tag:blogger.com,1999:blog-74532476127120181762024-02-07T10:39:03.168-05:00Svitasheva Psychotherapistsvitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-7453247612712018176.post-66986323878397892662020-02-12T23:22:00.001-05:002020-02-12T23:22:33.425-05:00<br />
<div class="MsoNormal">
<span style="mso-spacerun: yes;">
</span>What Children Lose When Parents Divorce<o:p></o:p></div>
<div class="MsoNormal">
Maryna Svitasheva Ph.D., RP<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>This issue is only
one of many related to the ‘divorce’ topic. I would like to share my thoughts
and impressions acquired while working with children and adults whose families
have experienced a divorce.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Adults divorce when
they are unhappy together. When a couple relationships do not work anymore, at
least, for one of two, or it may be for both. Children and adults are involved
in family relationships differently, which is why separation and divorce carry a different meaning for children than for their parents.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>It is impossible to
encompass the entire spectrum of separation and divorce scenarios. At times
adult men and women disassemble their marriages in the hope of better lives,
better partners, or freedom. In other and more frequent cases people look to
escape unfortunate circumstances and pursue the goal of stopping domestic
violence, infidelity, disrespect, manipulations, or dishonesty. A great discussion
revolves around the question ‘which is better – a complete but dysfunctional
family with no happiness? or separating to stop arguments, shouting and
somebody’s tears? This article will focus on the option when parents decide not
to be spouses but try equally to participate in their children’s lives. It is
common for parents to try to convince kids that divorce is not as catastrophic
as it appears. Parents say that the child ‘will still have both loving Mommy
and Daddy’. An additional ‘benefit’ in the picture is presented as ‘you will
have two homes’. It is so tempting to believe that ‘two homes are better than
one’!<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>However, the magnitude of the change caused by the parents’ divorce for kids is much bigger
than mentioned in passing above. Below I describe several aspects of divorce as
specifically faced by kids.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>First of all, our
basic human need to belong to a group becomes frustrated. For the child, the
family is the first referent group to which she/he belongs. When the family malfunctions,
the child faces a conflict of different needs: (i) on the one hand, to belong
to the group, and (ii) to feel protected and supported or to grow up in the
optimum developmental environment on the other hand. So, for the child, the
parents’ divorce means that their first life experience of belonging to the
group gets interrupted. Since we are talking about one of the basic frustrated
needs, it is good to understand that the child is unable neither to comment on
this frustration nor to explain her/his vision of what is happening. In therapy,
it might be important to work on other inter-personal connections in other
groups that the child may belong to aside from the family. Also, since the
child’s experience of participating in close and significant relationships has
been compromised, the therapeutic relationship may gain additional important
meaning for the child.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>The second point
in our discussion is related to changes that often happen to the parents. I
call them ‘emotional changes’. Parents who look to spend time together with the
children without the ex-spouse quite often present themselves as emotionally
different when compared to their self-presentation at the time when the family
existed as a whole unite. The child suddenly witnesses a parent as lost,
excessively insisting, ingratiating, depressed, extremely anxious, or tearful.
This emotional change is as important for the child as the fact of the divorce
in itself. Therefore, children encounter an ‘unknown parent’. As a result, the
whole composition of feelings the child experiences daily also changes due to
the mentioned shift in the parents’ feelings.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Emotional changes
in children are largely caused by emotional changes in their parents. Therefore,
we can see that children cry, fight, develop manipulative strategies, or
excessive attachment to one of the parents.<span style="mso-spacerun: yes;">
</span>For therapy, it is important to understand that some part of the child’s
emotions are induced, and work with the parent’s tension might be as important
as psychotherapy for the child.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>The final point
is ‘the time together versus parenting’. This is much less evident than the two
previous thoughts. Children learn non-stop, even when we don’t teach them.
Their nature is to learn and to be parented. They learn things by just
observing or watching the examples that other people demonstrate. Also, parents
teach their kids many things intentionally and unintentionally: to use a spoon,
not to leave toys under the feet, to be ready to go when it’s time, to obey, to
share or not to share their stuff, to follow the hygiene rules, etc. While the
family lives together, all these things are part of the natural family routine.
When the family falls apart this natural stream of teaching and guiding
discontinues. After separation and divorce, the parents need to accommodate
themselves to the changes happening to them. They need to create a new mode of
life, process their feelings, arrange their new residence, and of course –
rearrange their time.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>This last point becomes a real trap for many
divorced parents who look for the time spent with their kids. Either believing
that competing against each other is
right, or for other reasons, the parents start focusing on entertainment, and the
time with children becomes over-organized and structured. The parents try to
make sure that their kids ‘have fun’, however, providing ‘fun’ is not the goal
of parenting. In fact, it is just not parenting. As I mentioned, this issue is
not obvious for adults involved in the situation discussed. Most typically, the
parents and their children are not aware of this side of the whole scenario.
When parents struggle to arrange more hours per week to spend with their kids,
they often substitute a real topic for a secondary concern. They worry about
‘how much time will I spend with my children? How often will I see them?’
instead of planning ‘how can I prevent my parenting from diminishing? How can I
continue or even improve my parenting job?’ Our observations force us to think
that in many cases due to the divorce the parent function reduces.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>We talk about
‘former families’, but there are no former parents or former children. It is
the reason to look for the optimum configuration of the parent-child interactions.<o:p></o:p></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Divorce is a
dramatic event since it stops the existence of a family or the hope of it
continuing to have it function. We return to our initial questions of ‘what do
children lose when parents divorce?’ Even in the ‘best cases’ when the parents
try to be equally involved in the kids’ lives one way or another, children lose
the substantive nature of their parents from what they were before the divorce.
There is only one exception: instead of counting hours, entertaining, plotting
revenge against an ex-spouse, trying to prove how good they are or any other
nonsenses, parents must continue raising, guiding their children, and promoting
their development to the best of their abilities. If done effectively, the best
parents will mitigate the children’s losses despite the divorce.<o:p></o:p></div>
<br />svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com2tag:blogger.com,1999:blog-7453247612712018176.post-14917982609226138222016-09-19T14:09:00.001-04:002016-09-19T14:09:05.037-04:00 Psychotherapy After the Motor Vehicle Collision.Freely Expressed Observations.
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<div style="line-height: 200%; margin: 0in 0in 10pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span></span></b></div>
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Looking around we can see different kinds
of people: young and old, men and women, wearing pants or skirts and so on. And
typically we don’t think about another possible classification: people who have
never had vehicle accidents and people who have. In fact – only those who
belong to the second group know how radically your life can be changed even by
the minor (not catastrophic at all) motor vehicle collision.</span><br />
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pain – is one of the car accident
consequences.<span style="mso-spacerun: yes;"> </span>Very often – it is a severe
pain in muscles and joints. It doesn’t allow sleeping, interfuses every single
minute of the person’s life, and causes low mood and social withdrawal. Don’t
forget – the reasons for that pain are not visible. Hence the relatives and
friends have real difficulties to realize what kind of hard time their close
ones have. Thus even a minor car accident may seriously affect the person’s
connections with the referent group. </span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Additionally to the physical injury the
behavioural and emotional resultant from the motor vehicle accident might be
intensive. Many drivers say their driving changed: they became unconfident,
refuse to drive on the highways, prefer not to change the lane any extra time,
have spates of anxiety when passing the place where the accident happened,
obsessively check mirrors and so on. Some people refuse from driving (at least
temporarily).<span style="mso-spacerun: yes;"> </span>Often together with
anxiety and general tension – depression symptoms come: lack of energy, loosing
interests, avoiding sex, irritability, bad sleep (not only due to pain), etc.</span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Hypothetically: the worse was the accident
the more significant might be a psychological impact. I dare to say – it is a
myth. Providing people after the motor vehicle collision with psychotherapy at
the rehabilitation clinic I noticed: there is no plain correlation between the
severity of the accident and the severity of the mental and emotional
consequences. Sometimes people develop serious depression symptoms after their
cars were hit at the parking lot or at the red light where no high speed was involved.
And sometimes I have a chance to talk to people with totally different
experience. In the uttermost case they almost “put the car onto the roof” (due
to somebody’s fault), felt seriously stressed out and then – “shook it <span style="mso-spacerun: yes;"> </span></span><span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;">off”, said
“things happen”, and moved forward. For instance, motorcyclists usually don’t
quit riding the motorcycles even if they barely survived at the collision.</span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>You ma y say: individual traits determine
the reaction. It is true! Similarly some cognitive stereotypes and
introjections actively “participate’ in the processing of the motor vehicle
accident experience. Some clients really struggle to accept the fact of the
accident if they believed that “nothing wrong may happen to me if I do
everything right” or “everything is up to me”. These formulas don’t work at
least for driving: it is clearly dangerous to ignore other drivers’ attitudes
and mistakes.</span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Meanwhile there is one more observation I
would like to share in this little article. When the psychotherapeutic
relationship achieves the stage of real trust the client becomes able to
explore the emotional content of the moment when the collision happened. People
say – “it happened so fast”. Together we try to stretch the memory image, to
watch it like a decelerated movie. Then more details exude. The regularity is
following: the drivers (passengers or pedestrians) who develop depression
symptoms after the car accident state the moment of the “danger for </span><span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;">their life”, “fear
of death” accompanied by the thoughts “I’m gonna die right now”, or “that’s
it”. My question “Have you survived?” causes the clients perplexity I cannot
compare with anything else. </span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Having said that I am a Gestalt therapist
it is easy to imagine the general psychotherapeutic strategies which may be
applied: work on the awareness that the client’s death “has not come yet, and
you are alive”. Emphasis “here-and-now functioning” and mindfulness procedures
in relation to the current client’s life are the main therapeutic
interventions. It may seem strange, but working on depression and anxiety
issues caused by the car accident I talk to the clients and ask them about
their actual inter-personal communication, their daily routine, parenting
issues, their bosses’ caprices, etc. And it helps!</span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>There is another kind of scenario - when
the psychological consequences of the motor vehicle collision unobviously are
connected with pre-existing issues. I don’t mean now so called “pre-existing
conditions”. I mean that the stress caused by the collision actualizes the
issues which took place way before the accident and were not solved on time.
Surprisingly work on the “pre-accident” difficulties turns </span><span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;">worthwhile. We
don’t have to be attached to the “car accident topic” to provide clients with
the help they need due to the unfortunate collision on the road. I like to </span><span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;">repeat: “The
better you understand yourself, your feelings, reactions and relationships –
the better you drive”.</span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"> </span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"> </span></div>
<br /><br />
<div style="line-height: 200%; margin: 0in 0in 10pt;">
<span lang="EN-CA" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 200%;"> </span></div>
<br />svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com3tag:blogger.com,1999:blog-7453247612712018176.post-57345443881703097762016-09-19T11:57:00.001-04:002016-09-19T11:57:09.411-04:00«Вам прописали антидепрессант»
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<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="font-size: 16pt; line-height: 115%; mso-ansi-language: RU;"><span style="font-family: Calibri;"><br /></span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;"><span lang="RU" style="mso-ansi-language: RU;">Регистрированный
психотерапевт Марина Свиташева </span><span lang="EN-CA">Ph</span><span lang="RU" style="mso-ansi-language: RU;">.</span><span lang="EN-CA">D</span><span lang="RU" style="mso-ansi-language: RU;">.<span style="mso-spacerun: yes;"> </span></span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Есть такой особый вопрос, задаваемый людьми с
хронически сниженным настроением, плохим сном и чувством обездвиженности. Это
вопрос о необходимости антидепрессанта. Достаточно часто он задаётся, когда
разговор с семейным доктором уже состоялся, а доктор уже выписал рецепт.
Примечательно здесь и то, как охотно семейные доктора выписывают
антидепрессанты, и то, как человека не оставляют сомнения по поводу нужности их
приёма.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;"><span lang="RU" style="mso-ansi-language: RU;"><span style="mso-spacerun: yes;"> </span>Докторов понять легче. Для них
депрессивные состояния – это “</span><span lang="EN-CA">medical</span><span lang="EN-CA" style="mso-ansi-language: RU;"> </span><span lang="EN-CA">condition</span><span lang="RU" style="mso-ansi-language: RU;">”, нарушение химического баланса в мозге.
Ясное дело, он может быть востановлен химическими средствами. Вот и рецепт!
Однако, когда он в руках, подступают сомнения. Многие беспокоятся о возможности
привыкания и формирования своего рода химической зависимости (эти беспокойства
напрасны). Для кого-то приём антидепрессанта означает, что дела совсем плохи.
Кто-то избегает любых лекарств в принципе. Кто-то слышал от других, что антидепрессанты
не помогают (что тоже случается). Кроме того и опыт приёма препарата может
оказаться неприятным. Психотропные препараты действуют очень индивидуально. По
большому счёту они должны тщательно подбираться опытным путём с варьированием
дозировки.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>При этом ответ на вопрос «стоит ли
принимать антидепрессанты» может находиться совсем в другом<span style="mso-spacerun: yes;"> </span>поле. Химический баланс в головном мозге –
это вещь важная, но ничего не объясняющая. Дело в том, что <i style="mso-bidi-font-style: normal;">любые </i>наши переживания сопровождаются изменениями в гормональном
фоне. Они суть одно. Стало быть связь между депрессивным состоянием,
эмоционально таким тяжёлым, и химическим дисбалансом не является
причинно-следственной. Они вместе суть одно явление, презентирующее себя и на
биохимическом и на психологическом уровне.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Тем не менее, если призадуматься о
причинах возникновения этого состояния, можно обнаружить, что в подавляемом
большинстве наблюдаемых случаев <i style="mso-bidi-font-style: normal;">сначала
что-то произошло</i> (или происходило): неуспехи, нелюбовь, несчастные случаи,
большие печали – что-то, чему оказалось невозможно противостоять.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>У депрессии – психологические причины! Немудрено,
помощь антидепрессантом сомнительна. Психологические причины лечатся
психологическими (точнее – психотерапевтическими) средствами.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>С одной стороны – опыт, который не удалось
прожить и ассимилировать соответствующим образом, грузом ложится на сердце и не
пускает двигаться. Ни душевно, ни физически. Страдающие депрессией люди
рассказывают, как им ничего не хочется делать и как ни на что не хватает
энергии. А энергия спряталась внутри. И опять начнёт циркулировать, если
получится разобраться со старыми завалами душевного опыта: что-то принять, с
чем-то проститься, от чего-то освободиться, ответственность за что-то принять.
Тут таблетки не помощники. Тут надо разговаривать!</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>С другой стороны – победа над депрессией
предполагает хотя бы крохотное первоначальное усилие, такое маленькое
преодоление: предпочесть какой-то вкус или запах, выбрать ступеньки вместо
эскалатора, прогуляться на свежем воздухе, позвонить психотерапевту, в конце
концов...</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Данная статья выражает мою сугубо
психотерапевтическую – <i style="mso-bidi-font-style: normal;">немедицинскую</i>
– позицию. Разговор о нехватке серотонина в мозге и о роли допамина там же
опущен намерено. Однако будет уместным напомнить, что нужные гормоны в
организме вырабатываются лучше, если быть физически активным и подставиться
солнечному свету.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>И это возвращает нас к теме
антидепрессантов. Препарат, если он <i style="mso-bidi-font-style: normal;">ваш</i>
(удачно подобран и по характеру действия и по дозировке), должен снижать
интенсивность симптомов депрессии. Однако психологические причины
медикаментозно не могут быть сняты. Поэтому важно иметь адекватные ожидания на
этот счёт и ставить адекватную задачу. Если речь идёт о серьёзных ограничениях
функционирования (хроническая бессонница, сильная телесная слабость, чувство,
что жить «просто бессысленно» и т.д.) и никакое минимальное усилие
представляется невозможным, видимо нужна медикаментозная помощь. Корни
депрессии останутся нетронутыми, зато появится шанс и некий ресурс для
психологических усилий. Они абсолютно обязательны.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Если думать, что любая проблема здоровья –
это «послание», то послание депрессии – «что-то идёт не так». Не вокруг
тебя,<span style="mso-spacerun: yes;"> </span>но в тебе! Антидепрессант может
быть помощником в решении проблемы, но ни в коем случае не обеспечивает решения
сам по себе. Чтобы внутренняя жизнь наладилась, её надо налаживать. Некоторым
людям удаётся переосмыслить свои связи с миром самостоятельно. Некоторым людям
как-то помогают обстоятельства, особенно если упомянутые выше маленькие усилия
для преодоления депрессии совершаются. Психотерапия – тоже не последняя по
уместности вещь. Но главное – без вашего участия восстановление не произойдёт.</span></span></div>
<br />
<div style="margin: 0in 0in 10pt;">
<span lang="RU" style="mso-ansi-language: RU;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Общего ответа на</span><a href="https://www.blogger.com/null" name="_GoBack"></a><span style="font-family: Calibri;">
вопрос «надо ли принимать таблетки от депрессии» нет. Этот вопрос индивидуален.
В <i style="mso-bidi-font-style: normal;">тяжёлом случае</i> наилучший прогноз
даёт комбинация медикаментозного лечения и разговорной психотерапии. В <i style="mso-bidi-font-style: normal;">любом случае</i><span style="mso-spacerun: yes;"> </span>наилучший прогноз даёт большая душевная
работа (возможно, с поддержкой психотерапевта)<span style="mso-spacerun: yes;">
</span>и внутренняя готовность меняться.</span></span></div>
svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com1tag:blogger.com,1999:blog-7453247612712018176.post-66636799857548687092015-06-11T22:05:00.000-04:002015-06-11T22:05:29.387-04:00Registered Psychotherapist<b style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;">Maryna Svitasheva Ph.D., Registered Psychotherapist. (356 Windermere ave.)</b><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;">I got my training in Psychotherapy in 1995-1997 at the Moscow Institute of Gestalt and Psychodrama.</span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;">Since then my psychotherapeutic repertoire has been extended with CBT, Solution Focused therapy, art-therapy (music and drawing).</span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;">Prior contacting me please take in to account following:</span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"> 1) </span><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;">I know how to look for a solution, but I don't have "a recipe for you". We are going to develop it together.</span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"> 2) A Gestalt method I practice assimilates perfectly many other approaches. That's why I can use the tools from music- and art-therapy, CBT and Solution Focused therapy, Family therapy and Psychodrama.</span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"> 3) My professional skills and an individual style are more important than therapeutic methods I use. </span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"> 4)</span><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"> </span><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;">I use both an office and Skype space (if you live out of GTA).</span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"><br /></span><span style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;"></span><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"><b>To make an appointment you may call 416-886-9392 or e-mail svitasheva.psychotherapist@gmail.com </b></span><br style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;" /><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;"><br /></span><span style="background-color: white; color: #474747; font-family: Arial, Verdana; font-size: 14px; line-height: 20px; text-align: justify;"></span><span style="background-color: white; border: 0px; color: #474747; font-family: Arial, Sans; font-size: 14px; line-height: 19px; margin: 0px; padding: 0px; text-align: justify;">In this blog you may find more materials about me and the articles which express my understanding of some psychotherapy related topics. </span>svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com5tag:blogger.com,1999:blog-7453247612712018176.post-38939559034961593452015-03-01T15:43:00.000-05:002015-05-05T00:41:47.836-04:00<b>Maryna Svitasheva Ph.D. Psychotherapist. (356 Windermere ave.)</b><br />
I got my training in Psychotherapy in 1995-1997 at the Moscow Institute of Gestalt and Psychodrama.<br />
Since then my psychotherapeutic repertoire has been extended with CBT, Solution Focused therapy, art-therapy (music and drawing).<br />
<br />
Prior contacting me please take in to account following:<br />
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"> 1) </span><span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;">I know how to look for a solution, but I don't have "a recipe for you". We are going to develop it together.</span><br />
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"> 2) A Gestalt method I practice assimilates perfectly many other approaches. That's why I can use the tools from music- and art-therapy, CBT and Solution Focused therapy, Family therapy and Psychodrama.</span><br />
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"> 3) My professional skills and an individual style are more important than therapeutic methods I use. </span><br />
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"> 4)</span><span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"> </span><span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;">I use both an office and Skype space (if you live out of GTA).</span><br />
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"><br /></span>
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"><b>To make an appointment you may call 416-886-9392 or e-mail svitasheva.psychotherapist@gmail.com </b></span><br />
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;"><br /></span>
<span style="background-color: white; font-family: Arial, Sans; font-size: 14px; line-height: 19px;">In this blog you may find more materials about me and the articles which express my understanding of some psychotherapy related topics. </span>svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com7tag:blogger.com,1999:blog-7453247612712018176.post-38012162863048111372013-03-18T12:17:00.001-04:002013-03-18T12:17:20.315-04:00<div class="MsoNormal" style="margin: 0cm 0cm 0pt;">
<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">EATING DISORDERS AS A BIO-PSYCHO-SOCIAL DISCONNECTION IN <span style="mso-spacerun: yes;"> </span>THE LIGHT OF A GESTALT APPROACH<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Eating disorders (mainly bulimia, anorexia, and binge eating) – are severe disorders of eating behaviour which represent themselves in the disconnection between the biological need for food and the psychological experiencing of the need for food.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">The disconnection between the biological need for food and its psychological experiencing can be described in the following way: biologically our body needs to consume a certain amount of nutritious substances, at the same time psychologically we don`t feel a need for nutritious substances in themselves, but we experience hunger, satiation, craving, pleasure, disgust, etc. For example: biologically our body might need protein. As long as protein is a chemical phenomenon we cannot <i>want (psychologically)</i> to eat protein. Psychologically we can<i> want </i>to eat a piece of meat or an egg. The biological needs represent themselves in psychologically experienced desires, preferences, and behaviour: when we are hungry – we eat, when we are satiated – we stop eating, we make our choices regarding “what to eat”, “where to eat”, and so on. It is crucial for our topic of eating disorders as a bio-psycho-social disconnection to see the boundary between the realms of “substances” and “every-day-life things” we deal with in a routine way, and to describe them with the non-specific, every-day-life language. So, proteins and carbohydrates belong to the “chemical realm”. We have some knowledge about them as chemical substances but we don’t experience them as such. What we do experience – is food: a steak, eggs-over-easy, a glass of warm (or cold – if you prefer) milk, etc. The chemical substance represents itself in the things, which can be objects of our direct attention – which is the food itself.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Normally the correlation between the biological needs and their psychological representations exists <b>out of our consciousness</b>: being thirsty we are looking for a glass of water and don’t think about the water-and-salt balance. What is even more important - we don’t need to know that this balance exists. This last point is essential: the connection between the biological needs for food and their psychological experiencing<b> is not supposed to be part of our awareness. </b><span style="mso-spacerun: yes;"> </span>This crucial fact determines the severity of the eating disorders: in the first place on the level of individual functioning it is a disconnection between two realms – biological and psychological; in the second but more important place – it is a broken connection which is supposed to be automatic and is not supposed to be the focus of our conscious attention. This provides the explanation why the treatment of eating disorders is so time-consuming and so often producing only temporary results.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Another aspect of eating disorders is related to the social side of eating. Unfortunately we have to consider one more disconnection – that is between the consumption of food and the social environment and the social circumstances for eating. This theme is not simple to consider because we have to touch the issue of “social norms” (which are definitely relative) on one side, and the results of the social-historical development - on the other. Here I dare to say that some aspects of eating disorders are consequences of the person’s disconnection with some social values and routines related to eating. Let’s start with the list of socially determined aspects of eating which I consider healthy:<o:p></o:p></span></div>
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<span style="color: black; font-size: 14pt;">-</span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To have an approximate eating “schedule”;<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To enjoy tasty food;<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To eat at the table;<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To use “real” plates, forks, spoons, knives (not plastic or paper);<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To set the table in an aesthetically pleasing way;<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To enjoy eating together in company;<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To appreciate an opportunity to eat tasty food in a beautiful environment together with pleasant people <o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To eat with an appetite;<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To prefer not to eat when not hungry.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">I consider the following aspects of eating to be unhealthy:<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To eat in a hurry in inappropriate places (in a subway, or in bed – if you are not sick);<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To eat while pursuing other activities (e.g. reading, watching television, at the computer);<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">-</span><span style="color: black; font-size: 14pt;"> </span><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">To eat what is «good for you» regardless of whether or not you like it.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Our urban everyday life is a real challenge. Not having enough time, people eat in the car, the subway or on buses, very often just out of their hand. The “ocean” of snacks that are available sweeps over the practice of eating regular meals. The fact that the North American (including Canada) portion in restaurants is gigantic has been discussed already many times. Even a mindful attitude toward food and eating has lost an important link – that of the pleasure associated with eating. People today are obsessed with the idea of healthy food (low fat, low salt, low sugar), and this layer of knowledge does not allow them to enjoy the food directly, and closes the way for intuitive preferences. (By the way, for instance, very often those who appreciate the good taste of food are not into using much salt). Summarizing the social messages about food and eating, we have to admit that they are not positive and healthy. They are: “It is OK to neglect the process of eating” and ”Don`t trust yourself.”. These messages do not lead directly to eating disorders, but when the sphere of eating becomes problematic for the person this social set starts working very strongly against the person.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">It is appropriate to remind ourselves that historically human eating is a social action. A contemporary tradition in which the family eats together as part of a celebration (e.g. a wedding, or a funeral) is an indirect confirmation of this idea. When we eat together we share not only a common space and time. We also experience similar taste sensations, we commit the same physical movements (chewing, swallowing, etc.); even the fact that we suspend the conversation during eating is significant – it works positively for our trust for each other (that is why “a business lunch” is a successful way of negotiating a deal!). In relation to eating disorders I have to mention that laboured eating in public is a very frequent symptom of an eating disorder, and – on the other hand – one of the earliest signs of recovery is the ability to eat in company without any other signs of the disorder. <o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">In summarizing I would like to say that when dealing with an eating disorder we have a situation when: 1) eating is not an adequate response to the body's need for food; 2) the body's need for food does not reflect itself in eating behaviour; 3) eating does not connect the person with others. The psychotherapeutic consideration I am going to move to below demands one more observation I have made while working with the eating disordered population: <span style="mso-spacerun: yes;"> </span>these clients very often have complicated relationships, in particular – they experience real predicaments in setting psychologically well-balanced working distance with partners, or with relatives. An accurate description for this kind of relationships is that “she/he is stuck in this relationship”. This last statement may work as a good stepping stone for analyzing eating disorders in the light of Gestalt-therapy because it helps us to ask a couple of really Gestalt-questions: 1) what are the characteristics of the “self'' <i>boundary</i> for the person with ED? and - 2) what is the way of <i>contacting</i> that this person implements?<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Presumably this boundary does not work as an “in-and-out post”. It lets in unlimited food in the case of binge eating, it lets in specific foods in an amount which is not supposed to be <em><span style="font-family: 'Arial','sans-serif';">assimilated</span></em> – in the case of bulimia, and it does not work as an entrance in the case of anorexia.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">It is clear that<i> the cycle of contact </i>does not work.<u> Craving</u> as a specific state which is typical for the clients with ED, is not analogous to the <u>desire</u> which the person may have regarding what, when, and where she/he wants to eat. Nevertheless this choice is supposed to be made at the stage of the<i> pre-contact. </i>The<i> </i><u>pleasure</u> and<u> joy</u> related to the eating process which pertains to the stage of <i>contacting </i>– are omitted as well. <i>Post-contact</i> never comes: a bulimic person misses the moment “it’s enough” and a bit later - like remembering suddenly – removes abundance (excess) out of the body. Therefore a bulimic does not have a chance to experience <u>sufficiency.</u> The same may be said about a binging person: she/he does not receive the inward signal “it’s enough”; therefore the post-contact is missed also. (I am deliberately not commenting on cases of anorexia. No doubt this disorder can be described in the same Gestalt terminology. However this disorder is not an analogy for binge eating and bulimia. Anorexia is much more dangerous and has more existential aspects. This article is short, and I would like to avoid over-simplifying). Instead of <u>anticipation, pleasure, and satisfaction</u> – which pertain to healthy eating – the clients with ED experience<u> craving, the feeling of the loss of control, and guilt.</u><o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">A story told me by one friend of mine helped me to see a lot of similarity between the life stories of the patients in the ED Clinic:<o:p></o:p></span></div>
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<i><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">A young girl grew up in a family where the casual menu included a lot of perogies, pancakes, pies, and so on. Looking at her childhood photos she could say that she was a chubby girl but was not heavy. One day (she was about 10 years old at that time) her grandmother came from far away to visit the girl’s family. She had never seen her granddaughter before. The girl was very excited to meet her unknown grandmother. When the grandmother met the girl the first thing she said – in a joking manner – was “Oh, she is fat!” Those words had a huge impact on the girl, she refused almost everything to eat and lost a lot of weight. This situation of restricted eating lasted several years until the point when the girl made a friend who taught her how to induce vomiting. So, the character of our story became a bulimic. This lasted until her twenties. At this age she became a student of one of the major universities. As she said, her studies were very interesting; she socialized with other young people who were into learning as much as she was. The issues related to her weight control did not make sense any more. From then her eating disorder was over.</span></i><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;"><o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">When trying to transfer this ED story to the Gestalt schema I noticed some resemblance between stories of others. We have: 1) a piece of information (new and negative) had been incorporated forcibly into the set of the girl’s knowledge about herself; 2) due to the high positive meaning of the resource of the information (her grandmother) it was accepted without any checking or critique (consequently it became an <em><span style="font-family: 'Arial','sans-serif';">introject);</span></em> 3) the girl was not aware of her emotions related to the grandmother’s remark; she didn't talk about it to anybody else. This fragment of her experience had not been <em><span style="font-family: 'Arial','sans-serif';">assimilated</span></em>, which means – it became traumatic and rigid.<o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Observing other people with ED we can see the links of the same schema: a subjectively traumatic experience in childhood and rigid understanding of the body shape issues. The fact of the “broken boundary" (which is a trauma) explains why the boundary has a defect and does not work properly; this fact also determines the main mechanisms which interrupt the contact (there are <i>confluence</i> and<i> introjecting</i>). <o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Having said this, we can see the scenario which is so typical for people with ED: usually they don’t enjoy eating; they have an inclination to introject, for not only the information related to food or body shape; they don’t know what their preferences are when they have a choice; often they are unhappy in their relationships – either not having them or being in confluence. <o:p></o:p></span></div>
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<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 14pt;">Therefore we can see that ED in the Gestalt key may be understood as a disorder of the “self” boundary functioning. I would go further and state that the “self” boundary and the traumatic experience are the most appropriate objects for therapeutic attention. The broken connection between biological and psychological, biological and behavioural, individual-behavioural and social (which significantly present in the nature of ED) can be restored by the restoration of the “self” boundary and completing of the traumatic experience which initiated the disorder. <o:p></o:p></span></div>
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svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com4tag:blogger.com,1999:blog-7453247612712018176.post-23841489791203723212013-01-10T09:21:00.000-05:002013-01-10T09:21:14.686-05:00 After my positive experience with the Therapeutic Group working on trauma-related issues I announce two new groups: one - for people who struggle with different sequences of the traumatic experience (either the painful relationships or some accidents); another one - for people who have some relational difficulties at their working places. This group will be smaller and will work on the problems which are relatively resemble.<br />
Those people who contacted me regarding the first (September-December) group but did not participate that time - are well come. At the preliminary meeting you may ask more questions, express more hesitations, have more my comments...<br />
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<span style="font-size: 14.0pt; line-height: 115%;"> Psychotherapist Maryna Svitasheva Ph.D., OACCPP member, <o:p></o:p></span></div>
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<span style="font-size: 14.0pt; line-height: 115%;"> Invites
you
</span><span style="font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><span style="font-size: 20.0pt; line-height: 115%;"> A
THERAPEUTIC GROUP <o:p></o:p></span></b></div>
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<b><i><span style="font-size: 16.0pt; line-height: 115%;"> working on trauma-related issues <o:p></o:p></span></i></b></div>
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<b><i><span style="font-size: 16.0pt; line-height: 115%;">
<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;"> </span></i></b><b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;">(history
of painful relationship,
<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> traffic or other accident,
<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> eating issues,
<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> experiencing anxiety, guilt or
shame)</span></i></b><b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;"> <o:p></o:p></span></i></b></div>
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</span><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;">14
sessions $280
<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> Starting on February 9
<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> One 2 ½
hour session per week <o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> On Saturday 3:00 pm – 5:30 pm
<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> 310 Danforth
ave.
<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> (Chester subway
station)
<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> To make an appointment for <o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> a preliminary
individual
<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;">
free
meeting call <o:p></o:p></span></div>
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<b><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 16.0pt; line-height: 115%;"> 416-886-9392 <o:p></o:p></span></b></div>
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<b><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;"> </span></b><a href="http://svitasheva-psychotherapist.blogspot.com/"><b><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">http://svitasheva-psychotherapist.blogspot.com</span></b></a><b><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;"> </span></b></div>
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<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -62.35pt; margin-right: -59.55pt; margin-top: 0cm; text-align: center;">
<span style="font-size: 12.0pt; line-height: 115%;">Psychotherapist Maryna Svitasheva
Ph.D., OACCPP member<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Invites you to<o:p></o:p></span></div>
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<b><span style="font-size: 18.0pt; line-height: 115%;">A THERAPEUTIC GROUP<o:p></o:p></span></b></div>
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<b><i><span style="font-size: 14.0pt; line-height: 115%;">working on issues related to<o:p></o:p></span></i></b></div>
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<br /></div>
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<b><i><span style="font-size: 14.0pt; line-height: 115%;">the social experience<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">(difficulties
in communication</span></i></b><b><i><span style="font-size: 14.0pt; line-height: 115%;"><o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">with
co-workers,<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">employers, employees,<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">feeling
uncomfortable in public,<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">official
or informal situations.)<o:p></o:p></span></i></b></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">12
sessions $360<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">Starting
on February 16<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">One
2 hour session per week<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">On
Saturday 6:00 pm – 8:00 pm<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">310
Danforth ave.<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">(Chester
subway station)<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">To
make an appointment for<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">a
preliminary individual<o:p></o:p></span></div>
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<span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">free
meeting call<o:p></o:p></span></div>
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<b><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">416-886-9392<o:p></o:p></span></b></div>
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<b><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;">http://svitasheva-psychotherapist.blogspot.com <o:p></o:p></span></b></div>
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<b><span style="font-family: "Adobe Garamond Pro","serif"; font-size: 14.0pt; line-height: 115%;"> <o:p></o:p></span></b></div>
svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com5tag:blogger.com,1999:blog-7453247612712018176.post-72894547286847162512012-07-25T10:17:00.001-04:002012-07-25T10:17:41.462-04:00Psychotherapeutic group<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-size: 14pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Psychotherapist Maryna Svitasheva Ph.D., OACCPP member,</span></span></div>
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<span style="font-size: 14pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Invites you to</span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arno Pro Smbd", "serif"; font-size: 36pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>A THERAPEUTIC<span style="mso-spacerun: yes;"> </span>GROUP</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arno Pro Smbd", "serif"; font-size: 36pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arno Pro Smbd", "serif"; font-size: 22pt; line-height: 115%;">(with a dynamic)</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arno Pro Smbd", "serif"; font-size: 24pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>Working on trauma-related issues (</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arno Pro Smbd", "serif"; font-size: 18pt; line-height: 115%;">history of painful relationship, traffic accidents, eating issues, anxiety, phobias, difficulties in communication, etc.) </span></b><span style="font-family: "Arno Pro Smbd", "serif"; font-size: 18pt; line-height: 115%;"></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>12 sessions</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Starting in September</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>One two-hour session per week</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>On Saturday afternoon</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Cost $10 per session</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Preliminary individual free meetings will take place in August</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>310 Danforth ave.</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>To make an appointment call <span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">416-886-9392</b></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>The benefits of the group therapy</span></span></i></b></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span># It is much easier (than going through the individual therapy) to transfer your new healthy experience – developed in the group – to your every day social life.</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span># The therapeutic process is continuing for you even when the therapist is not focused on you directly.</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span># The members of the therapeutic group are supposed to be active participants, not passive listeners. Nevertheless you participate in the process in your own <i style="mso-bidi-font-style: normal;">emotionally affordable way.</i></span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span># Dealing with others’ feelings and experience may be as much beneficial as therapeutic work on your own experience. Therapist’s support is guaranteed.</span></span></div>
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<span style="font-size: 22pt; line-height: 115%;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span># Finally – group therapy is much more affordable financially.</span></span></div>svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com6tag:blogger.com,1999:blog-7453247612712018176.post-73308127299648448772012-01-08T22:36:00.007-05:002012-01-08T22:41:51.195-05:00ABOUT ME<div id="yiv1386273443yui_3_2_0_15_132563715463137">There are different ways I may go to present myself as a professional psychotherapist.</div><div id="yiv1386273443yui_3_2_0_15_1325637154631660">I might present a <span id="yiv1386273443misspell-0">chronological</span> list of the educational and <span id="yiv1386273443misspell-1">supervision</span> programs I went through or of workshops I presented at different conferences in <span id="yiv1386273443misspell-2">Europe</span>.</div><div id="yiv1386273443yui_3_2_0_15_13256371546311557">I could also tell you a story of growing understanding of the power which the therapeutic <span id="yiv1386273443misspell-3">relationship</span> has in Gestalt therapy. </div><div id="yiv1386273443yui_3_2_0_15_13256371546312661">Or I might begin a description of my endless <span id="yiv1386273443misspell-4"><span id="yiv1386273443misspell-0">journey</span></span> through the world of therapeutic methods, various attitudes toward psychotherapy in general, and clients' expectations.</div><div></div><div id="yiv1386273443yui_3_2_0_15_13256371546312733">I studied Gestalt therapy in Moscow (Russia) in 1995-1997. After <span id="yiv1386273443misspell-5">receiving</span> a Certificate of a Gestalt-therapist and a Gestalt-consultant I developed an extensive <span id="yiv1386273443misspell-6">private</span> therapeutic practise in the Ukrainian city of Dnipropetrovsk. Membership in the Ukrainian Union of Psychotherapists allowed me to communicate with the colleagues from many European <span id="yiv1386273443misspell-6">countries</span>(UUP - which is an <span id="yiv1386273443misspell-3">umbrella</span> member of the European <span id="yiv1386273443misspell-4">Association</span> of Psychotherapy, EAP) . These connections, together with a supervision 5-year program provided by EAP, enriched my initial training. I gained my professional confidence, and started my trainer activity in the educational programs UUK provided.</div><div id="yiv1386273443yui_3_2_0_15_13256371546315459"></div><div id="yiv1386273443yui_3_2_0_15_13256371546315714">In 2007, for personal and social reasons of the time, my family and I left Ukraine. It was good to <span id="yiv1386273443misspell-9">reveal</span> how many tools I had to overcome during that period of culture shock: my in-depth understanding of the human nature, my inclination to be attentive to my own feelings, the huge experience of helping other people when they need a therapeutic support, my general curiosity, and a passionate <span id="yiv1386273443misspell-10">desire</span> to integrate myself into <span id="yiv1386273443misspell-11">Toronto's</span> social, cultural, and professional life.</div><div id="yiv1386273443yui_3_2_0_15_13256371546317579"></div><div id="yiv1386273443yui_3_2_0_15_13256371546317613">Today I am a Gestalt-therapist in Toronto . Thanks to my contact with the Toronto Gestalt Institute I may say that all Gestalt-therapists all over the world speak the same language. Due to my current therapeutic experience I have made one more <span id="yiv1386273443misspell-12">very valuable </span><span id="yiv1386273443misspell-13">discovery</span>: there are certain cultural differences between clients in <span id="yiv1386273443misspell-14">different</span> countries, but these differences are only the surface layer; the fears, the pain from traumas, the need to be healthy and <span id="yiv1386273443misspell-15">joyful</span> are both с<span id="yiv1386273443misspell-16">ommon</span> and individual for all of us on the planet.</div><div id="yiv1386273443yui_3_2_0_15_13256371546319874"></div><div id="yui_3_2_0_1_1326076269429191">The Gestalt method I use gives us the access to your the core problem. Also it gives us the means to overcome the problem at its base. What do we do? Most obviously, we are talking. We try to avoid any kinds of the excuse or explanation (<span id="yiv1386273443misspell-6">because</span> it is very easy to come up with an explanation), and we are focused on your feelings and attitudes (because that is what is our human life - admiration and disillusionment, joy and sadness, trust and misgiving, <span id="yiv1386273443misspell-6">curiosity</span> and <span id="yiv1386273443misspell-7"><span id="yui_3_2_0_1_1326076269429190">apprehension, respect and <span id="yiv1386273443misspell-6">contempt</span>, as well as love, indifference, irritation, anticipation, and all of our other complicated emotions)</span></span></div><div></div><div>The cycle of the Gestalt therapy may be <span id="yiv1386273443misspell-7">brief</span> or prolonged. We start with 10 sessions - as <span id="yiv1386273443misspell-8">intensive</span> as is possible for the client. Very often this short-term course is enough, and the results may be discussed. In other often cases - <span id="yiv1386273443misspell-6">brief</span> therapy gives only partial results, and then we may reconsider the agreement and plan prolonged therapy.</div><div></div><div>One session lasts 50 (+/-) min. The first visit needs to be longer (this additional time is not paid) - to make a <span id="yiv1386273443misspell-7">psycho-therapeutic</span> agreement and familiarize the client with principles of <span id="yiv1386273443misspell-6">confidentiality</span> the therapist follows. Additional time <span id="yiv1386273443misspell-7">may<var id="yiv1386273443yui-ie-cursor"></var></span> be used also for the questions the client has before going far to the therapeutic process</div>svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com1tag:blogger.com,1999:blog-7453247612712018176.post-82406544102018996832011-02-16T18:23:00.000-05:002011-02-16T18:23:02.122-05:00NEGOTIATE WITH YOUR APPETIT! (WORKSHOP)<div style="font-weight: normal; margin-bottom: 0in;">(Renew the vision of your eating-style) </div><div style="font-weight: normal; margin-bottom: 0in;"><br />
</div><div style="font-weight: normal; margin-bottom: 0in;">When we are not happy with our appetite, our relationship with food, and our weight control, one of the traditional approach point us to our metabolism. Many books give detailed information on calorie-counting and activity levels, and healthy eating problems, and correct behavioral eating skills. I offer an alternative approach to consider all these problems. From psychological point of view we can detect many new questions and answers about </div><div style="font-weight: normal; margin-bottom: 0in;">-why one prefers a certain amount of food, </div><div style="font-weight: normal; margin-bottom: 0in;">-whether it suits the needs of one's organism, </div><div style="margin-bottom: 0in;"><span style="font-weight: normal;">-whether something can be done</span><i><span style="font-weight: normal;"> to make the desirable regulation possible.</span></i></div><div style="font-weight: normal; margin-bottom: 0in;">This lecture will give you a couple of metaphors, discussions, and of course new information, to help you to become conscious about <b>the role of eating in your life and the role of your personality in your eating.</b></div><div style="font-weight: normal; margin-bottom: 0in;">Different people have problems of different severity, but this seminar is supposed to be useful for all. </div><div style="font-weight: normal; margin-bottom: 0in;"><br />
</div><div style="font-weight: normal; margin-bottom: 0in;">Date: February 27 (Sunday), 12 pm.</div><div style="font-weight: normal; margin-bottom: 0in;">The leader: Maryna Svitasheva Ph.D., Psychotherapist</div><div style="font-weight: normal; margin-bottom: 0in;">The seminar lasts 1 hour (+ 15-20 min for questions)</div><div style="font-weight: normal; margin-bottom: 0in;">The group may include not more than 12 persons. </div><div style="margin-bottom: 0in;"><span style="font-weight: normal;">Please e-mail to register <a href="mailto:Svitashevapsychotherapist@gmail.com">mailto:Svitashevapsychotherapist@gmail.com</a> </span></div><div style="font-weight: normal; margin-bottom: 0in;">Please let me know your name and - in a nutshell (or in details, if you wish)– the nature of your interest.</div><div style="font-weight: normal; margin-bottom: 0in;">Address 34 Berwick ave., suit # 34.</div><div style="font-weight: normal; margin-bottom: 0in;">“Traditional Healing Center”</div>svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com2tag:blogger.com,1999:blog-7453247612712018176.post-20298312402079611252010-11-25T00:59:00.001-05:002010-11-25T01:45:48.562-05:00IS PSYCHOTHERAPY A LUXURY?<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEK9hwanUwwN104CkApClplSZ5CoQ0rxSPkyDqhk042-NMGXYRcpiOQoIbu2TvZg0wNGsOF0AxVV4eojw9_k8_wfevwIsl87lq7AgZmvvMRh0fathf53GQJCymnHHmMH3rbvgSanB8o1M/s1600/P8260015.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEK9hwanUwwN104CkApClplSZ5CoQ0rxSPkyDqhk042-NMGXYRcpiOQoIbu2TvZg0wNGsOF0AxVV4eojw9_k8_wfevwIsl87lq7AgZmvvMRh0fathf53GQJCymnHHmMH3rbvgSanB8o1M/s320/P8260015.JPG" width="320" /></a></div><style>
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<div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><b><span lang="EN-US" style="line-height: 115%;"> (into the dialog with “Mental Health Services” of Toronto) </span></b></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> The idea that psychotherapy is a luxury has been announced a hundred times. We have heard it from many representatives of different agencies, centers and more. Every time it has been mentioned in passing and sounds like a synonym for the sentence “we can’t afford it because it is expensive, and we don’t want to provide it because it is not essential”.</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> Let’s have a look at the “affordable” approaches now being practiced broadly. A good example is the solution-focused therapy. The therapist practicing this approach concentrates his attention on the concrete problem (how it exists for the client at the certain moment) and on the way of solving it which is possible for the client at a certain stage of his life. The result this therapy leads to is undoubtedly valuable: what the client currently can’t do, don’t understand, or is afraid of after the therapeutic cycle becomes performable, understandable and no longer scary. So when we look at the correlation of the problem scale, the “spent amount” and the received result, we can see that they match each other. And we don’t interpret it as a luxury.</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> What kind of correlation do we have being focused on the other therapeutic approaches, based on the developed therapeutic relationship and demanding prolonged time (Gestalt-therapy, Existential therapy, Psychoanalysis and so on)? Any kind of client’s requests are supposed to be considered in the context of his/her relationships, life connections, or even whole life. Very often the issues<i> </i>discussed at the session don’t sound like they are related to the problem the client initially proclaimed. There is only one criterion which makes sure “we are doing what is necessary”: the client’s feelings that what’s going on is really important for him/her. When the time to sum up comes the client discovers many more new and important changes: some of them are related to the initial problem, some of them belong to completely different realms of client’s life.</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> Examples are very expressive. </span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> <i>B. was an 11-year old boy suffering from asthma. The doctors in the sanatorium had the trouble with his behavior, and suggested his mother to add a psychotherapeutic treatment to their approach to treating his asthma. B. agreed to come to a psychotherapist because he wasn’t happy with his relationships with his classmates.</i></span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><i><span lang="EN-US" style="line-height: 115%;"> After 18 psychotherapeutic sessions the therapist had a meeting with B.’s mother. She described her son’s behavior as very changed: not only the sanatorium doctor stopped having problems with B.’s disobedience, but she herself noticed that all interactions with B. became easier, he stopped his constant resistance, and his attitude toward rules lost tension. Additionally – what made the mother particularly surprised and happy – “the picture” of his disease totally changed: fits of asthma disappeared. </span></i></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> In this case we can see that the results of the therapeutic cycle encompassed spheres of B.’s life which were not even brought up at the initial stage of the therapy.</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> Many other therapeutic cases illustrate the same phenomenon: <b>the results of the therapy are bigger that the request.<i> </i></b></span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><i><span lang="EN-US" style="line-height: 115%;"> A man complained about his over-anxiety related to his little daughter – after the therapy he found completely new aspects in his fatherhood and got a promotion at his job.</span></i></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><i><span lang="EN-US" style="line-height: 115%;"> Another man felt “something like depression coming”. At the last therapeutic session he reported that the depression symptoms disappeared and his relationship with his wife lost the “shadow of conflict”.</span></i></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><i><span lang="EN-US" style="line-height: 115%;"> A young woman suffered because her boyfriend broke her up. After the therapy she described her relationship with that guy as “a stage” in her life and totally reconsidered her relationships with her parents making he much more independent.</span></i></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><i><span lang="EN-US" style="line-height: 115%;"> </span></i><span lang="EN-US" style="line-height: 115%;">The line of examples is endless. They show that the “product” of therapy based on the developed relationship doesn’t correspond to the client’s request “one to one”; more accurately it is “one to many”. Recently I was very pleased to find a small article about psychodynamic therapy in “Psychology Today” (June, 2010). The author proclaims the fact that although many people view this method as ineffective or at least unsupported by clinical evidence the beneficial effects of the psychoanalyst’s work may be much more extensive. “Jonathan Shedler of the University of Colorado examined several meta-analytic studies… and found that not only did the psychoanalytic method often yield greater symptom reduction than cognitive-behavioral therapy or medication, but patients continued to improve long after they stopped attending sessions.” One of the reasons for such effectiveness is related to the specifics of psychodynamic therapy – it is focused on the whole person, not on the local problem or the certain symptom. ”It aims to accomplish much more because most of the time, emotional suffering is not an encapsulated “disorder” but is woven into the fabric of the person’s life”.</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> It is remarkable that the “meta-analytic” studies mentioned above and my review of my own professional experience (I am a Gestalt-therapist) could extract conclusions which are so similar. We can summarize: there are therapeutic approaches which are focused on the whole person, which consider emotional suffering as an aspect of the whole personal life (not as a symptom or a local problem), and which may yield results related to the whole person’s current and future life (not to a concrete life situation. Although we have to admit that sometimes a specific life situation may be fatal or decisive for the rest of person’s life). Certainly, these approaches are time-demanding. (Those rare cases when extremely efficient therapy lasts 2-3 sessions are worth analyzing in another article.)</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> The answer to the question “is psychotherapy a luxury?” now is closer than it was at the beginning: -psychotherapy is expensive (because it is time-demanding);</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> -outcomes of psychotherapy embrace many different sides of client’s life, harmonizing the whole life (which may remain luxury).</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> Now we have one more interim question: “Is this kind of outcome essential?” If “not very much” – psychotherapy is a luxury. But now we are crossing the border line between the areas of objective vision and subjective perception. The issues of “meaningfulness” and “significance” belong to the area of subjectivity. For the psychotherapeutic context it means that the decision about the necessity of the therapeutic cycle can be done only subjectively.</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> So we can return the initial question “Is psychotherapy a luxury? – <b>For whom?</b></span></span></div><div class="MsoListParagraphCxSpFirst" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif; text-indent: -18pt;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;">-<span style="font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="line-height: 115%;"> For the mentally sick person – (in combination with psychiatric assistance) it is the chance to restore connections with society and themselves, and overcome the fear and horror of “madness”. People with these conditions are not good in making decisions and definitely need help from society. Mental illness causes severe suffering, and what ever can be done to relief it – it is just a necessity. </span></span></div><div class="MsoListParagraphCxSpMiddle" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif; text-indent: -18pt;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;">-<span style="font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="line-height: 115%;">For the neurotic person (even if this functional disorder is severe) prolonged and relationship-based psychotherapy is the opportunity to get rid of the chronic psychological tension which in its nature affects all sides of a person’s life and activities. No matter how the neurosis represents itself in each case – it has negative influences on health, on relationships with a family, with friends, with co-workers, on one’s self-attitude, etc. Thus psychotherapy for such a person is essential.</span></span></div><div class="MsoListParagraphCxSpLast" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif; text-indent: -18pt;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;">-<span style="font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><span lang="EN-US" style="line-height: 115%;">For the person who has faced some predicaments or a new situation demanding a lot of energy, or which is controversial, or a crisis situation - the way of helping may be different. And honestly – only the person him/herself can know whether their actual capacity to manage is not perfect or the situation really is too new. Both ways are suitable: psychotherapy or counseling. The client decides.</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> …The circle has closed up. We have reviewed three aspects of psychotherapy: the scale of the submitted problem, the price for the service, the potential result. Only one person in the word can estimate the correlation between them: it is a client (except of those cases when the ability to make choices and decisions is broken).</span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US" style="line-height: 115%;"> Is psychotherapy a luxury <b>from client’s point of view</b>? – For some people – yes, it is (they don’t need it). For some people – it is an affordable necessity. For others – it is a non-affordable necessity, and for some of them – it is vital and non-affordable… </span></span></div><div class="MsoNormal" style="font-family: "Helvetica Neue",Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; line-height: 115%;"> </span></div>svitasheva.psychotherapisthttp://www.blogger.com/profile/04707309744410602694noreply@blogger.com2