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April 29, 2024 by BHP Leave a Comment

On acting our age

Has anyone ever told you to act your age? You might have a memory of an irritable parent, partner or friend telling you so. I certainly remember being scolded this way on occasion. It’s a setting where one person urges another to be more ‘grown up’ than they appear.

It’s always seemed an interesting expression to me, as it begs the question of what it means to be a ‘grown up’. But is there a commonly understood way in which we progress from infancy to old age, and is there a ‘right’ way for us to grow up?

Life and stages of personal growth

One way of approaching these questions is to think about our lives from birth to death as a series of developmental stages, each with a central challenge or crisis as to how we can truly be ourselves in the world and in relationship with others. The influential psychoanalyst Eric Erikson, in his seminal work Childhood and Society, proposed there were eight such stages of human life.

Growing up to ten years old

Erikson saw the first stage of our infancy up to one year old as a crisis between trust versus mistrust in our environment. Infants experiencing good enough consistently predictable caregiving were likely to have higher trust in the world than those experiencing the opposite. In that sense our first challenge of growing up is shaped by the existential question: ‘Can I trust the world?’.

His second toddlerhood stage up to two years is characterised by a crisis between autonomy versus shame and the question: ‘Is it OK to be me?’. The third stage of early childhood is framed as the crisis between initiative versus guilt, posing: ‘Is it OK for me to behave?’. Fourthly, middle childhood is seen as a stage of negotiating the tension between our capacity for industry and feelings of inferiority, exploring the question: ‘Can I make it in the world?’.

Growing up to late adulthood

Adolescence, the fifth stage, pitches us in to a crisis of identity versus role confusion. As we reach puberty and acquire more independence in the world, we must answer the question: ‘Who am I and what can I be?’. Then as we move into early adulthood in our twenties and thirties, we can be seen as managing the tension between achieving intimacy with significant others versus isolation from others, as we ask: ‘Can I love?’.

Erikson’s seventh stage of middle adulthood from our mid-forties to mid-sixties is concerned with our being productive and creative, and establishing and guiding the next generation, leading to a crisis of our capacity for generativity versus our falling into isolation through a sense of personal stagnation, posing the question: ‘Can I make my life count?’.

Finally, we reach the eighth stage of our late adulthood from sixty-five onwards in which we face a crisis of evaluating our ego integrity versus a sense of personal despair. Erikson describes what he means by this integrity as ‘the acceptance of one’s one and only life … as something that had to be’, as opposed to experiencing despair, defined as our actively On Acting Our Age fearing death and feeling our time is ‘too short for the attempt to start another life’. Thus, the final question of our lives becomes: ‘Is it OK to have been me?’

Crises and growth, and the uses of therapy

Whatever we think of Erikson’s model as an explanation of human growth and development, each of us can evaluate our own experiences in terms of its stages. We can certainly make a link between his first stage of trust versus mistrust with his contemporary, psychoanalyst John Bowlby, and his theory that the way we experience our earliest caregiving leads us to develop dominant styles of attachment in relationships that are either secure or variously insecure.

A striking feature of this developmental model of the personality is that Erikson situates most psychological growth crises as taking place in our childhood, a time when we have the least power over our environment alongside maximum vulnerability to neglect or harm.

Many people seek therapy at a time of crisis in their lives, and holding a sense of ‘stuckness’ in themselves. Erikson offers us a model for thinking about this stuckness in relation to our earlier developmental experiences. Whatever life challenges we are now facing as ‘grown ups’, working in therapy by focusing on our earliest experiences can uncover the possibility of unlocking an earlier developmental stage that has left us stuck with aspects of mistrust, shame or inferiority in our personalities.

And in terms of the model’s crisis stages of adulthood we can use therapy to consider how the existential questions of our being able to love, to create, to contribute and to make meaning of our lives can help us resolve our stuckness and even move us towards a deeper acceptance of our ‘one and only life’.

 

Chris Horton is a registered member of the British Association for Counselling & Psychotherapy (BACP) and a psychotherapeutic counsellor with experience in a diverse range of occupational settings.

 

Further reading by Chris Horton

The Christmas-couples clash

When it comes to change, is it better to stop or to start?

Where shall we start?

The end

You’re not watching me, Mummy!

Filed Under: Ageing, Mental health Tagged With: adulthood, Ageing, self-worth

April 1, 2024 by BHP Leave a Comment

Ageing and death

Ageing and death are two topics we find difficult to think and talk about.  

Do you remember when you first realised you were a grown up?  Major events like the loss of a parent signal a change in the social pecking order, and how society or the world sees us. There are moments that symbolise the start of a new phase, when we move from one stage of life to another, and age is the primary signifier.  It usually happens when we are least aware of the transformation.  Moving from child to adult, and young adult to adulthood, maturity and old age.  As ageing adults, might we be in denial? ‘I feel the same as I did when I was twenty-five’ – is this denial or how life is experienced for most of us?

A woman remarked the other day that a young man had offered her a seat on the bus. The comment triggered her to consider what this means.  Did she look as though she needed to sit down because she looked old? She was not the young woman she felt inside, but an older generation.  Of course, there could be many other reasons why he gave up his seat.

How does this impact our lives and relationships? In that period of life where we are developing a career, raising a family, or supporting parents in their old age, we are so busy that we may not want or have the time to reflect on how our roles and status are changing.  The encounter with the young man who gives up his seat for us triggers in our minds the reality that we are seen differently in the world than how we experience ourselves.

Rather than giving advice here, it would be useful to think about ageing with an optimistic lens, by identifying earlier on in life what is required to preserve our mental health:

  • avoiding isolation and loneliness
  • physical health and wellbeing
  • mental stimulation 
  • companionship with family and friends
  • keeping an open mind
  • dealing actively with loss and grief, and
  • actively managing our mental health to prepare for old age.

The last point is concerned with investing in your mental health throughout your lifetime. What are your relationships like with family and friends? Are problems swept under the carpet when resentments build up over months and years? We have an emotional economy that needs building on for those latter years.

In future blog posts I will elaborate on the above topics and suggest how we can help with some of the issues.  For example, joining a group where you can discuss these things with others. 

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available

Filed Under: Ageing, Loss, Relationships Tagged With: Ageing, Death, Loss

June 26, 2023 by BHP Leave a Comment

Finding contentment in the age of discontent

The official definition of contentment is “freedom from worry or restlessness: peaceful satisfaction”. I would define contentment as a state of inner quiet and peace, and a satisfaction with oneself and with life. This is not linked to material satisfaction, which is usually temporary and unsubstantial, but more of an acceptance of who one is and a coming to terms with choices and situations in one’s life. This is usually linked to how a person perceives themselves, others and the world. One example would be the ageing process. Some people may struggle with getting older, and all the changes that our bodies go through. Others may see ageing as a natural process and one that can be embraced and even enjoyed.

How can we practice contentment in our everyday life?

As said above, contentment is linked to how we perceive ourselves and others. Freedom from worry or restlessness comes by cultivating patience and working on how we perceive things. It is also linked to an ability to trust in oneself and those who are close to us. Building and maintaining good relationships, spending time in nature and engaging in meaningful activities are some ways of achieving contentment.

Can external factors (politics, economy, capitalism etc) affect how we can feel content?

Contentment may sound like a luxury when there are serious external factors affecting our survival. However, if our basic needs are met and there is no imminent threat to our life or livelihood, contentment can be cultivated and maintained despite the ups and downs of political and economic factors. Contentment comes from within, so although external factors impact how we feel about the world and ourselves within it, it is also important to hold the bigger picture in mind and remember that we live in an ever changing world with no ultimate guarantees or certainty. I have seen people who are very content and live with very little under difficult circumstances. I have also seen people who have everything they can wish for materially but live in a constant state of anxiety and worry. This is not to say that environmental factors do not impact the way we feel and I believe that improving social and political factors can and will lead to a better society with is happier generally.

Feeling contentment in a materialistic world

I hope there is a movement towards prioritising contentment over material gain, however the rise in inequality around the world tells a very different story. Maybe there are certain sections of society who are able to make the changes they need in order to live better lives. Mental health has been in focus for a while now, and some people are realising that living a stressful life comes at a high cost.

If you want to cultivate contentment…

Start looking at what causes you discontent. Then look at these feelings in some depth – are these feelings about self-perception or external changes that you need to make? Work towards cultivating qualities and activities that lead to more contentment. And finally, simplify your life.

 

On our website you can find more information about our counselling and psychotherapy services and how to contact our team.
Sam Jahara is a UKCP Registered Psychotherapist, Clinical Superviser and Executive Coach. She works with individuals, couples and groups in Hove and Lewes.

 

Further reading by Sam Jahara

What causes low self esteem?

Online therapy: good for some but not everyone

The psychology of mindful eating

Defining happiness

What are the benefits of counselling and psychotherapy?

Filed Under: Ageing, Mental health, Sam Jahara Tagged With: Ageing, Mental Health, society

March 7, 2022 by BHP Leave a Comment

Thinking about the menopause in energetic terms

I often have women clients who are going through the peri-menopause or who are post-menopause and I am curious about how I might better support them therapeutically. I want to share some thoughts from a recent talk by Joanna Groves where she invited us to think about the peri- and post-menopause in more practical and energetic terms. The menopause is defined by 12 months without menstruation; on average this happens at 51 years old. The peri-menopause, the period when the sex hormones are reducing, can start from the late thirties to mid-forties and the symptoms can last for 4 or more years after the menopause.

Groves asked us to pay attention to the pressure of trying to maintain ‘normal’ life during a time of physiological and psychological change and to take seriously the stress this places on women’s physical and mental health. She outlines the physiological and psychological changes that occur during the peri-and post-menopause. There are common physiological symptoms including heart palpitations, sweating, sleep problems and fatigue, these are often accompanied by other changes such as food intolerances and sensitivity to alcohol. Along with anxiety and depression there are other psychological symptoms such as memory and concentration problems, confusion and a loss of confidence and self-esteem. The pressure to maintain work, family responsibilities and a relationship and manage everyday crises can become overwhelming, like trying to stop a burst pipe with a teacup and one hand tied behind your back.

The ‘fight, flight or freeze’ response is caused by Cortisol, the stress hormone. Cortisol is produced and managed by the adrenal glands and is a survival response, an alarm reaction to threat or danger. In contemporary life we’re not at risk from predators but we need cortisol to help us deal with an emergency or carry on under pressure. Cortisol helps us keep going partly by repressing non-essential functions such as digestion and the immune and reproductive systems. When the crisis is over or the pressure reduces cortisol levels drop and the body returns to equilibrium. But what if the pressure is continuous and we are in constant crisis? Eventually the adrenals become exhausted and we become energetically depleted, this can result in anxiety, depression, headaches, difficulties sleeping, digestive problems and burn out.

If all that wasn’t enough to contend with. Groves suggests that during the peri-and post-menopause as our emotional resilience reduces; we no longer have the energy to keep difficult emotional experiences supressed. Buried feelings of grief, loss and shame can re-emerge and memories of trauma can resurface. Long established relationships are examined and sometimes break up. What felt safe and secure no longer feels so and this can feel like a kind of madness.

Groves’ advice is to acknowledge that this time is a process of transition that will eventually lead to a new stage of life, a kind of post-menopausal rebirth with renewed energy. She highlights ways to reduce stress and conserve resources during this transition.

One key message from Groves is that ‘energy follows attention’ i.e. what we focus on consumes or generates energy. She invites us to reflect on this through several different aspects:

  • The importance of getting enough rest and sleep, this might mean delegating some responsibilities, reducing working hours and includes sensory rest such as time without a phone.
  • The physical benefits of movement and keeping mobile through activities like walking, stretching, swimming and gardening; movement creates energy.
  • Gut health and nutrition are two aspects that may need adapting, for example reducing the consumption of sugar and alcohol.
  • Relationships and friendships, it helps to prioritise friendships that sustain and nourish and to limit those that are draining. Family and romantic relationships can come under scrutiny and may be revived or changed irrevocably.
  • Finally Groves emphasises (self) compassion, this might include physical and/or holistic treatments, new creative experiences, practices such as meditation and psychotherapeutic support.

At the same time as outlining these practical approaches, Groves acknowledges that in a culture driven by productivity and achievement attempts to cut down responsibilities and become less productive may feel like ‘weakness’ or ‘failure’. Women in my practice have asked – if I can’t do what I used to do what am I good for – and said – I feel worthless like there is no place for me.

On a more positive note Groves identifies a paradigm shift around the menopause. It is not just women that go through this transition but those who accompany them, friends, colleagues, parents and especially partners and children. Hopefully by welcoming a wider range of experiences including accounts from transgender women we might develop ways to support and improve life transitions for us all. Meanwhile, as therapists we can offer a conversation to help understand and contextualise what is happening to those who find themselves at the centre of this particular life transition.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

Filed Under: Ageing, Relationships Tagged With: Ageing, anxiety, Menopause

October 18, 2021 by BHP Leave a Comment

What is the Menopause? (part two)

The historian Susan Mattern argues there is no doubt there is some value to naming menopause as a concept. It has provided women with reasons and different perspectives and interventions on what can be sometimes very distressing symptoms. However she points out that modern medicine can have a tendency to locate cause and explanation inside the body vs society and environment.

Mattern writes – “for most of human history, people have seen menopause for what, as I argue, it really is: a developmental transition to an important stage of life; not a problem, but a solution”  (2019, P. 6).

 

Mattern holds a space for the menopause (what she depicts as a post-reproductive period) as a significant life stage and essential for human flourishing. She argues that for much of human history menopause was not really considered a problem to be treated, and where it was considered it rarely had such negative connotations as it does today. She argues that for many this transition in life can be one of vigour and expansiveness. She uses the metaphor in the title of her book ‘The slow moon climbs’ as aligned with this phase of life.

In terms of historical and cultural meanings and understandings it does seem that our ideas around women’s experiences of menopause has definitely shifted over time. According to Mattern (2019) it is only in the modern era we have considered and discussed the menopause as a syndrome in need of medicalisation. She explores the influence of culture in the experience of menopause today and how the medicalisation of women’s menopausal experiences emerged.

Her book traces a plethora of historical aspects including evolutionary, philosophical, psychological and cultural understandings around the menopause and how meanings have changed.  She gives insight about evolutionary theories of menopause, the role it has played in human society and strategies around reproduction and more general aspects of human society. She also dives into how modernisation has altered our experiences and notions of menopause quite dramatically. In my opinion it is a book packed with fantastic information and well worth a read if you are curious.

There are many aspects in both peri-menopause and menopause that can greatly impact our lived experience. This does not always have to feel detrimental. In some of my research many women have found it a liberating sexual experience whilst also struggling with some aspects. Often there are many different factors and impacts within the menopausal experience: physical, psychological, social, sexual, political, cultural and spiritual. Frequently they can feel like they are in conflict.  Not knowing whether you should treat it medically or not can leave us at best feeling confused, at worst it can sometimes disrupt our whole lives in terms of its effect on personal relationships and work dimensions.

Whatever route you choose and whether you want to seek medical support, psychological support or just better understand the transition through your own enquiries, therapy can be a space to do this. I feel many transitional experiences can be incredibly meaningful and transformative despite the challenges they might bring. It can invite us to explore, challenge and question our beliefs and expectations and change how we feel, think and relate to ourselves and the world.

To enquire about psychotherapy sessions with Susanna, please contact her here, or to view our full clinical team, please click here.

Susanna Petitpierre, UKCP accredited, is an experienced psychotherapeutic counsellor, providing long and short term counselling. Her approach is primarily grounded in existential therapy and she works with individuals.  Susanna is available at our Brighton and Hove Practice.

Further reading by Susanna Petitpierre

What is the Menopause? (part two)

What is the menopause? (part one)

Some existential musings from the sea

Nietzsche and the body

Why read Nietzsche?

Reference – 
Mattern, S. (2019 ’The Slow Moon Climbs’ The Science and History, and Meaning of Menopause. Princeton University Press: Princeton & Oxford.
 (Book tracing historical and cultural understandings of this life stage.

Filed Under: Ageing, Society, Susanna Petitpierre Tagged With: age, Ageing, female health, Menopause

October 4, 2021 by BHP Leave a Comment

What is the Menopause? (part one)

I found myself being asked ‘what is the menopause?’ by a friend’s 13 year old son a few weeks ago. All the women in the room chimed in to answer. It was not surprising to me that he asked, nor was it surprising all the women answered. Interestingly I had no idea about the menopause at his age and I had absolutely no clue about peri-menopause until I was in my mid 30s. However, I found myself wondering how much louder the conversation seemingly is right now than when I was his age.

It does seem that the terms menopause and peri-menopause have become widely discussed in the media and medical world recently. In my experience, this does not always translate to it being more understood. It can be incredibly helpful to know discussions are happening as this can normalise the experience, conversely it can leave us feeling more adrift, especially if we find we are not fitting into any standardised categories or stories.

It led to me writing two short pieces (part two will be published at a later date). Both aim to provide a little portion of food for thought about the concept and possible options for personal explorations around the menopause. In my mind, there is no right or wrong way to consider or act in terms of the menopause, it is whatever feels right for the individual.

Medically the menopause is depicted as the final menstrual period (FMP). This is confirmed after one year of menstrual period. Typically it occurs around 51 years old, however UK statistics show this can vary between 44 and 55 years. One in 100 women can experience menopause before the age of 40 (often due to medical interventions).   The peri-menopause is a term used to depict another transition stage before the menopause whereby the ovaries start to make less oestrogen. This typically starts around 40 and can last between four and eight years.

Some people assume the menopause is a medical problem and prefer to manage it with drugs. Medical interventions can be a very positive experience. However, for others this is not always possible or perhaps how they want to relate to this life stage.

Some feel it is best to be with the experience, whilst others want to use alternative routes. Some might see it as an opportunity to face up to changes in their life span and ageing processes and some might not see it as a problem all all.

Whatever your choice or position there are some brilliant options, discussions and spaces which can support women going through these transformations (see some options in the links below).

I feel it is definitely worth exploring all the options and finding out what feels right for you. Therapy might be a space to do this. For me, it is also important to consider that we cannot always place the responsibility on the individual and it is worth considering how history and culture has impacted the medicalisation of these transitions and consequently how and what we think, feel and experience in terms of this life stage. If you are interested in this then you might want to read part two.

To enquire about psychotherapy sessions with Susanna, please contact her here, or to view our full clinical team, please click here.

Susanna Petitpierre, UKCP accredited, is an experienced psychotherapeutic counsellor, providing long and short term counselling. Her approach is primarily grounded in existential therapy and she works with individuals.  Susanna is available at our Brighton and Hove Practice.

 

Further reading by Susanna Petitpierre

Some existential musings from the sea

Nietzsche and the body

Why read Nietzsche?

Magnificent Monsters

Death Anxiety

Potentially useful resources:
https://balance-app.com (menopause experience tracking support app)
www.menopausematters.co.uk
www.rockmymenopause.com
The menopause charity.org
https://www.menopausedoctor.co.uk
https://www.menopausecafe.net
https://www.mamaheaven.org/menoheaven-retreats

Filed Under: Ageing, Society, Susanna Petitpierre Tagged With: Ageing, female health, Menopause

May 24, 2021 by BHP Leave a Comment

Is it ever too late to start psychotherapy?

Is it too late to consider going into therapy once we reach a certain age? As I walked through the gardens on an early spring morning, this was the question going through my mind. I intended to get down to writing this blog, an unfamiliar task, when I got back to my office.

We seem to have heard all year about mental and physical decline as we age so it was refreshing to read Levitin (see below) that the brain retains plasticity or the capacity to learn and change through out life. And if we are not taken down by dementia, brain injury or stroke, we can in fact retain a lively and flexible mind throughout life. We have to do the obvious things like follow a balanced diet, exercise, not give up purposeful activity (work) and maintain a good and diverse social network.

Throughout life, our close friends and family are important to our wellbeing. These relationships take enormous strain in a world where change is the only hope for survival. And they need looking after even if this means we might end a relationship, if we have children developing and sustaining a healthy connection can help our children to adjust to the world with a healthy out look.

Transitional periods, retirement, divorce, bereavement, empty-nest syndrome, can benefit from psychotherapy for one or both partners providing the space for increased awareness of ourselves, an opportunity for gaining insight and change.

Considering the later years are often filled with opportunities for reflection on a life lived there is always plenty material to explore in the therapy room. David Levitin, an American Neuroscientist, sees this period of life as an opportunity to see life afresh. His premise is the brain retains its capacity to change through out life, at its greatest in childhood and old age.

 

Brighton and Hove Psychotherapy is a collective of experienced psychotherapists, psychologists and counsellors working with a range of client groups, including fellow therapists and health professionals. If you would like more information, or an informal discussion please get in touch. Online therapy is available.

Filed Under: Families, Mental health Tagged With: Ageing, maturity, Psychotherapy

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