Saturday 25 October 2014

Beyond the therapeutic state (26-28 june 2014, Drammen, Norway)

Conference Report by Karine Van Tricht: 

The Taos conference took a promising start with the introductory speech by Sheila Mc Namee.  She summoned to all present to be pioneers being creative and innovative when trying to establish a movement where the connectivity with our clients gives us an answer to the psychiatric over medicalization and over diagnosing.

That same night we spoke about ‘WE versus THEM’ and ‘to have a dialogue with the enemy, without calling him the enemy’. Before I realized I was pulled towards a biased discussion where the positive stories of clients and families ended up in oblivion. Personally I fancy more the critical, but subtle polyphony as in the biological existentialism by Nassir Ghaemi (2013).

The next days my fellow researchers and the TAOS workshops gave me inspiration and energy. For instance, I was touched by the devotion and inspiration of Dr. Cornelia Oestereich, a German psychiatrist. During her workshop – “Promoting Change: Impacts of an Unusual Clinial Staff Training Program – SYMPA – Systemic Acute Psychiatry” – she described the development and implementation of a training program in systemic work for complete ward teams in psychiatric hospitals in Germany. In my opinion, her workshop deserved to be scheduled plenary, since it is an outstanding example of good practices that go beyond. 

Rolf Sundet defended during his workshop – “Collaboration and Dialogue: Conceptual Siblings as Helpers for Searching Therapists” -  the feedback orientated dialogic collaborative work. The so-called non-responders, or therapy-resistant clients, the 20 to 30% who miss the boat with evidence based therapies, they deserve customized care! Their therapist needs to be responsive – within the ethical boundaries – and tune to the personalized feedback which circulates within the dialogical space ( Sundet, 2012). Therefore the therapist can rely on the inner dialogue (Rober, 2010) and make use of the instruments for dialogical feedback. (Van Tricht, Sundet & Rober, 2014) This workshop emphasized the importance of qualitative research and therefore had a lot of potential.

Looking forward to the third international conference on Dialogical Practices from 23rd to 25th of September 2015 in Kristiansand (Norway), I’m hoping for a constructive, inspirational and polyphonous dialogue. To end with Kenneth Gergen’s epilogue: “We should be well prepared, as well as for the success of this new, promising, powerful movement as for the disagreement and disqualification that threatens it”.


References
Ghaemi, N. (2013). On Depression: Drugs, Diagnosis and Despair in the Modern World. Baltimore: John Hopkins University Press.
Rober, P. (2010). The therapist’s experiencing in family therapy practice. Journal of Family Therapy, 33, 1-23.
Sundet, R. (2012). Therapist perspectives on the use of feedback on process and outcome: Patient-focused research in practice. Canadian Psychology: 53(2), 122-130.
Van Tricht, K., Sundet, R. & Rober, P. (in progress). Feedback Inspired Dialogical Therapy: The Introduction of Dialogical Feedback Measurements.

Author
Karine van Tricht is a psychologist and marital and family therapist connected to Context (Institute for marital and family therapy) of UPC KU Leuven, campus Kortenberg, Leuvensesteenweg 517, 3070 Kortenberg, Belgium, karine.van.tricht@uc-kortenberg.be, www.uzleuven.be/context

Wednesday 15 October 2014

What do we know about miracles



In the summerschool and at other places I told about the project 'No Kids in the Middle" for children and their divorced fighting parents.

In the last group a miracle happened in the third session of the group. After nine years of fierce fighting, involving lawyers, child protection, network and many others, parents both decided to stop the relational war because it didn't bring them nor the children any good. Father told how sick he was of the fighting, it ruined his life and his body, he cried a lot. He decided not to fight about hours and even days anymore but to fight for a better situation for their son and for them all. Mother couldn't believe this turn immediately but was touched and she said he could be with their son next weekend when his family had a feast. They really struggled to find another tone, another dance.
We were all moved. When I went out for the break, the son (10) of these parents came to me and hugged me shortly.
Why did this miracle happen, what made it possible? We created a context that made it possible, but we didn't create this result.

In the same week we received a letter from a lawyer, asking for all the dossiers of a family with four children that had been in an earlier group. This family, parents and children, joined the group but they didn't change the dance. They are still fighting and we are part of the fight now. Probably mother want to have copy's of all the dossiers, but father will not agree. This makes me sad. I remember the small children, their eyes, their movements. It hurts that we didn't help them enough, that they still are in the middle.
Why didn't this family change their dance? We can make many stories about that, about them, about the therapeutic relation. We can theorize about what happened and why. But we do not know. We never know.

They only thing I can think of is trying to reach mother, call her, invite her to explain why she thinks we failed. What we can learn from her. And see if I can find a way to listen to her in a de- escalating way.

It's the only thing we can: try, fail, try again, fail again, fail better, (Beckett)

Justine van Lawick





Tuesday 14 October 2014

The role of embodied hermeneutical (holographic) unities in organizing our perceptual activities.

“The animals painted on the walls of Lascaux are not there in the same way as the fissures and limestone formations. But they are not elsewhere. Pushed forward here, held back there, held up by the wall’s mass they use so adroitly, they spread around the wall without ever breaking from their elusive moorings in it. I would be at great pains to say where is the painting I am looking at. For I do not look at it as I do at a thing; I do not fix it in its place. My gaze wanders in it as in the halos of Being. It is more accurate to say that I see according to it, or with it, than that I see it” (Merleau-Ponty, 1964, p.164).

As we look over the visual scene before us, and our eyes flick and drift from one fixation point to another, but sooner or later, we come to experience ourselves as ‘seeing something’ — and sometimes, as with Merleau-Ponty’s experience of the cave-paintings, to see such ‘somethings’ as expressing a meaning, as exhibiting a more that isn’t objectively present in the paint on the wall. However, it is not easy to ‘catch ourselves in the act’ of coming-to-see such somethings; in our everyday experience, we are not at all conscious of the process that leads to our seeing them, but conscious only of the result of this process. Hence we all too easily talk of it in after-the-fact terms; but this means that we get the process back to front — we try to understand a process in terms of its products.




   We can, however, begin to get a before-the-fact sense of what is involved in coming to see a well-formed ‘objective’ result by resorting to situations in which the normally smooth-running process seems at first to be inoperative, situations in which we find it difficult to produce expected results. Encountering an autostereogram is just such a circumstance. At first, in looking over it, we can make nothing of it; we are bewildered, and we might easily come to dismiss it as a nonsense. But then others tell us: “No, if you persist, you can see a 3-D figure in it.” Indeed, some will go further and not only describe in detail what can be seen, but also give hints, such as ‘go glassy-eyed’, ‘start with your nose on the figure’, or tell of how to ‘squint’ ones eyes so as to create a set of ‘fixation points’ — points at which the two different views of our two eyes are brought into a clear, common focus — appearing either in front of, or behind, the plane of dots on the printed on the page.

    Gradually, in looking over such displays, our body seems to teach us a way of looking such that we can come to see ‘something’ in the seeing, a ‘something’ appears within the act of seeing. Indeed, as Goethe has it: “Every new object, well contemplated, opens up a new organ of perception in us” (Goethe quoted in Amrine, p.47). What we ‘see’ is ‘there’ in the relations between our outgoing visual activities of ‘looking’ and their incoming ‘results’ — where our outgoing ways of looking are directed, at first, in the expectation of ‘seeing something at all’, and later, in the expectation of ‘seeing something in particular’. We do not, as the standard empiricist story has it, simply see what is ‘out there’ to be seen — as the plethora of recent “invisible gorilla alertness tests,” “person swapping, or “change blindness” experiments show (see http://youarenotsosmart.com/2009/11/06/change-blindness/).

    According to the standard story, seeing the world is a purely sensory experience. But as we can see above, the array of visual stimuli (the somewhat disorderly ink-marks on the paper), remain the same whether we can come-to-see a ‘cube-shape’ in one and a ‘camel-shape’ in the other or not. But ‘where’ are these ‘shapes’ located? They both seem to be ‘behind’ the paper-plane, and as we draw away from the page, they seem to retreat further behind it.

    The two-worlds picture below is different. By holding a pencil point in front of the two worlds picture and focussing on it, so that the left picture is superimposed on the right, you can create a third 3D world floating in front of the paper-plane, which moves towards you as you move further away — an image which we are at great pains to say where it is (Merleau-Ponty). Clearly, there is more to seeing than meets the eye. Contrary to our after-the-fact accounts, what we ‘see’ is in the seeing and not ‘out there’ simply on the page.



    What else, then, is at work in organizing our seeing such that we ‘see’, so to speak, only what we are looking for? Standard after-the-fact accounts have it that this work is done by ideal forms or shapes, ‘hidden behind appearances’, forms which, in practice, are described in terms of commonalities, regularities, nameable patterns, concepts, in short, in terms of abstractions. But what we see it in these figures is not at all general, it is quite particular and unique, i.e., not categorizable; it is seen in the same way by everyone (eventually) — as in the strange shaped figure in the display below:


    How can this be? We seem here to be tapping into a very basic, embodied human capacity. As our gaze “wanders in it as in the halos of Being” (Merleau-Ponty), we gather fragments, sequentially, here and there, at different moments in time, yet in such a way that each fragment gathered is related to our bodily orientation at the time of its gathering; and gradually, with no specific intention other than to ‘see something’, a specific ‘thisness’ or ‘thatness’ comes into view.

    The meaning-making process involved is, I think, similar to the hermeneutical process involved in our reading a text. As we move from one anticipation arousing word to the next connected to it, a flowing continuity of intra-connected anticipations and partial satisfactions begins to emerge.

    The process begins with our focussing on an indeterminate textual whole as the unique whole it is, known to us only globally as situated within a particular genre (as a novel, textbook, instruction manual, etc). We then proceed to conduct a step-by-step movement, from part-to-whole and back again, in such a way that an already partially specified internally articulated order is gradually internally articulated further to accommodate the particular, discernible details in the original global whole relevant to an overall ‘end in view’. In the process, one’s understanding of what a particular ‘something’ is, i.e., what a particular detail means, is clarified by ‘placing’ it within the larger whole within which it has a part to play.

    Thus, clearly, in such a process as this the hermeneneutical unities we constitute here are not at all like abstract generalities, defined in terms of a few distinctive features common to many instances; nor are they at all like objective, nameable patterns, observable out in the world at large; they are quite particular unities of unmerged particularities, within which the particularities are inter-linked with each other without losing their particularity. In other words, they possess a specific indeterminacy, and as such, they are open to being developed further, but only in already specific ways. In being already partially determined, they cannot just be determined further as we please, at each moment, only certain next steps are felt to be possible.

    William James (1897/1956), also with a concern similar to mine here, used our sense of the space in which we live our lives — a “very paragon of unity” (p.265) — as one of “the three great continua in which for each of us reason’s ideal is actually reached” (p.264) — the continua of memory or personal consciousness, being the other two. In such realms “continuity reigns, yet individuality is not lost” (p.265), he insists. “In the realm of every ideal,” he suggests, “we can begin anywhere and roam over the field, each term passing us to its neighbor, each member calling for the next, and our reason rejoicing in its glad activity. Where the parts of a conception seem thus to belong to each other by inward kinship, where the whole is defined in a way congruous with our powers of reaction, to see is to approve and understand” (p.264). Indeed, we can, so to speak, ‘zoom in’ and ‘zoom out’, to see more detail ‘close up’ or less to see ‘the larger whole’ — and perhaps further, to see the larger whole in its larger context.

    Arriving at such unities, such concrete imaginative universals, cannot be done, after-the-fact, simply by an uncontrolled amassing of information (facts) — for  they will remain unorganized into a unity — nor by making observations controlled by a pre-established conceptual framework — as the unique nature of the bewilderment we face in the circumstance will be ignored. The only way to avoid these two disastrous reductions, is by investigators coming to a qualitative sense of a situation as a whole. In short, we need to articulate the nature of the felt tension that a specific bewildering circumstance arouses in us, in linguistic terms intelligible to all involved within it; because, only if all involved can anticipate each others possible next steps, will they each be able to coordinate their actions with those of the others around them. In a flowing, not yet fully determined world, this ‘scene-setting’ activity must be prior to all else that we do, for only if all concerned come to operate from within the same holistic unity, in relation to the same particular imaginative universal, will all concerned by able to situate their concerns within the same shared space.

References:

    Amrine, F. (1998) The metamorphosis of the scientist. In D. Seamon and A. Zajonc (Eds.) Goethe's Way of Science: a Phenomenology of Nature, pp.33-54. Albany, NY: State University of New York Press.
James, W. (1897/1956) The Will to Believe. New York: Dover.
    Merleau-Ponty, M. (1964) Eye and Mind in Primacy of Perception and Other Essays, translated by Carleton Dallery (1964), and edited, with an Introduction by James M. Edie . Evanston, Il: Northwestern University Press, pp.159-190.
    Simons, D.J. & Rensink, R.A. (2005) Change blindness: Past, present, and future. Trends in Cognitive Sciences, 9(1): 16-20.


Tuesday 7 October 2014

Invitation

We are happy to invite you to the
Third International Conference on Dialogical Practices

«Listen to me!» 

Humanizing Human Practices

Kristiansand, Norway, 23rd to 25th of September 2015.


“Listen to me!” is an ambiguous title: it is a cry, a plea, the expression of a fundamental condition for existing. If no one ever listens to me, I gradually turn into nobody. On the other side “listen to me!” may also illustrate the monologic voice of the educator or professional who “knows best” and tries to control and form the other through an instructive approach. Developing dialogical ways of working is about “humanizing human practices”. Only through dialogue we can give space to people’s vitality – in a realm of intersubjectivity.

Children want to be heard! The conference will explore the title “Listen to me!” Humanizing human practices in relation to children and adolescents, within various contexts. 

We will do this through three broad themes.
  1. Dialogues of everyday life: We are all dependent on the dialogues of our everyday life - in our everyday social arenas. This urges us, as professionals, to engage in the social reality and networks of the people we are trying to help.
  2. Dialogues and social justice: Social justice is about being included or excluded - offered or denied a place - in a community. This makes the various dialogues of our lives into political events, and dialogical practices into political practices
  3. The dialogical body: Dialogical practice should not be reduced to communication and understanding in a cognitive sense – a matter of the mind. Dialogical practice operates through the movement, expressivity and responsiveness of the body.
This conference creates an arena were professionals, scholars, researchers and service users from various disciplines can meet and share their experiences and ideas, and co-create ways of working dialogically within human practices.

A pre-conference will be organized with Jaakko Seikkula, John Shotter, Jim Wilson, Peter Rober, Justine van Lawick.

A more detailed program, call for proposals, and further information will be presented later this autumn. Stay tuned.


For further information contact: Tore Dag Bøe: tore.d.boe@uia.no, Tone Lunde Brekka: tone.l.brekka@uia.no or Jaakko Seikkula: jaakko.seikkula@psyka.jyu.fi 
Organizers:

Network for Open Dialogical Practices www.opendialogicalpractices.eu
Institute for psychosocial health, University of Agder, Norway www.uia.no
Department for Children and Adolescent’s Mental Health, Sorlandet Hospital, Norway www.abup.no