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How to minimise Christmas stress if you’re hosting

Christmas can be an emotionally challenging and difficult time for many of us. There is such expectation on how Christmas ‘should’ be, yet like the weather, it often fails to deliver on the ‘winter wonderland’ scenes on the TV adverts. For so many of us our family experience often falls far short of the loving idyllic family reunions depicted in those same snowy adverts. And if you are hosting, this can bring with it an added pressure to deliver the ‘perfect Christmas’.

There is lots of advice available on how best to organise yourself practically in advance in the big day, such as food prep hacks. However, I wonder if there is another way of not only coping but getting something from the day for yourself?

Think about your own needs first

An example that I often use in clinical practice when illustrating to patients how it is vital that they think of their own needs, is the pre-flight safety briefing that happens before a plane takes off.

Anyone who has flown has sat through at least one of these and there is a particular point in the briefing where the cabin crew explain what you should do if the cabin loses pressure, the oxygen masks drop down and you are travelling with a dependent. The correct approach is to attend to your own mask first and then your dependent, however, it is surprising how many people think that they should help their dependent fit their mask first, before attending to their own. Why is it this way around? Because if you try and help your dependent first and have not tended to your own needs, there will be two people in distress rather than one. And yet for so many of us the inclination is to ignore our own needs and attend to those of others.

Applying the same logic to Christmas, before deciding whom to invite and having any conversations with family and friends about the day itself, first think about your own wants and needs. What are your physical limitations and needs? What can you and can’t you do? How many people can you host without feeling overwhelmed? Who’s company do you enjoy and who is draining? What do you want to get from the day?

The next step is to think about what is negotiable and what is a firm boundary. For example, it may be that you are willing to cater for an additional number of people if you have help or support from others with cooking. Or, it may be that you are willing to tolerate the presence of someone you find contentious, if another member of the family assures you that they will help you manage that person. However, a firm boundary may be that you have a certain time by when you request everybody leaves (stated in advance).

Wants versus needs

The nature of Christmas combined with the pressure to host, can often mean that any consideration of what you may want from the day gets lost and the focus shifts to being one of ‘surviving the day’. What if it does not have to be like this? What if you could take some time to calmly consider how you would like not only to ‘host’ the day and cater for everybody, but to play an active role in creating the day that you would like? In other words, what if you were to value your own needs as much as you value everybody else’s?

Hosting does not mean sacrificing yourself

Consider how you do not need to sacrifice yourself in order to host an event for others. People who are worth being in relationship with (and therefore arguably worth spending Christmas with), should be people who are interested in your wellbeing and needs and will therefore be open to hearing about not only what you can and can’t offer on the day, but also what you would like from it. If they aren’t, then perhaps question whether they are really wanting to celebrate with you as a person, or are simply making use of what you can provide.

Support through relationship

Putting your needs into the mix can feel daunting if it is not something that you are used to doing. And it is generally only possible if we can rely on having an ally, or allies, by our side who are encouraging – this is often our partner or a close friend. If you are in a relationship, talk to your partner about your needs and wants of Christmas well before the day arrives.  Explain to them how you wish to approach hosting Christmas and risk asking for support – emotional as well as practical. This is something you can do with a friend, or friends, too.

It can also be really helpful to agree up front how you will ask for support on the actual day and how you would like your partner or friend(s) to support you. Examples may be anything from starting the day together and connecting, through to specific practical requests. You can demonstrate support for each other throughout the day through small reassuring gestures such as visually checking in with one another or making physical contact.

Reality testing

Christmas is only a day and that is really worth bearing that in mind. However the day goes, the world will keep on turning and in all likelihood, the relationships that matter will still be there for you. The expectations we feel in relation to Christmas are largely in our own head and can therefore be challenged.  By pausing and accepting that there is no such thing as a ‘fairy-tale Christmas’ we can gain a little space to see it for what it is. It does not have to be perfect nor is it likely to be. Is the goal a ‘picture perfect’ Christmas, or one in which you feel like you are connecting with loved ones and friends?

The past is not the present

For many, memories of past Christmases are difficult and they can reappear like ghosts. However, these ghosts need not dominate your experience in the here-and-now. Accept that it is a difficult time for you and know that it is for many others too, be compassionate with the feelings that the season evokes and remember it is only a day. Sometimes we feel strong emotions on particular days that are simply reminders of the past – echoes – and we actually have the power to create something different. The more you are able to anticipate your wants and needs ahead of Christmas, the less likely the ghosts of the past are to appear and dominate the day.

Alcohol generally makes things worse

Nobody is telling you not to drink on Christmas Day. However, if it is a day that evokes sadness or anxiety, alcohol will not improve these feelings for long. Once it wears off, they will be back with a vengeance and accompanied by a hangover. The opposite of using alcohol to self-soothe is to soothe through relationship. Even if you are not in a relationship with another, you are in a relationship with yourself and can hold yourself in mind.

Even if the day feels full and focused on others, it is always possible to take a few minutes out to calm yourself. You can breathe, come back to the here and now and remind yourself –  Christmas is only a day.

Listen to your body

This doesn’t mean act impulsively. It is more about listening for what the vulnerable part of you needs. This may be a hot bath with a good book, a warm drink by the fire, a nice home cooked meal or spending time with a supportive friend. It could also be a long run, or a dance or yoga class. Whatever self-care tool helps you feel well and connected should form part of your preparations for the day and be in place after the day.

 

Mark Vahrmeyer, UKCP Registered, BHP Co-founder is an integrative psychotherapist with a wide range of clinical experience from both the public and private sectors. He currently sees both individuals and couples, primarily for ongoing psychotherapy.  Mark is available at the Lewes and Brighton & Hove Practices.

 

Further reading by Mark Vahrmeyer – 

How do you get self esteem?

Why is psychotherapy generally weekly?

Why we should be disappointed

What is a growth mindset?

Don’t tear down psychological fences until you understand their purpose

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The empty chair in therapy

Can talking to an empty chair help ease our mental distress and help make us more positive and confident?

It may seem a strange idea, but evidence has been accumulating for more than ninety years that it can. The techniques involved, initially called ‘psychodrama’, originated in 1930s New York. They were refined in the 1950s by a pioneering psychoanalyst called Fritz Perls – the father of Gestalt therapy – and now form an important part of the ‘toolbox’ used in a range of therapies.

Chair work involves the use of physical or imaginary chairs to facilitate dialogue between different aspects of the self, or to explore conflicting emotions, thoughts, or perspectives.

Such work is at the heart of cognitive behavioural therapy (CBT) and schema therapy, which I have practised for almost a decade. It is designed to allow you to push away or reduce the impact of criticisms and deficiencies of care you have received from others from your childhood onwards, and to stop your own inner critic – usually rooted in shame – from hobbling your self-confidence and self-esteem.

The core premise of the technique is that talking in the present, in the safety of the therapy room and under the guidance of the therapist, to those who caused us problems in the past, helps to take the ‘sting’ out of negative memories stuck in the fight-flight area of our brains and to feel that we are back in control. Put another way, this is a route towards being able to regulate our negative emotions such as fear and anger more effectively.

Equally, talking to voices coming from within – for example our self-critical mode, or our ‘vulnerable child’ mode, both of which can be very debilitating if we have had insufficient care during our childhoods – can help us to boost our sense of agency and ability to self- soothe and self-validate.

What are the practicalities of chair work? To explain, I have created the example of John, an imaginary client now in his early thirties with problems typical of those which frequently surface in the therapy room.

As John grew up a key element was that his father – who was irascible and a big drinker – was very hard on him about doing homework and frequently yelled at him that he must do better. He regarded anything less than a grade A as failure – and failure led to consequences, from being grounded to pocket money being withheld and sometimes, beatings. Young John found such treatment very difficult to cope with because his
understanding of the world and his powers of reasoning were not fully developed. The father who was supposed to love him was a vengeful aggressor. It was cruel and frightening and his young self felt like there was no way of escape or answering back.

The impact went much deeper. John was traumatised by some of the more extreme punishments. He also came to believe that the pressure from his father was his fault because he simply wasn’t good enough. He was ashamed of himself and felt continually vulnerable because he was convinced that whatever he did was sub-standard.

When he started work, receiving criticism of any kind made him feel very insecure and often triggered him to defensive anger against his perceived attackers. At other times, he avoided exposing himself to the possibility of the type of behaviour his father had so often displayed by being insular. John was very bright but progress in his career was hampered by his very deep-seated negative beliefs about himself and the world – all rooted in his father’s mistreatment.

To help tackle these problems, I first went through with John the history of his relationship with his father and explained how such punitive and demanding behaviour undermined his self-esteem and of having a secure base in his life. Then came the chair work. The goal was to bring into the room the possibility of re-engineering what happened to him as a child, this time with him – rather than his father – calling the shots.

I asked John first to imagine how in his grown-up life, what he would want to say to someone who was treating a child like his father treated him. John was quick to say that he would tell him that such bullying was not acceptable and unfair to a child.

I then brought an empty chair at right angles to us both in the space between us. I asked John if he minded imagining his father as he was in his childhood sitting in the empty chair.

He was reluctant at first on the ground that it felt scary, even now. I reassured him that the difference between then and the present was that he was alone back then, and that I, as his therapist, was there to help and protect him.

I then asked John – as his grown-up, healthy self in the safety of the therapy room – what he would like to say to his father. His first reaction, exactly as when he was a child, was fear and reluctance. I reassured him again that he was safe, and eventually – at first slowly, but gradually gathering pace – he told his dad that he loved him but felt that what he had done to him regarding homework was very unfair, frightening and cruel. Gathering in confidence, he told him that it should never have happened and that he was still struggling with the consequences, that he had never felt good enough.

Much more happened on John’s therapy journey, but the chair work encounter with his father was a turning point in creating a new awareness of what had happened to him and in realising he had a choice in how he could control the distress he had so often felt. He had developed his own voice – and agency – in dealing with his father.

Reference works for further reading:

Cognitive Behavioural Chairwork, Matthew Pugh, Routledge, 2020.

Contextual Schema Therapy, Eckhard Roediger, Bruce Stevens and Robert Brockman,
Context Press, 2018.

 

David Keighley is a BACP Accredited counsellor/psychotherapist offering short and long term therapy to individuals and couples using a variety of techniques such as EMDR, CBT and Schema Therapy. He is also a trained clinical supervisor.  He is available at our Brighton & Hove Practice.

 

Further reading by David Keighley

How therapy can help with anger issues

Do you have unrelenting standards?

Why we need a ‘secure base’

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The adult survivor of neglect and abuse – lifelong considerations

Children who have been neglected and/or abused live to one degree or another with a lifelong legacy which can impact every aspect of their lives. Depending on the severity of abuse and neglect, the impact on the relationship with self and others will be significant and show up in many ways. I have written previously about the psychological impact on children who grow up in cults, and the kinds of abuse and neglect that takes place in such high-control groups. However, families can act like mini-cultic systems with their own ways of keeping secrets, coercing, and manipulating, and being socially presentable whilst hiding a darker truth.

What does a ’healthy’ family environment look like?

No family is perfect or entirely psychologically and emotionally healthy. However, there are families where ‘good enough care’ takes place. By ‘good enough’ I mean providing children with consistent emotional, psychological, and physical safety. For example: showing genuine interest and curiosity in the child, supporting their learning and developmental needs, protecting them from harm, expressing sincere love and care, respecting the child’s natural dependency needs whilst also encouraging their growing independence, to name a few. For a child to grow up with a relatively robust sense of self, they need to have grown up with adults who learnt to attune to them. This means respecting their individuality and uniqueness, whilst modelling and maintaining boundaries, acknowledging that children need to know their limitations and respect who is in charge, and ultimately, building and maintaining a good and healthy relationship with your children throughout their lives.

What does an unhealthy family environment look like?

There can be varying degrees of dysfunction, which will impact children in several ways. In such an environment parents will generally lack the capacity to emotionally attune to their children. In these families the needs of the child are not thought about, let alone understood. In an environment where there is ongoing stress or threat, as is seen in cases of abuse and neglect, the child will grow up lacking in psychological and emotional safety and typically learn to self-soothe rather than look for soothing from the parents or carers. Some children are forced to take excessive responsibility from an early age, for instance taking care of their family members in a role reversal situation. Children who suffer neglect usually withdraw into themselves and develop an acceptable false self to interact with the world. This is because showing distress or any genuine emotion was not an option in their family home. Children who suffer sexual and/or physical abuse learn to cope with intrusive behaviour by either becoming invisible or aggressive.

The adult survivor of neglect and abuse

Both neglectful and abusive behaviour in families tells the child that they do not matter to the very people to whom they should matter most. This type of emotional betrayal is very difficult for a child to process and overcome later in life. Once the relationship between primary carers and their children is severed in such a profound way, repair can be long and painful if it happens at all. Parents or carers who abuse and/or neglect their children are most likely psychologically damaged themselves and usually unwilling to learn from their mistakes. This is why repair is very rare.

The child will grow into an adult having missed out on some fundamental developmental steps and having developed psychological defences to cope with their upbringing. These defences, once vital for psychological survival, usually remain into adulthood until they begin to fail, which is when people usually come to therapy. Survival strategies learnt in childhood to cope with a hostile or neglectful environment are not conducive to healthy relationships in adult life. For instance, hypervigilance or emotional withdrawal can make relating to others problematic. For a relationship to grow it must be built on safety and trust. If this was absent or sparse in a person’s life, they can grow to either settle for very little or develop unrealistic expectations of themselves and other people.

The adult survivor and the search for love

The psychological legacy of childhood abuse and/or neglect has lifelong implications for adult attachments, especially relevant to significant relationships with romantic partners. Falling in love comes with the idealisation of a longed-for relationship and the type of love and emotional attunement that the person never had. The emotional hole left by their upbringing leaves them with an open wound which is usually well disguised. This painful emotional injury cuts deep into the soul. The longing for soothing from another can be a lifelong quest that is never fulfilled, because they either look in the wrong places for it, or it never feels enough despite their partner’s best efforts. It is also common for the adult survivor to seek partners who will display similar traits to their parents, and continue to tragically perpetuate this cycle in their lives and with their children.

Lack of repair

The lack of repair or acknowledgement by the people who inflicted harm is a tragic and painful legacy that many people who suffered neglect and abuse must live with. The ongoing lack of validation or acknowledgement, and dismissal of these lifechanging childhood experiences can feel cruel, confusing and keep the adult survivor in a constant loop of self-blame and self-hate. Often children who are abused and/or neglected are scapegoated by their family and therefore become the recipient of unwanted feelings. This often continues into adulthood where the person feels not only damaged by their childhood experience but as an adult continues to be ostracised, excluded, and blamed for the family issues. The child grows into an adult having never understood why they were and continue to be treated this way, even though they have done nothing wrong.

The therapeutic task

When someone grows up feeling unsafe and mistrustful of those around them, the primary task of any therapy is to rebuild trust and safety through the therapeutic relationship and in the person’s life. When trust has been broken at such a fundamental level, ordinary disappointment can feel at times devastating. The aim is to get the adult survivor to a place where they can learn to trust whilst also looking after themselves, and build relationships with people with whom they feel emotionally, psychologically, and physically safe whilst also having realistic expectations. Holding onto both good and disappointing aspects of relationships (including the one with the therapist) is work which takes a long time. Rebuilding trust also means trusting oneself. Learning to trust one’s thoughts and feelings again, or even for the first time.

Working with shame is another important part of therapeutic work, as the abused and/or neglected child carries a high degree of shame for the experiences they have been through. Depending on the level of abuse and neglect, and therefore the level of dissociation, trauma work is a vital part of the adult survivor’s recovery. Being able to feel a lifetime of hidden and suppressed emotions is painful but also brings back to life certain aspects of oneself that were deadened.

Finally, therapy is a place to hold witness to unthinkable, unspeakable, and unbearable experiences. These experiences must in time be articulated and understood within the limitations of language and the individual’s capacity to comprehend and process emotional pain.

 

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 – 

There are no shortcuts to growth

5 good reasons to be in therapy

The psychological impact on children who grow up in cults

What psychological processes make us ‘choke under pressure’?

Having healthy conversations with men about the menopause

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What is love? (part one)

Perhaps a question that has occupied humans since the dawn of time, it may seem like an odd title for an article, however, the answer to this question in psychological terms is profound.

What love is not

Firstly, love is not really what most people believe it to be; the opposite of hate.

Love can only really exist in the context of a relationship whether with ourselves or another. In fact, it is a prerequisite that we love ourselves in order to be able to love another. And loving ourselves has itself a prerequisite, which is that we have internalised the felt experience of being loved by another. Love begets love.

Love is also not the same as falling in love. Falling in love is generally a phrase that we apply to romantic relationships. It is a powerful and wonderful experience filled with a range of diverse emotions that make us feel quite ‘out of sorts’, and in presentation can be a little akin to psychosis, in the old-fashioned sense of the word – we do not see the other as they are, but idealise them to the extent that we can ignore reality.

Therefore, love is neither the absence of hate, nor is it idealisation, which is really another way of saying the same thing.

The opposite of love

Returning to the question of what is the opposite of love, it is indifference.

Indifference implies no relationship. Now, this may be all well and good in the context of others with whom we have no contact – people we pass in the street – but relationally, indifference is problematic.

Indifference towards someone with whom we are supposedly having a relationship means that we are unable to care about them. We are unable to relate to them as a separate human being who has their own set of thoughts, feelings and needs.

In relationships where there is an indifference towards the other, the relationship is inherently based on power and control dynamics in lieu of love. This would also psychologically constitute a sadomasochistic relationship, one that is based on a need for the other rather than a love for the other.

Such relationships are rigid, uncompromising, unsatisfying and based on fear of abandonment rather than on freedom.

What love is

Put simply, love is the capacity to value another, despite a lack of control over them and an acknowledgement of difference.

Love is the capacity to tolerate frustration and disappointment in a relationship.

And real relationships are the integration of both love and hate.

Who can love?

Human beings are relational in nature, meaning that we are born into relationship with our mothers. Like other mammals we develop in utero and are dependent on the relationship with our mothers for our survival – and more so and for a longer duration than any other mammal.

It is through our relationship with our mother (or primary carer) that we learn about love. Through being loved we learn that we are lovable and therefore worthy of love. We learn over many years to love ourselves and then with this comes the capacity to love others. That’s if it all goes to plan.

Infants cannot love and nor can some adults

Most people tend to idealise babies seeing them as lovely, sweet and adorable. However, babies are little tyrants. Babies and young infants are entirely consumed with their own needs. They have no capacity to love their mother, father or anyone else – they simply need to be loved. That does not mean they don’t form an attachment to us or that they don’t need us – on the contrary, they need their mother for their very survival.

However, an infant never wakes in the night and thinks to herself: “My mother is asleep so I will put off needing a feed for another hour so she can get some rest”. They simply cry. Over time infants must learn about surviving feelings before they develop the capacity to love, and one of the main feelings they must contend with is frustration.

Mothers frustrate their infants enormously, in that despite the fantasies of the young child, they have no control over their mother. They can cry, scream and make a mess but ultimately it is up to the mother when she appears and if at all.

Most mothers do appear, but not magically at the exact moment the infant needs her. This presents the infant with a problem. The young child, in order to cope with feeling helpless and impotent, initially constructs a story of the perfect mother. When this jars with reality as a result of the ordinary failings and humanness of her mother, the solution for the infant is to create two mothers: one good and one bad.

The two mothers – love(d) and hate(d)

The infant creates this split in order to cope with her frustrations and rage at not being able to control her mother. The good mother is the one who attends to her needs, the bad mother is the one who disappoints. It is a developmental step and a way of psychologically managing conflicting feelings – love and hate.

Over time, with a good enough relationship between mother and child, the child reaches the painful conclusion that there are not two mothers, but rather one who is mostly good, but also disappoints her. This is a huge developmental stage and means that the young child can not only start to bear reality and the separateness of others, but also forms the foundations of being able to love.

So, the answer to the question “who can love?” is that it is those who have reached a developmental level of maturity that in the world of psychoanalytic object relations we call ‘the depressive position’.

The sad reality is that there are a fair few adults who are simply unable to love. They continue to see the world in terms of good and bad and therefore oscillate between idealisation and denigration – neither position being real except in the world of fairy tales.

Personalities that can love

In the world of psychoanalytical psychotherapy, we tend to focus less on the behaviour of a person (although it still matters) and more on understanding, through the therapeutic relationship, two key diagnostic criteria: personality organisation and personality style.

Personality organisation is a term used to understand the psychological maturity of a person – what ordinary developmental stages of emotional and psychological maturity they have worked through. There are three categories, neurotic (most of us), borderline and psychotic. Please note the term ‘borderline’ has nothing to do with the DSM diagnosis of borderline personality disorder.

All of us have a personality style and whilst there is no such thing as a single personality style as we are all a mix of different traits, most of us have a style that dominates. The more dominant one particular style and the more rigid that person’s personality combined with having a borderline personality organisation, the more likely it is that that person may be described as suffering from a personality disorder.

The narcissistically organised patient

If we take the example of a strongly narcissistically organised patient who has been on the receiving end of childhood neglect and as a result has a borderline organisation, this person is stuck developmentally at a very young age.

I have chosen the narcissistic personality style as an example, as the developmental process of shifting from a one-person world to a two-person world is one we all undergo – we therefore all have narcissistic personality styles as young infants.

This patient will not be able to love nor feel loved. They will oscillate between idealising and denigrating others, and be indifferent to the feelings and needs of anyone around them. They need others strongly but hide this, as vulnerability is shameful to them.

Why does love matter?

Love matters enormously as we are born into, defined by and continue to need relationships throughout our lives. Ultimately, it is love that gives life meaning.

Devoid of love, the world is a fearful and dangerous place – a place that needs controlling and managing.

Without the capacity to love, we cannot have psychological freedom.

Psychotherapy is a cure through love

Freud talked about analysis (psychotherapy) as being a cure through love. I have written about this here.

What has been damaged or hurt in relationship can only be healed in relationship. And real relationships are always based on love.

 

Mark Vahrmeyer, UKCP Registered, BHP Co-founder is an integrative psychotherapist with a wide range of clinical experience from both the public and private sectors. He currently sees both individuals and couples, primarily for ongoing psychotherapy.  Mark is available at the Lewes and Brighton & Hove Practices.

 

Further reading by Mark Vahrmeyer – 

I worked as a Psychotherapist with Death. Here’s what I learnt

How do I become more assertive?

What is the difference between loving and longing?

Why do we expect women to smile and not men?

Is there something wrong with me for hating Christmas?

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Is there something wrong with me for hating Christmas?

Everybody loves Christmas. That’s a fact. At least if you watch how it is portrayed by the media and subscribe to the collective mania of ‘preparing for the big day’……….

Of course, the reality is that many of us find Christmas difficult and for some it can feel unbearable. We have the statistics for this – the Samaritans charity experiences its highest call volume over the so-called festive period, suicide rates increase and mental health professionals such as myself experience an uptick in enquiries.

Why is this?

I have written blogs and contributed to articles in the press on the reality of Christmas for many people and yet despite my small efforts and those of many others in my field, there remains a taboo around acknowledging how hard this time of year can be for many people, and an expectation that we will all somehow collude with the manic hysteria of turning the day into some sort of magical experience that eradicates both the memory and the reality of complex family dynamics.

In my view, Christmas should really only be magical for one group of people and that is children. It is a developmental experience to believe in the unbelievable and children are not only susceptible to this but also have an interesting way of denying reality even when it is staring them in the face. I think this is part of the ordinary process of slowly coming to terms with both the reality of the world and our lack of control over it. However, aside from children, there is no benefit to adults in believing there is anything magical about Christmas or any other day.

Having spent many years working with the bereaved, I am acutely aware that after a bereavement, it is the anniversary dates in the first year following the death of a loved one that can be most difficult – the first birthday, the first wedding anniversary and the first Christmas. And it is often these anniversary dates that continue to bring forth the loss for many years to come.

All Families are Psychotic

All Families are Psychotic is the title of a book by acclaimed Canadian novelist, Douglas Coupland, and whilst I do not take it literally, the human condition and the meaninglessness of life is most certainly a theme in Coupland’s work.

And whilst I am not seeking to minimise psychosis, there is something somewhat delusional about how the collective (society) colludes and invites merger around the fantasy that all is well in the family and ‘there’s nothing to see here’. This, for me, is akin to the child’s magical approach to Christmas and it’s unhelpful.

For the member(s) of such a family who feel frustrated and lonely with the lack of true connection, which I define as the ability of each member of the family to bring their needs into the mix and negotiate together, this invitation or expectation to collude can feel especially alienating and, combined with external pressures, can make them feel wrong.

Now of course there are plenty of families where the relationships are based on mutuality and love and they may also enjoy Christmas. However, the paradox here is that because the relationships are real, there is no need to whip everyone up into a manic state of hysteria around just how perfect the day is – the day can be good enough and each member of the family can have their own experience.

Christmas is not magical but it is powerful

Of all the anniversary dates that can bring forth unresolved or simply painful grief, Christmas is especially powerful for two reasons: firstly, there is a collective expectation placed upon the day that somehow it has the power to heal rifts and paper over grievances – which it does not have; and secondly, for many adults of conflictual families, historically much of the conflict would have come to the surface at Christmas.

Children growing up in homes where there is not enough money to create the ‘fairy-tale’ Christmas, where there is only one parent, where extended family do not feature, or where their parents are in conflict, all have the propensity to carry these feelings forward with them, only to find themselves revisiting them as a Ghost of Christmas Past each year.

What can you do if you find the day tough?

Even if those around you – and the collective is absolute on this – don’t or can’t acknowledge that the day is tough for you, or that you are having feelings other than ‘joy’, it does not mean that you are wrong.

  • Acknowledge in advance to yourself that it is a difficult day.
  • Consider whether you have someone you can trust with your feelings who will be able to accept them without attacking you or abandoning you.
  • Accept that you have your reasons for disliking Christmas.
  • Consider in advance of the day what you want from Christmas – even if this in an ideal world. Begin there and then work with what you are choosing or have to do.
  • Remember that it is only a day and that it will pass.

 

Mark Vahrmeyer, UKCP Registered, BHP Co-founder is an integrative psychotherapist with a wide range of clinical experience from both the public and private sectors. He currently sees both individuals and couples, primarily for ongoing psychotherapy.  Mark is available at the Lewes and Brighton & Hove Practices.

 

Further reading by Mark Vahrmeyer

Why do some of us feel a constant sense of dread?

Is there a good way to break up with someone?

Can self care become an identity?

Can psychotherapy help narcissists?

Are we becoming more narcissistic?

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You’re not watching me, Mummy!

Is it ever too late in life to change? Despite many decades of accomplished professional practice and conspicuous recognition for his achievements, the psychotherapist Irvin Yalom was stunned to discover he still had personal work to do.

In his memoir, Becoming Myself , he recalls attending an academic event where he realises (1) he is to be the target of gentle but sustained mockery from his Stanford University colleagues. That night he has a powerful dream from which he wakes to conclude, ‘I am still looking for validation, but not from my wife, my children, my friends, colleagues, students or patients, but from my mother!’

Although Yalom’s real mother was long dead at the time of his unsettling dream, his self-discovery revealed that her frequent harshly critical judgements of him as a child had become part of his lifelong personality, rising suddenly within him at times of stress, such as when he became the particular focus of others’ attention. In his dream, isolated and scared, he plaintively cries out, ‘How did I do, Momma? How did I do?’.

We might pause to consider how it could possibly be that a richly experienced practitioner, one expert in helping others to understand themselves better, could be so suddenly blindsided by such a self-revelation. On the other hand, what Yalom is disclosing about his experience here might be seen as one of the most fundamental of human realities.

In psychotherapy we speak of the developmental process of ‘introjection’, whereby we unconsciously adopt the thoughts, feelings and behaviours of significant others, particularly the most powerful others in our early lives. In the modality of Transactional Analysis we call this part of us our Parent ‘ego state’. This proposes that during the
development of our ‘self’ we naturally take into our own way of being key aspects of the others we depend on, how they think, feel and behave: we thereby install their potency into our developing personality.

This is a natural survival strategy and serves us well when it provides us with valuable parental impulses that guide us to operate safely in the world and help us to nurture ourselves when under stress. The downside of this strategy is that, depending on the quality of the care we received and how we responded to it, the Parent ego state we carry
forward can contain persecutory impulses, parental fears and smothering tendencies combining in us to create significant inner conflict in our adult life.

Engaging in psychotherapy can be effective in helping us to explore those aspects of ourselves that seem to echo the powerful personalities of our past lives. Careful exploration with a curious and empathic therapist can help us to surface parental messages we may be carrying that contribute to previously unexamined self beliefs. In uncovering these ‘introjects’ we can more clearly see how what we chose to take on from others in the days when we first learnt to be ourselves might be limiting us now in living more freely and spontaneously in the world.

Yalom’s insight, late into his own life, was to see that the way he had incorporated his mother’s harshness into his own process was preventing him from being able to truly recognise and celebrate his own worth.

His particular way of dealing with this was to look for the compassion in himself for ‘that mother that I disliked so thoroughly.’ He writes of achieving a different perspective on her through his later realisation she had a deeply conflictual relationship with her own mother, always remaining desperate for a recognition from her that never came.

Coming to understand the possible motivations behind his mother’s persecutory behaviour, Yalom found a way in which he could simultaneously diminish the power of the fierce inner critic that he had made of her. Like many of his patients, he discovered it was never too late to become himself.

 

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 –

I’m the problem – It’s me!

Making sense of our multiple selves

Let’s not go round again – how we repeat ourselves!

How are you?

Out of Sight, Out of Mind

 

Resources –

(1) Yalom, I (2017). Becoming Myself: A Psychiatrist’s Memoir. Piatkus 1

 

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Five Top Tips for Surviving Christmas Day

Christmas can be an emotionally challenging and difficult time for many of us. There is such expectation on how Christmas ‘should’ be. Yet like the weather fails to deliver on the ‘winter wonderland’ scenes on the TV adverts, for many of us, our family experience often falls far short of the loving idyllic family reunions depicted in those same snowy adverts.

What makes Christmas particularly difficult?

Aside from the expectations we put upon ourselves, it has all the classic ingredients of being either an explosive disappointment or a damp squib.

Family of choice versus family of origin

Christmas is often a time when we get together with family members we would only ever see on other festive days or, as the saying goes, weddings and funerals. Often, we have little close relationship with these family members. Yet somehow we expect to feel a close bond with them on this day in particular.

Many families are now what is referred to as blended families.  Nowadays, it is normal to grow up with step-parents, step-siblings and half-brothers and sisters. While this does not necessarily lead to conflict, it can make the delicate balance of Christmas Day complicated and fractious. Compromise is often the order of the day.

Christmas is often a difficult time thanks to the ghost of Christmas past. Many relationships break down over Christmas and can leave us with tainted childhood memories of parental feuds and the accompanying grief.  This then plays out in the present, potentially contributing to conflict with family members – the trauma repeats.

And then there is the one extra ingredient that can make things seem so much worse than they are; the explosive charge in many Christmases – alcohol. Consuming alcohol in and around Christmas is normalised and we can often feel under pressure to ‘join in’. Many of us also use alcohol as a way of coping with the day, the family members who descend upon us, the expectations, unhealed rifts and so on. However, when it comes to managing emotions and conflict, alcohol has never been a solution.

Five top tips to surviving Christmas Day

  • Support through relationship

If you are in a relationship, talk to your partner.  Explain to them that you may find the day hard and agree how you will ask for support when needed, or how you will support each other. Examples may be anything from starting the day together and connecting through to holding each other in mind. You can demonstrate this through small reassuring gestures such as visually checking in with one another.

  • Reality Testing

Christmas is only a day. The expectations we feel in relation to it are largely in our own head.  By pausing and accepting that there is no such thing as a ‘fairy-tale Christmas’ (except perhaps for some fortunate children) we can gain a little space to see it for what it is.

  • The past is not the present

Memories of past Christmases, while present, need not dominate our experience in the here and now. Accept that it is a difficult time for you, know that it is for many others, be compassionate with the feelings that the season evokes and remember it is only a day.  Sometimes we feel strong emotions on particular days that are simply reminders of the past – echoes – and we have the power to create something different.

  • Alcohol makes things worse

Nobody is telling you not to drink on Christmas Day. However, if it is a day that evokes sadness or anxiety, alcohol will not improve these feelings for long. Once it wears off, they will be back with a vengeance and accompanied by a hangover. The opposite of using alcohol to self-soothe is to soothe through relationship. Even if you are not in a relationship with another, you are in a relationship with yourself and can hold yourself in mind.

  • Hold Yourself in Mind

One of the traps people often fall into is that they imagine that they have no choices on the day; they simply have to do what is expected. Doing what is expected is a choice in itself!  Even if you do feel that there is little on offer for you during the day, a change of perspective and holding in mind why you are choosing to make these choices can be helpful. For example, rather than framing it as “I have to go see X person, or Y will be disappointed”, you can rethink it as “I choose to see X person as I want to give that as a gift to Y’.

Even if the day feels full and focused on others, it is always possible to take a few minutes out to calm yourself. You can breathe, come back to the here and now and remind yourself –  Christmas is only a day. See my blog on avoiding panic attacks for a simple but effective practice to calm yourself and return to the here and now.

 

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.

 

Further reading

Can couples counselling fix a relationship?

How to get a mental health diagnosis

What is psychotherapy?

How to improve mental health

How do I find the right psychotherapist?

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How to Minimise Christmas Stress if you’re Hosting

Christmas can be an emotionally challenging and difficult time for many of us. There is such expectation on how Christmas ‘should’ be, yet like the weather, it often fails to deliver on the ‘winter wonderland’ scenes on
the TV adverts. For so many of us our family experience often falls far short of the loving idyllic family reunions depicted in those same snowy adverts. And if you are hosting, this can bring with it an added pressure to deliver the ‘perfect Christmas’.

There is lots of advice available on how best to organise yourself practically in advance in the big day, such as food prep hacks, however, I wonder if there is another way of not only coping but getting something
from the day for yourself?

Think about your own needs first

An example that I often use in clinical practice when illustrating to patients how it is vital that they think of their own needs, is the pre-flight safety briefing that happens before a plane takes off.

Anyone who has flown has sat through at least one of these and there is a particular point in the briefing where the cabin crew explain what you should do if the cabin loses pressure, the oxygen masks drop down and
you are travelling with a dependent. The correct approach is to attend to your own mask first and then your dependent, however, it is surprising how many people think that they should help their dependent fit their
mask first, before attending to their own. Why is it this way around? Because if you try and help your dependent first and have not tended to your own needs, there will be two people in distress rather than one.
And yet for so many of us the inclination is to ignore our own needs and attend to those of others.

Applying the same logic to Christmas, before deciding whom to invite and having any conversations with family and friends about the day itself, first think about your own wants and needs. What are your physical limitations and needs? What can you and can’t you do? How many people can you host without feeling overwhelmed? Who’s company do you enjoy and who is draining? What do you want to get from the day?

The next step is to think about what is negotiable and what is a firm boundary. For example, it may be that you are willing to cater for an additional number of people if you have help or support from others with
cooking. Or, it may be that you are willing to tolerate the presence of someone you find contentious, if another member of the family assures you that they will help you manage that person. However, a firm boundary may be that you have a certain time by when you request everybody leaves (stated in advance).

Wants vs needs

The nature of Christmas combined with the pressure to host, can often mean that any consideration of what you may want from the day gets lost and the focus shifts to being one of ‘surviving the day’. What if it
does not have to be like this? What if you could take some time to calmly consider how you would like not only to ‘host’ the day and cater for everybody, but to play an active role in creating the day that you would like? In other words, what if you were to value your own needs as much as you value everybody else’s?

Hosting does not mean sacrificing yourself

Consider how you do not need to sacrifice yourself in order to host an event for others. People who are worth being in relationship with (and therefore arguably worth spending Christmas with), should be people who are interested in your well-being and needs and will therefore be open to hearing about not only what you can and can’t offer on the day, but also what you would like from it. If they aren’t, then perhaps question whether they are really wanting to celebrate with you as a person, or are simply making use of what you can provide.

Support through relationship

Putting your needs into the mix can feel daunting if it is not something that you are used to doing. And it is generally only possible if we can rely on having an ally, or allies, by our side who are encouraging – this is
often our partner or a close friend. If you are in a relationship, talk to your partner about your needs and wants of Christmas well before the day arrives.  Explain to them how you wish to approach hosting Christmas and risk asking for support – emotional as well as practical. This is something you can do with a friend, or friends too.

It can also be really helpful to agree up front how you will ask for support on the actual day and how you would like your partner or friend(s) to support you. Examples may be anything from starting the day together and connecting, through to specific practical requests. You can demonstrate support for each other throughout the day through small reassuring gestures such as visually checking in with one another or making physical contact.

Reality Testing

Christmas is only a day and that is really worth bearing that in mind. However the day goes, the world will keep on turning and in all likelihood, the relationships that matter will still be there for you. The expectations we feel in relation to Christmas are largely in our own head and can therefore be challenged.  By pausing and accepting that there is no such thing as a ‘fairy-tale Christmas’ we can gain a little space to see it for what it is. It does not have to be perfect nor is it likely to be. Is the goal a ‘picture perfect’ Christmas, or one in which you feel like you are connecting with loved ones and friends?

The past is not the present

For many, memories of past Christmases are difficult and they can reappear like ghosts. However, these ghosts need not dominate your experience in the here-and-now. Accept that it is a difficult time for you and know that it is for many others too, be compassionate with the feelings that the season evokes and remember it is only a day. Sometimes we feel strong emotions on particular days that are simply reminders of the past – echoes – and we actually have the power to create something different. The more you are able to anticipate your wants and needs ahead of Christmas, the less likely the ghosts of the past are to appear and dominate the day.

Alcohol generally makes things worse

Nobody is telling you not to drink on Christmas Day. However, if it is a day that evokes sadness or anxiety, alcohol will not improve these feelings for long. Once it wears off, they will be back with a vengeance and accompanied by a hangover. The opposite of using alcohol to self-soothe is to soothe through relationship. Even if you are not in a relationship with another, you are in a relationship with yourself and can hold yourself in mind.

Even if the day feels full and focused on others, it is always possible to take a few minutes out to calm yourself. You can breathe, come back to the here and now and remind yourself –  Christmas is only a day.

Listen to your body

This doesn’t mean act impulsively. It is more about listening for what the vulnerable part of you needs. This may be a hot bath with a good book, a warm drink by the fire, a nice home cooked meal or spending time with a supportive friend. It could also be a long run, or a dance or yoga class. Whatever self-care tool helps you feel well and connected should form part of your preparations for the day and be in place after the day.

 

Mark Vahrmeyer, UKCP Registered, BHP Co-founder is an integrative psychotherapist with a wide range of clinical experience from both the public and private sectors. He currently sees both individuals and couples, primarily for ongoing psychotherapy.  Mark is available at the Lewes and Brighton & Hove Practices.

 

Further reading by Mark Vahrmeyer – 

Can couples counselling fix a relationship?

How to get a mental health diagnosis

What is psychotherapy?

How to improve mental health

How do I find the right psychotherapist?

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The First 5 Years

One of the most profound experiences we can have is to become a parent. If you had a good experience of growing up in a happy home where your needs were considered important, you felt secure, this is the best preparation for becoming a parent yourself.  

However, life is not quite as easy as that and many of us will encounter disruptions to our wellbeing because of parental illness, a lack of resources, social isolation, or neglect.  Trauma is used here to describe not necessarily an event but the often small every day psychological injuries inflicted on us whilst growing up in a dysfunctional family.  When we enter therapy, we are often unaware of the events and hidden daily routine attacks on our ego that happen in families.  How do we find a way of developing a mentally healthy approach to our role as parents, during the first 5 years of our children’s lives?

What is it about these first five years that are so important?

Both parents and caregivers need to recognize the importance of creating a safe and happy space for children to grow up in.  There is an equal need for parental closeness and nurturing of the infant regardless whether a male or a female partner.  Both parents in the household are equally important in the maturing process. Fathers can feel they have little to offer during the early weeks, months and years of a child’s life, however, it is clear fathers have an essential role during this period. 

  1. Neurobiological development – the development of the brain depends on a secure and safe space where the child can explore the environment for development and learning to take place. This lays down the neurological potential for later life and mental health.  If the family is dysfunctional whereby the parents are unable to regulate their emotional state or act out with physical or emotional abuse towards the child or partner, then the child will internalize these experiences, which come to the fore later in life.  Or if parents are not emotionally present and sibling rivalry is not contained, a child is bullied or goaded by other children. 
  2. Attachment and separation – from the moment of our birth we begin the process of separation from our mother learning and adjusting to the world around us.  We enter a world that will influence us on a personal, social and cultural level that will take us a lifetime to understand.  As a newborn we are completely dependent on those around us to keep us safe and secure. This is a demanding period for parents who have to sacrifice time and energy to looking after our needs.  It can be a difficult period of adjustment for parents as their role as parents will be unfamiliar.
  3. Language acquisition – language is not something we learn in a “book learning way” but we acquire it through interaction with our families and those around us.  Children in families where more than one language is spoken have increased number of neurons in the brain.  

 

How do you prepare for becoming parents?

If we are not to pass on to our children unwanted patterns or similar patterns of relating to our own children that we experienced; particularly if we have been exposed to trauma during our childhood, then we need to firstly look inwards at our experience of family life.

  1. Make a connection to your experience as a child.  What was the atmosphere like at home was it a calm happy place or full of energy and busy. What was your role in the family? What was the general atmosphere like at home? Did you feel recognized? Where do you come in the family are you the eldest child, the middle child or the youngest.
  2. Connect to your family history: Was it a safe and stable environment or were there lots of moves during your first 5 years. 
  3. What do you know of your parent’s childhood?
  4. Were there any problems of addictions in the family?
  5.  Were there any major events, loss of family members, new siblings in the family, catastrophic events, which put the family at risk?
  6. How did people respond to feelings? Was anger suppressed or expressed and understood? 

If at the end of reading this you realize there were family matters that need to be explored, thought about and processed, before the new baby arrives. Find a counsellor, psychotherapist or psychoanalyst who can help you and your partner understand how you might mitigate the impact of your dysfunctional family experience.  This might break a cycle of suffering, for you and allow you to improve your mental health whilst become a good parent to your children.

 

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

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Let’s not go round again – How we repeat ourselves!

Earworm

Have you ever had a song go round and round in your head for longer than you’d like? I certainly have. It’s a common enough experience for which in recent years the term ‘earworm’ has been coined. More academically, it’s known through American Psychological Association research as Involuntary Musical Imagery (INMI), defined as ‘the spontaneous recall and repeating of a tune in one’s mind’. 

A persistent earworm of mine belongs to a radio staple of my youth: the Scottish funk group Average White Band’s disco hit, ‘Let’s Go Round Again’. 

If you’re unfamiliar with it I hesitate to recommend you listen, lest I pass its catchy stickiness to you. But in the song the singer returns from unspecified travels to entreat a former lover to reconnect with him in the way they were and so ‘turn back the hands of time’. Mining a commonly held nostalgia for revisiting the passionate phases of former loves, I think the song’s sentiment succeeds most through its appeal to the very human need for repetition in relationship.

Repetition compulsion

Just over 100 years ago in Freud’s essay, Beyond The Pleasure Principle , he outlined long observed patterns of behaviour in his many patients as manifestations of a ‘compulsion to repeat’. He cites a case study of a little boy who created a game of regularly throwing and retrieving from his cot a favoured reel on a piece of string. He would throw it out to a word meaning ‘gone’, then retrieve it with a joyful sound meaning ‘there’. Within the context of the family, Freud offers the interpretation that the child’s invented game of disappearance and return was a way ‘to revenge himself on his mother for going away from him’. 

He goes on to speculate that children repeat unpleasant experiences in order to gain some kind of mastery over them and then observes that many of his adult patients show behavioural repetitions resulting in misfortunes ‘for the most part arranged by themselves and determined by early infantile influences’.

Psychological games

Later in the 1960s an analysand of one of Freud’s followers developed this notion of repetition in human behaviour, identifying common relationship patterns in those reported by his own patients. He named these patterns psychological ‘games’: repeated transactions played out of conscious awareness by both parties in a relationship. Eric Berne’s ‘Games People Play’ (1964) became a 60s best seller and is a founding text in the development of the modality of Transactional Analysis.

In essence, Berne extended Freud’s earlier insights to suggest that each of us in infancy develops a repertoire of repetitive behaviours that we use to protect ourselves. The proposal is that at a deeply unconscious level we seek relationships with others who will allow us to repeat roles and situations that for us confirm fundamental beliefs about ourselves and other people, in order to keep ourselves safe.

Whenever we encounter relationship issues in our lives, it can often seem as though our difficulties take the form of repeated patterns of thinking, feeling and behaving. The process of psychotherapy can support us with self inquiry into the types of repeated behaviours we favoured when small, with a view to us breaking our adult patterns. It can help us pose the interlinked questions, ‘How might I be different with myself, so I might be different with others?’

In the penultimate verse of Let’s Go Round Again, the lover sings, ‘Baby, I know that you think I will be different now. Inside of me nothing has changed. So, I’m asking you again, please.’ And of course, the prerequisite for repetition is for nothing to change inside. 

I like to think the old lover he is addressing greets the singer warmly but invites him this time into a different kind of relationship, where they can both explore new ways of being together that don’t leave them going round and round.

 

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

How are you?

Out of Sight, Out of Mind

 

References – 

1 Jakubowski, Kelly; Finkel, Sebastian; Stewart, Lauren; Müllensiefen, Daniel (2017) Dissecting an Earworm:

2 Melodic Features and Song Popularity Predict Involuntary Musical Imagery,

3 Freud, S (2015) Beyond the Pleasure Principal, Dover Thrift Editions 

4 Berne, E. (1964) Games people play: The psychology of human relationships. New York: Ballantine. 

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How do I know if I am ready to become a parent?

No, I am not addressing this to women caught in the age old story of young women fearing the passing of time and the urgency of finding a partner to start a family, although this is an important fact of life.  I am thinking of what questions we might need to ask ourselves before we even begin our search for the right partner. 

Questions such as:

  • Am I sure that I am psychologically ready to take on the task?
  • Are there aspects of my psychological self that I am unsure of that need attention before I make such a life changing commitment? 
  • Have I discussed this fully with my partner or am I happy to be a single parent?
  • What was my own childhood like and how would I like to be a different parent to my own? 

Understanding what being a parent means

For us to make these choices we need to be conscious of the demands on us as new parents. The need to understand, to discover for ourselves, our childhood experiences and the patterns we have inherited along the way that will support us or hinder us in our role as parents.  Some will be good, others need working through before entering into this new phase of life. 

A lot of what we bring to our parental role will be hidden deep in our unconscious mind only emerging once we are faced with the situation of being a parent. What is unknown before having a baby is now ‘out of the blue’ post birth, confronting us with what can be difficult emotional feelings.  

For example, I may feel jealous of the baby taking my partner away from me by demanding a lot of him or her time.  These may not be the feelings we were prepared for, would it not be better to have spent sometime reflecting on this before entering into parenthood?

Parental choices

We live in an open and free society where we have choices in the matter of whether to be parents or not. And we have the choice of when to have children.  The LGBT community has influenced the narrative towards a child-centered and mindful approach to becoming a parent; the process by its very nature has to be a conscious act on the part of the couple.

Too often parents enter into parenthood without thinking about whether it is what they really want and in failing to consider how equipped they are to parent – especially where they have been failed by their own parents.

I am suggesting that approaching life with an open and inquisitive mind is preferable to allow events to overtake you and this is where psychotherapy and your psychotherapist as an ally can be extremely helpful.

 

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

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How psychotherapy groups can help change our internalised family systems

Family backgrounds and values

From our earliest times, we absorb the emotional systems of our family environment. As we make our way in the world we take our families with us, internalised and manifesting consciously and unconsciously in many, if not all, aspects of our lives.

While the societal and cultural context of the family is a key aspect in determining some dominant aspects of the family system, in this piece I am more concerned with the unique emotional variations of individual families. Thinking about our own families of origin, for e.g., we might ask ourselves – what emotional values dominated? What feelings were allowed and what feelings were not allowed?

As we enter adolescence, and then adulthood, we become more able to step outside our original family systems and compare them with those of others. This can help us also see how our own family culture has impacted and shaped us as individuals.

These insights can lead to some deliberate rejections of family values and behaviour. There are many decisions, significant and small, many make as adults to try and separate and ‘do it differently’. What is more difficult to disentangle from, however, are those parts of the system which have been unconsciously assimilated and which we therefore can’t recognise in ourselves or perhaps even in our family. This unconscious maintenance of our family culture is at its most complicated and hidden in our emotional life and is very likely to surface in our relationships.

The family system and the psychotherapy group system

When someone joins a psychotherapy group, they unconsciously expect the group (as well as the therapist) to behave like their family. A little like the stereotyped ‘Brit abroad’, they are expecting things to be like it is ‘back home’ even though they have made the journey initially for something different. Because their own family culture is what they know, the individual feels in some way that they’re going to be safer if the group behaves in this expected way.

In these scenarios two things are likely to happen.

Firstly, the group will, at times, unconsciously repeat for the individual experiences that replay the family culture.
In psychotherapy, past experiences will always resurface in some shape or other. This is an opportunity for the individual to tackle difficulties head on and ‘in the moment’. While the group will inevitably repeat some aspects of the family system, it is not the family and as a therapeutic system it will allow these experiences to be explored. Sometimes, this can happen quickly but often it is an ongoing process over time.

Secondly, the group and therapist will, also at times, confound the unconscious expectations that the individual’s family culture will be recreated.

As I said above, the therapy group develops its own culture and system based on therapeutic values rather than the old family values. This new group system will eventually override or at least reshape the old system of the individual’s family.

This is quite explicit when group members expect a shaming or critical response when they reveal or expose some thought, feeling or behaviour that would not fit with their own family values – consciously or unconsciously. It can be a moving and an important experience when they’re met with a typical therapy group response of acceptance, empathy and understanding.

In addition to those more obvious moments, as the individual becomes immersed in the group culture, they allow this new – more benign, and therapeutic – system to replace the old. This deeper process takes place in a complex way over time.

Summary

We are all shaped by our family cultures. Problematic aspects of our emotional lives and relationships can often be traced back to our family experiences and the systems we have internalised. Group therapy offers an opportunity to engage with these internalised parts of ourselves and through the group therapeutic process separate from limiting or harmful family assumptions and values.

 

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

 

Claire Barnes is an experienced UKCP registered psychotherapist and group analyst offering psychodynamic counselling and psychotherapy to individuals and groups at our Hove practice.  She offers a free telephone consultation for anyone interested in exploring further the possibility of joining a therapy group.

 

Further reading by Claire Barnes – 

Is a Therapy Group Right for Me? Am I Right for a Therapy Group?

What happens in Therapy Groups? The role of the Therapist

What happens in Group Therapy: Mirroring

The Problem with Change

What is it like being in a Psychotherapy Group? Case study – Joe

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Parental Alienation and the impact on children

Separation or divorce are painful, difficult and time consuming processes and more so where children are involved. Few couples manage to amicably separate and sadly, this applies to couples who have a child or children together too.

Although it may seem obvious, my experience is that couples who are separating and have children often fail to recognise that they in fact will always have a relationship with each other as parents of the same children. Whether this is openly and maturely acknowledged as in the case of couples who co-parent, or not, as in the extreme case of parental alienation, there remains, nonetheless a relationship.

What is Parental Alienation?

Broadly, parental alienation occurs when a child becomes hostile, fearful and generally unwilling to engage with one parent as a result of the either the psychological manipulation of one parent or, more often, the toxic relationship between both parents. It is extremely damaging to children and can lead to mental health issues including self harm and suicidal ideation.

Parental alienation is on a scale from a parent making negative remarks about the other parent, or one parent ‘forgetting’ their responsibilities on relation to their child (an agreement to pick them up etc.) through to psychological manipulation and control.

The child as centre stage

Whilst the process of separating can be extremely painful and difficult, it is critical that parents find a way to establish a working relationship in co-parenting their child. This starts from the point of agreeing together the narrative they are going to tell their child about the separation through to long-term parenting commitments.

The role of psychotherapy

Experienced couple’s psychotherapists are able to work with a couple to move beyond their
grievances and establish a framework within which they will work together to fulfil the same job: raise their child and create emotional stability for them.

The impact of divorce on children

Society and parents tend to enormously underestimate the impact that separation and divorce can have on a child. For children, their entire stability is predicated on the stability of the parental unit and when this gets rocked or shaken to its foundations, the impact on a child can be enormous.

Studies have been undertaken measuring the impact of divorce on children and in many cases the psychological impact can be greater than losing a parent through death. The reason is because, generally, when a child is bereaved, the other parent (along with the broader family and society) enables the child to grieve a very tangible loss. With divorce, and especially where the split is contentious, children often feel they need to ‘pick a side’ and are unable to grieve the loss of the parental unit.

Top tips to focus on when separating and a child or children are involved –

  • Separate out grievances towards each other about the end of the relationship and your job as parents;
  • Agree a narrative that is age appropriate to tell your child about what is happening;
  • Reassure your child that you continue to both be there for them;
  • Avoid displays of conflict in front of your child;
  • Recognise that you NEED to put your child first and that all children want two parents and would prefer their parents to stay together;
  • Allow and facilitate the grieving process for your child.

 

To enquire about psychotherapy sessions with Mark Vahrmeyer, please contact him here, or to view our full clinical team, please click here.

 

Mark Vahrmeyer, UKCP Registered, BHP Co-founder is an integrative psychotherapist with a wide range of clinical experience from both the public and private sectors. He currently sees both individuals and couples, primarily for ongoing psychotherapy.  Mark is available at the Lewes and Brighton & Hove Practices.

 

Further reading by Mark Vahrmeyer

Space: The Final Frontier of Manic Defence

Do Psychotherapists Need to Love Their Clients?

Unexpressed emotions will never die

What is the purpose of intimate relationships?

Why ‘Cancel Culture’ is about the inability to tolerate difference

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Love and family

The family is our first social group. It is the crucible in which our passions are born and our capacities to love and to live are shaped – and misshaped. The family imbues its members with its own specific culture, habits and attitudes.

As an organism, it too is shaped by the cultural moment and the social environment, the hopes, fears and attitudes of the day. It is the bedrock of our most durable and intense emotions and the fertile soil of our satisfactions and discontents. The family reconfigures with each new life that enters and exits. Constantly changing, constantly staying the same it is both dynamic and flexible, coded and predictable. We are all indelibly touched, one way or another by its authority. We learn to love in the context of ‘family’, each in our own idiosyncratic way. Every family has its own cast of characters ((step)parents, grandparents, (step) siblings, aunts, uncles etc). All players in a unique drama. Family is a stage where universal themes are navigated, power, sex and money, hierarchy and democracy, passion and ambivalence, in all their dark, tumultuous, devastating and innocuous glory.

Universal themes

From Greek myth to Shakespearean tragedy, the depths and breadth of family relations provide a turbulent, brooding backdrop to moral, ethical and philosophical considerations of a universal scale. So often in these epic tales, we are reminded what an unruly emotion love is, indeed how uncomfortably close it resides to its shadowy counterpoint hate. Disowning his most beloved youngest daughter Cordelia, King Lear in a fit of vanity and rage is consumed by vengeful hate, abdicating love and reason in its wake he casts her out. Her failure to satisfy his insatiable need for flattery and primacy, to go against her own nature, disrupts their bond, unleashes chaos and eventual tragedy. This is an epic tale of family conflicts, of power, love and greed. Most family dramas do not play out on such a grand scale, but remain hidden in the shadows of secrecy, shame and trauma, creating a legacy that can trickle (or cascade) down through generations to come.

Changing Families

Whilst the major human themes endure in families across generations, the architecture of family life and living is continually changing with the socio-political and economic tides. Every generation spawns its own raft of experts on the family and its constituent members, from the institutions of religion, state, medical and social science and philosophy. The current moment, in particular, is one in which the couple is the central organising pillar upon which the success of the family depends. Bred in ever smaller numbers, the modern child is also a major focus of scrutiny and opinion. As the birth rate has decreased so children’s value has increased. Parents invest heavily in their offspring financially, emotionally, educationally etc. We dedicate ourselves to their health and happiness, often discounting our own in the process. As an antidote to our high tech fast-moving, demanding lives we create a utopia of childhood and perhaps (without knowing) locate many of our own unmet hopes and passions in our beloved and precious innocents.

Love them or hate them (and indeed it is within our families that we learn about both) idealise or reject them it is within the context of the family that we learn about the social world and our place in it. It is in this original grouping that we have our first experience of grief and loss, it is where we learn to trust (or not) and to express (or inhibit) our desires. Family life is fraught with misunderstandings and pain and is the vessel in which our virtues are forged, kindness, loyalty generosity and fortitude. Interestingly, even when we grow up and leave them we will most often seek out another with whom we wish to form a family. At this very particular COVID moment, we are all forced to reconsider what family means to us.

 

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

 

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.

 

Further reading by Gerry Gilmartin

Understanding sexual fantasy

Fear and hope in the time of Covid

Relationships, networks and connections

Paying attention to stress

Face to Face and Online Therapy Help Available Now

Click Here to Enquire

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The Benefits of Yoga Breathing for Children with a History of Trauma

When children feel helpless, angry, or scared for long periods of time, it can be remembered in their bodies. This is particularly so in the case of trauma, whereby specific (trauma-implicated) body parts may start to feel somewhat disconnected to the rest of the body (e.g. headaches, neck pain, stomach aches, back spasms, etc.). Body tension is also common in children who were very young at the time of their trauma and, therefore, may have no conscious or verbal memory of it. This phenomenon can be hard for parents (and professionals!) to make sense of and can often lead to them seeking assessment and treatment for many things before considering the long-lasting impact of historical stress or trauma on child. An important task of a psychologist, therefore, is to help chronically stressed or traumatized children to tolerate physical sensations without being afraid of then. This includes teaching them how to regulate their own internal arousal.

The brain-body system that we target in this kind of work is known as the Autonomic Nervous System (ANS) – also known as our ‘survival system’. At its most basic level, the ANS is comprised of two discrete branches called the Sympathetic Nervous System (SNS) and the Parasympathetic Nervous System (PNS). The SNS is associated with the release of chemicals such as adrenaline, which spur the brain and body into action. The PNS on the other hand, is associated with the release of chemicals such as acetylcholine, which enables us to be calm and to regulate important bodily systems such as our digestion and sleep. In a healthy child, the SNS and PNS work closely together to enable a child to have an optimum awareness of both themselves and their environment, so that they can respond to each appropriately. For some children, however, historical stress and trauma can cause the SNS too become too powerful, leaving the child vulnerable to quickly dysregulating in response to misunderstood internal sensations or external stressors.

One biological marker that has been identified as a strong indicator of how well the ANS is working is ‘heart rate variability’ (HRV). In healthy children, the very act of breathing leads to steady, rhythmical fluctuations in their heart rate, which in turn is a measure of their wellbeing. This is because inhalation activates the SNS (and therefore raises their heart rate), whereas exhalation activates the PNS (and therefore slows heart rate down). Good HRV – and therefore, good balance between the SNS and PNS, enables children to execute a reasonable degree of self-regulation, including being able to calmly appraise upsetting situations without dysregulating, such as disappointment or peer rejection. Poor modulation between the two systems, however, negatively affects how their body and brain responds to stress. Research indicates that people with posttraumatic stress disorder (PTSD) often have poor HRV (Hopper, et al., 2006).

One way to improve HRV, has been shown to be through focused breathing techniques. Indeed, simply changing the way one breathes, has been associated with a wide range of positive physical and psychological outcomes, including marked improvement in mood disorders, asthma, and back pain (e.g. Pilkington, et al., 2005; Sherman, et al., 2005; Streeter, et al., 2010). Focused breathing techniques for children can be found in many forms, but one particularly successful form has been shown to be via Yoga. This may be because Yoga supports children to pay attention to what is happening within their bodies rather than just outside of it – teaching them that all sensations peak and fall, with a beginning, middle and end (Van der Kolk, 2014). This can be of particular benefit to children who rely on either sensory numbing or over-stimulation, or who may need additional support to feel ‘safe’ in their bodies.

In my clinical experience, I regularly find that children, even without a history of trauma, can still benefit hugely from mindfulness-based breathing exercises. For this reason, I am very grateful to Dr Emma Stevens (Clinical Psychologist), for recommending a lovely book of breathing for young children based on the principles of Yoga – “Frog’s Breathtaking Speech” (Chissock and Peacock). My children have loved reading this story and learning the techniques. I hope yours will too!

 

References:

Chissock, M. & Peacock, S. (2020). Frog’s Breathtaking Speech How children (and frogs) can use Yoga breathing to deal with anxiety, anger and tension.

Hopper, J., et al. (2006). Preliminary evidence of parasympathetic influence on basal heart rate in posttraumatic stress disorder. Journal of Psychosomatic Research, 60 (1), pp. 83-90.

Pilkington, K., et al. (2005). Yoga for Depression: The Research Evidence. Journal of Affective Disorders, 89, pp.269-85.

Sherman, K., et al., (2005). Comparing Yoga, exercise and a self-care book for chronic low back pain. Pain, 115, pp. 107-17.

Streeter, C., et al. (2010). Effects of Yoga versus walking on mood, anxiety and brain GABA levels: A randomized controlled MRS study. Journal of Alternative and Complementary Medicine, 16, pp. 1143-52.

 

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 with us. Online therapy is available.

 

Face to Face and Online Therapy Help Available Now

Click Here to Enquire

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