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Inside the Consulting Room. Introduction. The Blessed Drink That Nobody Can Touch · Inside The Consulting Room - Understanding the Child Behind the Behaviour

• 0:00
  SPEAKER_00: Lee, child and adolescent psychotherapist, welcome to this introductory episode, which is to in some way frame the forthcoming ten episodes entitled Inside the Consulting Room.
• 0:18
  SPEAKER_00: When I was writing the scripts for these, I was reminded of something I used to do many years ago, and part of me wonders if it was if it was right to stop doing it.
• 0:33
  SPEAKER_00: Before I began working in private practice, I worked with many children in residential care and children who were very often deprived in every way one can imagine, alongside all of the other experiences they'd had.
• 0:53
  SPEAKER_00: And I realized that one of the single most important things that these children had missed out on was a parent who was emotionally available enough and attuned to the child to show them how they were recognized as individual within the family.
• 1:17
  SPEAKER_00: Now it should be said that many of these families were so chaotic and struggling with so many things that the idea of emotional availability and preoccupation was a bit fanciful.
• 1:30
  SPEAKER_00: And this is, of course, not a criticism, but a recognition of just how incredibly difficult these family lives were.
• 1:38
  SPEAKER_00: So I began to try and find ways of recognizing the uniqueness of each child and communicating to them that there was something special about them and different about them, which was real, visible, and worth responding to.
• 2:01
  SPEAKER_00: Now I think many parents do this automatically and without without without really realizing, knowing that one child likes a particular food, another child doesn't.
• 2:11
  SPEAKER_00: One child likes a particular set of um whether it's individual names for the child, but something that makes the child feel special and different and known.
• 2:23
  SPEAKER_00: And with the children in our care, there was something of a an understandable but rather difficult sort of institutional component where the recognition of individual children, whilst it was there, didn't have quite the quality that I felt that it needed.
• 2:42
  SPEAKER_00: And so what we began to introduce was something called special time.
• 2:48
  SPEAKER_00: Each child had their own allocated key worker.
• 2:52
  SPEAKER_00: And the key worker had to ensure that each week there was some activity with that their child, which was meaningful to the child.
• 3:03
  SPEAKER_00: And it could be taking the child to the park, it could be just some small activity, something maybe they would sit and draw together or they would watch something together, but it was it was unconditional time.
• 3:15
  SPEAKER_00: No matter what had happened, special time must always happen.
• 3:21
  SPEAKER_00: And from this grew the idea of there being some kind of token that the child could choose.
• 3:29
  SPEAKER_00: It could be a drink, it could be some sort of food, it could be it could be anything that was meaningful the child.
• 3:35
  SPEAKER_00: And this offering, again, was unconditional.
• 3:40
  SPEAKER_00: And it was something which served as a kind of connection.
• 3:48
  SPEAKER_00: So when I entered private practice, I took some of the some of the thinking with me, and I began to give children what they would call their special drinks.
• 4:06
  SPEAKER_00: So every child would have a drink when they came to the session, and it could be so long as it was legal, and I've had some interesting requests, it was something that was uniquely theirs.
• 4:19
  SPEAKER_00: It was always there, no matter what.
• 4:22
  SPEAKER_00: And it it normally it was cans of something, bottles of something, cartons of something.
• 4:29
  SPEAKER_00: And what was interesting was that it were the responses were were incredible because some children had a sort of disbelief that this was possible.
• 4:43
  SPEAKER_00: But as time grew with each case, the drink had a kind of evolving meaning.
• 4:52
  SPEAKER_00: So some children would leave the drink by their side and not open it, and then maybe take it away with them.
• 5:02
  SPEAKER_00: Some would open it and consume it in one.
• 5:06
  SPEAKER_00: Some children would drink it and take the empty container home.
• 5:11
  SPEAKER_00: And I've heard all kinds of stories about where those ended up.
• 5:16
  SPEAKER_00: There was one child who kept the empty drinks in the fridge or the containers in the fridge, under strict instructions to parents that they should not be moved.
• 5:28
  SPEAKER_00: One girl talked about her blessed drink and how it mustn't be touched or used by anybody else.
• 5:36
  SPEAKER_00: It was being savored.
• 5:38
  SPEAKER_00: And in the consulting room, I would see changes where a child who would have their drink sort of next to them and feel cautious about whether they could even touch it, over time slowly accepting and drinking it.
• 5:59
  SPEAKER_00: Now the drink was a representation of something.
• 6:06
  SPEAKER_00: It symbolized an act of unconditional giving.
• 6:10
  SPEAKER_00: It also demonstrated that the child's uniqueness was being acknowledged and that how they managed that drink was entirely their choice.
• 6:24
  SPEAKER_00: That sense of I recognize the special difference in you really had a powerful impact.
• 6:35
  SPEAKER_00: Now, some people might think that in some way the offering of a drink was almost like an incentive.
• 6:52
  SPEAKER_00: And I don't know that it was necessarily experienced in that way.
• 6:57
  SPEAKER_00: But it did make me think, and I remember discussing it with a new supervisor that I had, and he wasn't so sure that it was a good idea because he felt that I might be communicating something to the child which felt like they might be being compromised, and I didn't entirely agree.
• 7:21
  SPEAKER_00: And but over time I began to think, I wonder what would happen if with new patients, because I couldn't just suddenly withdraw it, how that might work.
• 7:33
  SPEAKER_00: And what I realized was actually the giving of this unconditional object, although meaningful and clearly very powerful for some children, was something which could be replaced with something else, which I think was already present anyway.
• 7:57
  SPEAKER_00: And that was my unconditional acceptance of them.
• 8:03
  SPEAKER_00: And in some way, and demonstrating that through my behavior, the fact that I could remember things that they had told me, that I could comment on things that were particularly meaningful to them, the fact that I might say, Do you remember when you told me about?
• 8:24
  SPEAKER_00: So, in a sense, what I was showing the child a different way of holding them in mind.
• 8:30
  SPEAKER_00: The drink did that in a way.
• 8:33
  SPEAKER_00: But I realized that actually that was the key component inside the consulting room.
• 8:40
  SPEAKER_00: It was the relational component which was saying to the child, you matter, and you don't have to do anything to matter because you just matter.
• 8:51
  SPEAKER_00: Over the years, I've had hundreds of experiences with children who really didn't know that they mattered, who didn't feel that they mattered.
• 9:02
  SPEAKER_00: And words alone aren't always enough.
• 9:07
  SPEAKER_00: But the consistency of demonstrating to a child that they matter, that they are remembered, that they are accepted as they are, regardless of the sometimes damaging and concerning behaviors that they present, that they were still then.
• 9:28
  SPEAKER_00: As a consequence, I have seen hundreds of children who have grown through that relational experience and who have become well and healthy.
• 9:41
  SPEAKER_00: The forthcoming podcasts are real cases.
• 9:45
  SPEAKER_00: Obviously, they've been adapted in order to protect the identity and the integrity of the patients concerned, but they're real stories, real children in real pain, having a real experience with someone who is completely committed to enabling recovery.
• 10:09
  SPEAKER_00: The series in the consulting room is in many ways a taste as to the forthcoming book, Small People, Big Lives, which is much more much more detailed.
• 10:23
  SPEAKER_00: But I do hope that this contextual description helps you to understand and appreciate what happens inside the consulting room.
• 10:35
  SPEAKER_00: Thank you for listening.