants at different stages of training and professional development.

Dolores Tunnecliffe

Dolores Tunnecliffe is a psychologist, psychoanalytic psychotherapist, educator/trainer, group facilitator and supervisor in cross cultural situations in Broome.


 
Professional Development in Bunbury

A group has started in Bunbury and the South West called the Psycho/Social group where all psychologists, psychotherapists, counsellors and social workers are invited to meet for collegial support and professional development.

So far we have 58 on our data base ranging from Margaret River out to Corrigin and up to Waroona. We have a diverse group - and more still coming in! The response to the group has been very positive. As most of us work alone and as everything we do is confidential, there is not a lot to converse about with our friends, family and relations. To gather as a group and be able to share in a safe forum is a very special thing

The group began because, in March 2007, I needed to find help for the 10 year old daughter of a mother I had been seeing for some time. As child therapy is not my preferred way of working, I set about finding someone else to refer her on to. After 5 weeks and many communications with Perth contacts I realised that it was too late and I took the little girl on myself - I am still seeing her. A consequence of this was the thought that there must be a better way of knowing what is available in Bunbury and surrounds and so I started gathering names and contacts from the phone book, PACAWA and other sources. I ask others to pass the information on so as to build a data base. It is surprising how many practitioners there are in this area. We still have names coming in from places, institutions and private practices that I never knew existed.

Slowly we are building up a database. I have given it to members of our group (it currently needs updating) so that others know who is where and who does what.

We started our meetings with a full day in March 08 with three speakers from Perth. At the end of that day we did an exercise to gauge what would be the best way to continue our meetings. We decided to have three monthly meetings for breakfast on Saturday mornings, which takes about 2 hours. We have a speaker at each of these meetings and we eat while the speaker is contributing and then have questions and time for interaction between attendees. We chose the Saturday as it meant that country members can come - some make a weekend of it. We found it hard to find any time during the week where people weren't committed with clients and other activities. So we thought Saturday was a great time - and it has proven so.

We have had about 20 attendees at each of the Saturday morning breakfasts so far. At the meeting on December 13 we decided to have another full day in March 09 as an annual event and then the three monthly breakfasts for the other quarters.

The speakers have been inspiring. There has been an emphasis on self care, and the Medicare system of referrals, and the professional associations and membership thereof. We have also had a two page spread in the local paper called "What is the difference?" with articles about the differences between the different frameworks.

The aim is to keep the meetings clear of hard sell of any one framework - having the philosophy that we are all doing good work; we are all needed in this field no matter what our framework, no matter what our training. We all need to care for one another and support each other. All attendees to these functions have been thankful for the availability of professional collegiality and to be learning something at the same time is very special indeed.

Membership is limited to the four professions listed above rather than opening to the broader field of alternative therapies and other paradigms. So far it has been a great success.

Diana Phillips

Diana Phillips is an analytical psychotherapist in private practice in Bunbury. She is the founding member & co-ordinator of the Psycho/Social South West Group.


 

Selected articles published in PACAWA News are subsequently posted on the PACAWA website. All articles have been subjected to editing processes. However, the opinions expressed in these articles are not necessarily those of the Editorial Board or Management Committee of PACAWA.

PACAWA makes no claim that information contained in these articles is accurate, nor accepts liability for any action arising out of information contained in these articles.
 

© Copyright Pychotherapists and Counsellors Association of Western Australia (Inc) 2010