Wednesday, January 30, 2013

Learning to act right (32)… Unveilings


Learning to act right (32)… Unveilings
Torrey Orton
Jan. 30, 2013


The ashamed will often out themselves,
even if they are sure their God is on their side


One of the interesting things about the HoGPIs is their aversion to personal accountability for their public actions at the FCC. Aversion appears in self-veiling in different ways. The religious wear trench coats; the laity are trenchantly nameless. They do not provide their names easily, or ever. They do not provide their associations – professional, social, familial, avocational – easily, or at all, if asked. And, yet, they see themselves fit to attack others (under the veil of "helping" or "counselling") about one of the most individual things in life…the continuation of it!!...or not.


Here's a couple I've recently seen.


Flywire screen veil


My wife and I were in Bunning's – a first in our lifetime joint venture – seeking and finding a broom and scoop set for brushing up the kitlit which our two fuzzy wonders spread around in their version of veiling their presences from the world. As we lined up for the getaway with our treasures I caught a recognised face outline to my rear right and turned slightly to confirm it. It took a millisecond (or 2?) to note that the old priest from my Fertility Control Clinic vigils was ambling by the outers of the checkout lines holding a rolled length of flywire on end to cover his face from my view. Or so it seemed. If I've learned anything from 18 months out front of the FCC it's the unreliability of my own perception.


So, I asked my wife to turn to her left and see if what I thought I had seen was actually there, describing him as above and so he was, as she reported, "looking like he didn't want to be seen" by me. I took another look and confirmed my impression. He has never met my eye while standing on the line at the FCC singing religious ditties, mouthing verses from a prayer book and supporting the women doing the Church's work of harassing patients. A few days later when I ambled by their morning protest post on Wellington Parade and I noted how nice it was to see him in Bunning's the week before, he didn't meet my eye then, either.


One of the grim-faced, superannuated men standing with him immediately threatened me (a feather's blow from a handleless duster) with the grimaced assertion that "we'll call the cops if you say anything we don't like". The priest in question already refused to support an effort by his HoGPI minions four months ago to sick the cops on me for offending him about the Church's paedophilic history and his potential shared responsibility for that as an elder – both facts, of course. I suspect they're working up for the new public offense legislation to roll in. I wonder if this post will be seen to be an "offense" in the meaning of the eventual act. There's nothing but the facts here, I suggest.


"I don't have to tell you…"


Then there's one of the five most harassing HoGPI women, also grim-faced, who I asked a week ago "what do you do", and then "what's your profession?", to which she answered "I don't have to tell you." Which is interesting for someone trying (98% unsuccessfully) to tell patients what their medical and social situations are with moral certitude of a remarkable order. Some of what she says is meant to be "evidence based" but isn't. I can read the evidence on social/psychological factors with some competence. I was wondering if she could, too. If so, then I could point her at the latest deep work on the areas she purveys.


She and her sisters are purveying false information to patients. Obviously their faith is weak since they keep advancing pseudo-science for matters which are items of Church dogma (and proudly proclaimed so for some authorities ensuring us that the Church has always thought the same things about matters sexual, without exception, etc. until it is overwhelmed by facts). Where faith treads science can have no say, unless it can throw faint lights of reason on the dull dim of dogma.


Anyway, through another Friend of the FCC I heard that she is a Billings Method "counsellor". It seemed useful to test this hearsay by offering it to her to avow or dis as she might. This offer – "I hear you are a Billings counsellor" – produced a gush of almost incomprehensible gabble about guessing I've done a web search and "it's better than putting things inside you" and…on unstoppably like a caught child…the babble of the guilty / ashamed confessing to she didn't stop to find out what accusation...which wasn't anything but an empirical observation…but, I did the search later and found that the Billings Method in Australia advertises three levels or domains of services, one of which is natural contraception…a little conflict there with dogma.


I think the nuts are cracking.


Maybe this stuff fits in my flexible travel category of "travel funnies" which I usually write on road trips. Friends of the FCC is a trip for me from places I know to ones I haven't entirely imagined, or sometimes even dreamed, and the end is not in sight nor is my motivation clear.

Sunday, January 27, 2013

Learner therapist (20)……Interpersonal politics of coupling, intimate or otherwise!


Learner therapist (20)……Interpersonal politics of coupling, intimate or otherwise!
Torrey Orton
January 27 , 2013


The blame and responsibility challenge – creating truth in shared facts


NB – this is a first go at addressing these issues. I expect it may not be the last because they are so difficult for me.


Michael and I have been having this discussion since we met 20 months ago. It keeps coming up so it must matter, at least to us. I'll call it the truth in relationship discussion. Mike might call it the responsibility in relationship discussion. I start from the question: how can we be jointly responsible for anything? He starts with the belief that we have to be responsible for ourselves first. The struggle between individual and group perspectives is the mental history of modernity, one prefigured in the outstanding lives of ancient individuals in all domains of human endeavour rising above terrain of their socio-historical contexts, without which they, too, could never have risen!! Some say, me among them, that the historical balance is out of whack now. Too much me, too little us.


Both are important perspectives and practices, but neither can stand alone. 'How do we get to be responsible?' is one question on the pathway of upbringing. It emerges from the WEness of family, community, and society in their various overlapping institutional forms. No surprise there.


Along the path of upbringing we may have experiences which compromise our capacity for being and feeling responsible for ourselves. Our social systems are as imperfect as our personal ones. Around this fact roils the search of many wounded individuals to parcel the responsibility (blame!) for 'bad outcomes' which they are subject to, and which they fear reproducing themselves in the next generation. This struggle can only be avoided by self-numbing – a long-term strategy bound for failure.


The compromised self develops distortions (I mean that, not disorders) in its capacities to relate to others and itself. Distortion is a normal occurrence because others' responsibility for us can never be perfect, or even close! As some poet roughly says, parents eff us up. We can only learn responsibility from responsibility; our parents learned theirs from their parents, ad infinitum. As well, the generally accepted contents of adult responsibility have changed measurably in the last century or so, and continue to do so now.


Unintentional offense and responsibility


M and I had been stuck in this discord for months, and amicably so, until one day:


M commented on his distress at my dismissive celebration ("Uh yeah…" w/self-satisfied tone) of him seeing something I clearly thought he should have seen before. (This is an often repeated verbal punctuation in the course of our acquaintance and a behaviour I was aware of; I had not yet gotten to the point of being able to interrupt it, only acknowledge it to myself as it irrupted once again.) I asked what feeling he was having after I said it and with some reflection he came up with "offended" or similar, to which I suggested "disrespected" and he accepted that, too.

 
I agreed he should feel "offended" because it was an inappropriate expression on my part…though I expressed it then, still do at times and not just between us. It is not my intent to hurt and wasn't then. But, I was to blame, he agreed, for his bad feeling about himself at that moment. His feeling included some anger….unsurprisingly. As part of our professional self-development, we have built a relationship of shared responsibility which contained the insult and the complaint about it and so opening another level of discussion between us. This experience lifted us up to the level of our relationship as the subject of conversation in a new way.


This article is a step towards formalising the difference in our understanding of responsibility so as to reduce the distance it provokes between us. Recently, I rediscovered on a back shelf Dr Harriet G. Lerner's book The Dance of Anger (1985) which includes a chapter titled "Who's responsible for what?" It brings together two of my favourite subjects – anger and responsibility in the context of intimate relationships. Here she notes:


It is tempting to view human transactions in simple cause-and-effect terms. If we are angry, someone else caused it. Or, if we are the target of someone else's anger, we must be to blame; or, alternately – if we are convinced of our innocence – we may conclude that the other person has no right to feel angry……
…We begin to use our anger as a vehicle for change when we are able to share our reactions without holding the other person responsible for causing our feelings, and without blaming ourselves for the reactions that other people have in response to our choices and actions. We are responsible for our own behaviour. But we are not responsible for other people's reactions; nor are they responsible for ours ...


I think this is Mike's view, too, though not his exact words… and the view of not a small proportion of my patients who've been exposed to modern no-fault processes which are under-pinned by attitudes / principles like those Lerner proposes above.



Therapy, for those who choose it, is one pathway to undoing distortions of the self. Some undoing takes a few sessions; some takes years. The principal means of effecting recovery is the therapeutic relationship – the most reliable, "evidence-based" characteristic of therapeutic effectiveness, regardless of 'school' of therapy! The relationship stands or falls on the ability of the therapist to be present for patients in ways their histories have not made available to them. In doing so, the therapist is taking responsibility for the patient's recovery…while recognising they cannot be responsible in the end!! This paradox will reappear later in fractured couples' relationships.


Offenses to the self


We had a minor offense to M's self by me. The vignette of its occurrence and our recovery through "shared responsibility" is exemplary of the relationship challenge, while barely noteworthy in the greater picture. A bigger offense might elicit feelings like this:


What is it that is so unacceptable, that I react with such a survival instinct style reflex? What is so horrific about my reaction to these words that has me revert to this primal state? or if not primal, infantile or juvenile, and has me cry ...
"Now look what you made me do!"


I'm particularly interested in childhood experiences which underlie chronic depression and anxiety. Pretty consistently these experiences are major abuses of trust by parental, or broader familial, violations of personal space and self-control – often co-occurring sexual, physical and psycho-social violences. These can be usefully considered offenses to the self, are classified as such in legal systems and labelled traumas in western cultures.


They are chronic for two reasons: one, the offenses are sustained into the present by the social system(s) (families, churches, schools, clubs, workplaces…) in which they were first committed and/or reproduced, and two, optimal recovery often requires some change to those present sustaining systems. Children are not responsible for these behaviours, though almost every adult with an abused childhood attempts to take responsibility for others' abuse of them. Efforts to recover must pass through the blame grinder.


'my pain is your fault'


One couple I have worked with off and on for 2 years found the perspective from which to rise above and hold the pains of their struggles: a place which they shared with equal interest and need. They are a couple both deeply injured in ways which when touched by the other regresses them to catastrophic positions – 'my pain is your fault.' Whichever gets there first on any given occasion, their catastrophic feelings incite the other. They have developed a number of effective workarounds and pre-emptions for many recurring circumstances they share, but not even these can stand up against the most conducive conditions for regression – co-occurring overtiredness, professional stress, excess drink, demanding kids and unbalanced, living parents .

 
The new perspective came into view as they were sinking for the Nth time into the fires of their respective recriminations about each other, dragged down or blown up by the catastrophic certainty of repeated disappointments, each with the other. I interrupted the rising tide of exasperation and suggested they stay with the very specific topic they were on…a matter of how physically close they needed to be when both were highly stressed by various things in their joint and separate lives at that moment. This is, of course, a quite sophisticated exploration already.

One, I don't remember which, verbally stepped back and noted that I had proposed on another occasion that their respective needs for closeness were almost exactly opposed when crisis struck: one withdraws and the other approaches, generating a massive reciprocating tension powered by catastrophic thinking. He/she checked that the other was experiencing it now, which she/he was, and the tension dropped. This was the first time they had created a respite from their struggle without leaving it in a heated rage or quiet despair. That creation remains as a shared platform for their struggle for a workable togetherness at their times of greatest vulnerability. Both acknowledged the achievement.


They had created a shared fact about their relationship which undergirds the potential for getting to new places in it instead of replaying the past, deprived places. This fact expresses and symbolises what the relationship is for, its purpose(s) rather than its product(s). Sometimes it's a revisiting of purposes still in play but lost from view which liberates deep motivation – in fact, the most important things about the relationship: its aspirations.


The blame and responsibility challenge


Now back to Lerner. She says our anger can become a source of useful change,


"…when we are able to share our reactions without holding the other person responsible for causing our feelings, and without blaming ourselves for the reactions that other people have in response to our choices and actions."


The blame and responsibility challenge – people show up for couples work because they are stuck in patterns of repeating failure to meet each other's needs, especially those which make being a couple worth the effort. It is impossible to progress as a couple without transgressing in the view of one or the other, or both, at some times!! There are three domains of likely transgression: (1) style (intellectual, expressive, etc. - preferences of congenital origin), (2) cultural role determined behaviours (responsibilities, tasks, authorities, etc.) and (3) personal needs/wants arising from particular normal developmental transitions. The manner of transgression often includes violences of aggressive (hitting, yelling, betrayal) and passive- aggressive (withdrawal, sniping, silence…) sorts. Often a number of manners and domains are involved together.


Complicating the effort to connect is the fact that injured parties carry loads of self-blame which inclines them to expect they will fail the needs of the other (I'm not good enough, don't care enough….), and they expect the other to blame them for the failure – a self-sealing circle of partner-assisted, covert self-accusation. Someone has to break through that circle to change the relationship disconnect cycle. To do so requires confronting their own sense of failure and their sadness /rage about it and doing so in a way that minimally elicits the partner's version of the same system. This is what the couple above achieved.


It's all a perception…not.
It cannot be achieved from a perspective which says everything in relationships is just a perception, and nobody's perception has a better claim to attention than anyone else's. That perspective is the driver of irreconcilable differences in which the members of a couple stand on their "right" to their perception, and giving any of it up to have a joint perception is not on offer. It only takes one person with such a stance for the relationship to be doomed all the way to the courts and beyond. This is a small part of the broken relationship population, at least judging from the fact that 90+% of broken marriages do NOT end up in court. They create some kind(s) of shared truth out of their "shared facts".


And this is the area of personal development into interdependence – partnership as the playground for skill building in joint ownership, authorship construction and so on. There are no free kicks in couples development, unless the couple are already developed enough to provide them freely?!! There have to be stumbles along the way and some way to do better than build up personal grievance banks loaded with material to prove the justice of ones disappointments with the other, and vice-versa. A combustible collection.


And so couples therapy has one task above others, which is helping the couple to see their existing and near horizon emerging successes in interdependent functioning, a joint ownership where the boundaries of who owns what are dropped, melt, disappear…which is what the romantics dream of in the merger/ melding of self in love, etc. but can't be dreamed, must be achieved…and all the more difficult in our times because the jointness historically was given by roles, which have for some time now been corroded by modernity. They have to blindly take responsibility for each other. An act of faith, repeated.









 

Thursday, January 17, 2013

Rectifications (28) – “…and more”


Rectifications (28) – "…and more"
Torrey Orton
January 17, 2013
After enough comes more

 
"…and more" the Subaru sales advert promised full stop after a series of small value adds which dear buyer prospect can get with your model year 2012 demonstrator currently on clearance – a Forester I think it was. You know, "leather" with an asterisk to a footnote so small and finely printed anyone who could afford to would have trouble reading it. Actually, it's leather trim sort of. After three more such gifts, all of which are standard issue "features", we are offered "and more". A clear case where more is not a lot.


This offer, which I've seen in so many places for so many products, makes me feel confident it's a reliable indicator the phrase has entered normal usage. So, what is "…and more"? Another receptacle for the unrequited phantasies of the potentially buying public…? A teaser, like prices ending in $.95 used to be, stopping which could allow us to retire the 5 cent piece? …but I egress to the productivity door rear left. It is what they (merchants) say when they've run out of things to say and can't admit it to themselves. My butcher doesn't say things like that, perhaps because a steak is a steak unless wagyu or grass-fed, in which cases it's still steak and there's nothing more. Imagine "two rib eyes, and more"? The least they can be is one (two ribs uncut).


Another thing the "…more" is: an afterword when the speaker / writer doesn't think they've offered enough of whatever (not whateva, which is already too much to think about); when they think unconsciously that everything is quantifiable and quantity is what every buyer is looking for (have a look at guided tour adverts in the fast emptying local broadsheets' weekend special sections for another take on this view); or, what happens when your favourite gustatory indulgence runs out after two rounds. More!!


And, there's the Nissan "MORE" I saw last nite (15/01/2013) on the tube as the adjunct to the new model's name and the maker. Just MORE. A culmination of a trajectory I had just barely noticed, carrying an implication of (much MORE) in its slipstream as Nissan struggles to sell the new Leaf which is supposed to produce less, not more.


Then there's the grammatical status of 'more' – started as an adjective, accepted as an adverb, now morphed to a noun and soon to transform into a verb? Like 'impact', 'grow'? What would it be to more something or someone? Perhaps, an undifferentiated swamping? A colourless overwhelm? A tasteless effluent?


Actually, anything would do that adds to the featureless expostulations of spin city, an all-purpose excess for the descriptively incompetent. It's, at the end of the day, another let out word: intends something and specifies nothing…like outcomes, put in place, going forward and so on ever after. Ever so moreish.

Wednesday, January 9, 2013

Learning to act right (31)… When is a counter-attack ethical


Learning to act right (31)… When is a counter-attack ethical
Torrey Orton
Jan. 9, 2012


I look forward to the views of St James Ethics Centre on the ethics of our proposed action described below. At least, some generic guidelines for our thinking so far would be useful. I will be approaching Ethi-Call, the Centre's telephone ethics consulting service for an opinion of the following strategy when they re-open in a week. This article is still in draft at this posting.


I write on behalf of a loose assemblage called Friends of the Fertility Control Clinic (FCC), numbering around 6-8 volunteers who appear solo or in pairs at least 4 of the 6 mornings a week the clinic is open. We support patients arriving between 7:30 and 9AM who are being challenged by Helpers of God's Precious Infants (HoGPIs). The HoGPIs' view is that they are offering help to pregnant women who are, in their own views, being harassed by the HoGPIs.


Proof of the patient perception lies in two facts: almost no patients ever take up the help offer (as reported by the HoGPIs themselves) and, two, once the patients pass by the first offer they are subjected to various degrees of continuing verbal harassment (as defined technically by the Melbourne City Council by-laws, which is also harassment by our standards and, we believe, the standards of most of society). The HoGPIs have on passive display materials which can only be called provocative for patients and partners. Their view is that they make no contribution to patient distress because patients are already distressed – a simple, but self-serving ignorance of the psychology of stress (it is cumulative!).


We have been supporting patients for 18 months now. The HoGPIs in some cases have been protesting for 20 years at this site, or another. We are on a first name basis with the principal actors of the HoGPIs, though none will take responsibility for leadership on the site. The regular HoGPI participants number about 10, with daily numbers varying from 4 to12. The most persistently aggressive of their number are women. Patients do not know they are usually being covertly filmed by one HoGPI and their daily numbers recorded manually, all assumed to be seeking abortions. The HoGPIs do not know which patients are coming for abortions and which for other fertility control help.


Apart from our presence, which patients spontaneously thank us for, we support by actively pointing out when HoGPIs have stepped over the technical harassment line, usually saying to the offending HoGPI, "they said 'no'". Sometimes some of us step between patients and protestors after that line has been crossed and accompany them to the clinic entrance. The pattern of events under discussion occur on a public footpath bounded on one side by the property line of the clinic and overseen by a security guard each day (one of whom was shot to death 10 years ago by a protest-associated gunman; no one in the clinic has forgotten that this is a possible end game of their professional commitment).


Our commitment to patient support is based mainly on the need to reduce patient stress. I am professionally committed to this as a psychologist and psychotherapist. Others of the Friends have their own reasons, but reducing patient stress is always the starting place for our actions. Therefore, any actions we undertake to inhibit, moderate, or deflect HoGPI impacts are judged from a patient stress reduction perspective.


Our actions are largely seen by HoGPIs to be an inhibition of their freedom of expression. They seek legal redress for our perceived indiscretions, e.g. being supposedly "provocative" by pointing out the connection between their anti-abortion line and the Church's clear anti-contraception and anti-gay positions, plus its present difficulties with systemic paedophilia. We are prompted to remind them about the latter difficulty when a regularly appearing priest adds his contribution to the patient experience as he surveys the clinic entrance from 6 feet away: "protect your child." They call the police when offended. This results in no reportable offenses being found.


We have made efforts to assist the HoGPIs to increase the effectiveness of their first offer to patients so that there would be greater uptake potential and less added stress for patients. These efforts have been documented, discussed and refused consistently. Two of their number attempt to discourage the more flagrant misbehaviours of their colleagues.


The HoGPIs are absolutely certain about when life starts and finishes. From that position they judge others' positions as right or wrong. The source, and authority, of their position is the Catholic Church's published positions on said issues, available for all to see on their website. From their point of view, no one has the right to any other position. Hence they label as "murderers", including by implication patients, those differing with them at the FCC. They do not extend to non-believers the democratic consideration we extend to them as our starting point in opposing them – that they have a right to say what they want. We do not oppose their offering help, but we are "going to hell" for opposing their excesses.


Liberal democracies judge that everyone has a right to their claims, but not to ones which endanger the dominance of liberal democratic values – i.e. freedom of thought and its assistant, speech. At the gates of the FCC these two values clash quietly for the four groups of participants: patients and families, Friends of the FCC, security guards and HoGPIs. And so, we have the central challenge for Friends and HoGPIs – the challenge of enforcement of regulations which establish and manage the borders of free speech and offence. No one in enforcement wants to be involved with this highly irregular terrain. The last place the police and council officers want to hear from is the FCC footpath.



We know that the HoGPIs will vigorously defend their perception that they are not harassing the patients, just trying to help them…to the point of claiming, as one did recently when she was haranguing a couple who had turned away from the offer of help, that she was just "speaking to herself" in mouthing the standard accusative mantras at users of the clinic's services.


Now it's time for a new step. Remember the context, in brief, is this: 6 days a week the already emotionally charged patients of the fertility control clinic are confronted by anti-abortion protestors whose behaviour clearly offends them to the point of tears in many cases and outbursts of rage in a few. These patients are entirely within their legal and moral rights to use the services of the clinic.


This will be a more confronting step, at least from our viewpoint. Confronting for us is the fact that we have to become much more systematically attentive to HoGPI misbehaviour in order to push the Melbourne City Council / police authorities to enforce their own rules of public behaviour – notably the rules against public harassment.


So we are committing to a persistent data gathering campaign by live video to clearly document HoGPI transgressions against the law of harassment, and three other recurrent invasions of patient privacy. These three are:
(1) 'gang tackling' approaching patients in pairs or trios with the effect of partially blocking their normal progress along the footpath;
(2) chasing patients from many meters down the footpath, sometimes as far as 100 meters from the clinic so that their approach to the clinic is punctuated by the continuing presence of protestor(s); and,
(3) corralling patients in their cars on arrival so they cannot easily get out.


Harassment data is the most difficult to collect because it requires close video with audio which is highly likely to be more confronting for patients than HoGPIs.


This project, once agreed by all stakeholders on the FCC side, will be clearly advertised to the HoGPIs, as have been all our other initiatives. That is, we are trying to work with democratic values of openness and transparency in a context where they are not shared by the 'opposition' in the name of their right to free expression.


Torrey Orton
AHPRA Reg. No. PSY0001120138
11 Wertheim St
Richmond, Vic., 3121
Australia
Mob. +61 (0) 419 362 349
Skype - torreyo