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Time To Change

You have probably seen the latest government ”time to change” campaign to end discrimination that people who have mental health issues face in the workplace and in society in general. I say “the latest campaign”, but that suggests there have been others. If there have I’m afraid they passed by me unnoticed.

I’ve been offering therapy in Manchester now for some time and I’ve always thought we in the UK have had a bad attitude to mental health issues. The general “stiff upper lip” approach has been accepted as the norm in most areas of British Society. Unfortunately, this has led to people finding it difficult to get over the stigma of seeking help for mental health issues and suffering in silence, in some cases, for decades.

Our poor attitude to mental health.

If you fell over and broke your leg then you would take yourself to the hospital and receive medical attention, probably have a cast on for a while and then be right as rain. Can you imagine if you applied the same attitude that is shown to mental health issues like depression or stress to this physical condition?

“You don’t need to go to the hospital with that broken leg, pull yourself together – you’ll be alright in a few days!” or
“I can’t believe he has taken time off work just because his foot is facing the wrong direction. We’ve all had leg problems and most of us just get on with it.”

It sounds ridiculous when you apply it to such a physical ailment and it would be unbelievable for anyone to comment in such a way, so why do we do that with mental health issues?

Time To Change

I guess this is exactly what the “Time To Change” campaign is asking and I think, slowly, attitudes to mental health issues are changing for the better. I find it fascinating that when people discover that I’m a therapist, many of them “come out” as having had therapy themselves. Most of them tell me what a life saver it was for them and feel that it was an important part of their lives.

I find it interesting that the same people are a great deal more reluctant to discuss this with family or friends, and mentioning it to their work colleagues is an out and out no no.

Do Men Suffer Most?

Out of the two sexes I think men suffer from this problem the most. Us men have this idea that we need to “be strong”, especially around other men. Being seen to need help and support with mental health issues is tantamount to cashing in your masculinity for a frilly skirt and high heels. How badly we get things wrong at times!

I love Claude Steiner’s idea in “The Other Side of Power” that to be in touch with your feelings and to be able to express them appropriately is what makes us all truly powerful. To be able to seek help when we need it whether it’s for a broken leg, depression or stress is one important way we can look after ourselves. And it’s only by looking after ourselves that we can look after others. A fully functioning healthy adult is much more capable at serving loved one’s needs than someone with their own internal battles going on.

Time to Change Our Attitude To Mental Health

I fully support the governments “Time To Change” campaign. I would encourage all those (like me) who have had help with mental health issues to “come out” and talk about it openly. It’s time to change. Let’s start to break down this limiting belief that needing support for our mental health issues is some sign of weakness, because in my opinion, it’s the opposite. Those that have the presence of mind and the self-belief to do this are the strong ones. It’s time to change.

When Is The Best Time To Go To Couples Counselling?

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emergency couples counselling I have offered couples counselling in Manchester for a long time now and I notice a very different way that people who want couples counselling contact me compared to individual clients.

Most individual clients make an enquiry when a situation has built up over some time and they no longer want to deal with the pain this causes. They want to change their life for the better and so they seek a counsellor or therapist to support them with the change they want to make. The feel of these enquiries is often considered and as if the individual is preparing to go on a journey of discovery.

Couples Counselling Call

Contrast this with the typical couples enquiry. Often one member of the couple contacts me and there is a real feeling of urgency. They often want to see me right now, no waiting around, as it is an emergency. They need fixing and it has to happen yesterday! It’s not uncommon for them to phone me without agreement from their partner and the appointment is later cancelled or not attended because the other partner refuses to come.

It makes sense to me that this is how couples counselling enquiries often are. It is easy to pretend that things will work out with your partner if you just keep trying and trying and many people are good at pretending that eventually things will turn out OK if you both just try one more time.

Unfortunately, if partners are not communicating effectively with each other then it’s easy for one partner to be putting a huge amount of effort in and the other partner quietly constructing an escape plan to exit the relationship. When that escape plan is put into action the call goes into the therapist and therapy is demanded RIGHT NOW!

Don’t Panic!

I’m not saying that therapy is a waste of time at this stage of the relationship breakdown. There may be hope, and if both partners are willing to do things differently couples counselling may work and the relationship can be saved. If one partner has decided to exit the relationship though there is often little that a therapist can do.

I tell you this not to depress you but to explain that the best time to go to couples counselling is before the relationship gets into dire straits. This way, neither partner has made decisions about exiting the relationship, both partners are more able to hear the other empathetically and real work can be done to improve the relationship, often to a deeper level than ever before.

What if you are in the “emergency” zone?

If you fall into the “emergency” category I would still encourage you to contact a good therapist with training and experience of working with couples. The therapist will be able to facilitate a proper, honest discussion between you and your partner.

When I work with clients who are in this position (and I have worked with a many, many of them) I teach the Imago Dialogue process first, which means that both partners get a chance to talk to the other honestly and the other is able to listen fully and truly hear what their partner has to say. This in itself can make a huge amount of difference. There is usually one partner who does the talking and often dominates the conversation whilst the other listens, withdraws and figures things out by themselves as they feel that they will be bulldozed if they speak. This is not allowed in my consulting room. Both partners will speak and both partners will listen, it’s just how the Imago Dialogue process works. My job is to keep both partners safe.

As Imago Relationship Therapy is about emphasizing the positives as well as addressing the negatives in the relationship I will encourage the couple to talk about the great things in their relationship and things they will really miss if they do decide to break up. This often has the effect of reminding both partners what they love about each other and increases the chance they will stay together. The events of the past can be put into context and long-term thinking can begin.

Call me for couples counselling

If you need help in your relationship and you want to work with a therapist who has had specific training to work with couples (which, I have to say is rare) then you can contact me on 07966 390857 or use my contact form on this website to see if there are any couples counselling spaces available.

The Drama Triangle – Shall We Dance?

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The Drama Trianlge I’m not sure why it’s taken me so long to write about the Drama Triangle as it’s probably the concept that has had more “aha” factor than any of the others with my clients whilst delivering therapy in Manchester. People tend to “get it” and, as if by magic, the behaviour patterns that they have been engaged in with others suddenly become apparent. The concept also invites the client to think about the messages they learnt about themselves and others as they were growing up. This new awareness gives an ability to change and pull themselves out of unproductive ways of being.

What is the Drama Triangle?

The Drama Triangle was created by Steven Karpman as a different way of looking at Berne’s Game theory. Karpman suggested that there are three roles that people can take when they play games:

Persecutor – Persecutors take the “I’m OK, you’re not OK” position. They bully, snipe, bitch and intimidate others.

Rescuer – The Rescuer also takes the “I’m OK, you’re not OK” position but the feel is very different. Rescuers “take care” of others whether the other person wants looking after or not. They presume that others do not have the ability to do things for themselves.

Victim – Victims take the “I’m not OK, You’re OK” position. They look for others to either “look after” them or pick on them.

So, which one are you? If you’re like the rest of us then you’re probably all of them! You are, however, likely to favour one of these Drama Triangle positions over the others.

All three of these roles are inauthentic – that is, they are based on the past ideas and beliefs that the individual has formed about themselves and others throughout childhood. The positions are likely to confirm script beliefs and are responding to past events rather than the here and now.

Let’s just take a minute to think about that for a while. If I’m treating someone like a Victim and I am Rescuing them, then that has probably more to do with my beliefs formed in my childhood than the needs of the person I am Rescuing. The here and now reality of the situation is ignored (discounted) and I just carry out those actions that have been programmed into me as a child. The great thing about that program is that we wrote it and we can change it. I think it is this program that gets revealed to clients I explain the Drama triangle to. On seeing the program they can decide whether it is useful anymore and how it needs to be altered. The process of psychotherapy then supports and facilitates the changes the client wants to make.

The diagram used to show the relationship between these positions is drawn like this:

The Drama Triangle The important thing to see here is those arrows going in both directions. When playing games an individual tends to move around the triangle taking all of the roles at different times. We dance around the triangle with our opposite number taking on all of the roles.

Here’s an example of a conversation between two people that demonstrates the triangle nicely.

Jamie: Why are you late again? You’re always late for everything and I’m sick of it! (persecutor)

Lesley: I’m really sorry, I forgot to set my alarm. Please don’t be mad at me. (victim)

Jamie: Well you’re stupid and inconsiderate. I’ve no idea why I put up with you! (persecutor)

Lesley: It’s not as if you are perfect. Stop shouting at me now otherwise you will regret it! (persecutor)

Jamie: OK, OK. Calm down. I didn’t mean to upset you. (victim)

Lesley: Well you never help me with my lateness so what do you expect? (Persecutor)

Jamie: OK, so from now on I will set your alarm for you and make sure you get out of the house on time. (Rescuer)

Note how the positions change, and when one player moves position that invites movement of the other player.

When is a rescue a Rescue?

The convention is to capitalize the R when discussing the drama triangle type of Rescuing, Persecuting or Victim to distinguish it from the non-drama type. The difference is that when a game-playing Rescue takes place then the Rescuer is usually doing something that they do not really want to do but they think that they “ought” to. A Rescue also involves a discount of self or other (as all the positions in the triangle do). In the example above, Jamie is discounting the ability of Lesley, who is an adult, to set an alarm clock. Also, Jamie really does not want the added stress of making sure that Lesley is not late any more but feels obliged to “help” Lesley with this. The ideas that Jamie should do this will have been formed in childhood and are part of her script beliefs.

Why do we play on the Drama Triangle?

We dance round this triangle for the same reason that we play games; we want to get our needs met but we are often too scared to ask for what we want directly. Asking for what we want, being intimate with others, feels dangerous and there is the highest risk that we may be rejected so we take one step down and play games instead to attempt to manipulate others into giving us what we want without being explicit.

The cost of doing this can be high. Each position has its own payoff and these often reinforce the beliefs about self. For example, in the script above, Jamie may once again see that her needs are not important and that she has to look after others to be OK. This leaves her feeling angry and uncared for.

How do we step off the Drama Triangle?

The solution is simple. Step off the triangle by being intimate with those you talk to. This can be carried out simply by using Steiner’s “action-feeling” statements.
The first transaction from Jamie may then have looked like this:

Jamie “When you turn up late I feel angry and annoyed. In future I would like you to turn up on time or ring me to let me know you’ve been held up”.

This statement invites Lesley to think about her behaviour and how it’s had an impact on Jamie. It invites Lesley to stay in Adult ego state and be empathic to Jamie’s needs.

What’s the next step?

I think the next step is to become aware of the ways in which you are dancing on the drama triangle. Notice which positions you take more often. Do you take different positions with different people? How does your drama triangle position connect with your experiences in childhood? When you have gathered this information you can decide to do things differently. Whenever we do things differently there is likely to be feelings that come up for us so seek out a close friend or family member you can talk this through with or work with a therapist to help you make the changes you want.

What do you think about the drama triangle? Do you have great strategies to get yourself off the triangle into closer connection? Please comment on your Drama Triangle experiences using the space below.

Passive Behaviours

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Do you find yourself putting things off or not getting round to important changes in your life that you want to make? In this post I am going to discuss the four passive behaviours that we can all be guilty of, one of which I found very surprising when I first read it – I didn’t think it was passive at all.

I have written an article introducing passivity before that may well be worth reading as a prelude to this post. If you want to read that you can click here to be taken to it. What you read here is my interpretation of the Schiffs paper “Passivity” (TAJ 1:1 1971). The Schiffs did some ground breaking work on passivity and TA therapists have been using it and interpreting it ever since.

I want to write about passivity because I can see it in so many clients’ lives. I can also see it clearly in my own. By confronting passive behavior we can change, grow and achieve our goals. It’s often passivity that holds us back from getting what we want.

Passive Behaviours

The Schiffs identified four behaviours that were particularly passive. This is useful to us because when we can see that we are behaving in a similar way we can wake ourselves up, shake ourselves down and choose to behave differently.

Passive behaviour 1 – Doing Nothing

You can’t get much more passive than doing nothing eh?! Well as the Schiff’s see it there are two ways in which you can do nothing. The first way is to have a problem and then to passively not respond to that problem. Imagine a rabbit in the headlights sort of scenario. Quite often when people are in this place they say “I can’t think” or “I’m confused” – a survival response clicks in.
If you are doing nothing in this way it is likely that you will feel uncomfortable and anyone who attempts to help you with this is likely to get dragged in and end up doing nothing too.

The second way of doing nothing is not passive behavior. You can decide to do nothing. This is from an Adult place and there is an active decision to do nothing. In this scenario you will probably not feel uncomfortable because you have taken action. The action you have taken is to decide to do nothing!

Passive behaviour 2 – Over Adaptation

Over adaptation is when you do not work out what your goal is when attempting to solve a problem but instead you try to achieve what you believe is somebody else’s goal.

Here is an example. Frankie and Benny are deciding what to see at the cinema.

Problem: Which film to go and see.

Frankie’s response: “I’m not at all bothered – I guess you would like to see the Cowboy film so let’s go see that”

Benny’s response: “Yep – I would like to see that film so if you are happy let’s do that.”

Only Frankie hates cowboy films and spends the next hour and a half feeling very annoyed that he has to sit through one.

Frankie’s over adaptation was very hard to detect because he made no indication of what he wanted to do. As a result he had to suffer a film he knew he would dislike. If he had been more active in the decision about what film they both saw and discussed it he would have found out that Benny also loves Science Fiction and would have been happy to see the new Star wars movie that Frankie really wanted to see.

Passive behaviour 3 – Agitation

When we feel agitated we do things that are pointless and have nothing to do with the goal we are trying to achieve. We usually feel uncomfortable and confused.

We behave this way because we are defending the symbiosis we have formed with another against a threat (if you are unsure of what symbiosis is read my first post here). We know we could solve our problem by taking action but we just don’t feel adequate enough to grab the bull by the horns and do it.

What’s also can be present is the belief that what we are doing is actually achieving something. This fits in with the idea of grandiosity discussed in the last article.

The agitated person needs another individual to step in and give clear instructions as to what to do. This restores them to a overadapted place which is far less serious. The difficulty with agitation is that if it is not dealt with it can esculate into the next stage of passive behaviour: violence.

Passive behaviour 4 – Violence or Incapacitation

When I read this stage I couldn’t get my head round how violence was passive behaviour – surely it’s the ultimate in doing something right? Wrong, when we become violent we actually change nothing. It is the release of energy built up from passivity.

Violence does not require thinking and no responsibility is taken for it. Just think of the way people describe their violence after the event;

“He made me so mad I couldn’t help myself hitting him”
“I punched the wall because I was so frustrated”

Quite often after the violence, once all of the energy has been released and they have calmed down, the person is quite able to have a rational conversation about what happened.

Violence is a grandiose act and really buys into the idea that “I can’t stand it any more” – a great example of a passive statement.

How can knowing all of this help me?

I think the first benefit of knowing this information is being able to identify passive behavior in yourself. If you can identify that you are acting passively then you can decide (make an active decision) whether you want to continue doing this or act differently.

In order to do this you may find it useful to track your feelings about a situation. Your feelings hold the key to what is going on. It may go something like this:

I feel ill at ease about something that is going on in my life.

I sit for a minute or two and just track my feelings. What am I feeling? Where am I feeling it (in my body)? Is this a common feeling that reminds me of something from my past?

If the feeling is agitation then does this have something to do with inaction? Am I feeling very angry? Do I feel like I want to hit something (or someone)? Do I feel like I’m completely stuck and can do nothing?

If the angry feelings are there then the first step is to do something to expend that energy somewhere else and prevent an explosion. You might do this by going for a walk, taking yourself to the cinema, listening to calming music or whatever else you know will calm you down. The same can be said about agitation, which is you being on the verge of violence or incapacitation.

Once you have done this and your brain is more able to think logically about your situation. See if you can identify one single thing that you can do that will help your situation. This will move you away from passivity to action and may help shift the block that you feel. If you can’t even do this then it may be that you need help and advice from someone trained in this area. A therapist or counsellor should be able to help you look at your passive behaviours and facilitate decision making.

Recognise any of the passive behaviours mentioned?

How has this post impacted on you? Do you see which passive behaviours you mostly carry out? Have you got some great ideas for moving yourself out of passivity? Please leave your comments about passive behaviours below.

The Space Between – Hedy Schleifer

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the space between - couples counselling in manchester Today’s post is a simple video that I found completely inspiring and sums up many of the Imago Relationship Therapy philosophies beautifully. Hedy Schleifer, along with her husband Yumi, are two of the worlds top relationship therapists. They have a background in Imago Relationship Therapy and also incorporate other modalities into their thinking about relationships. This video shows Hedy’s address to the TEDtalk in Tel Aviv, it’s 19 minutes long and well worth a watch.

I love the quote she uses

“Beyond right thinking and wrong think there is a field, I’ll meet you there”

Rumi

If we can see through all the crap that we go through with our partners and see the person opposite then this is a strong foundation to build connection from.

If you want to read more about Hedy and Yumi then I recommend you check out their website which you can find here.

Please watch the video and tell me what you feel about it in the comments section below – I would love to have your ideas and get a discussion about what makes relationships work.