anxiety

Posted by on Sep 21, 2016 in | 0 comments

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  • Using Narrative Practices with Anxiety and Depression: Elevating Context, Joining People, and Collecting Insider-knowledges— David Newman

    $9.90

    This paper, first delivered as a keynote address at the Reconnexion Annual National Anxiety and Depression Conference in Melbourne, May 2010, explores various narrative practices in responding to anxiety and depression: elevating context and externalising problems, linking people in the work, uncovering local and insider-knowledges, and documenting and archiving these knowledges, including using ‘living documents’ as collective therapeutic documents.

  • A narrative therapy approach to dealing with chronic pain— Laurel Phillips

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    This article outlines a narrative therapeutic approach to working in collaboration with people experiencing chronic pain. This approach was created in concert with 13 co-researchers who were experiencing, or had partners who experienced, varying degrees of pain. Contributing therapeutic conversations spanned a ten-month period. Outcomes were achieved through the application of various narrative therapy principles including externalisation, mapping the influence of the problem, remembering practices, developing an experience-near definition of the problem, double listening, alternative or preferred story development and the use of collective documents and definitional ceremonies What emerged from this were two themes: The identification, importance and use of personally constructed strategies, and the reduction of pain experiences by addressing self-identified problems that were more pressing than pain. Narrative therapy was successful in helping to re-establish valued ways of living that chronic pain often sidelines. We found that it is possible to reduce experiences of pain by addressing more pressing problems.

  • Divorcing the voice of fear: A collaborative, narrative approach to anxiety by Evalie Horner and Patrick Davey Tully

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    Co-created by a therapist, Evalie Horner, and her client, Patrick Davey Tully, this paper introduces and explores narrative therapy as an approach for addressing issues of anxiety. The paper alternates voices between Horner and Tully as they embark upon and develop their therapeutic relationship. After reviewing a variety of other treatment approaches, they bring the reader into their joint process of narrative therapy, from inception through to the present day. Horner and Tully illustrate the tools they use to deconstruct various discourses and social constructions of truth, including externalisation via the creation of distinct, representative character voices. They discuss how narrative therapy connects past experiences to the present. And they show how narrative therapy engages the client in a pro-active, co-creative process.

  • Linking Families Together: Narrative Conversations with Children, Adolescents, and Their Families— Jodi Aman

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    This paper explores ways of responding to the problems children and adolescents face in ways that include and honour the contributions of other family members. For example, parents and care-givers can be enlisted to help with scaffolding and outsiderwitnessing, as well as providing what the author refers to as ‘comemories’. The paper also discusses specific ways of working with children, such as keeping therapeutic conversations fun, regarding children as ‘story listeners’, opening space for conversations about difficult problems, and using therapeutic documents. How these considerations are put into practice is then documented in three accounts of working with children and adolescents on issues of anxiety, the death of a pet, and a parent’s diagnosis of cancer.

  • Michael and ‘the Drink’— Benjamin A. Herzig

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    This paper presents a description of work with Michael, an outpatient client struggling with alcohol. A framework informed by narrative therapy allowed the author and Michael to create a story about how alcohol dependence – ‘the Drink’ – had intruded upon him, caused trouble for him, conspired with other problems, and prevented him from crafting a lifestyle that he desired. Following an introduction of Michael and an account of his initial presentation in therapy, the paper presents an application of narrative therapy approaches in meetings with Michael, and the outcomes of this.

  • University Students Take Action Under the Gaze of ‘the Eye of Success’: A Narrative Collective Initiative— Marcela Polanco

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    This paper presents an initiative for narrative collective work to address western ideas of success. Within the context of the author’s practice at the Student Counseling Center at Nova Southeastern University, Florida, this initiative addresses what the author calls ‘the eye of success’, along with its effects on students’ identity conclusions. Drawing from ideas about modern power, the author situates the eye of success in western educational traditions that set thresholds of success and rating scales against which students measure their lives. The collective narrative practice employed to respond to this, ‘The Wall of Wisdom’, is presented as a way to extend individualistic therapeutic practices by creating public spaces of acknowledgement that link students’ practical options for action.

  • Johann Hari discusses the opioid crisis and ways of responding to anxiety and depression— Anthony Corballis

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    I recently had the pleasure of interviewing journalist, Johann Hari, author of Lost Connections (2018) and Chasing the Scream (2015a), and presenter of the Ted Talk ‘Everything you think you know about addiction is wrong’ (2015b). This was incredibly exciting for me, because many of his ideas are in alignment with the ideas and practices

    of the Deconstructing Addiction League (2004), which I am currently developing. In his work, Johann offers fascinating insights into the study of ‘addiction’, ‘anxiety’ and ‘depression’, and I’d like to share some of his findings with you.

2,027 Comments

  1. In one of my groups it seemed there was a desire to talk about food preparation and sharing food. This discussion started informally before the group started. I allowed it to continue and asked ways in which participants have built community in their lives. What made this possible was the fact that I was running the group alone without a co-facilitator, allowing me to be more flexible in my approach. Organizational rules of what my group was “supposed” to focus on could prove a barrier to this collaboration.

  2. I liked this paper – I find that after I do my harm reduction groups, I am wondering what to write in the process note. I think I will try asking the participants of the group to suggest what I might include.

  3. Hello my name is Christopher Hanlon, I live in LIghthouse Point, FL. I am interested in learning how macro and micro social work practice may be intertwined. I loved article 4 in the above proposed charter that stated: the person is not the problem, the problem is the problem. Getting away from the individual and more to systemic causes. Just beginning this journey. I don’t like seeing problems through the limited lens of pathology – one in which my MSW clinical social work program seems to promote. I welcome any feedback!

  4. I’m Clayre Sessoms from Vancouver, BC, Canada, traditionally known as Coast Salish Territories. I acknowledge that my work takes place on the ancestral, unceded, and occupied territories of the xʷməθkwəy̓əm (Musqueam), səl̓ílwətaʔɬ (Tsleil-Waututh), Skwxwú7mesh (Squamish), Nations of the Coast Salish People whose relationship with the land is ancient, primary, and enduring. I’m an uninvited settler in what is colonially known as Vancouver. Because my place of work is on stolen land I commit to support a reconciliation, which includes reparations and the return of land. Here I study counselling psychology and art therapy, and I get to incorporate narrative therapy at my practicum placement, a site that provides free counselling services for LGBTQ2S individuals.

    These materials help me to begin to wrap my head around the complexities of narrative therapy. I especially enjoyed learning about how others have used narrative therapy in practical counselling settings.

    I’m moved by how we often tend to hear, accept, or retell the thinnest stories of our lives and the lives of others. I imagine that not valuing the richness of an individual’s diverse range of stories, perhaps, it has been much easier to cling to tired old preconceived notions about others, which can cause undue harm.

    I’m left thinking about the TEDTalk by Chimamanda Adichie about the dangers of accepting a singular story of someone else, rather than leaning in and committing to understand the wholeness of that person’s narrative.

    I look forward to continuing to learn. Thank you to The Dulwich Centre for providing this accessible forum. <3

    • Hi Clayre,

      I am in a practicum as well, in New York City, working in a harm reduction center. I would also like to employ narrative therapy with participants in the program in one on one counseling sessions. I am glad to see you are doing it!

  5. in what ways have you entered into collaborations before? What made these collaborations possible?

    As a peer worker most of my work was entering into collaborations with young people. I would use curiosity to further inquire into their experience, and looking back wow these narrative practices would have been amazing to use in our youth group discussions! We would use art mostly in telling stories. Many of the young people heard voices and saw characters only they could see. They would enjoy painting these voices, externalising the character, giving it a name and talking about the story and nature of the relationship between the voice and the character. I also enjoyed illiciting these stories, as I could tell they would begin to separate themselves from the voices, allowing for guilt and shame to reduce.

    What might make it hard to enter into these practices?

    The one difficult way of entering into these practices was the note writing. The managerial culture of my last workplace meant it was not considered good practice to have clients sit with us to write notes. In fact most clients probably were unaware that workers did regularly make notes each time they had contact with the centre. We were a strengths based centre that thrived on person centred practice. I think there is a bit of a stereotype that note writing is quite clinical and removed from person centred practice, hence a certain avoidance of bringing up notes in front of clients.

    If these ways of working fit for you, what next steps could you take to build partnerships/collaborations in your work?

    I definitely believe I could continue to use art to help young people tell their alternative stories. In mental health many workers draw thin conclusions of clients – bipolar, poor attachment, violent, with even their strengths really talked about in third person. It would be great to start drawing peoples strengths out with the use of story telling, so that clients can start to own their strengths, rather than have clinicans cherry pick these out.

  6. Thank you to Tileah for a wonderful presentation. I love hearing the word “yarn” used in this powerful way (Americans also have that term). The practice of “translating”, of shifting concepts into language that can be more usefully heard, is very powerful. As coaches we can make good use of this to help clients uncover their hidden or forgotten resources.

  7. These stories are amazing examples of what we can discover when we hold onto our “beginner’s mind” and remember that the other person (client, patient) has the information and understanding, not us. We talk a lot in leadership development about “co-creating” and I think this is a beautiful example of two very complementary roles: the person who has the story and the person who helps to explore and shape it.

  8. I like the idea of narrative – there is something about giving people the power to create a narrative, rather than simply appearing in a story told by someone else. Within the narrative metaphor, I especially enjoy the fabric metaphor – the idea of strands. These may touch each other, or not, may go well together in tone or color, or not. But again, there is some power in creating and weaving the narrative.
    In my own work with coaching and leadership development, I find that the emphasis on narrative(s) helps make things more tangible, and therefore brings them to their true scale, instead of letting them take on imaginary and unclearly described proportions.

  9. I love this. Telling our stories in ways that make us stronger. Such a powerful sentiment. Sometimes through trauma, it is hard to access the words that really encapsulate that experience – though using the written word does help us access those hard to utter parts of our memories … in those cases though perhaps the story we tell ourselves is not one that makes us feel strong in the first instance – so finding a way to tell that story in a way that focuses on the strength of surviving to tell that story is just amazing!

  10. Hello all! My name is Krysta Rathwell and I am from a small town in central Alberta, Canada. I am currently completing my Masters in Counselling Psychology and have a Bachelor in Education Degree. I have just started my practicum and have been studying narrative therapy as that is what I am interested in pursuing.

    A narrative metaphor encompasses how a person is shaped by their stories. These stories have an impact on what people do or believe about themselves. Hearing clients’ stories, from their perspective, helps the therapist to understand their responses and gives the opportunity to seek to find hidden events or meaning.

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