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Is Closing Escape Hatches Always Possible?

11/05/2012 By Ian Tomlinson

escape hatches in Transactional analysisThe term “escape hatches” is used in Transactional Analysis to describe the idea that when faced with very difficult or trying situations, some people exit the situation by carrying out one of three behaviours.  These behaviours are to kill or harm self, kill or harm others or go crazy.

It’s normal practice for a transactional analyst to be listening out for talk of these four options when working with a client.  It’s important that this talk is brought into awareness and discussed because the therapist has a responsibility to keep the client and those around the client safe.  This duty of care requires that the therapist invites the client to close the escape hatch when it is detected.

How are escape hatches closed?

The usual way a therapist will close escape hatches is by asking the client to state clearly that they will not kill themselves/harm others/go crazy within a set period of time.  This may be an agreement that they will not ever do this, or for those clients that are having very strong feelings, especially around suicide, they may contract to stay alive until the next session.  The therapist can then contract with them in the new session for the next week, and progress week by week, hopefully moving the client on during the sessions to where the escape hatch can be closed on a longer term basis.

An important part of the escape hatch process is that the client is making a positive decision from an Adult place (an Adult ego state in TA terms) and is demonstrating to themselves that they have some power over their own lives.  For some clients, who feel that they are at the whims and mercy of others, this may in itself be a big step.

Do we all have escape hatches?

I guess the answer to that is “yes”.  Whether we allow ourselves to have them open or not is a different question.  There is a difference between being aware of ways in which we deal with tragic situations and making that clear decision never to kill ourselves, harm others or go crazy.  It also occurs to me that this decision may also change depending on our life circumstances.  If you were diagnosed with a terminal illness and you knew you were going to face immense pain and discomfort as part of your demise could you honestly say that suicide would not be an option?  It makes sense to me that people in such extreme circumstances would at least think such options through as a possibility.

Where do we make decisions around escape hatches?

Berne would say that the decision around whether to have our escape hatches open and which way we think is the best way of exiting is decided as part of our script.  Script decisions are made early in life (between the ages of birth and six) and we spend the time from making them until early adulthood adjusting and refining them.

Other ideas around escape hatches.

Mark Widdowson, in his book “Transactional Analysis – 100 key points” talks about this idea that it’s often difficult to draw clear lines around escape hatches and I see his point.  For me, as a psychotherapist, it’s easy to spot an open escape hatch if the client that is sat in front of me is talking about, say, suicide.  I can intervene, talk it through with them and invite them to close the escape hatch.  But how should I deal with a client that routinely overeats?  What about smoking?  These too are ways in which we do ourselves harm, albeit on a longer term less obvious basis.

As a therapist I believe it is my responsibility to point these methods of self-harm out too, but I may not contract with a client to change this behaviour specifically (ie, close this escape hatch).

Escape hatches are an interesting and important issue that therapists have to be aware of but, as with all things, are not necessarily as clear cut as they may first appear to be.

Do you have questions around escape hatches?  Please let me know what you thought of this blog post and any opinions you have on escape hatches in the comment space below.

Filed Under: Individual Counselling Tagged With: eric berne, psychotherapy, therapy, transactional analysis

Counselling Stockport

21/04/2012 By Ian Tomlinson

counselling StockportCounselling Stockport

It’s been a while since I have written a blog post and so I thought it might be useful to bring things up to date on what’s going on with me providing counselling Stockport.  I hope this helps those who are unsure of who I am or how counselling or therapy can help them.  In this post I also want to answer the most common questions I get asked about the counselling process.  Please email me using my contact form if you have any questions I do not answer in this post.

Who am I?

My name is Ian Tomlinson and I am a counsellor in Stockport.  I have run Manchester Psychotherapy for the last four years and enjoy being a therapist immensely.  I also work part time as a teacher in Secondary Education and feel that this fits very well with my role as a therapist.

Both jobs are about relationships, both jobs are about bringing the best out in people and both jobs require empathy, kindness and a good sense of humour.  It’s pretty common for therapists to work part time and this may well be something to do with the solitary nature of the job.  Full time therapists have the potential to be on their own a lot and need to plan strategies to deal with this.

For me, I have a close group of colleagues that I work with on a daily basis and around seven hundred little people that are very happy to “keep things real” for me!

Counselling Stockport For Individuals

My Practice is currently about 50% individuals work and 50% couples work.  I tend to work with people over a long period of time but I have worked with clients for as little as eight weeks and they have experienced massive change and not needed to come to therapy after that.

I guess this answers a commonly asked question, “how long will I need to be in therapy for?”  The answer is often “as long as you need to be”.

I have found with my own therapy that sometimes I am in the right place for it and it helps enormously and at other times I feel that I have taken what I need from it and it is time to stop.  You will know when the time to stop is right for you.

There are occasions where I will suggest to a client that they are ready to stop coming.  When we have worked effectively and made the changes set out in the therapeutic contract then it could be time to give therapy a rest for a bit and recalibrate.

What issues do I work with when providing counselling Stockport?

Again, this is another common quesiton from people who are interested in coming for counselling in Stockport with me.  I have dealt with a whole spectrum of issues, from depression, stress, anxiety, gender identity, anger management issues, jealousy and other’s I have probably forgotten to put in the list!

Often what a client comes with and what we end up talking about are very different.  This is because our stresses and strains can manifest themselves in a multitude of ways.

Men’s issues

I do spend a lot of time working with men and men’s issues.  Many men find talking to a counsellor challenging in itself, so to be able to talk to a male therapist takes some of the anxiety away.  I have blogged extensively about how rubbish us men can be at dealing with emotional issues and unfortunately it does cost us dearly.  Suicide rates amongst young adult males are the highest out of all other groups and the prison population is over 90% male.  The sooner we are able to learn that the most powerful men are those that can deal with their emotions effectively, the better.

I regularly work with sexual minority clients too.  Gay men and lesbians form a significant percentage of my client base and I am a gay affirmative therapist.  This means that I will never question an individuals sexuality and see gay and straight as normal as each other (what is normal anyway?).  I have a good understanding of issues faced by the LGBT community and am used to dealing with these.  It may be that sometimes, as a straight man myself, I need information from my clients to help me with understanding the finer details of an issue or situation, but I find I learn from all my clients and this is one of the most enjoyable parts of being a therapist for me.

How to start

So if you were to want to come to my counselling Stockport service then what should you do?  Firstly get in contact by ringing me on 07966 390857 or email me using my contact form.  From there we will have an initial meeting and I will ask you what brings you into therapy and how you think I can help you.  You will have an opportunity to ask me any questions you have about who I am or how I work and I will talk through the business contract and ask you a few standard intake questions (name, address, doctors address – the usual therapy stuff).

From there we will go on a journey together.  I won’t be telling you what to do or what to think but I may challenge negative beliefs you have had for years or give alternative ways of doing things.

With some clients I will be very structured and provide a clear framework, others require time to explore what’s going on for them and time to reflect.

Take a leap of faith – it may change your life.

Going to a counsellor or therapist in Stockport can require serious bravery.  I can remember skulking around the front door of my first therapist, not sure of what I would find but with a deep need to talk to someone about things that were going on for me that were causing me great anxiety.  I could see myself repeating the same negative patterns in my life and I was fed up of shooting myself in the foot.

Therapy changed my life.  It gave me a new way of seeing the events that had taken place and a new way or relating to the most important people in my life.  The counselling I had made such an impression that I got interested in the subject and here I am, nearly twenty years later, helping others change their lives.

So take a leap of faith, give me a ring on 07966 390857 and make an appointment.  I get that you may be nervous and I can assure you that I will look after you throughout the process.

How has counselling made a difference to your life?

If you are reading this post having experienced counselling please comment below and let me know how it made a difference to you.  What was the key moment for you?  What would you say to others who are unsure about picking up the phone and making an appointment?

If you have any questions about me and the counselling Stockport service please get in touch and I will get back to you qucikly.

 

Filed Under: Individual Counselling Tagged With: anger, anger management, anxiety, counselling, psychotherapy, therapist, therapy

The Drama Triangle – Shall We Dance?

02/10/2011 By Ian Tomlinson

The Drama TrianlgeI’m not sure why it’s taken me so long to write about the Drama Triangle as it’s probably the concept that has had more “aha” factor than any of the others with my clients.  People tend to “get it” and, as if by magic, the behaviour patterns that they have been engaged in with others suddenly become apparent. The concept also invites the client to think about the messages they learnt about themselves and others as they were growing up. This new awareness gives an ability to change and pull themselves out of unproductive ways of being.

What is the Drama Triangle?

The Drama Triangle was created by Steven Karpman as a different way of looking at Berne’s Game theory. Karpman suggested that there are three roles that people can take when they play games:

Persecutor – Persecutors take the “I’m OK, you’re not OK” position. They bully, snipe, bitch and intimidate others.

Rescuer – The Rescuer also takes the “I’m OK, you’re not OK” position but the feel is very different. Rescuers “take care” of others whether the other person wants looking after or not. They presume that others do not have the ability to do things for themselves.

Victim – Victims take the “I’m not OK, You’re OK” position. They look for others to either “look after” them or pick on them.

So, which one are you? If you’re like the rest of us then you’re probably all of them! You are, however, likely to favour one of these Drama Triangle positions over the others.

All three of these roles are inauthentic – that is, they are based on the past ideas and beliefs that the individual has formed about themselves and others throughout childhood. The positions are likely to confirm script beliefs and are responding to past events rather than the here and now.

Let’s just take a minute to think about that for a while. If I’m treating someone like a Victim and I am Rescuing them, then that has probably more to do with my beliefs formed in my childhood than the needs of the person I am Rescuing. The here and now reality of the situation is ignored (discounted) and I just carry out those actions that have been programmed into me as a child. The great thing about that program is that we wrote it and we can change it. I think it is this program that gets revealed to clients I explain the Drama triangle to. On seeing the program they can decide whether it is useful anymore and how it needs to be altered. The process of psychotherapy then supports and facilitates the changes the client wants to make.

The diagram used to show the relationship between these positions is drawn like this:

The Drama TriangleThe important thing to see here is those arrows going in both directions. When playing games an individual tends to move around the triangle taking all of the roles at different times.  We dance around the triangle with our opposite number taking on all of the roles.

Here’s an example of a conversation between two people that demonstrates the triangle nicely.

Jamie: Why are you late again? You’re always late for everything and I’m sick of it! (persecutor)

Lesley: I’m really sorry, I forgot to set my alarm. Please don’t be mad at me. (victim)

Jamie: Well you’re stupid and inconsiderate. I’ve no idea why I put up with you! (persecutor)

Lesley: It’s not as if you are perfect. Stop shouting at me now otherwise you will regret it! (persecutor)

Jamie: OK, OK. Calm down. I didn’t mean to upset you. (victim)

Lesley: Well you never help me with my lateness so what do you expect? (Persecutor)

Jamie: OK, so from now on I will set your alarm for you and make sure you get out of the house on time. (Rescuer)

Note how the positions change, and when one player moves position that invites movement of the other player.

When is a rescue a Rescue?

The convention is to capitalize the R when discussing the drama triangle type of Rescuing, Persecuting or Victim to distinguish it from the non-drama type. The difference is that when a game-playing Rescue takes place then the Rescuer is usually doing something that they do not really want to do but they think that they “ought” to. A Rescue also involves a discount of self or other (as all the positions in the triangle do). In the example above, Jamie is discounting the ability of Lesley, who is an adult, to set an alarm clock. Also, Jamie really does not want the added stress of making sure that Lesley is not late any more but feels obliged to “help” Lesley with this. The ideas that Jamie should do this will have been formed in childhood and are part of her script beliefs.

Why do we play on the Drama Triangle?

We dance round this triangle for the same reason that we play games; we want to get our needs met but we are often too scared to ask for what we want directly. Asking for what we want, being intimate with others, feels dangerous and there is the highest risk that we may be rejected so we take one step down and play games instead to attempt to manipulate others into giving us what we want without being explicit.

The cost of doing this can be high. Each position has its own payoff and these often reinforce the beliefs about self. For example, in the script above, Jamie may once again see that her needs are not important and that she has to look after others to be OK. This leaves her feeling angry and uncared for.

How do we step off the Drama Triangle?

The solution is simple. Step off the triangle by being intimate with those you talk to. This can be carried out simply by using Steiner’s “action-feeling” statements.
The first transaction from Jamie may then have looked like this:

Jamie “When you turn up late I feel angry and annoyed. In future I would like you to turn up on time or ring me to let me know you’ve been held up”.

This statement invites Lesley to think about her behaviour and how it’s had an impact on Jamie. It invites Lesley to stay in Adult ego state and be empathic to Jamie’s needs.

What’s the next step?

I think the next step is to become aware of the ways in which you are dancing on the drama triangle. Notice which positions you take more often. Do you take different positions with different people? How does your drama triangle position connect with your experiences in childhood? When you have gathered this information you can decide to do things differently. Whenever we do things differently there is likely to be feelings that come up for us so seek out a close friend or family member you can talk this through with or work with a therapist to help you make the changes you want.

What do you think about the drama triangle? Do you have great strategies to get yourself off the triangle into closer connection? Please comment on your Drama Triangle experiences using the space below.

Filed Under: Transactional Analysis Tagged With: claude steiner, eric berne, psychotherapy, therapist, transactional analysis

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