A human father has three little half-elven girls, and one of them comes up to him one day and asks, "Daddy, why am I named Rose?" to which the father replies, "Honey, when you were a baby, a rose petal fell on your forehead, so we named you Rose."
The second daughter comes up to him afterward and asks, "Daddy, why am I named Lily?" to which he replies, "Sweetie, when you were a baby, a lily petal fell on your forehead, so we named you Lily."
The third daughter comes up to him and says, "Gajfnkasj tgong odg" and the father replies, "Shut up, HillGiantRock!"
Tuesday, October 28, 2008
To be a therapist...
So we just did a supervision where I was the therapist - I found myself bristling at the feedback AND I don't really know why I reacted that way.
I felt like I wanted to justify my all of the feedback and thus invalidating the response.
So I divide the experience in to Cognition and Affect.
Cognition – all of the feedback was useful and could help improve or at least head off potential problems. The feedback was sound and accurate. It had great specific examples. It was both positive and negative – validating and constructive.
Affect – I had a vile reaction to the experience. I am somewhat feedback adverse, but in past noted experiences I attributed it to a lack of specificity and vague (thus hard to place) feedback. I just bristled. Perhaps I was unintentionally degrading the supervisor and thus invalidating the feedback. I did not know the person and did not understand the credibility (somewhat of a show me). I wonder if it would be different if the person was a PsyD and had a greater degree of establishment? Would I assign it more value?
An emotional response problem – the person who was providing feedback was light and airy and had this sing-song voice. She was very non-threatening, but may have sacrificed credibility ( or rather I murdered it) because of her floating ethereal way. I moved too far into the realm of affect and thus was not in (my) correct frame of mind to take feed-back.
It is going to be tough to take guidance and be supervised by someone with that sing-song style of speaking.
Plus, it is really tough (at my current level) to see myself as successful as a therapist. Thus getting negative feedback can serve to damage or contribute to problematic self-esteem. I get the feeling of “how will I ever be able to get this?” I am just trying to think of the next question and get all the information for a Dx or not miss a piece that I will need later, then to look at inserting metaphor or not using specific words. It looks daunting.
It also feels schizophrenic! I have a million thoughts being juggled and they are all screaming for attention. Here I am trying to check off the symptoms from the DSM, trying to establish rapport, trying to meet the client where there are, be empathetic, paraphrase their emotions, observe the non-verbal signs, mirror client statements, ask opened ended questions, let the client go where they need to go, validate the clients problems and emotions, ask hard questions, get all the social Hx, medical Hx, family Hx, Tx Hx, Dx Hx, Rx Hx, and like a billion other bits of information AND do it all in a way that meets the person-centered ideology.
Let alone use motivation interviewing, explain all of the legal stuff (informed consent, disclosure, etc.) and being helpful. Will the client return for a second session? Will the client commit suicide? Was something I could’da/should’da/would’da have done.
I felt like I wanted to justify my all of the feedback and thus invalidating the response.
So I divide the experience in to Cognition and Affect.
Cognition – all of the feedback was useful and could help improve or at least head off potential problems. The feedback was sound and accurate. It had great specific examples. It was both positive and negative – validating and constructive.
Affect – I had a vile reaction to the experience. I am somewhat feedback adverse, but in past noted experiences I attributed it to a lack of specificity and vague (thus hard to place) feedback. I just bristled. Perhaps I was unintentionally degrading the supervisor and thus invalidating the feedback. I did not know the person and did not understand the credibility (somewhat of a show me). I wonder if it would be different if the person was a PsyD and had a greater degree of establishment? Would I assign it more value?
An emotional response problem – the person who was providing feedback was light and airy and had this sing-song voice. She was very non-threatening, but may have sacrificed credibility ( or rather I murdered it) because of her floating ethereal way. I moved too far into the realm of affect and thus was not in (my) correct frame of mind to take feed-back.
It is going to be tough to take guidance and be supervised by someone with that sing-song style of speaking.
Plus, it is really tough (at my current level) to see myself as successful as a therapist. Thus getting negative feedback can serve to damage or contribute to problematic self-esteem. I get the feeling of “how will I ever be able to get this?” I am just trying to think of the next question and get all the information for a Dx or not miss a piece that I will need later, then to look at inserting metaphor or not using specific words. It looks daunting.
It also feels schizophrenic! I have a million thoughts being juggled and they are all screaming for attention. Here I am trying to check off the symptoms from the DSM, trying to establish rapport, trying to meet the client where there are, be empathetic, paraphrase their emotions, observe the non-verbal signs, mirror client statements, ask opened ended questions, let the client go where they need to go, validate the clients problems and emotions, ask hard questions, get all the social Hx, medical Hx, family Hx, Tx Hx, Dx Hx, Rx Hx, and like a billion other bits of information AND do it all in a way that meets the person-centered ideology.
Let alone use motivation interviewing, explain all of the legal stuff (informed consent, disclosure, etc.) and being helpful. Will the client return for a second session? Will the client commit suicide? Was something I could’da/should’da/would’da have done.
Monday, October 27, 2008
Haha first years!
I was just in the grad lounge and I was privilege to a group of first year students talking over a project and a recent test. Oh how difficult it seemed then and how easy it seems now - guess I am getting something out of all this time I spend in class.
Saturday, October 11, 2008
More Rorschach Responses
"It looks like a pink bearcat circus animal climbing a ladder to jump off into this small tub of jello."
"Thislooks like a woman wearing a diaper and sitting on a small pile of cool lightningbolts."
"This is a bugox, with its scars from battle nearly healed."
"This looks like Cthulhu, he is speaking at the debates from behind a podium and here are the wet empty skulls of Obama and McCain."
"It looks like a spirit guide that has been verbally raped. Here is its harsh emotional truma splattered on the ghostly wall. This part down here is the portal to Easter."
"This part here looks like ether or rejoycing petrol fumes."
"This looks like Elmo from 'CyberChase', except from 'South Park'"
"Gosh, I think it looks like a devil who is in pain, like when they are forced to step into a church. It looks like its happening around Chrismas."
"You know the big broiled sandwiches you get at Burger King, well it looks like the crumpled wrapper for one of those. This is a ketchup stain on the waxy paper."
"A huge pile of spoiled garden tools, like rakes."
"These cards don't have anything to do with sex, except for the last one, it looks like RU-486."
"Its a party where all the planets and stuff have come. They have beer, chips and popcorn, but I don't think they are eating any of it. You can't tell because they are behind all these party decorations."
"It looks like some slut sat on this one."
"Thislooks like a woman wearing a diaper and sitting on a small pile of cool lightningbolts."
"This is a bugox, with its scars from battle nearly healed."
"This looks like Cthulhu, he is speaking at the debates from behind a podium and here are the wet empty skulls of Obama and McCain."
"It looks like a spirit guide that has been verbally raped. Here is its harsh emotional truma splattered on the ghostly wall. This part down here is the portal to Easter."
"This part here looks like ether or rejoycing petrol fumes."
"This looks like Elmo from 'CyberChase', except from 'South Park'"
"Gosh, I think it looks like a devil who is in pain, like when they are forced to step into a church. It looks like its happening around Chrismas."
"You know the big broiled sandwiches you get at Burger King, well it looks like the crumpled wrapper for one of those. This is a ketchup stain on the waxy paper."
"A huge pile of spoiled garden tools, like rakes."
"These cards don't have anything to do with sex, except for the last one, it looks like RU-486."
"Its a party where all the planets and stuff have come. They have beer, chips and popcorn, but I don't think they are eating any of it. You can't tell because they are behind all these party decorations."
"It looks like some slut sat on this one."
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