Wednesday, 25 March 2009

End of the second term.


How time flies. Those of us who attended the progression routes presentation reported back to the rest of the group and discussion ensued. Much food for thought about the cost and time commitment plus the thing of working more autonomously at postgraduate level.

We worked in trios and pairs to fill in the Learning review 2, swapping partners with each section. K picked up that I never went to break with the others in the first term. I think I was a bit shy but I can understand how that might come off as a bit stand-offish. These days, I'm first in the caff and quite often keep an eye on the time so we don't step over time boundaries with A.

We divided into two teams for a quiz on different forms of counselling. Our team won but it was very funny to see how competitive people got! Our prize is to buy A a cup of coffee last class of the last term.

afterwards we went to The Bloomsbury Bowling Lanes for L's birthday. It was empty so we got served drinks quickly. Funny, we're all getting to know each other and we've only got one more term to go. Shame! Hopefully some will continue onto the next part of the certificate.

Monday, 16 March 2009

Result!

64%. Oh yes. Very happy with that. Plus some excellent feedback on developing my writing style around referring directly to this learning journal and the experiences of others and myself in the class.

On Saturday, I listened to a presentation on further study progressions. I'm thinking about a MSc in Humanistic counselling. It's going to be expensive (£3500 per year) plus your own counselling fees. Before that, one more year at Birkbeck for the Certificate!

Friday, 13 March 2009

Presentation part two: 13th March 2009


I changed my mind about the presentation, deciding to focus upon something in the past and how my understanding of that has clarified since doing the course.

the daughter of a friend and I were in the habit of having lunch together. Her family were elsewhere in the world. When her life became more difficult and her marriage became troubled. she leaned and leaned on me until, in the end I had to back away, unable to help her any more, so great were her emotional needs. I felt I had let her down badly but I simply could not cope. I've brooded about this over the years and come to no satisfactory conclusion about what I could have done that was right or appropriate. My link into the course was my fear that a client might demand more from me than I was willing to give (or able to give). Comments from the class were reassuring, supportive and helpful. It was felt that the framework of the counsellor/client relationship would contain the neediness of the client and the ability to help of the counsellor. I guess what we're talking about here s a tacit acknowledgement of pre-determined boundaries that both contains and enables the helping relationship.

We then moved on to dyad discussion about multiculturalism and listening. I partnered with K who spoke about her gap year travel in the seventies and how she realised that having a white skin was enough to get you into the pool of a big posh hotel abroad even if you looked ragged.

I related our holiday in Spain where I was anticipating Almodovar all the way but actually (and depressingly) got a load of insecure Brits ranting on about how England was going to the dogs and how everything was run by 'Muslims and queers'. Sigh. I couldn't wait to get back to good old multicultural London where people are more tolerant.

Much discussion ensued about assumptions and stereotypes. We all do it I suppose, but so much better to look behind the assumption and perceive the individual and their place in the world. Also how it's possible to have a foot in both worlds if you speak another language than English at home for example. I think it's possible to extrapolate from one experience of 'cultural' identity and apply it to another.

Tomorrow there is a seminar on the next course we might take. I shall report back.

Wednesday, 11 March 2009

Presentation

So anyway, I have decided what I will talk about on Friday. In terms of family dynamics, prior to the course, I was always a great one for 'solving' whatever crisis was going on. Not only with the children but also in my relationship with my husband. Though my willingness to deal with issues is probably a good thing, my coping strategies have not always been a good choice. So, lately (faced with a fairly insoluble situation) I have decided on a new approach: Stepping away and just seeing what might happen.

The one major benefit is that I seem to have got rid of an almost crippling anxiety. I think I've noticed this because I've been lugging it around for years. My baggage as it were. Something that started when my father died and I had to become emotionally self-sufficient. An event that coincided with puberty and its attendant insecurities. I really think at the age of 49, I'm allowed to put it down.

Friday, 6 March 2009

Friday 6th March 2009: Presentation


Had some very good reading for today's class: all about power and equality and how counselling takes place for 'minorities' ie; lesbian, gay, bisexual, disabled, old, ethnic people and how a counsellor might not be able to counsel effectively if they don't belong to one of these groups. Thinking about it, I'm sure it's possible to extrapolate from my experience as the parent of a disabled child (a sub-division of the disabled people minority) in order to feel empathy for a client from another minority group. We shall see!

Couldn't get in today as the boy had a fever and was sick last night. Gave him the day off today. He is pale but interesting.

Next week is my turn for the presentation. How hard can it be? All I have to keep doing is talk for 5 minutes on a subject of my choice. Not quite sure of the subject yet. Linking it into the essay, I might consider how the roles of counsellor and friend are mutually exclusive...

Thursday, 5 March 2009

Friday 27th February 2009: The essay and the counselling video


I handed in the essay actually having done what a good essay should do: it taught me something in the process. To summarise, a counsellor is different from a friend. To be a friend requires sympathy and a counsellor requires empathy. I also came to the conclusion that you can't be both at the same time. For the moderately interested, I've posted it below.

We then watched an assessment video from the nineties (that hair, those clothes!!) in which a real counsellor assesses the need for counselling from a trainee counsellor playing a newly separated woman in the 'client' role. It was fascinating to see how the video inspired fairly impassioned responses if not downright antipathy from the group. We nearly all felt that the counsellor started off on the back foot by telling her client how she 'must' feel. As the mother of a child with disabilities this did irritate me somewhat. Lots of perfectly well-meaning people told me how I 'must' suffer (and still do, apparently), how I 'must' have felt life was so unfair etc. Yeah right, for about twenty minutes then I moved on from that. I suppose that people are projecting their own feelings about disability onto me. Oh well. Surely a better approach for the counsellor is to ask how the client feels at the start? Just like people could ask how I felt about parenting a disabled child but then I might tell them and they might not want to hear the answer if I'm not having a good day!

But I digress, the video was shown to us in four parts with the client gradually being coaxed by the counsellor to understand that their was no magic wand to wave that would eradicate the client's unhappiness and depression but, and this seemed to be a vital ray of hope, a course of counselling and the gradual unpicking of all the issues that underlay the client's distress (low self-esteem and lack of personal fulfillment). Also that the process would be slow and that the client must learn to expect realistic amounts of help from friends/counselling then perhaps the need for the magic wand would naturally diminish. I think we all disliked the counsellor at the start (rather like the client - now who's projecting!) but I felt we all warmed up to her in the end (again just like the client). Interestingly, K came in about half-way through and as she is in therapy at the moment endorsed what the counsellor was doing during the assessment process.

Anyway here is the essay but feel free not to read it. I won't take offence.

How does a counsellor differ from a friend?

In order to answer this question I will define the terms ‘counsellor’ and ‘friend’ and place them within a metaphorical Venn diagram in which I will explore how these terms overlap and also how they are distinct and discrete from each other. I propose that the differences stem mainly from the framework and context of the counselling or friendship relationship. Also, that to be a friend requires sympathy and to be a counsellor requires empathy if the helping relationship is to be effective. I suspect that the Venn Diagram might become three-dimensional in order to fully express and illustrate the answers to the question.
The Penguin Dictionary of Psychology defines counselling as: ‘A generic term that is used to cover the several processes of interviewing, testing, guiding, advising etc. designed to help an individual solve problems.’(Reber & Reber, 2001a, 162). The Chambers 21st Century Dictionary has the following definitions for ‘friend’: ‘1. Someone whom one knows and likes and to whom one shows loyalty and affection; a close or intimate acquaintance. 2. Someone who gives support or help.’(Robinson (Ed), 1999, 532). Even just with those two definitions it is easy to see how the roles of counsellor and friend may be seen as similar. The area of ‘overlap’ being the act of helping, as it were. Interestingly, Sanders draws a very clear distinction, proposing that: ‘What Counselling is Not: Being a friend’ (2002, 10).
As these definitions float in the metaphorical Venn Diagram so the relationships of counselling or friendship reside within distinct frameworks. A counsellor has the designated time and place for such activity. The type of counselling offered may be psychodynamic, transactional, cognitive behavioural, humanistic or a combination of these. The counselling might be paid for by the client or offered on a voluntary basis, in a place of work or study or within a psychiatric or medical setting. Thus we see that the scope for help and support is contained within specific and well-delineated contexts of type of counseling and physical space, the terms of which are negotiated and contracted at the outset of the counselling relationship between client and counsellor.
Seeking help from a friend is by its definition a more nebulous and flexible phenomenon. There is not necessarily a set time or place beyond the convenience of the people involved. The setting is more likely to be within the domestic sphere in a more informal atmosphere. There are not necessarily any constraints on the time spent in the helping activity. As Gray says in ‘The Frame’: ‘When friends tell us about distressing experiences it is likely that we will take their side, offer advice, put our arms around them should they cry. This is right and proper; it is what friendship is all about’ ( 2002a, 15). Thus we see that help and comfort lies in a direct physical and emotional reaction to the plight of the friend. This degree of intimacy and prior knowledge is not within the counsellor-client relationship which, in order to be effective must maintain a set of rules that enforces a kind of emotional distance. This facilitates a space whereby the client can better explore the issues thrown up by their distress. As Gray goes on to say, ‘if we can believe that we are on our client’s side, not in the sense of comforting them or telling them how right they are but in bearing their feelings, then we provide them with an opportunity to experience emotions that have hitherto had to be suppressed’ (2002b, 15). Clearly then, it can be seen that the same distress can have different depths of resonance and resolution depending on whom, the friend or counsellor, one calls. I believe it is the difference between expressing sympathy, as one would as a friend and expressing empathy, as one would as a counsellor. The Penguin Dictionary of Psychology defines sympathy as, ‘the sharing in the feelings of another.’ (Reber & Reber, 2001b, 731). Cozolino defines empathy thus:

…as often confused with sympathy, compassion and emotional resonance. Although these are all important aspects of intimate relationships, empathy is somewhat different. Empathy is a hypothesis or educated guess concerning your client’s internal state. It is a method of observation that relies on your interpersonal skills, combined with your capacity to think about what you are feeling. You dip into another’s experience as best you can using your emotions and imagination, then subject your experiences to conscious consideration in light of your knowledge and training (2004,135-136).

Recently a good friend of mine, currently undergoing a difficult divorce, left her own house in some distress. She had recently been on a short break and had a wonderful time. She returned to her own house to find that her ex-partner had removed an item from her bedroom and that her adult children had had done some clearing out in the house and subsequently my friend could not locate several things that were important to her. The friend in me obviously wanted to sympathise and take take her side as she was very upset and overwhelmed. Before I started on the Introductory Course In Counselling, I would have done just that. Rather to my own surprise (but with a hunch that it might be more useful), I offered to put my counselling ‘hat‘ on and maybe give a less emotionally charged response to her unhappiness. Having given my friend a choice in the matter, she was agreeable. I then asked if she felt that any of her family were respectful of the boundaries she took for granted. She was obliged to admit that they weren’t: her ex-partner entered the room he no longer shared with her to remove the item while she wasn’t there. Her children threw away things she would have kept (had she been asked). To compound her unhappiness, her protests were dismissed which led her to leave the house. In a sense, another boundary transgressed. The subtext of our subsequent discussion was how to re-establish the boundaries in a calm negotiated way that meant that all parties concerned could be in no doubt as to where their responsibilities lay and also that my friend, notwithstanding the divorce, felt strong enough to speak up for herself and make her voice heard without unduly hurting the feelings of anyone else during a difficult time.
Familial discourse is a fluid awkward thing, a kind of ramshackle intimacy in which conscious and unconscious dynamics operate. I was deeply sympathetic to my friend. We are a similar age, our children are roughly the same age and grew up together and we have been married to our respective partners for a similar amount of years. It is not difficult therefore to see how I might identify with my friend’s situation given my intimacy with her. Which leads me to reflect why and how individuals might seek help from a person of, broadly speaking, similar cultural background with the perception that their distress might be better understood. I felt that I could capitalise on our shared values to ask a question that dug deeper and might help my friend at a more profound level. It was as though I had to forget she was my friend (albeit momentarily) and consider her distress in more dispassionate terms, which I feel is essentially the difference between sympathy and empathy. If I started by sympathising with my friend I tried to help by empathising with her and asking a question of her in a relatively detached manner that, devoid of overt emotionalism, might throw light upon her shifting family dynamic and its implications for the future. To me, this is the central difference between being a counsellor and a friend. The empathy can only be brought to bear within the framework I have described when it is negotiated, set up and agreed upon between counsellor and client. Interestingly, it felt, even momentarily, that we were able to put aside the fact of our friendship in order to have a brief counselling discourse. In this respect, I agree with Sander’s assertion that a counsellor is not a friend.
There are many other aspects of the helping relationship that must be considered whether one is counsellor or friend. Firstly, confidentiality: the individual must rest assured that their business will not be discussed with a third party without their consent. Within a counselling framework, the ethical guidelines set up to protect the client such as non-maleficence (doing no harm) and beneficence (well-being) must be established. Equally If my friend comes to me for help in a state of vulnerability she must be confident that I will not use that information in such a way as to cause her harm. An ethical framework established by the relevant body is one thing but a set of assumptions and social conventions surrounding the ethics of friendship (which may be unspoken), again, by definition is a more nebulous phenomenon but one in which predetermined factors such as trust and intimacy are already well established. As friends we may take these assumptions for granted but as counsellor and client we must establish the boundaries of trust at the outset, to create, as it were, a similar framework that echoes the relationship of friendship but clearly defines it. If the dynamics that govern friendship are often unspoken they may well be unconscious. It is the purpose of counseling discourse to make these concerns fully conscious. To reiterate Gray, ‘… the more we begin to understand the motives underlying behaviour the more we understand the action.’ (2002c, 8)
To summarise then: to be a counsellor or a friend means that one has the desire to help. This help can be given in a sympathetic way, in which the friend is reassured, comforted and supported in their distress. But if the help is to be given in an empathetic way then more searching questions may be asked that reach below the distress in order to help ascertain the underlying cause of distress. In the metaphorical Venn Diagram the area of overlap is the word ‘help’, but as I have just described, the word ‘help’ has two similar meanings in terms of its broad purpose but in expression has discrete meanings. That is to say, if I had just sympathized with my friend by taking her side, she might have left comforted but, in a sense, be back at square one. By helping her in a counselling way, using empathy, a subtle shift in understanding may have taken place in which she might consider a different approach to understanding her distress. The same could be said of the ethical framework or contexts for helping in a counselling way or as a friend. That is: friendship presupposes trust, confidentiality, warmth and caring. Counselling cannot take these assumptions for granted but must establish them at the start of the process in order that resolution of the distress may be made in full awareness of the process. Distinction is important in that a certain emotional distance may be useful in illuminating the underlying causes of distress.
In conclusion, I think the main difference between being a counsellor and a friend is a matter of depth. Counselling can reach deeper than friendship in order to alleviate distress and to effect meaningful change in the person seeking help. A friend, broadly speaking will agree. A counsellor, broadly speaking, will ask pertinent questions and listen.
To return to the Venn Diagram, I believe it can be expressed in three-dimensional terms. That is to say that the part of the diagram relating to ‘friend’ exists more on the surface. The ‘counsellor’ part is more rounded and has greater depth due to its interrogative and discursive elements.
1949 words



REFERENCES
Cozolino, L. (2004), The Making Of A Therapist, Norton, pp.135-136.

Gray, A (2002a & b), Chapter 1: ‘The Frame’, An Introduction To The Therapeutic Frame, London, Brunner Routledge, p. 15.
Gray, A (2002c), Chapter1: ‘The Frame’, An Introduction To The Therapeutic Frame, London, Brunner Routledge, p. 8.

Reber, Arthur S., & Reber, Emily (2001a), The Penguin Dictionary of Psychology USA, Penguin, p. 162.
Reber, Arthur S., & Reber, Emily (2001b), The Penguin Dictionary of Psychology, USA, Penguin, p. 731.

Robinson, M (Ed) (1999), Chambers 21st Century Dictionary, Edinburgh, Chambers Harrap, p. 532.

Sanders, Pete (2002), First steps in Counselling: A Students’ Companion For Basic Introductory Courses, third edition, Ross-on-Wye, PCCS books, p. 11.

READING
De Board, R (1997), Counselling For Toads: A Psychological Adventure, UK, Routledge.
Yalom, I (1991), Love’s Executioner And Other Tales Of Psychotherapy, USA, Penguin.