Transactional Analysis & A.B.I. (Part Two)

Easter may have gone but we’re not yet donning jingle bells around our knees nor skipping around May poles. Hoping you had your fill of buns and chocolate be it milk, dark, diabetic or any other alergen free treat.

I promised last month to look at how Transactional Analysis might add extra insight into relationships with a loved one or client with an A.B.I. – how T.A. might help.

Ever tried to see the point of view of someone else? Maybe you end up saying: “I don’t know where you’re coming from.” Or when someone said something hurtful, as if out of nowhere, you’ve said: “Where did that come from?” Perhaps someone else has said this to you and you’ve not known yourself.

Transaction01

Where That Came From

We looked at the three “ego states”last month – Parent; Adult; Child. These are three simpler way of viewing our frame of mind – especially the networks of feelings, thoughts and behaviour during our interactions with others.

When our words and attitude towards another lay the law down, having decided that person is in the wrong, those words are as if from a Parent.

When our words are factual and fair so that compromise by everyone is most likely, we are “behaving like Adults”.

Our Child is viewed as taking control if our feelings are so strong, we go back into old ways that were helpful before, but not now.

In everyday life, we don’t just say one word or sentence to someone and then walk away from them; we ask them to respond, or look for their reaction. We have conversations. Each back-and-forth statement is a “transaction”.

Ordinarilly, our frame of mind is changing as fast as we react and respond to the Parent, Adult and Child of others. But what when one of us has a brain injury? It depends on the type of person and extent of their brain injury.

For example,  some time ago, I worked with someone presenting with expressive aphasia. Let’s call her Daisy. Paraphrasing, I learnt quickly, was a no-no. Making sure I understood Daisy correctly was doubly difficult. If I didn’t repeat back to her precisely the same words she’d used, and in the same order, Daisy believed me stupid; even though to my mind my sentence meant the same as hers, she would get very impatient with me.

Daisy’s default ego state was Parent. (This also had been reflected in her choice of job prior to her injury.) It’s possible her injury caused her ego state to be less flexible.

How did I cope? Honesty. I apologised, said I was slow to learn, and maintained a judgemental tone as I kind of told myself off. My words (one of which was often used by Daisy) were Adult, my tone with myself (as she listened) was Parental.

Puppy love

Types of Transactions

(Complementary)

These are transactions that parallel one another.  Ideally, they are realistic and factual, from person to person – both as Adults. Parent to Parent is also parallel. Child to Child too. But Adult to Adult works best. Both people want to have a mutually good outcome.

(Crossed)

Crossed transactions can happen when one person misreads the other person’s ego state. Even when one person talks from an Adult stance, the other person might respond from vulnerable feelings (Child) or believing the speaker is being insubordinate (Parent). Not helpful.

(Ulterior)

Here we are into gameplay. There’s a more complex transaction on two levels at once –  social and psychological. And it is important that both people understand what game is being played! Ulterior transactions happen when someone says something but means something else.

N.B: As family, friends, carers, therapists or other supporting professionals, the onus is on us to pay attention and respond in the appropriate way. If and when possible, our goal must be to bring out and engage with the other person’s own Adult self. The best way to do that is with our own.

Until next month, take care. I’ll leave you with a useful presentation by the Latimer Group called The Recipe for Great Communication

Source: Berne, E: “Transactional Analysis in Psychotherapy”

 Grove Press; NEW YORK; 1961

Panic Buttons for A.B.I.

This month I’ve been asked to write about panic attacks. Wow! I thought. Why haven’t I covered it before? When any of us are unable to think straight, our biology, our emotions carry us along.

Where they carry us, we don’t know until we stop, draw breath and take in what we can of our situation. Up until that point, we don’t know which direction we’re taking ourselves. We become proverbial “headless chickens”.

Before any compensatory therapy or strategy can prove useful, Step One has to be a willingness to face fears. This is most true of clients whose cognitive functioning can be problematic, even on the happier days.

TV Static

The clouding of consciousness (brain fog) is for ABI clients / patients, physical. In a lot of cases it does not go away. Emotions determine the degree of cloud cover, but it’s always there to be lived with.

Another way to describe an injured brain might be as a faulty TV set. I am reminded of Sunday mornings I spent many, many years ago – playing around with the aerial of my parents’ gogglebox – trying to get an undistorted picture of the BBC test card before “Mr. Benn” started.

As therapists, the most we can do is reduce the amount of static and suggest positions the aerial might work better. The aerial’s actual positioning to stabilise their picture behind their static is our clients’ job.

There is no real, by the book, “how to…” with this. In my view, it has to be person-centred. Here‘s a link to Part One of a counselling session (not one of mine) with a head injured client. It lasts 9 or so minutes.

N.B. The client reports being “snappy”, NOT “panicky”.

Panic Button Controls
  • DON’T FIGHT, TAKE FLIGHT. Remove yourself from the environment / situation causing your panic.
  • Find somewhere you can be safe and quiet.
  • Begin listening to your own breathing, taking slow, deep breathsABI and Panic
  • Close your eyes and, if possible, imagine you’re in your favourite surroundings, doing a favourite thing.
  • If imagining you are somewhere else is impossible for you, hold an object in both hands and look at it. Keep listening to your breathing as you notice each of the object’s details – shape, colour, texture, markings…
  • Keep practicing. Set a special time and place aside for yourself.

Reading what to do might be easy. Remembering and doing it, as we all know, is hard. It helps most to be with someone while you practice.

Click here for Part Two of the counselling session. Again, not a counselling session of mine. Part Two also lasts around 9 minutes.

Patchy Reception & Counselling

If you are perhaps wanting counselling, the following points may help you decide.

  1. It offers you a room clear of clutter and distraction – space to breathe and relax.
  2. Regular time slots (50-60 minutes) that can be used to off load – kind of scatter thoughts, feelings, experiences into and around that room.
  3. It provides someone who will support, not judge. Part of that support is in helping take control of the panic. Part is in helping you get organised.

If I was to counsel you, I’d combine listening with breathing techniques and other Mindfulness exercises. A new sense of self can grow. Because as your new self becomes less patchy, you could begin to identify your gut instincts – which situations cause panic more than others and how to deal with them yourself.

Take care for now.

Sean

 

SMART Pacing

 

pacingHappy New Year Everyone!

Here we are at the start of another twelve month cycle. If you’re anyone like me, this thought will have crossed your mind: “Is making a New Year resolution good for me?”

The Problem With Me

My neurologist once told me: “Sean, you can do most things most people can do. The difference is that they only need fuel themselves on one Mars bar. You need two.”

I’ve come to the conclusion, having a brain injury myself, that eagerness and enthusiasm to achieve works against me. I set myself too many ambitions. And those ambitions have been too big. I try to run before I can walk. I get fatigued and burn myself out.

I also set myself one year in which to achieve my goals. I’ve already said: “Here we are at the start of another twelve month cycle.” BIG mistake! Next Christmas becomes a Finishing Line. A Finishing Line that’s only half way down my imaginary racecourseeaster bunny.

When I get to Christmas, I feel a failure. My ambitious project still has a lot of time to be spent on it. In any case, the truth is I’d be out of puff before I’d got to Easter.

SMART Eggs

Specific   Measurable   Actionable   Relevant   Time-boundaried

That’s what S.M.A.R.T. stands for. It’s a way of working out the best goals to set. No one needs to be an egghead to use it, either… (Sorry. I couldn’t resist.)

Rather than have a New Year resolution, why not start smartly at Easter? Easter’s about new beginnings too. Better prepare yourself. Give yourself the best step forward. Consider your current experience and go on from where you are.

For example, the need for memory aids etc. Knowing who to talk through your hopes and wishes with might be your first step. Collaboration can help everyone involved be more aware and focused.

(Specific)

Be clear and certain. Set your sight on something simple. Very often, brain injury lets in all sorts of clutter – too much info’ from too many places – facts, opinions, advice. The more specific your target, the greater your chance of staying on track.

Let’s use the example of changing weight. “Changing weight” is an unclear statement. “I’d like to be 10 stone” leaves no-one uncertain about what’s wanted.

(Measurable)

For the purpose of demonstration here, let’s say “One pound difference a fortnight”. Weight can be measured every two weeks and a record kept.

(Actionable)

Again, stay specific. What treat can you not do without? Are medication and special dietary needs important factors? What is realistically achievable?

Memory and organisational problems can be reduced by dicussing meals for each day of the week. If need be, ask someone to add them to your diary, or tablet, or on something stuck to your fridge’s door.

It doesn’t have to be as strict as keeping count of how many calories per plate. Once a sensible menu has been agreed, just keep to that day’s meal.

Exercise, however possible is also something to be discussed.

(Relevant)

How relevant is weighing 10 stone to health and happiness? Maybe our existing weights are already ideal for us. Maybe something else is in more urgent need of attention.

(Time-boundaried)

Let’s say the difference between our start weight and the desired 10 stone is 3 stone. There are 14 pounds in 1 stone. 14 (pounds) x 3 (stone) = 42 (pounds). Pacing, targeting and measuring one pound difference every two weeks sets the target time 84 weeks… So we may as well, allowing a bit of leaway for celebrations and lapses, set a time boundary of two years.

And hey, if the 10 stone weight is arrived at sooner, what the heck?

Take care. I’ll be back in February.

Writing Therapy (Part Two)

Hello everyone.

How many of you, I wonder, challenged yourselves to put something into words? If you did I hope it freed you and was a help to you in some way.

Last month I promised to show how story writing can help organisational skills. Here’s how:

Beginning, Middle and End

Diaries and journals have a “yesterday – today – tomorrow” flow to them. It’s natural. Stories, on the other hand, need to have their beginning chosen. Even if we want to retell something true as fiction, the question has to be asked: “Where did it all start?” Answering and getting our story going therefore requires memory (long-term, usually) and thought.

From then on the questions come in a mix-up that needs sorting: “What happened then?” “What led this person to behave that way?” “Could it have gone differently?” “If something had happened earlier, would it have changed the outcome?” Answering and sorting out the order of all the events and explanations forms the middle.

Endings almost write themselves in a way. Some plots within our stories will have a one way conclusion. And this can also be true of some of our characters. Those who we find reasons to change their minds, become tougher or more relaxed about things, may resolve their adventures in ways they (and we as writers) would not have thought of at the beginning.

All the above is about a true story, even if it’s told as though it’s fiction. What if it’s all a fiction and we are making it up from scratch? It can be as complicated and as much fun as you like.

Creative Writing (2)
Themes, Characters and Genres

By “theme”, I mean topic – an emotional or philosophical one. For example, our story might be our way of figuring out what makes people brave. Or exploring what the world might be like without money.

Obviously, we all know what characters are. But who do we want our characters to be? A few months ago, I introduced you to the Drama Triangle. The Perils of Penelope Pitstop is a good example of this. It has a persecutor (the Hooded Claw), victim (Penelope),  and rescuers (the Ant Hill Mob). And then there are our lesser characters playing their part.

Characters can represent things too. For example, in mythology, the Viking god of storms, Thor, is often shown as quick-tempered and sometimes moody and unpredictable – just like lightening and thunder.

“Genre” is just a posh word for story type – Romance, Comedy, Adventure… Genres can be helpful. If we are exploring bravery, Fantasy might be a really good choice. Think about it. Game of Thrones, The Hobbit, even The Wizzard of Oz all explore bravery. If we think of imagining a world with no money, how about making our story a futuristic Science Fiction story? Or maybe a satirical farce?

Conclusion

Having said all the above, it might be that all we really want to do is tell a good yarn. We have no need to write anything complicated. We just want to tell a simple joke with a few added descriptions about the places and people involved to make it more interesting, more memorable, perhaps.

Perfect. The joke becomes a story. But complicated or simple, there is always a structure and our thinking behind it. And on that note, I’ll leave you with a link to two of my comedy heroes. Haurel & Hardy in “County Hospital”.

Until next month. Take care,

Sean

Writing Therapy (PartOne)

Hello all.

I was talking to someone a couple of weeks ago who once felt they wanted to bring things to an end for themselves. But then he began to write. Not a novel, short story nor a poem; nothing complicated. Just free-flowing words about life with an injured brain.

He got out of his head and onto his computer screen, all his thoughts as they swirled to the front of his awareness again. That done, he read through it.

With all the “c**p” in front of him, he was able to put his thoughts into a kind of order – cutting and pasting, creating a beginning and a middle.

The middle is where he still is. It is a middle made of challenges and support, ups and downs, downs and ups.

He’d stopped after a while. Two weeks ago he began again.

“Writing is something you find really helpful, then,” I observed. “Any idea what it’s doing for you?”

“Do-gooders mean well. But no one else can understand what it’s like being me. It’s hard to explain in any case,” he answered.

Here’s how I see it: A way of stepping out of one’s experience.

How? By taking what’s on the inside, placing it outside, looking back at it all. Uncluttered, one’s mind is free to organise, re-read, check out if it looks/sounds right, re-organise and read again. When it does look/sound right, mixed emotions and confusion have become more understandable.

Dr. Gillie Bolton is a therapist heavilly influential in Writing Therapy circles. Click here to learn her thoughts on its benefits. It’s a publicity video for one of her books, but even so…

Typing is not for everyone. There are packages available out there that can turn speech to text. If the right words don’t come, so what? Comics / graphic novels tell it all in pictures and bubbles.

Writing Therapy

Keeping a diary can be great for compensating for poor memory too. As well as appointments, some people put descriptions of new faces as well as their names. Blessings can be counted, addresses and phone numbers, doodles – anything.

Next month, Part Two with how story writing can help organisational skills and more.

Take care.

Suicide Prevention

Hello everyone.

Monday, 10th Sept. 2018 was Worldwide Suicide Prevention Day. It’s a bit of a touchy subject for most people. It’s easier to give into the fear of giving people ideas andBlack hole of the soul not talk about it. Yet all too often it is the unheard voice that causes surprise. And pain.

With this in mind, let’s look at suicide in relation to acquired brain injury survivors.

Ordinarilly I address subjects with an even handedness: serious reflection on one hand, a bit of entertainment on the other. I cannot do it this month.

Instead, if you are questioning yourself in this way I urge you to reach out to someone you trust – someone who will neither discourage you nor encourage you, but will give you their caring attention.

Two helplines to turn to are Headway UK and The Samaritans.

HeadwayHelp
Samaritans

For one-to-one, face-to-face help in and around Norwich, Norfolk, my counselling sessions are available at these times:

Monday to Wednesday = 5pm to 8pm. Thursdays = 9am to 8pm.

Contact: sean@seanhindle.co.uk or on 0777 552 0302. If you cannot reach me immediately, please leave a message. I will get back to you after 4pm.

Spot the Signs

These are the most common signs. But let’s look again at them in respect of someone living with a brain injury. In this case, it’s helpful to keep in mind their new personality as you’ve come to recognise it.

  • Sudden calmness: Is this out of character? Following an ABI, some people’s body language becomes hard to interpret. Some people are left with a lack of emotion.
  • Excessive sadness or moodiness: Again, is this the new norm? With little or no short-term memory, there’s no dwelling on things for long; emotions change in stoccarto fashion. Social inhibition and emotional control may be a manifestation of brain injury alone.
  • Withdrawal: Choosing to be alone and avoiding friends or social activities are possible symptoms of depression. Though just as true of brain injury sufferers, I’d weigh this with their motivation – as discussed last month.
  • Changes in personality and/or appearance: The “new” personality, that is. A person considering suicide might exhibit a change in attitude or behavior. Has (s)he become less bothered about their own safety and/or personal appearance?
  • Threatening suicide: For some people, “I wish I was dead” is as much a casual expression as “Sometimes I could…”; they say it without meaning it. Even so, every threat of suicide should be taken seriosly.
  • Dangerous or self-harmful behavior: A sensitive time for those with a brain injury (especially if recent) is when he or she begins to realise for themselves the extent of their cognitive difficulties. Bereavement, anger, addiction, recklessness or intentional self-harm – any can be triggered around this time. Another key time is when depression reduces and motivation increases.
  • Making preparations: Often, able people deeply considering suicide will begin to plan. The plan may include “For after I’m gone” behaviours – to take care of loved ones “left behind”, for example. Even if such organisation is impossible for an individual they may, over time, learn where and when oportunities present themselves.

It’s easy to get alarmed reading these kind of lists. Has the list prompted a memory of something you found odd at the time? Has something someone’s said struck you as odd? Talking openly as possible to those that matter about any of the above can reduce the intensity of such discomfort.

Okay. I’ve rambled again. I’m a bit late with my posting this month too. Sorry.

I shall be quicker next month..