MY WORK
What is Somatic Psychotherapy, why might you think of coming to
see me and what might you expect from working with me?
Soma is a Greek word meaning the body-mind and the term Somatic
Psychotherapy, though now quite common, was coined by us here in
Melbourne and Sydney in 1986/7 when we formed our association. Somatic
Psychotherapy allows for the use of direct body-work and also for
the use of touch as and when appropriate. The emphasis is on Psychotherapy
with practitioners who have a very strong understanding of the links
between body, mind and feeling or emotion. Myself and my colleagues in Melbourne who regard themselves as Contemporary Somatic Psychotherapists are also, these days, well versed in the relationship between attachment or "dependency" disorders and the developmental, emotional and neuro-psychological effects of severe childhood emotional deprivation, abuse or trauma. Therapy is sometimes about learning to make safe and nurturing relationships or about re-discovering or regulating overwhelming feelings that have, up to now, had to be closed off in order to deal with life.
Some of my colleagues do work with what we call Bio-dynamic massage
or other formal body techniques as part of the psychotherapeutic
process. Personally, I don't use this active and more formal hands
on approach but sometimes, in negotiation with the client, I MAY
use touch as part of the long term and on-going therapeutic process.
I would always expect that such touch is agreed to mutually, is
spoken about and the issues raised worked through in the therapeutic
relationship.
I and all my colleagues in the AASP work within the strong ethical
code of practice of our association and of PACFA. I am also largely
informed by psychoanalytic/psychodynamic thinking which offers very
clear insights regarding boundaries in therapeutic relationships.
You can read our Code of Ethics and find out more about the AASP
on our Web-site. Click on http://www.somaticpsych.org.au
Short Term Work
Within my private practice, my social work qualifications and my
experience as a psychotherapist enables me to help clients sort
out what it is that they are looking for from me or enables me to
assess their needs and make referrals to other therapists, counsellors
or health professionals. I see some clients who just "need
someone to talk to" about a particular issue or some who need
only short term counselling for say, a recent crisis in their lives
and some who need just a little general help with handling their
lives, their relationships or their work situations. So you could
come to see me as a one off interview for free just to get some
assistance to think through what it is you want or what it is you
need to do. Or you could come for a set number of sessions to explore
an issue or work out what path you will now go.
Click here to read PACFA's Draft Definitions of Psychotherapy and Counselling
Psychotherapy
Because I have specialised in psychotherapy, most of my work is
quite intensive and over the medium to long term, with people who
are specifically wanting to explore the deep issues that influence
their lives and life choices. These people are usually very much
like you and me; people who function well in most areas of their
lives and who are often very successful people in terms of the world
at large. They may however feel, for instance, that they cannot
make successful intimate relationships, or perhaps they earn good
money in a job but are otherwise quite unhappy, some may be depressed,
anxious or have specific issues that have continued to bother them
throughout their lives. Some clients also come specifically because
of my training and experience in Somatic Psychotherapy and some
of these will have symptoms and illnesses that they know have a
psychosomatic element. Many will have some consciousness that their
difficulties date back to their childhood.
The work however, focusses on the here and now. The past is seen
by me as relevant primarily only, in so much as it impacts on the
present. Generally, in the psychotherapy I offer, sooner or later
it is the present relationship between me and the client here and
now in the room which is relevant and becomes the focus of exploration.
This relationship is a microcosm of "out in the world"
relationships but it is what is "alive" for both to think
about together, in the moment. Allowing the freedom to say what
comes to mind within the supportive but challenging framework of
the therapeutic relationship opens up the opportunities for a new
sense of self, life and relationship. Sometimes the psychotherapy
simply gives a new view of life or sometimes it helps by giving
a more deeply felt and experienced understanding of how the self
or the mind operates as distinct from the mind or self of an other.
And sometimes where there has been much deprivation, the therapy
can actually go some way toward a kind of re-parenting. A therapist,
however, can never totally give someone that which was not given
in the first place and this means that, almost inevitably, psychotherapy
involves experiencing deep grief for that which has been lost forever.
The Commitment
Establishing an agreement to enter into psychotherapy may take
days, weeks or even months depending on the therapist's and the
client's understanding of their needs. Once agreed upon, the psychotherapeutic
contract usually involves an open ended commitment from both parties
to a regular time or times in a set place at a set fee which is
payable even if, for some reason, the client chooses not to come
for the session. Part of the commitment is that the therapist will
hold that space available for the client and hold it in an emotional
sense as well. The ending of the contract is solely in the hands
of the client although part of the contract is usually that the
therapy is not ended precipitately and time is allowed for working
through the meaning of ending.
Psychotherapy, Psychology and Psychiatry
Before or after they come to see me, some people want to know what
is the difference between psychotherapy, psychology and psychiatry.
To keep it relatively simple I usually say that a Psychiatrist needs
a Medical Degree and often sees extremely ill people who may, for
instance be schizophrenic or suffer from other severe psychotic
conditions. A psychiatrist can prescribe medications and some are
"talk" therapists of one kind or another, including some
who have trained as a psychotherapist or psychoanalyst. With a client's
permission and agreement, I may sometimes consult with a psychiatrist
or a client may consult a psychiatrist as a back-up while undergoing
psychotherapy.
A Psychologist may also be trained as a psychotherapist but many
are not. Many psychologists work at a cognitive level to help people
sort out problems in their everyday lives or give help with specific
issues or problems like, for instance, Obsessive- Compusive Disorder
(OCD). Psychologists have a very rigorous academic training and
have a wide variety of specialities from say, work with children,
families, individual adults or with organizations.
As it currently stands, almost anyone can call themselves a psychotherapist
or a counsellor, without any specific training whatsoever. However
PACFA has been formed to begin the process of recognizing psychotherapy
as a separate profession with specific basic training and professional
requirements. Therefore it is always a very good idea to check out
the qualifications of anyone purporting to be a counsellor or a
psychotherapist. Ask what professional association they belong to
and whether that association is a member of PACFA. This can give
you some confidence. The one most common thread for any well trained
psychotherapist is that they have been involved in their own long
term process of psychoanalysis or psychotherapy. This combined with
a course over several years, supervision and perhaps an experience
of Infant Observation is a good start for a psychotherapist.
Please click here if you wish to make a booking enquiry with Alison in Kew, Marisa in Ashburton, Judith in Clifton Hill and Fairfield, Ronit in Richmond, Sheila in St. Kilda Rd, or Leonie in Carlton or the Yarra Valley
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