101 HEALING STORIES USING METAPHORS IN THERAPY EPUB DOWNLOAD

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101 Healing Stories Using Metaphors In Therapy Epub Download

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101 Healing Stories: Using Metaphors in Therapy

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So I sit here looking out, on to fields so green, whilst you have only dessert and views you will have only seen. These themes have been drawn from research methods aligned with narrative inquiry [ 18 ], whereby the experiencing person makes sense of their life events through use of narrative devices, including metaphor.

Metaphors are foundational strategies in personal story-telling that emerge from and shape our understanding of people, objects, and events [ 19 ].

A wide variety of such metaphors can be found in the literature related to recovery from anorexia nervosa.

A rite of passage metaphor can provide coherence when a person faces death, choses instead to live and then embarks on a process of self-transformation [ 16 ]. As a person moves to reincorporate themselves into the community they reconnect with themselves through body, mind and spirit , others and nature.

Here, the suffering of anorexia becomes a drive, a force, a necessity of personal transformation, remaking and empowering the sufferer. The rite of passage metaphor finds theoretical and empirical form in the posttraumatic growth PTG model [ 21 ]. Here, an adverse event threatens one or more central ideas about the self and the world as a whole, producing cognitive and emotional instability.

As the individual negotiates the meaning of the negative event and how to integrate it into their coherent life narrative [ 21 — 24 ], they disengage from the now inadequate pre-trauma idea, while simultaneously constructing a revised sense of self or beliefs about the world that is more congruent with their new reality [ 21 , 22 ]. Women who recount chronic illness PTG narratives describe themselves as more compassionate, peaceful, and display an increased capacity for accomplishing life goals [ 22 ].

Their stories of transformation and growth are not in spite of their illness, but because of illness-related suffering. Ironically it is this sort of dichotomous thinking that is frequently the target of interventions for anorexia nervosa itself [ 27 ]. These metaphors permeate the clinical field, shaping our own understandings and therapeutic practices.

Adversarial metaphors can easily be found when considering the major treatments used for anorexia nervosa.

As such, they may become invaluable guides for many people. Who do not, in fact, emerge from anorexia at all? We as therapists and researchers risk contributing further to these problematic identities if we continue to confine our theorizing and therapeutic conversations to this discursive field of heroic quest, battle and contest.

Similar to long-term psychosis [ 38 ], they advocate for a paradigm shift that recognizes the value of habilitation, based on concepts taken from the consumer-based recovery movement [ 39 ].

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Scholars argue that these new therapies need to isolate and amplify strengths, build social and support networks and engender self-determination [ 40 ]. Research in this area is fledgling. One promising randomized control trial has demonstrated the utility of adapted cognitive behavior therapy in meeting these purposes [ 7 ]. There are no stories here of adversaries overthrown, or healing, growth, self-enlightenment, or emergence into a new day.

Rather, they are stories of continuing within significant suffering under the influence of anorexia. How can we understand their stories?

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Are these narratives that we as therapists and researchers, families and friends, are open to hearing? What might we learn from them? Listening in the darkness As therapists, clinicians and researchers, adherence to current medical storylines and metaphors of anorexia may lead us to overlook features or choices that are salient in the lives of people living with SE-AN.

We need a different kind of listening; an attention to metaphors that we do not know, plot lines we cannot follow and problems we have not fully recognized. We have come to think of this as listening in the darkness, in which stagnation, pain and chaos are considered valid, meaningful and powerful locations in their own right, not merely a stage along the journey to a better place. Research with women recovering from anorexia [ 9 , 15 ] and living with chronic illnesses [ 22 ] suggests these stories will employ paradoxical, multi-faceted metaphors.

In these stories, recovery did not entail separating off or vanquishing an experience that is totalized as negative or bad [ 25 ].

These stories and metaphors [ 9 , 15 , 22 ] challenge us to rethink illness and recovery. Similar challenges may await us in accounts of women living with SE-AN. These stories of darkness may also include wastelands of numbness with buried volcanoes of rage.

Hambrook, Oldershaw, Rimes, Schmidt, Tchanturia, Treasure, Richards and Chandler [ 44 ] found that people living with AN are more likely than the general population to present a socially compliant self-image while feeling hostile. This pattern of extreme social compliance may predate AN [ 45 , 46 ]. Certainly, lessons in repressing anger start early, as girls who express anger are more likely to be rejected by their peers than girls who express sadness [ 47 ].

These messages continue into adulthood [ 48 ].

Research exploring invalidated anger experiences indicates they remain vivid and powerful beneath efforts to block or repress them [ 49 ]. Indeed, they may be the canary in the coalmine, whose messages we are currently ignoring.

One of these messages may be a critical consideration of the types of metaphors used in understanding anorexia and SE-AN. The current clinical-medical metaphors are adversarial, hierarchical and linear.

The quotes above suggest that women recovering from anorexia [ 9 , 15 ] or living successfully with a chronic illness [ 22 ] employ relational metaphors [ 25 , 50 ] with characteristics markedly different from the clinical-medical fields; metaphors more appropriately described as feminist [ 19 ].

Such metaphors draw our attention to flexibility, context and negotiation [ 19 ]. How might this change our understandings and interventions for SE-AN? For eating disorders in general? Disturbingly, even when women do express anger, it is more likely to be interpreted as sadness [ 51 ].

101 Healing Stories for Kids and Teens

Do our current therapeutic approaches encourage exploration and expression of anger? What roles can we play in de-gendering these patterns in families and society? What role can therapy and research play? Whether or not we are aware as a profession, we are powerful in selecting the stories and metaphors that become encoded in research and enacted in therapy sessions.

The metaphors that we draw upon in our work are not merely descriptive, but also shape our understandings, the ways our clients engage with their life, and the processes of their identity formation. Through our reliance on masculine, linear, adversarial and growth-focused metaphors we have privileged these ways of thinking about illness.These trajectories are predicted and marked out by the medical model. We invite the consideration of alternative metaphors, which can disrupt the notion of heroic patients and therapists , mediate against acts of self-silencing and sensitising us to more radical acts of listening.

There would be no books of poems with the last page missing,No hairy spiders to hide in George W. In these stories, recovery did not entail separating off or vanquishing an experience that is totalized as negative or bad [ 25 ].

These metaphors permeate the clinical field, shaping our own understandings and therapeutic practices. Their stories of transformation and growth are not in spite of their illness, but because of illness-related suffering.

THOMAS from San Buenaventura
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