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May 13, 2019 by Brighton & Hove Psychotherapy Leave a Comment

Why does empathy matter?

When you begin therapy you enter into a particular (perhaps peculiar) type of relationship, one with well-defined boundaries and ethics. Beyond its method and structure, at the very heart of this relationship lies empathy.

As a therapist empathy means doing all you can to understand your client from inside their own experience. It requires an ability to communicate this understanding in ways that are sensitive, meaningful and useful, both verbal and non-verbal.

It is a powerful experience to feel understood, listened to, cared for and respected. Over time it can make it easier to have empathy for yourself, to take your own personal pain and suffering seriously, to judge it less, as trivial, stupid or simply a product of your own personal weakness.

When we begin to take our own struggles seriously, we gain access to another layer of empathy: compassion for the child that we were, often a child who made sense of what troubled them by deciding that there must be something wrong with them – that they were the problem. In the context of an authentic and empathic connection with another human being the shame or disgust or guilt that has become so entangled in our sense of self can begin to make way for new feelings. Sadness (perhaps) for what was lost and loving regard for the child who did the best they could at the time.  When there is more space in our imaginations for the reality of our own struggle, we can begin to see other people differently too. When we experience the power of feeling understood we may also experience greater internal space for new thoughts and feelings, both about ourselves and about others.

The therapist as the client

All psychotherapists have had their own experience of being a client in therapy. Sharing the most intimate and often painful moments of someone’s life is made possible when you have felt and expressed your own. It is not that as a therapist you become an expert on life (not even your own) but that having undergone your own therapy you will be more equipped with the clarity to differentiate your separate self and experience from that of another.  To understand whose feelings are whose and to have the versatility and flexibility to step into and out of another person’s shoes.

The circuitry of empathy

Empathy is a complex system of mutual cues and responses that regulates each persons experience of self and others. We observe this very clearly in parent/ infant interactions. How attuned a parent is to the (myriad/micro) communications of an infant will inform the infant’s reciprocal response to the parent.

It is not that in ideal world infants and young children would be perfectly attuned to at all times. Over-attunement can be stifling and intrusive. What’s more important is the experience of an ongoing relationship in which misunderstandings and mis-attunements can be repaired.

Emotional neglect and emotional intrusion are flip sides of the same coin. Anyone who has suffered either will have good reason to believe that they may never be understood.

As a therapist we cannot “know it all” for our clients, we cannot tell someone how it is they feel or what is true for them. What we can provide is an open-ended, respectful curiosity for our clients and a willingness to share in the important project of “getting it.”  Paying close attention to the unique form of connection that exists with each client means understanding empathy as a mutually influencing system. From this perspective, the communication of empathy becomes much more a mystery to engage with than a tool to master.

 

Gerry Gilmartin is an accredited, registered and experienced psychotherapeutic counsellor. She currently works with individuals (young people/adults) and couples in private practice. Gerry is available at our Brighton and Hove Practice.

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Filed Under: Gerry Gilmartin, Mental Health, Psychotherapy Tagged With: Counselling, Empathy, therapy rooms Brighton and Hove

June 30, 2017 by Brighton & Hove Psychotherapy Leave a Comment

Aims and Goals of Couples’ Therapy

Often, couples get into a loop where they employ unhelpful behavioural patterns (or survival strategies) to mask their vulnerability. This triggers a similar response in their partner, who then becomes defensive and so on.

For example, one person may feel abandoned or rejected, becoming reactive and critical as a result. In response, their partner feels inadequate and withdraws, which makes the first person feel more alone. This makes them more critical, which results in their partner withdrawing from them further, and so the loop continues.

Therefore, one key aspect of couples’ therapy is to help couples feel vulnerable with each other and learn to express that vulnerability to their partners, rather than being defensive or attacking.

Empathy and empowerment

Empathy is a key component in couple relationships. When we feel stressed, sad, angry or upset, we need to be understood and soothed. If our partner holds us, emotionally or physically, it helps us feel better and it lowers our stress levels.

Another key part of couples’ therapy is helping partners develop emotional intelligence and maturity by becoming more reflective and thoughtful, rather than reactive. It’s interesting to observe that many of us will do this outside of the relationship. However, we might struggle to apply these same communication skills with our partners.

This enables couples to become sources of safety rather than danger to one another. It also involves moving from familiar and habitual patterns to a more conscious way of being with each other.

Therefore, much of the work helps people to move from disconnection to connection; disempowerment to empowerment. It is very empowering to be able to take better charge of your emotional states, to know how to communicate these with clarity and respect to your partner, and receive what they are saying to you with empathy.

To many, this may seem impossible, but these skills can be learned and developed with the help and support of a skilled therapist.

Finally, couples need to be willing to undertake this journey with each other with the understanding that sometimes it won’t be perfect and that they will make mistakes along the way. Being committed and willing to work on your relationship and learn from one another is absolutely vital to successful therapy.

Click here to download a PDF version of this post.

Sam Jahara is a UKCP Registered Psychotherapist and Certified Transactional Analyst with a special interest in cross-cultural and intergenerational influences.

Face to Face and Online Therapy Help Available Now

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Filed Under: Relationships, Sam Jahara, Sexuality Tagged With: couples_therapy, Empathy, Interpersonal relationships, Relationships

June 12, 2017 by Brighton & Hove Psychotherapy Leave a Comment

How does counselling or psychotherapy work?

I have written in depth about the differences in counselling and psychotherapy – the work and the training of the clinician.  So, for the sake of this blog, I will treat the terms as interchangeable, even though they employ vastly differing depths of work and skill.

How does counselling work? This question often comes up when we are contacted by people who know they need some help, but are unclear how “talking to a stranger” can help them.

Irrespective of a therapist’s modality of training (how a therapist works) – fundamentally, the success of the work is dependent on the quality of the therapeutic relationship and on how the therapist works within this relationship. The latter is extremely important and is often overlooked by less qualified therapists. More on this shortly.

What is the Therapeutic Relationship?

A relationship with your counsellor or psychotherapist is a unique relationship. In the early stages, it may feel a little odd. It is a relationship based on clear boundaries. You know when and where you will meet. You know where you will be sitting. You know that you will not go for a coffee with your therapist after the session. It is also a very intimate relationship where you will, in time, risk sharing thoughts, feelings and memories that are painful and difficult. You might not have shared these thoughts with anyone else before. Paradoxically, it is the boundaried nature of the therapeutic relationship that makes intimacy safe and possible, at least, with time.

So talking with a counsellor or psychotherapist is safe?

Yes and no. Safety in the shape of boundaries is important, indeed, it is vital. However, therapy should not be too safe.  For therapy to be effective, it needs to feel safe enough (which is part of building that therapeutic relationship), meaning that the therapist’s role is to  challenge appropriately from within the relationship.

Is it Simply Talking?

It may look like that at first glance, but significantly more is going on.  Therapists listen to the content of what the client brings, but perhaps more importantly they listen for the feelings behind the content. This is what makes therapy an intimate process, as we allow our vulnerability to be seen by another and validated.

Grieving

Talking is a way of giving shape, form and understanding to experiences. Through language, previous unprocessed experiences can be processed. I often think of the example of Eskimos and their 50 words for snow.  Leaving aside whether this is completely accurate, the principle stands; the Inuit people of North America have far more words for the different types of snow than the average British person. These differentiations in the types of snow enable the Inuit people to make sense of their surroundings and navigate safely.

By giving shape and form to our losses through language, we can start to process them and grieve.

Working in the Relationship

Returning to the concept of working in the relationship, this is where the skill of a good counsellor or psychotherapist comes into its own.  It means to form an authentic relationship with the client; to experience our own emotions in relation to the client and pick through what is theirs, what they are evoking in us and what is simply ours.  This is often summed up as working in the transference (see blog on transference).  It is a subtle, complex and ultimately transformative way of working whereby the therapist helps the client give shape, form and language to their losses which are played out in the relationship between the therapist and client: what remains unresolved in us is destined to be repeated.

Mark Vahrmeyer is a UKCP-registered psychotherapist working in private practice in Hove and Lewes, East Sussex. He is trained in relational psychotherapy and uses an integrative approach of psychodynamic, attachment and body psychotherapy to facilitate change with clients.

Click here to listen to our podcast on this post.

Click here to download a PDF version of this post.

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Filed Under: Mark Vahrmeyer, Psychotherapy, Relationships Tagged With: Counselling, Empathy, Psychotherapy, Relationships

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