PTSD

Posted by on Apr 20, 2017 in | 0 comments

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  • 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.

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  1. “Narrative therapy doesn’t believe in a ‘whole self’ which needs to be integrated but rather that our identities are made up of many stories, and that these stories are constantly changing.”

    I like this, I find it very compatible with my beliefs as a Buddhist. In Buddhism, as I understand it, mistaken beliefs about a solid, fixed “self” are the source of our suffering.

    I work with couples using EFT for couples, and in that approach, there is a big emphasis on externalising the problem as “the cycle that you get trapped in”, and encouraging couples to come up with their own name for it.

  2. Thank you for this. I am a counsellor, and trying to make as much as possible of my notes “in quotes”, that is, writing down things that the clients said. And not my own opinions.

  3. Thank you for this overview of Narrative Therapy. I am returning to practice after some time away, and these reminders are timely and appreciated.

  4. Hi Chris

    I really enjoyed watching your video about Narrative Walks. My project is based in Blaenau Gwent, in South Wales, Uk. I’m wondering whether I might use such an approach in my work with our Youth Service, who support young people between the ages of 11 and 25. Have you any thoughts on this? Are there any resources available, either free or to purchase?

    Best wishes

    Paul

    • Hi Paul, m

      Much of my early attempts of the program were with the 15-20 year old age bracket and I found it worked really well. When I recently had an opportunity to run the program again with this age bracket – I extended the finish time so that could spend more time at the stop points and have a fire at the last resting place to talk about our intentions after the walk. This meant that we used head torches for the 2km which added a bit of a sense of theatre to the day. It was pretty cool.

      If you email me on hello@embarkpsych.com I can send you the manual. Or ask any other questions via this page so others might share in the answers.

      CD

  5. Thank you for sharing your insights. This has been very enlightening as a student studying post-grad social work. Recently my tutorial group was discussing how professionals often use their interpretation and that clients may not get to see how some professionals interpret their stories, in this way many things can be missed especially what the client sees as being important.

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