Monday, September 30, 2024

Two Poems About the World PCE Conference Athens 2024

Note: For me, poetry is a way of speaking truth, sometimes painful truth. In this entry, I offer two poems about my experiences of the World Person-Centred Psychotherapy and Counselling Conference in Athens, September 2024. I thank Gillian Proctor for the diffraction image used in the second poem.  I hope that readers will find something in them that resonates.

 

1  The Honouring of Ornery Elders

 

As the conference opens, I hear:

-- We honour the elders, past and present

 

But I want to protest:

-- I didn’t ask for this.

I want to go back to being

A bright younger,

Full of anxiety and promise.

 

It seems only a second ago, I complain,

-- How did I get here?

 

And answer myself:

-- Like everyone else, I guess:

One year at a time.

 

But time’s forest fire

Has burned through this community

Of the children and grandchildren of Carl Rogers,

And the remaining tall trees

Are rarer every year:

The elders are passing.

 

Those of us who are left

Are more brittle and cranky

Each time we meet.

 

We ask ourselves:

-- Is this the last time?

A final time to be heard?

 

And we reply to ourselves:

-- If few listened before,

Why should they listen now?

 

People look at me, talk about me,

As someone whose kind is in short supply,

Some kind of ghost

Of a lost, brilliant, golden age.

 

And I, newly retired, am aware

Of my own new fragility:

The osteoporosis, the fading vision,

The stiffness to stand;

I take the amphitheatre’s descending steps

Slowly, carefully.

 

Though I hate it, I inhabit the part,

The role into which

I find myself cast, unwilling.

 

 

2  The Sharp Edges of Our Differences

 

The light that shines

Through these approaches

To the healing of souls

Is split into a spectrum of colours:

Person-centred, emotion-focused, focusing-oriented, and more.

 

These make space for many ways of being

With ourselves and our clients.

Like a deep gene pool,

Filled with many waters,

To equip us to meet

The many challenging moments

That lie in front of us.

 

And yet this rich variety

Can be difficult and challenging,

Leading us to wish

For simplicity and an easier life.

 

Holding these tensions can make us tense,

Can hurt and be hurtful to each other.

 

And so, in deep conversations

With my therapeutic siblings

I hear with sadness how some

Feel diminished and pained

By my beloved ways of working,

By focusing and chair work.

 

Perhaps at times I proclaim these things,

Too loudly or too proudly,

So my fellows hear me as belittling them,

Leaving them behind, judging them,

Threatening their beloved ways of working,

 

They tell me that this

Makes them doubt themselves,

Imagining themselves from my point of view,

Imagining me as a critical audience

To their ways of working.

 

I can well understand

How this erodes

The firm ground they need

To be present to their clients:

My active, intense ways of working,

Such a function of who I am,

Are sharp edges for them…

And these sharp edges hurt.

 

Of course, it’s in our nature

To turn hurt to fear,

And thence to anger, contempt, and judgement:

More sharp edges, like broken glass,

That can hurt me and make me feel unwelcome.

 

Because of this, I have

Often tried to make myself smaller;

Hoping I’d be less threatening

If I put away my EFT hat,

And spoke instead of research:

 

Research is a thing I love

For its methods and craft,

Its findings, by turns

Enriching and perplexing.

As I tell myself yet again,

“The facts are friendly”,

I hope that this is true.

 

But for all my love of careful study

I am also an EFT therapist,

Who sometimes doubts his welcome here,

And who sometimes, without meaning to,

Makes others feel unwelcome too.

 

I don’t think this is what any of us want:

To dismiss or to be dismissed;

To hide ourselves, or to make others hide.

 

We know well what it feels like

To be sent way or overlooked

In the wider world of psychotherapy,

When all the while

We could be keeping

Each other company

And shining with all the colours of rainbow.

 

                        -Athens/Pleasanton, September 2024

Tuesday, September 24, 2024

No Literal Labyrinth at Knossos

 

Over the course of almost 60 years, I’ve written quite a few poems about labyrinths, first about the mythical Knossos labyrinth in ancient Crete, and later about the real labyrinth my parents built in in the late 1980’s on their property outside Santa Andreas, California. They built the Murray Creek Labyrinth after their visit to Glastonbury Tor, in Somerset, England, inspired by the set of ancient terraces on Glastonbury Tor, which form the pattern of a seven-circuit caerdroia, or turf labyrinth, of a type found in sites all over the world, from paleolithic times on. One of these earlier labyrinth poems can be found at: http://www.murraycreek.net/par50poe.htm

 

I wrote this labyrinth poem after finally visiting the ruins of the real city-palace of Knossos, just south of Heraklion, Crete. There is nothing like actually visiting a place to overturn one’s fantasies about that place.  In it I invert many of the themes of the earlier poems, while exploring the labyrinth as a living archetype of the process of emotional-psychological-spiritual transformation.

 

 

There is no literal labyrinth

at Knossos Palace:

The sun beats down on broken walls;

Arthur Evans’ phantasy reconstructed frescos

Lurk in the shadows of ancient rooms,

While the real stuff sits

In the big museum by the harbor.

 

 

 

 

 

 


 

 

But the house of the double axe, the labrys,

Is real enough, a sprawling ruin

Of tangled rooms and workshops:

Plenty of maze to get lost in.

 

 

 

 

 

 

 

Today, not Mycenaeans

But we barbarian hordes of tourists

Trace the repaired paths,

While the ancient ghosts

Of our imaginings

Process to the central courtyard:

 

Dolphins play in the Queen's chamber

Courtiers strut, each bearing

A single twist of long black curl

In front of their ears;

And bull dancers fly over sharp horns

Like Olympic gymnasts.

 

 

 

 

 

 

Meanwhile, deep in the labyrinthine

Caves hidden in the Cretan countryside,

It’s obvious to me

That the snake goddess,

Jacket pushing up

Her bulging, bare breasts,

Is not just a fertility symbol,

But is also sacred to us psychologists:

 


 

 

 

 

 

 

 

Her upraised arms

And snakes held high

Form the Greek letter psi (Ψ),

Referring to the human mind,

the greatest, most tangled labyrinth of all.

 

 

 

 

 

 

 

 

 

No literal labyrinth, then,

But plenty of metaphorical labyrinths:

The many-layered city on a hill,

Many times built, wrecked, and rebuilt;

Four dimensional maze

Of interconnected rooms,

Dancing back and forth through time

On Ariadne’s dance floor.

 


And the seven-circuit Cretan labyrinth

Mirrors our human brains, cortical folds

Of labyrinthine brain tissue,

Defying anyone to find their way through

The miraculous tangle of neuron,

axon, synapse, astrocyte.

 

 

 

Then, too, the labyrinths of our psyches,

As we trace our paths from birth to death,

Full of double-mindedness that cuts both ways.

We are torn on the horns

Of our wavering ambivalence

About the important things in our lives.

 

Here in this labyrinth of our spirits,

There are layers of emotions to be traced,

Patiently and empathically

Following the golden thread,

Dancing the dialectic of head and heart.

 

It is a journey to the centers of our hearts,

Our deepest truths,

Our most essential selves,

Our core pain and its heartfelt needs.

 

And there it sits: sad, lonely minotaur,

Pasiphaë’s abandoned child,

Torn between its two natures,

But waiting for understanding,

Compassion, and love.

 

So: this ancient place

Still lives in us:

We are the labyrinth at Knossos;

We are the sharp-horned sacred bull,

And the dancers somersaulting over its horns.

We are the double-spirited minotaur

Whom we no longer need to fear.

 

We are the open-breasted snake goddess

Arms held high;

We are abandoned Ariadne,

Finally rid of her false lover,

Colonizing Theseus;

We are heart-broken and heart-healed,

Dancing the sevenfold path to freedom.

 

                        -Crete/Athens/Pleasanton, September 2024

 








Monday, September 23, 2024

From 1969: Two Prayer-Poems for a Catholic Mass

(From the archive: Written with the encouragement of Lynn Valek for a Catholic Mass, Crown College, UC Santa Cruz, December 1969)

 

1  (Prayer, of an Ultimate Nature)

 Lord, make open our eyes:

The sea is your blood,

The mountains your bones,

The air that we breathe

            your breath.

The earth is your flesh,

The fruits of the earth,

Which we eat – yours also.

Lord, make us to see:

All flesh is your flesh.

 

 

2  (Prayer, for the time being; a haiku)

 

Treeless, we are leaves,

            Fighting as we

            fall. Do not

Blow us away, Lord.


Sunday, September 15, 2024

The Process of Becoming an EFT Therapist in Action: Brief Book Launch Talk

Summary: I wrote this brief talk for the launch event for the Greek translation of my book, Emotion-Focused Counselling in Action, co-authored with Les Greenberg and published by Sage in 2021. It was translated by Agathi Lakioti and Christina Michael and published this month in Athens by Topos Publications.  In this presentation I first describe how I became an EFT therapist before there was any such thing as EFT, including its appeal to me and my personal journey in the development of EFT while developing as a therapist at the same time. Then, I briefly turn to my recent interest in how people learn EFT and what I have learned about how we can do a better job helping people learn it. Throughout, I hope share my excitement about EFT and its importance as an key psychotherapy in the 21 century. For more information, go to: https://www.eft.cy/greek-translation-of-the-emotion-focused-counselling-in-action/

 

Ultimately, I became an EFT therapist because of my deep curiosity about other people’s experience, a curiosity stimulated by my father’s emotional guardedness, my loneliness and insecure attachment style, and my youthful desire to write fiction.  In addition, my Mother and Grandmother were avid followers of Jungian psychology, and so psychology was a key interest in my family’s home when I was growing up.  When I was 17, at the suggestion of my creative writing teacher, I read Karen Horney’s Our Inner Conflicts (1945) and had what can only be described as a conversion experience: I decided I wanted to be a psychotherapist, so I could understand and help people.

 

However, my road to EFT had many sources, as well as several twists and turns.  As an undergraduate at the University of California at Santa Cruz in the late 1960’s I was exposed to a wide range of humanistic approaches to psychology, studying with Bert Kaplan, Frank Barron, and most importantly, Ted Sarbin.  I read Norman O. Brown (who was also at Santa Cruz), Søren Kierkegaard, William James, Arthur Koestler, Joseph Campbell, and Jerome Frank.  I wrote a senior thesis on metaphors for death and rebirth in radical personal change processes.

 

My interest in humanistic-experiential approaches to psychotherapy was further fed during my graduate studies at UCLA, where I received training in Client-Centered therapy from Jerry Goodman, a student of Carl Rogers.  Goodman also encouraged my interest in therapy process research, and I began a career-long exploration of clients’ experiences during therapy sessions.  At the same time, during my graduate training I was also studied and practiced systemic and contemporary psychodynamic approaches.

 

Then, in 1977, I heard Laura Rice and Les Greenberg present their work on Evocative Unfolding and Two Chair work at a conference at a conference.  It was an electrifying experience.  I immediately began incorporating experiential tasks into my work as a therapist, later adding Gendlin’s Experiential Focusing method, along with Empty Chair work.  Thus, by the time I completed my Ph.D., I was an eclectic therapist who conceptualized clients in psychodynamic terms and preferred a combination of psychodynamic interpretation and experiential tasks.  During my early years at the University of Toledo, in the US state of Ohio, I also continued studying client in-session experiences and began developing qualitative research methods to represent these more sensitively.

 

In 1985, while on a sabbatical year in England, I was giving a conference workshop on qualitative therapy research when a psychodynamically-oriented audience member confronted me with a contradiction:  He noted that in therapy I interpreted my clients, but in my research I attempted to stay as close as possible to the client’s reported experience.  Why didn’t I interpret my client’s data psychodynamically?  The very thought scandalized me, and this intervention had the opposite effect to that intended by the questioner:  I realized that understanding the client’s internal experiences was a more fundamental value for me than the thrill of coming up with clever interpretations for my clients.  I felt that I would be effective as a therapist (and researcher) if I were more deeply and consistently grounded in a particular therapeutic tradition and theoretical approach that centered itself in the client’s immediate, lived experience.

 

Upon on my return from England in 1985, I began working with Laura Rice and Les Greenberg to develop the marker-guided integration of Client-Centered and Gestalt treatments that eventually became Emotion-Focused Therapy.  First, however, Laura Rice helped me cure myself of my habit of interpreting my clients: She pointed out that no matter how clever my interpretations were, the insights developed by my clients were never quite what I had hypothesized; instead, my clients’ eventual self-understandings always made more sense and fit their idiosyncratic experiences better than what I had originally offered.  Why not get out of my clients’ way and let them go ahead and develop their own self-understandings?

 

My previous work with the Unfolding and Two Chair work tasks had been self-taught; I now began a series of regular visits to Toronto to receive proper supervision and training on these kinds of work, as well as to develop the EFT model with Laura and Les.  As we developed it, I took it back to Toledo to apply in the Toledo Experiential Therapy of Depression Project, the first study of EFT with a clinically-distressed client population. Although I still had much to learn, for the first time in my practice as a therapist, I felt grounded and like myself. EFT’s mix of empathy, active work, and creative practice, fit me perfectly.  Les, Laura and I decided to write a book about the therapy model that was emerging, published in 1993 as Facilitating Emotional Change.  At first, I felt very much like a junior partner, sometimes mediating between Laura’s more conservative Client-Centered approach and Les’s more radical Gestalt approach.  They had the theory and the experience, but I was doing the depression study, had spent a long time doing research on client’s in-session experiences, and was good at organizing and clarifying ideas.  Thus, as we progressed, I began to make contributions to the structure of the therapy, developing the treatment principles, formulating the array of therapist responses, bringing in Focusing as a therapeutic task, and applying a standard six-step structure for all EFT tasks. The book was completed during a sabbatical year at York University in 1992-93, during which I worked intensively with Laura and Les, and went through their therapist training process. 

 

After that, I continued regular visits to Toronto to learn and share new developments.  Every time I went, I learned something new.  Having finished the depression study, my students and I developed and did research on a EFT for Post-Traumatic Stress Disorder.  Problems that my therapists had learning EFT for that study led me to examine the training process to see what worked and how it could be improved.  These learnings were incorporated into my book Learning Emotion-Focused Therapy.

 

In 2006, I moved to the Scotland, where I taught person-centered counselling/psychotherapy for more than 15 years. Working in this setting helped me deepen my interest in empathy and relational processes. With colleagues, I developed an adaptation of EFT for working with social anxiety, a complex client presentation that helped me further develop my EFT skills and thinking.

 

Up to this point, almost all my work as a trainer had been in the context of training small numbers of graduate students in clinical psychology. However, once relocated in Scotland, I discovered that there was a great deal of interest in EFT on the part of practicing person-centered counsellor/psychotherapists. At that point I began offering regular EFT training workshops, building in part of the training curricula that Les Greenberg had been developing. In addition, the strongly intellectual, didactic training methods favored by clinical psychologists were not a good fit for UK-based counsellors and counselling psychologists, who learned better using more experiential methods. Theory and didactic presentation were still important but needed to be slimmed down, focused and very clear. Fortunately, I enjoy a good challenge, and I had fun developing and constantly adapting training materials, including lectures and exercises.

 

One thing that has clearly emerged from my work as an EFT trainer is a sense of what is required of folks in order to learn EFT.  In the book I call this the “pre-flight checklist”; here is a very abbreviated, bullet-point version of it:

(1) Understand and draw on EFC emotion theory.

(2) Adopt a person-centred but process-guiding relational stance.

(3) Develop an active, exploratory way of responding to clients, characterized by friendly curiosity.

(4) Learn to pick up on client markers in order to offer clients opportunities for productive therapeutic work.

(5) Realise that the therapy is not about you; instead, focus on your clients’ personal agency.

(6) Build up your personal resilience and courage for touching into and staying with your own and others’ intense and painful emotions.

 

Today, I continue to learn from my clients (who have always been my main teachers of therapy), and from my students and supervisees.  The things I enjoy most about EFT are the opportunities it provides for getting inside another human being’s experience; the combination of relational and task-focused elements; and the excitement of helping to develop something new.  The difficulties I still occasionally run into as a EFT therapist are feeling that it’s up to me to make something happen; getting caught up in clients’ hopelessness; dealing with clients who have great difficulty accessing their internal experience; and my tendency to at first make things too complicated. These things constantly drive me to try to make EFT clearer and easier to understand while still honoring the complexity and richness of people’s experiences. I also believe that learning and practicing EFT is and should be exciting and fun.

 

I have tried to put all the things into this book, and to communicate them to readers.  I hope that you will experience this excitement and fun in reading it.


 

 

 

Saturday, June 01, 2024

A Poem for Emotion Awareness Day

Happy Emotion Awareness Day!  To mark the day, Lou Cooper has just released a special episode of the Emotion-Focused Podcast, consisting of an interview with me. I wrote an emotion-focused poem for the occasion, which I read at the end of the interview. If you want to hear the interview & poem, you can go to: https://www.emotionfocused.com/episodes/interview-robert3

My poems always evolve over time, especially at the beginning, so here is a further iteration of this poem:

 

There are so many days

For so many things:

Thousands!

Here are just a few:

World Narcissistic Abuse Awareness Day (June 1st)

Love Conquers All Day (June 3rd)

            *          *          *

So why not a day

Sandwiched between these two?

Emotion Awareness Day (June 2nd).

A day to let us feel our feelings,

To sit, still, with our emotions.

 

After all, our emotions remind us

That we are alive.

 

To celebrate our emotions

Is to celebrate being alive.

 

As mortal, temporary,

Fleetingly fragile living beings,

We measure our mortality a day at time:

Every day is a gift

And every emotion is a gift, because

It tells us something important

About this day

And about ourselves.

            *          *          *

What emotions do you feel

On this day?

 

Sadness for those who are far away,

Or who have passed before us,

Who we miss

And long to see again?

 

Fear about our own passing,

The final ending of all our many days?

 

Our anxiety at the million small worries

That distract us from the one big fear?

 

Happiness or joy,

In the company of those we love

And laugh together with,

The easy freeing feeling

From all those wars and worries?

 

Pride in our accomplishments,

Great or small?

Private or public?

 

Anger that flashes, righteous,

At the injustice around us,

That makes a boundary,

That says, this far

And no further?

 

Guilt or shame,

For mistakes and harm done,

Big or small,

Witting or unwitting,

To those we love?

That seeks self-understanding and compassion,

Even if forgiveness is too much to ask?

            *          *          *

What emotions are with you today?

Maybe you or I

Could take five or ten minutes

From our busy day

Ask this question, today,

And maybe every day.

 

            -25 May – 2 June 2024, Pleasanton, California

 

Sunday, February 25, 2024

Ken Davis (22 July 1950 – 27 January 2024): Colleague, Fellow Trainer, Contributor to the Development of EFT

 

I learned a couple of days ago that Ken Davis, my friend, EFT colleague, and fellow trainer, has died. Here, in his honor and memory, I’m going to share some of my personal reflections on who Ken was and how I think he was important to me and to the development of Emotion-Focused Therapy.

Ken was instrumental in the development of Process-Experiential/Emotion-Focused Therapy research and training at the University of Toledo in the late 1980’s and through much of the 1990’s, and even into the early 2000’s.  He had quite a bit of prior training in humanistic-experiential psychotherapies and co-led PE/EFT trainings with me.  He was a natural group facilitator and often had to remind me to slow down and pay more attention to the relational processes in the group.  Ken was a key member of the team at Toledo that developed an EFT approach to crime-related PTSD in the early to mid 1990’s, and he went on to help me run the Friday afternoon EFT training workshops that ran for years in the sometimes-challenging environment of the Psychology Department. 

 

Based on these experiences and his interest in psychotherapy training, Ken was originally part of the writing team (with Jeanne Watson, Rhonda Goldman, Les Greenberg and me) for the first edition of Learning Emotion-Focused Therapy (APA, 2003).  Unfortunately, his personal circumstances made it impossible for him to take part. (This was primarily due to the untimely death from breast cancer of his wife Deb and the subsequent demands of private practice and being the single parent of their young son.) However, his interest in training group process and on how students learn EFT is part of the DNA of the Learning EFT book and in EFT today. (See in particular the last chapter of the Learning book, where we discuss our understanding of what EFT training should look like.)

 

Ken was both a colleague and a friend.  On the occasion of his 1992 wedding to Deb Smith (who was the great love of his life), I wrote the following little poem:

Flocking of flamingos

emergent property

as each one follows desire of heart

to take wing together.

 

For his PhD dissertation, Ken took on the challenging task of developing a measure of therapist response modes in EFT, analyzing a collection of significant therapy events identified by clients in the Toledo Experiential Therapy of Depression project. Probably his most interesting finding had to do with content directive responses, like advice-giving and interpretation.  He found that on average EFT therapists used these responses about 1% of the time, that is, about one per session; nevertheless, these therapists were clearly doing EFT.  However, one of the therapists in the study used these responses about 5% of the time, and it was quite clear that they were not really doing EFT at all.  Ken colorfully described this therapist as “a CBT wolf in process-experiential sheep’s clothing.” I still tell this story today when I cover the EFT therapist response modes in trainings.

 

Over the past two years I’ve numerous occasions to look things up in Ken’s dissertation as part of various recent projects.  If you are interested in learning more, here is the citation and a link that I hope will take you to more information about it:

Davis, Kenneth L. (1994). The role of therapist actions in process-experiential therapy. University of Toledo, Department of Psychology. 

https://www.proquest.com/dissertations-theses/role-therapist-actions-process-experiential/docview/304145150/se-2?accountid=14116

 

In all my many moves over the past 18 years, I have lost track of the data set Ken used for this study, so about a year ago I reached out to him to see if he still had the transcripts and recordings from his project.  I thought this might be a nice excuse to reconnect with him.  He eventually said that he thought data was around somewhat but he wasn’t sure where and was having trouble getting around to try to locate it.

 

I’m not sure whether my reaching out to him had anything to do with it, but I was delighted when Ken signed up for one of my zoom-based Advanced Empathy Attunement trainings last August through the EFT Institute of Southern California, organized by Lada Safvati.  I don’t think that he really needed the training, but when asked why he signed up, he said it was fun for him to revisit EFT and see what is happening with it today.  He told me that he had a neuromuscular disorder that had really slowed him down, but even so it was lovely to see him.  After that, together with his sister Carla (who is currently studying counselling), he signed up for the Level 2 that Ladan and I ran in December. However, I think he was not well enough to participate, because he had to withdraw after a day or two. The last time I saw him was the first day of that training.

 

I remember Ken as gentle, wise, funny, kind, determined, and as deeply grounded in the body.  He was trained in massage and worked with folks with neuromuscular conditions. I remember how one time when someone said they were having back trouble, he got down on the ground, analyzed their stance, and offered a set of useful suggestions.  I remember another time when he and I had him put his allergies in a chair and have a dialogue with them.  Certainly, working with him gave me more appreciation for the bodily dimension of EFT, so I think that’s another influence he’s had on the development of EFT.

 

I also remember how he supported me while I was having a hard time with some colleagues in the Psychology department, as our relationship evolved from student-professor to colleague-friend.  And I remember how in the early days of managed care he used to complain about poorly trained staff mis-managing psychologists who were working with complicated, fragile clients who needed more than 10 sessions of CBT.

 

Burned into my memory are also images of him and Deb and their son Josh, and then him and Josh at Deb’s memorial service.  So in looking through the remembrances on his Tribute Wall it was especially poignant to see the photo of Ken, wearing his academic regalia, hooding his son Josh at Josh’s graduation with a doctoral degree in Physical Rehabilitation. (I love the legend at the bottom: Hooder: Dr. Father. Kenneth Davis).

 

So I’m left with a set of memories of our time together running EFT trainings when it all felt new and sometimes like we were making things up as we went along.  It was an exciting and challenging time, and I am grateful to have had Ken’s company through much of it. I’m also left with some regret that we weren’t able to do more together, for all the time of being disconnected after Diane and I moved to Scotland in 2006, and for not expressing to him the extent of what he meant to me.

 

In our time together, Ken and I published two book chapters together on the crime-related PTSD study.  I’ve listed both below, with links to versions of them listed after each. The first one is only available in a pre-publication version, while for the second one there is a photocopy of the published version:

 

Elliott, R., Suter, P., Manford, J., Radpour-Markert, L., Siegel-Hinson, R., Layman, C., & Davis, K.  (1996).  A Process-Experiential Approach to Post-Traumatic Stress Disorder.  In R. Hutterer, G. Pawlowsky, P.F. Schmid, & R. Stipsits (eds.), Client-centered and experiential psychotherapy: A paradigm in motion (pp.235-254).  Frankfurt am Main, Germany: Peter Lang. 

https://www.dropbox.com/scl/fi/a67k8zf739ac7v1lc4sw2/PTSDEXP_994.docx?rlkey=bez558e2uj626h3o8n6zvs88f&dl=0

 

Elliott, R., Davis, K., & Slatick, E. (1998).  Process-Experiential Therapy for Post-Traumatic Stress Difficulties.  In L. Greenberg, G. Lietaer, & J. Watson, Handbook of experiential psychotherapy (pp. 249-271).  New York: Guilford.  https://www.dropbox.com/scl/fi/r3plx64nw1fil9u6379zr/Elliott-Davis-Slatick-1998-EFT-for-Crime-Related-PTSD.pdf?rlkey=ncw8wnd453m1fndfkfug39f34&dl=0

 

Fare thee well, Ken: my old friend and colleague.  Your kind, compassionate, gentle spirit lives on in EFT today, and exemplifies what is best about it!

Sunday, February 18, 2024

Vale Allen Bergin: Personal Reflections

Allen Bergin, one of the founders of the scientific field of psychotherapy research, died a couple of days ago at the age of 89. In the late 1960’s he and Hans Strupp got a grant to travel around the United States interviewing prominent psychotherapy researchers about where the field should go. The result was the book Changing Frontiers in the Science of Psychotherapy (1972), which I devoured as a grad student when I was at UCLA. I still remember the breathless excitement of their commentary on the process. It was one of the things that inspired me to become a psychotherapy researcher.

 

 

Allen had done a post-doc in the early 1960’s with Carl Rogers working on the famous Wisconsin Project, which had applied client-centered therapy (later relabelled as person-centered therapy) to work with clients with psychotic processes. With Sol Garfield, he began editing the Handbook of Psychotherapy and Behavior Change, whose first edition was published in 1971, and which was – and still remains – the standard reference for psychotherapy research.  In the early 1990’s Allen and Sol asked Les Greenberg to do a review of research on humanistic psychotherapies for the fourth edition of the Handbook.  Humanistic psychotherapies had not been covered since the first edition, so this was a big step, and a potentially an important moment for this branch of psychotherapy.  It was also the origin of the Humanistic-Experiential Psychotherapy (HEP) meta-analysis project, still continuing 30 years later. We set to work meta-analyzing pre-post effect sizes for all 37 HEP outcome studies we were able to find. (At that time, we were opposed to comparative outcome research.) Somewhat anxiously, we submitted the draft to Allen and Sol.  They knocked it back, insisting that we analyze the controlled (vs. no-treatment controls) and comparative (vs. other treatments) outcome studies.  We swallowed hard, held our noses, and analyzed the controlled and comparative outcome effects, producing the (for us) startling result of large controlled effects and null (d = 0) comparative effects.  We had obtained a no difference, “dodo bird” effect.  We submitted the revision to Allen and Sol, who knocked it back again, complaining that we had pooled comparative effects involving both CBT and psychodynamic therapies; how did we know that CBT wasn’t more effective that HEPs?  With great trepidation, we ran the comparison between CBT and HEPs; we found CBT to be slightly but nonsignificantly more effective than person-centered, but also tantalizing indications that EFT might more effective than CBT. At that point, much to our relief, Allen and Sol accepted the chapter. 

 

Years later Allen was visiting Toledo, where his son was teaching in the School of Education at the University of Toledo, and he and I arranged to meet up.  He told me that Sol had wanted to reject our humanistic therapy review chapter from the Handbook; he had insisted on keeping it in the book. Given the precarious state of these therapies in the early 1990’s, I think that the history of the humanistic-experiential therapies would be quite different today if Allen had not come our defense at that point. We owe him a debt of gratitude.

 

As another testament to his integrity, I want to point to his outspoken advocacy of bringing scientific attention to the important role of religious faith and involvement in religious communities as factors supporting mental health and psychological well-being, published in his ground-breaking paper, “Psychotherapy and religious values.,” in the Journal of Consulting and Clinical Psychology (1980). I remember him presenting a version of this paper at a conference of the Society for Psychotherapy Research around that time. He must have  known that it was not a popular topic with psychotherapy researchers at that point in history, and would possibly lower the estimation that many of his fellow researchers had of him. Nevertheless, it was a testament to his scientific integrity and his religious faith that he went ahead to make his case regardless of the consequences.  As another person of faith, I personally felt validated and inspired by his attempt to combine the spiritual with the scientific. 

 

Over the past 20 years, various folks in the Society for Psychotherapy Research have reached out to Allen, encouraging him to come to meetings; however, the fact is that he was happy with his mission work (he was a prominent figure in the Church of the Latter Day Saints) and with his family.  Therefore, it was heartening to read the moving account by Michael Barkham (echoed by Wolfgang Lutz and Louis Castonguay) of his recent involvement in the 7th edition of the Handbook (published in 2021). In order to write the preface for it, Michael reports that Allen carefully read and took detailed notes on all 800 pages.

 

Right now in my imagination I’m picturing him reading the latest version of the HEP chapter in the book he and Sol Garfield founded, pleased and smiling at the nearly 300 outcome studies of HEPs now included in our reviews, feeling glad that he put his faith in us 30 years ago, just when we needed that validation.  Thank you, Allen! Your integrity and faith live on in us.  You are an important piece in the history of psychotherapy research, and one of my personal validating elders (or “angels” or “saints” if you prefer).

 

For more on Allen Bergin and his life:

 

https://en.wikipedia.org/wiki/Allen_Bergin

 

Lambert, M. J., Gurman, A. S., & Richards, P. S. (2010). Allen E. Bergin: Consummate scholar and charter member of the Society for Psychotherapy Research. In L. G. Castonguay, J. C. Muran, L. Angus, J. A. Hayes, N. Ladany, & T. Anderson (Eds.), Bringing psychotherapy research to life: Understanding change through the work of leading clinical researchers (pp. 101–111). American Psychological Association. https://doi.org/10.1037/12137-009

 

 

Sunday, February 04, 2024

Sneak Preview: Slowing the Process Down: Excerpt from Learning Emotion-Focused Therapy (second edition), in preparation

My colleagues Jeanne Watson, Rhonda Goldman, Les Greenberg and I are well along in our work on the second edition of our book Learning Emotion-Focused Therapy.  We're certainly more than halfway there and hope to have the draft of the whole thing to the editor by the beginning of May.  I recently finished the draft of the Chapter 9, which mostly deals with Focusing. In the process to a piece of training I did recently, I got inspired to write the following text for the early part of the chapter.  Although it's not the final version, I thought it might be fun and useful to share this passage here, because I hadn't seen this written up elsewhere in the EFT literature. As my favorite vloggers like to say, if you feel like, please fell free to jump into the comments section to let me know what you think about this:

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Facilitating the emotional experiencing tasks in this chapter requires therapists to help their clients slow their pace down in sessions. As Gendlin (1981), Cornell (1996) and others have pointed out, emotions need time to emerge. If the client is talking fast, this generally means that their current emotion processing mode is externalizing or purely conceptual (see Chapter 5). In these modes, clients typically stay stuck in secondary reactive emotions, skimming over the surface of their feelings. This leads in turn to the client not progressing into deeper emotions, making for slow therapeutic progress at best. On the other hand, helping the client slow their pace can allow more emotions to emerge, especially deeper, more primary emotions. The greater emotional depth will enable therapy to progress more quickly. Thus, in EFT, we like to say: Fast is slow, and slow is fast!

However, EFT is in general a fast, busy therapy, with many different processes for the therapist to juggle: many things therapists might want to remember, and a many different kinds of work that therapists can help clients with. It’s easy for EFT therapists to feel pressured and rushed by all of this. Probably the most important gift that Focusing has to give EFT therapists is the value of slowing down. This slower pace enables EFT therapists to take their client’s emotional experiences a bit at time, making sure that they understand each aspect of these experiences. More importantly, slowing down helps clients better access to their emotions, especially the deeper, more painful ones.

How can EFT therapists help slow their clients’ pace down? The key to this turns out to be for therapists slow their own pace down when they are with clients (and maybe at other times also). Response matching is a well-established phenomenon in therapy (Harper et al., 1978) and includes reaction time latency (how long before client or therapist start speaking), interruption and duration of utterance. Thus, therapists tend to match their clients’ pace (Rocco et al., 2018), and clients tend to match their therapists’ reaction time latency and interruptions (Harper et al., 1978). Here are some suggestions to help therapists slow their process down:

1. Consider what your natural pace is: Do I generally tend to feel time-pressured or in a hurry?

2. Start noticing your pace in sessions, especially when you feel anxious or in a hurry; or listen to recordings of your practice.

3. Give yourself time before each session to slow yourself down and to make space for your client.

4. Leave the book/model/shoulds/supervisor outside the door and focus to begin with on your empathy.

5. Disclose to your client that you are trying to slow your pace down.

6. If you or you client appear to racing, suggest that both of you take a minute to take a breath and slow down.

7. Realize that this might be difficult for your client and you, and therefore might take concerted or repeated effort.

8. Develop a focusing or mindfulness practice.