#45 – CHILD ASSESSMENT SESSION

Preamble: Johari’s Window While first learning the basics about mental health practice during the 70’s, one concept used to understand therapy process at that time was Johari’s Window. My introduction was through a visiting speaker at the long-defunct Karma Clinic, who used a soft “a” in the introduction, and didn’t go any farther to cite … Continue reading #45 – CHILD ASSESSMENT SESSION

#43 – ORIENTATION AND INITIAL CONTACTS

On The Theoretics My first professional role model was one Mary Rygg, MSW, among other roles in her life a volunteer counselor at Karma Clinic. The service arm of Everett, Washington’s non-profit Drug Abuse Council in the early 70’s, Karma was a takeoff on the Haight-Ashbury Free Clinic, providing help aimed primarily at “street youth”. … Continue reading #43 – ORIENTATION AND INITIAL CONTACTS

#41 – WHO’S WATCHING

At some point an increasing insecurity can merge into the realm of terror. James Garbarino’s definition of terrorizing a child includes “making the world seem capricious and hostile”. Prolonged separation and divorce are universally seen as major stressors for youth. This is tension. Add to the child’s experience an unabated dissension or differences between the … Continue reading #41 – WHO’S WATCHING

#40 – LEARNING AND EXPERIENCE Re: #38, 39

Prelude In spite of its novel and progressive origins during the mid-20th century, family therapy tends to be fairly conservative. Understanding that psychotherapy generally has very few absolutes, which themselves are hallmarks of conservatism, the school “tends toward” rather than “ is always”. Conceptually, the basic approach leans more toward the adaptivity model than the … Continue reading #40 – LEARNING AND EXPERIENCE Re: #38, 39

#38 – HARD CASES – INTRO AND TWO VIGNETTES

Loss and escalating tensions in the context of divorce can create potent emotional reactions. The venerable Holmes Scale lists divorce and prolonged separation from a mate # 2 and #3 on the scale’s 43 identified adult stressors, following only the death of a spouse. For children, an exacerbated insecurity at some point can merge into … Continue reading #38 – HARD CASES – INTRO AND TWO VIGNETTES

#37 – Holding At Bay – Analysis and Comments

The therapies for these three cases had a few basic similarities. They were all relatively long, each being more than thirty sessions and lasting more than eighteen months. The anxiety and depression symptoms were largely resolved. The clinical processes all began with conjoint formats that included their siblings, and moved into split-session formats where the … Continue reading #37 – Holding At Bay – Analysis and Comments