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Problems that I work with include, but are not limited to:
Posted: 416 days ago
I recently read an article in the Sunday Times Magazine about a controversial American historian (Michael Livingston) who has specialized in re-writing the narrative of famous battles in British history. In the article he claims ‘History by definition is not sacred or written in stone. It’s a story that’s always being retold.’ (Page 50).
Posted: 423 days ago
There are a plethora of therapies to choose from out there these days which can be confusing for those who may be deciding to embark on therapy for the first time.
Posted: 430 days ago
We’ve recently had a new kitchen put in which involved two weeks of intense work by a local trader and his team, full on, with a skip heaving with discarded wood and old fittings, workmen traipsing in and out of the house and curious neighbours across the road wondering if they’ll get invited for a cup of tea so as to view the upgrade once finished.
Posted: 1394 days ago
Do any of these emotional states sound familiar to you?
*Mistrust/Abuse
*Emotional Deprivation
*Abandonment/Instability
*Unrelenting Standards/Hypercriticalness
These mental states, made up of a combination of feelings, thoughts and memories, are internalized patterns or Schemas that have a powerful influence on our interpersonal relationships, how we define ourselves and how we relate to the world generally. They are, if you like, relationship templates described as Schemas in a psychological intervention known as Schema Therapy, developed by Young and colleagues (Young, 1990, 1999).
The term Schema has a long pedigree within psychology and can be thought of as a pattern or working model, existing subconsciously which is then projected onto reality to assist individuals explain reality, to filter our perception of it and to organize our responses to it. The important thing to note about these schemas is that they are faulty representations of the world we live in, especially our expectations of others, derived from distorted self-concepts laid down in early childhood.
An adult male comes to psychotherapy seeking help because in all his relationships he seems to attract people who end up exploiting and emotionally abusing him. It is a repetitive pattern or schema in his life that he is unable to break out of. That is what he has come to expect, and in therapy he makes the surprising discovery that subconsciously he seeks out abusive types to confirm that prediction. His self-concept is: I am a bad person, so I deserve abuse. This becomes a self-fulfilling prophecy. He further discovers that this pattern of behaviour is an internalized schema of which its core elements are Mistrust and Abuse. The expectation (based, let us suppose, on being abused by a parent as a child) is that others will hurt, abuse, manipulate or take advantage of me.
This is just one example of a maladaptive schema. The schema therapy model has identified 18 schemas, including such internalized patterns as Entitlement/Grandiosity, Approval Seeking/Recognition Seeking and Unrelenting Standards/Hypercriticalness.
These maladaptive schemas, distorting reality, laid down in childhood, can be challenged, altering in a positive and more realistic way our old habit of negatively evaluating ourselves, others and the world.
Identifying these schemas forms the initial phase of therapy. To assist in this, the client is asked to fill out several different questionnaires covering childhood memories, parenting experiences and defensive coping strategies. The responses to these questions help to map out the internalized schemas that determine outlook and behaviour.
Here is an example of treatment based on a schema therapy intervention.
A female client struggles with an Approval Seeking schema. She is excessively accommodating, often sacrificing her own needs, opinions, tastes in order to keep the other person happy. This is self-sacrifice in the extreme, with the person suppressing important aspects of themselves in order to gain love and approval – fuelled by a fear of rejection.
Posted: 2116 days ago
I have experienced two losses this year, my sister in law in January and my wife’s sister in law in February, both passing away on the first day of the month. As I felt close to each of these family members, my sense of loss is painful, compounded by the close proximity in time of these deaths.
Posted: 2602 days ago
‘The art of listening is almost equivalent to the art of speaking.’
Posted: 2606 days ago
Our relationships with our partners are seldom straightforward as we would like, often being shaped by our own personal legacies. We often respond to partners as if they were someone else, creating conflicts through mistaken identities originating from the past. What we expected in these primary relationships was a safe zone of nurture, of validation, just for being who we are. Not an unreasonable expectation to have. What we wish for, however, in this realm of human attachment, can often be far removed from reality. Why is this?
Posted: 3514 days ago
Although siblings can have the same parents bringing them up, it’s amazing how each child can turn out so different. One sibling may become academic and studious, whilst another takes on much more of an extrovert role, basking in the social limelight. Yet another sibling becomes the home bird, valuing the close filial network, but contrasts with that other child in the family who prefers to establish strong bonds with others out in the wider world. Within this family dynamic of parents and siblings, these nuclear relationships can impact our behaviour and attachments in all sorts of ways.
Posted: 3803 days ago
A psychiatrist colleague of mine once said to me, ‘Grief is the rent that we pay for living.’ As well as gains, life is also about losses; loss of youth, loss of employment, loss of health and most painfully, the loss of loved ones. As Simon and Garfunkel once sang – ‘If I never would have loved, I never would have cried.’
Posted: 3981 days ago
The tagline on my business card reads, ‘There are always possibilities.’ This, supposedly, is a quote from Startrek’s Spok, who apparently used this phrase whenever the Enterprise crew found themselves in a tight jam. Being half-vulcan, half-human, Spok’s irrestible logic, as sharp as a steel trap, could most times see a way out of a problem, unlike the minds of those exasperating humans who would let irrationality and emotion cloud their judgement and narrow down their choices.