17/5/2016 0 Comments Building ResilienceThere's a tendency to talk about mental health as if it is one condition, when in reality it comes in many different forms and degrees, and individual experiences vary greatly. Just as we wouldn't talk about cancer and flu in the same breath - or expect the same responses and interventions to them - nor should we lump together the myriad of ways that people encounter vulnerabilities in their mental health. It seems that it is more acceptable to take positive steps towards maintaining good physical health than it is to do the same for our mental health. No-one bats an eye-lid when I say I go to a yoga class once a week, but start to explain that I see a therapist regularly and foreheads furrow. I cannot be divided into mind and body, the two are interwoven, inseparable. I need to stretch, exercise, take care and build resilience for my whole self. Yes, of course, there are severe manifestations of dis-ease, wherever it occurs in the person, and there are medical interventions which might be appropriate and could deal with the emergency. However, if we got better at maintenance for our emotional and psychological wellbeing as well as our physical wellbeing, perhaps there would fewer individuals getting to the crisis point. We also have to look beyond the individual, as Richard Vize points out in his article in The Guardian (http://www.theguardian.com/healthcare-network/2016/feb/19/funding-welcome-sources-mental-health-problems-still-thrive) we have to consider social causes for an individual's difficulties. As Vize says, funding is still an issue, despite government promises. What little there is appears to go into the critical end of care. It goes into fire-fighting the results of ignoring emotional and psychological needs; rather than into building the resilience we all need to do what we have to do within modern society. What positive steps do you take to build resilience?
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3/5/2016 1 Comment Counselling behind barsIn June 2015 I moved from community mental health services to join the mental health team in a local male prison. We are a small team sitting within the wider healthcare service and so far I am the only counsellor in the team. In conversation with a writer friend we talked about my experiences and the challenges of counselling within a custodial environment, counselling behind bars. During one of those conversations we developed the idea of expanding these conversations via the SCPTI blog. So the intention is to create a series of posts, focusing on the many challenges faced by counsellors working in this type of environment. The intention is to explore: the impact of the prison regime and processes on the working day; the access to appropriate and safe space; personal safety; tensions between confidentiality and the need for risk management. How feasible is reparative work? Would it be appropriate to work with touch? What about unconditional positive regard? How appropriate is therapist self-disclosure?
As counsellors we probably all put some thought into deciding what to wear to see clients. In making my choice I have to consider, will this stand up to walking around the prison, from wing to wing, in all weathers? Will my outfit be appropriate for moving around the wings housing male prisoners and taking open stair cases? Needless to say I rarely wear a skirt. Of course, I must not forget to put on my belt, with the pouch for my keys, and attach my sturdy key chain. And I must have my ID on my person. Without this I’m going nowhere. For those of you who are interested, it is quite a bureaucratic and lengthy process of vetting to be granted access as an employee. Mine took several months because half-way through the process was changed and I had to submit more paperwork. Of course, being a foreign national further complicated matters for me. Once you have gained your clearances you will then have to undergo your security training before you are allowed to draw keys. So imagine coming to work, and having to manage a hurdle run to get through the security system. First you show your ID to be allowed to progress, to be let into an air lock where the one door closes before the other one opens. Then there is a fingerprint activated gate. After that, you draw keys from an electronic cupboard via your fingerprint, being sure to attach them to your key chain, before queuing up for the door into the prison which is released via a button pressed in reception. By the way, there are times when we get stuck in the airlock because of a door dysfunction and the electronic gates often do not immediately recognise our fingerprint or do not work altogether. We feel the pressure of the impatience of the people waiting behind us. Or the alarm sounds on the key cupboard because we haven’t been quick enough to get our keys out or in and get the door closed. Finally, I am on my way to my team’s office, via four gates and three doors which I must unlock and lock, not to mention having to manoeuvre through a queue of men waiting for their morning medication to be dispensed. And all before I even get to see my first client. By Angelika Scheffler, ATM for the Relational Centred Counselling diploma (now recruiting for January 2017). |
AuthorScarborough Counselling & Psychotherapy Training Institute offers training & CPD. Its members also offer therapeutic services. Archives
December 2019
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Company number 08351295 Phone: 01723 376246
Scarborough Counselling and Psychotherapy Training Institute • 1 Westbourne Grove • Scarborough • North Yorkshire • YO11 2DJ • England
Company number 08351295 Phone: 01723 376246
Scarborough Counselling and Psychotherapy Training Institute • 1 Westbourne Grove • Scarborough • North Yorkshire • YO11 2DJ • England