Latest / The Trauma Therapist / Instilling Dignity In Our Clients with Dr. Robert Rhoton, PsyD, LPC,
Transcript
- 0:00Speaker 1: Welcome to the Trauma Therapists Podcast. My name is gaming Person.
- 0:04Speaker 1: I interview incredible people who've dedicated their lives to helping
- 0:07Speaker 1: those who've been impacted by trauma. A big thank you
- 0:11Speaker 1: to our sponsors and our guests who are supporting this show.
- 0:15Speaker 1: So five four, three, two and one, our folks, welcome
- 0:20Speaker 1: back to the podcast. Very excited to have back. Doctor
- 0:23Speaker 1: Robert Rotten. Robert welcome, Thank you all right. Doctor Roten
- 0:28Speaker 1: is the chief Clinical Officer of the Arizona Trauma Institute,
- 0:31Speaker 1: one of our great sponsors. He's President of the Trauma
- 0:34Speaker 1: Institute International. A diplomat of the American Academy of Experts
- 0:38Speaker 1: in Traumatic Stress, he has spent decades advancing the understanding
- 0:42Speaker 1: and treatment of developmental and family trauma. Doctor Roten is
- 0:45Speaker 1: supervised outpatient clinics, juvenile justice and substance abuse programs, date
- 0:50Speaker 1: treatment centers, and child and Family therapeutic Services. Formerly a
- 0:55Speaker 1: professor at Ottawa University, he trained counselors to work with
- 0:58Speaker 1: trauma genetic family dynamics using non egoic, compassionate models of care. Today,
- 1:03Speaker 1: he consults with agencies and organizations across the globe, helping
- 1:08Speaker 1: them strengthen trauma informed systems and improve therapeutic outcomes for
- 1:12Speaker 1: both individuals and families. All right, before we get going,
- 1:17Speaker 1: the most important thing is are you in the path
- 1:20Speaker 1: of the crazy storm?
- 1:22Speaker 2: No?
- 1:24Speaker 1: Oh wow? Okay, where are you?
- 1:27Speaker 2: I'm in the mountains just north of Phoenix.
- 1:30Speaker 1: Okay, all right, all right, so we have.
- 1:34Speaker 2: Here are mostly dust storms.
- 1:36Speaker 1: So okay, so no, no crazy ice. So last time,
- 1:41Speaker 1: I know, we touched upon obviously you work with the
- 1:45Speaker 1: Arizona Trauma Institute and the resources and courses, et cetera
- 1:51Speaker 1: that you offered there. It's very interesting discussion. Today, however,
- 1:55Speaker 1: we're gonna shift a little bit and well I'll let
- 1:59Speaker 1: you take it take it away. Here, we're going to
- 2:03Speaker 1: talk about what resources clients may or may not have,
- 2:07Speaker 1: or may or may not think they have, say more.
- 2:11Speaker 2: Okay. So, one of the challenges we have in the
- 2:14Speaker 2: mental health field is that the way we train therapist
- 2:18Speaker 2: is to look for deficits. And we really developed that
- 2:22Speaker 2: and then we focus on fixing the deficits. And so,
- 2:28Speaker 2: you know, you have people that you know, have been
- 2:30Speaker 2: introduced to things like strength based work or asset focused work,
- 2:36Speaker 2: but they don't really know how to deliver that. So
- 2:39Speaker 2: they bluntly just ask people what are your strengths? And
- 2:45Speaker 2: of course people get that deer in the headlights look
- 2:49Speaker 2: and they don't know what to say. And it really
- 2:53Speaker 2: is kind of an unfortunate lack of skill and understanding.
- 2:58Speaker 2: Almost all of us, even if we're not regulated, and
- 3:01Speaker 2: get put on the spot by asking a question like
- 3:04Speaker 2: that tends to freeze us up. So one of the
- 3:07Speaker 2: challenges that you know, we're always talking about with the
- 3:11Speaker 2: clinical people is how do you help identify what the
- 3:16Speaker 2: resources are?
- 3:18Speaker 1: And so.
- 3:20Speaker 2: Rather than illustrate how that goes, let me give you
- 3:23Speaker 2: some examples.
- 3:24Speaker 1: Okay, if I may Robert for one second here, So
- 3:28Speaker 1: I want to ask an obvious question you said oftentimes
- 3:32Speaker 1: and maybe the go to is to help clinicians look
- 3:38Speaker 1: for or look at or understand the deficits. Why is
- 3:42Speaker 1: it important to look at the strengths as well or
- 3:46Speaker 1: the resources as well well?
- 3:48Speaker 2: Because the challenge of focusing only on deficits means that
- 3:53Speaker 2: you are only underscoring human weakness, human frailties, and human
- 4:00Speaker 2: and failures and get overly focused on the fluid emotions
- 4:06Speaker 2: related to the pain and misery and suffering. But you know,
- 4:11Speaker 2: we know that what you focus on, you get more of,
- 4:15Speaker 2: and so why aren't we focusing on what makes them
- 4:18Speaker 2: great instead of what makes them broken?
- 4:21Speaker 1: Right? And it shifts the whole tone of the relationship
- 4:27Speaker 1: and the meeting right away. Wow, I never thought I
- 4:31Speaker 1: have strengths. I never thought of that.
- 4:34Speaker 2: Well, And a lot of people that have, particularly those
- 4:37Speaker 2: that have been in multiple sessions, of multiple therapy attempts,
- 4:41Speaker 2: and they've been therapized in a traditional mindset. They come
- 4:46Speaker 2: into therapy and they don't really believe they have anything
- 4:49Speaker 2: going for them, and a lot of times you're exploring
- 4:52Speaker 2: and trying to get a handle on what they might be,
- 4:56Speaker 2: what they might be able to have as a resource.
- 5:00Speaker 2: And it's interesting because way too often in the mental
- 5:04Speaker 2: health work were very narrow and we don't look beyond
- 5:08Speaker 2: a certain mark for where the resources are. So let
- 5:12Speaker 2: me give you an example. A number of years ago,
- 5:15Speaker 2: I worked with a young women in her mid twenties
- 5:17Speaker 2: who had been in therapy pretty much since she was thirteen.
- 5:21Speaker 2: And she came in and she wanted to work on
- 5:25Speaker 2: some traumas from childhood.
- 5:27Speaker 1: And.
- 5:29Speaker 2: She, you know, she really was very clear that she
- 5:32Speaker 2: didn't possess any abilities that she hadn't really there wasn't
- 5:35Speaker 2: anything she'd found that really worked. And you know, I
- 5:40Speaker 2: could have confronted that like we would in a traditional
- 5:43Speaker 2: mental health sense, but what I said instead is I
- 5:47Speaker 2: shifted the conversation and I said, tell me about the
- 5:51Speaker 2: least sucky experience you remember as a child. And she
- 5:55Speaker 2: kind of looked at me and like, well, I and
- 5:59Speaker 2: then you know, it took her a couple of minutes
- 6:01Speaker 2: to kind of come up with something, and she said, well,
- 6:03Speaker 2: you know, it really wasn't suck y. I kind of
- 6:05Speaker 2: enjoyed it most of the time. But after school. For
- 6:08Speaker 2: a couple of years, after school, I'd go to my
- 6:10Speaker 2: grandfather's house and the man had a you know, a
- 6:14Speaker 2: little over a half acre garden, and we would garden
- 6:18Speaker 2: and he would spend time talking to me. He was
- 6:20Speaker 2: a little grumpy sometimes when I didn't do it right,
- 6:23Speaker 2: but you know, and she kind of you could see
- 6:25Speaker 2: the demeanor change as she was talking about this moment
- 6:29Speaker 2: and I but she really didn't think she had she
- 6:33Speaker 2: knew anything that was useful or helpful. So I challenged
- 6:37Speaker 2: her to get one of those little ceramic pots and
- 6:41Speaker 2: plant something anything she wanted in it and send me
- 6:44Speaker 2: a picture of it when it began to break through
- 6:47Speaker 2: the soil, and which she did, and there was a
- 6:51Speaker 2: couple of weeks between the sessions, and when she came
- 6:54Speaker 2: back she brought me a picture of where it was now,
- 6:57Speaker 2: which is up about you know, an inn. And I said, okay,
- 7:02Speaker 2: so look at this. You've have a lot of experience gardening.
- 7:06Speaker 2: What would you have to do to get this plant
- 7:09Speaker 2: to fully mature and get a good yield from it?
- 7:13Speaker 2: She'd paint planted red peppers. And so she walked me
- 7:19Speaker 2: through what you would have to do and I said, okay,
- 7:22Speaker 2: so you understand that process, right, yeah, so let's go
- 7:26Speaker 2: through real quick again. We did, and I said, let's
- 7:30Speaker 2: shift therapy to fit that process.
- 7:34Speaker 1: Okay, wow, hang on, So this is the work of
- 7:41Speaker 1: an experience class. It's got to be. You just didn't
- 7:44Speaker 1: start doing this right now. I mean, this is this
- 7:48Speaker 1: is so you can just feel this is born of experience.
- 7:56Speaker 1: I mean just the very sentence, a very question like
- 8:00Speaker 1: not sucky. Right, you didn't say good, you didn't say great,
- 8:04Speaker 1: you didn't say exciting. But what about that phrase worked?
- 8:10Speaker 1: Do you quote unquote worked or was helpful? Well?
- 8:13Speaker 2: The rationale is a lot of people, especially if they've
- 8:18Speaker 2: been a lot of therapy, they've developed an identity of
- 8:20Speaker 2: it being powerless, and so if you ask them about
- 8:24Speaker 2: something good, you run into their inner critic. Well, nothing
- 8:29Speaker 2: was really that good. But when you asked them to
- 8:32Speaker 2: scale something, what's the least sucky thing that happened? You
- 8:36Speaker 2: all of a sudden engage a different part of their
- 8:38Speaker 2: brain and they're looking at well, I had all of
- 8:40Speaker 2: these experiences, which was the least bad and now you've
- 8:45Speaker 2: You've completely shifted their focus and it opens the door
- 8:50Speaker 2: to do this, And it's.
- 8:51Speaker 1: Almost like, and correct me if I'm wrong here. You're
- 8:54Speaker 1: speaking their language. Right. Some might say, well, that's a
- 8:59Speaker 1: negative way to put it. How come you not being
- 9:02Speaker 1: more positive? Right? That could that would be an argument,
- 9:05Speaker 1: kind of a plain argument.
- 9:06Speaker 2: Sure, And therapists are really really well in doctrine to
- 9:11Speaker 2: use false positives as a way to encourage people. But
- 9:16Speaker 2: the reality is, somebody that has a significant history of treatment,
- 9:22Speaker 2: particularly for trauma related issues, the way that they maintain
- 9:28Speaker 2: the pain of their of their hurts is by not
- 9:33Speaker 2: allowing themselves to see that they can do things about it.
- 9:38Speaker 2: And so you know, we just shift. We spend most
- 9:43Speaker 2: of our time. You know, if I have somebody come
- 9:45Speaker 2: in and they look like they have had one hell
- 9:49Speaker 2: of a week, I never asked them how their week was.
- 9:53Speaker 2: I said, I'll say something like this. You know, I'm
- 9:55Speaker 2: getting this vibe that you've just really had a bad week.
- 9:59Speaker 2: What did you have to overcome just to get in
- 10:01Speaker 2: my door today?
- 10:04Speaker 1: Okay, so again again kind of simple, stoundingd question. But
- 10:10Speaker 1: why why not say, you know, my god, it looks
- 10:15Speaker 1: like you had a hard week. Why why are you
- 10:17Speaker 1: not doing that?
- 10:19Speaker 2: Because what I do is reinforce their misery and pain,
- 10:22Speaker 2: and I don't give them any relief.
- 10:27Speaker 1: Right.
- 10:27Speaker 2: You know, you come in, I know you have a
- 10:30Speaker 2: trauma history. I know you're not regulating very well, which
- 10:33Speaker 2: means that you are almost automatically negatively biased. So if
- 10:40Speaker 2: I ask you how your week was, even if it
- 10:43Speaker 2: was a pretty good week, it's going to get we
- 10:45Speaker 2: Let's not I had a miserable week. So I don't
- 10:49Speaker 2: ask that question. What I do instead is, you know,
- 10:53Speaker 2: I can see you've had a hard week. What did
- 10:55Speaker 2: you have to overcome to get here? How did you
- 10:57Speaker 2: give your self permission to just do it?
- 11:00Speaker 1: It?
- 11:01Speaker 2: And now we're talking about their competencies and the capacity
- 11:06Speaker 2: they have, and we get to reinforce that rather than
- 11:11Speaker 2: reinforce the misery that they've experienced.
- 11:17Speaker 1: How did this How did you start realizing this was
- 11:22Speaker 1: a very powerful way to move into a discussion or
- 11:25Speaker 1: meet with someone, as opposed to saying, it looks like
- 11:29Speaker 1: you had a crazy week.
- 11:32Speaker 2: Well, part of it is my own distress. Is the
- 11:37Speaker 2: way almost everything I learned in my own educational process.
- 11:43Speaker 2: When I actually started working with people, I realized most
- 11:46Speaker 2: of it didn't work that well. And what I realized
- 11:52Speaker 2: the temptation was for me to say, well, the reason
- 11:54Speaker 2: isn't working is because the client is such a mess.
- 12:00Speaker 2: Kind of held myself accountable. Is it really that they
- 12:02Speaker 2: are a mess? Or is it that I've been brainwashed
- 12:05Speaker 2: to think in certain ways that demean the client and
- 12:09Speaker 2: rob them of dignity. And so I began to search
- 12:13Speaker 2: for alternatives. Fortunately, I was trained in classic Ericsonian methodology,
- 12:21Speaker 2: which was you know, pioneered in the fifties but still
- 12:27Speaker 2: you know, very very much impactful. But I also was
- 12:33Speaker 2: doing research on what other ideas could work, and I
- 12:37Speaker 2: ran across the work of Aaron Anandofsky and pseudogenics, which is,
- 12:42Speaker 2: how do you promoke health and well being instead of
- 12:45Speaker 2: focusing on deficits, how do you focus on what gives
- 12:50Speaker 2: them well being? And the combination of that, the research
- 12:55Speaker 2: I was doing and my training with the Ericsonian groups
- 13:00Speaker 2: fundamentally changed how I began to work with clients.
- 13:04Speaker 1: Robert, if you just briefly give our listeners a snapshot
- 13:07Speaker 1: of what Ericsonian psychology is.
- 13:10Speaker 2: Okay, So most people believe that when they hear the
- 13:14Speaker 2: term Milton Erickson, they think of hypnosis. And yes he did.
- 13:20Speaker 2: He's very skilled at hypnosis, but he only used it
- 13:22Speaker 2: a few percentage to points. But he had a method
- 13:28Speaker 2: which is really you know, a lot of people have
- 13:30Speaker 2: tried to label it a bunch of things, but it
- 13:32Speaker 2: was really a model to help instill dignity into the clients.
- 13:39Speaker 2: And he did it very elegantly, and he did it
- 13:43Speaker 2: very and most of the time very briefly. And so
- 13:48Speaker 2: that's I was exposed to that post graduation, and it
- 13:54Speaker 2: just it really did help me because I'm really early
- 13:58Speaker 2: on in my career. I was really the point saying,
- 14:00Speaker 2: you know, what I was taught in school really doesn't work.
- 14:04Speaker 2: And I was frustrating because the systems were designed to
- 14:07Speaker 2: support what was going to keep people sick rather than
- 14:11Speaker 2: what would help him heal. And I actually considered getting
- 14:15Speaker 2: out of the field altogether, and if it hadn't been
- 14:18Speaker 2: that I got involved with that and realized the utility
- 14:23Speaker 2: of it. You know, Erickson had a concept called utilization
- 14:29Speaker 2: that whatever people bring in, you can use it to
- 14:33Speaker 2: help them. And then Amanovsky further developed that same idea
- 14:39Speaker 2: with his what he called gr RS, which is generalized
- 14:42Speaker 2: resistance resources. And so, you know, the fundamental shift was
- 14:47Speaker 2: based on my lived experience, the research that I was
- 14:51Speaker 2: doing and then experimenting with with this and it. You know,
- 14:57Speaker 2: I was getting outcomes that were amazing compared to what
- 15:00Speaker 2: I've been getting before. But the other piece that became
- 15:03Speaker 2: a parent is that the way I began to think
- 15:06Speaker 2: about people and their situations was drastically different. Give me
- 15:11Speaker 2: an example, Well, instead of seeing somebody as a collection
- 15:15Speaker 2: of symptoms, yeah, I see that quite often. What's happened
- 15:20Speaker 2: is that we are dealing with active protective mechanisms and
- 15:26Speaker 2: the the while the active protective part may be creating
- 15:31Speaker 2: problems from them. There are some there's things noble in
- 15:36Speaker 2: the fact that they are taking this taking some action.
- 15:40Speaker 2: So it's and we don't acknowledge that enough. You know,
- 15:45Speaker 2: one of the questions I sometimes will ask people that
- 15:49Speaker 2: are struggling with heavy duty addictions, where's the situation you
- 15:53Speaker 2: never use?
- 15:56Speaker 1: Where's the situation you never use? Okay? What does that mean?
- 16:02Speaker 2: Where you know every addect ivey?
- 16:05Speaker 1: Oh, you never use your substances? I see?
- 16:07Speaker 2: Yeah, okay, and how do you manage to not use
- 16:12Speaker 2: in that situation?
- 16:14Speaker 1: Got it?
- 16:14Speaker 2: What's you know? What's about this? Because what we often
- 16:18Speaker 2: do is we focus on the use and then we're
- 16:21Speaker 2: surprised we get more use. What if we focused on
- 16:24Speaker 2: the times when they were amazing and didn't use, right,
- 16:30Speaker 2: you understand the shift that?
- 16:31Speaker 1: Yeah, of course it's It's really incredible just to think
- 16:35Speaker 1: about it. It shifts the whole feeling. I mean, it
- 16:40Speaker 1: feels as if you're looking for the sunlight instead of
- 16:45Speaker 1: just looking for the darkness or trying to explore the darkness,
- 16:49Speaker 1: You're looking for that ray of light. I love that line.
- 16:55Speaker 1: Instilling dignity. I mean, I think so many any clients
- 17:03Speaker 1: get I'm generalizing here, but walk in feeling they don't
- 17:06Speaker 1: even have any dignity.
- 17:09Speaker 2: It's true. And a lot of times the system reinforces.
- 17:12Speaker 1: That you talked about getting incredible results share. So what
- 17:21Speaker 1: did that look like for you when when this started happening.
- 17:25Speaker 2: Let me give you an example. So I had a
- 17:31Speaker 2: young fellow. He was like thirty one thirty two and
- 17:37Speaker 2: had been very successful, he was an engineer, and but
- 17:44Speaker 2: he was miserable. He was depressed, he was overwhelmed, and
- 17:49Speaker 2: he was just not doing well. And he'd been in
- 17:51Speaker 2: therapy a couple of times before, and he could speak
- 17:54Speaker 2: the therapy lingo pretty pretty well. But the marriage was
- 18:00Speaker 2: that he wasn't making any sustainable changes. He was going
- 18:05Speaker 2: in and he would talk about feelings and things, but
- 18:07Speaker 2: it wasn't anything concrete. So by focusing on what competencies
- 18:15Speaker 2: the person had, what assets they possess, what resources, really
- 18:20Speaker 2: discovered that he had put all of these wonderful resources
- 18:24Speaker 2: to in his professional life into effect, but he wasn't
- 18:27Speaker 2: putting them into effect anywhere else. And we just began
- 18:31Speaker 2: the process of migrating strengths that he already had in
- 18:37Speaker 2: one area of his life to another. And you know,
- 18:41Speaker 2: and it was like we didn't work that long together.
- 18:46Speaker 2: I think we worked for about six months. But you know,
- 18:50Speaker 2: I run into him occasionally, you know, after that, and
- 18:53Speaker 2: he was like, you know that really that changed everything
- 18:56Speaker 2: for me. It just changed everything for me.
- 19:00Speaker 1: Why did he come to you?
- 19:01Speaker 2: Originally because he was he felt like the depression he
- 19:08Speaker 2: was having was going to be interfering with his work.
- 19:13Speaker 2: But you know, he is really talented at organizing, sequencing,
- 19:21Speaker 2: you know, bringing things in on time, and being very productive.
- 19:26Speaker 2: But he didn't take those skills and used them everywhere
- 19:31Speaker 2: in his life. He only used them prior was education,
- 19:36Speaker 2: and now it was in his work. And so I
- 19:39Speaker 2: didn't have to do I didn't have to pull out
- 19:43Speaker 2: a model of therapy for him. We just basically took
- 19:47Speaker 2: what he already knew how to do and do well
- 19:51Speaker 2: and had him apply that to what was going on
- 19:53Speaker 2: in his emotional life.
- 19:57Speaker 1: I could see where a lot of us don't even
- 20:00Speaker 1: think of having making that switch, right, taking these strengths
- 20:07Speaker 1: in this one segment of our lives, how could they
- 20:10Speaker 1: ever possibly you know, work or fit in this other
- 20:14Speaker 1: area of my life?
- 20:16Speaker 2: Yeah?
- 20:18Speaker 1: What are the what are if any are the are
- 20:21Speaker 1: the challenges people might come up against? Clinicians might come
- 20:25Speaker 1: up against with this perspective I mean, I could see
- 20:34Speaker 1: someone walking into someone's office, maybe they're you know, they're
- 20:40Speaker 1: extremely upset. Just regulated, they might argue, what, well, first,
- 20:46Speaker 1: I've got to, you know, just regulate them and calm
- 20:49Speaker 1: them that what I don't know, help me out here.
- 20:52Speaker 2: Well, what they're mostly trained to do in college programs,
- 20:56Speaker 2: at least in the US, is to focus on the
- 20:59Speaker 2: emotional upheaval, and we often encourage people to chase emotional states.
- 21:09Speaker 2: And the problem with that is that emotional states fluctuate tremendously,
- 21:16Speaker 2: you know, based on situation, where you are, who you're with,
- 21:20Speaker 2: and so there's no structure that really allows them to
- 21:26Speaker 2: be able to actually do this. When you're chasing an
- 21:30Speaker 2: ephemeral emotional state, sometimes you get it, sometimes you don't.
- 21:36Speaker 2: But if you can operate, operationalize a process with that
- 21:41Speaker 2: it is identified and structured there, it's much easier for
- 21:45Speaker 2: them to do that. But most therapists focus on chasing
- 21:49Speaker 2: emotional states rather than you know, making things concrete and
- 21:55Speaker 2: usable for your client.
- 22:00Speaker 1: Temple of that, I'm a little not sure what you're
- 22:03Speaker 1: talking about.
- 22:04Speaker 2: So here's a really simple one. I was talking to
- 22:07Speaker 2: somebody a couple of days ago, and they were saying, well,
- 22:10Speaker 2: you know, I really really want to feel loved in
- 22:13Speaker 2: my life, and I sider you, but that's a feeling
- 22:18Speaker 2: and you are not really not really able to chase
- 22:25Speaker 2: a feeling and make sure you have a way to
- 22:27Speaker 2: get it. What would it look like? How would you
- 22:30Speaker 2: know you're beginning to get it? What would be the
- 22:32Speaker 2: first inkling that you're getting that love? What does it
- 22:36Speaker 2: look like when you're seeing it? What's it look like
- 22:38Speaker 2: when you feel it? What's sensations? And he was like stunned.
- 22:43Speaker 2: He didn't know how to really answer that because all
- 22:46Speaker 2: of his attention in his three prior sessions of three
- 22:49Speaker 2: prior runs of therapy was to try to grab this state,
- 22:55Speaker 2: this emotional state. But it's unhelpful. How are you going
- 23:00Speaker 2: to what are the concrete ways that they're going to
- 23:02Speaker 2: do that? Well, they can't. It's kind of like, you know,
- 23:08Speaker 2: you're dealing with an adolescent, and the adolescent says, I'm
- 23:11Speaker 2: going to get straight a's next semester. Okay, what's your
- 23:16Speaker 2: plan to do that? You know, what would come first?
- 23:19Speaker 2: How would we know that you're making progress? You know
- 23:23Speaker 2: those things are necessary? And so I think it isn't
- 23:27Speaker 2: that a lack of goodness on the part of the therapist.
- 23:30Speaker 2: What it is is a is a misunderstanding that they
- 23:34Speaker 2: need to focus on helping people achieve emotional states without
- 23:39Speaker 2: giving them this, without helping them develop the structure to
- 23:43Speaker 2: actually act into that.
- 23:46Speaker 1: So, using that example of the gentleman who wanted to
- 23:49Speaker 1: feel more loved, he might have said, well, I guess
- 23:55Speaker 1: I need to talk to my partner more.
- 23:58Speaker 2: Or what Well, you might have said something like that,
- 24:02Speaker 2: what he basically you know? Okay, so when where let's
- 24:08Speaker 2: plan this out? What would it look like? What would
- 24:11Speaker 2: it what would the conversation sound like?
- 24:14Speaker 1: Okay, So getting super specific on the actions needed to get.
- 24:19Speaker 2: Yeah, you can. You want to what's the process, what's
- 24:24Speaker 2: the action, what's the movement involved? And the goal of
- 24:29Speaker 2: having love, which is an emotional state, is wonderful, but
- 24:33Speaker 2: if you can't operationalize it, it's hard to act into.
- 24:37Speaker 1: It, right and it even feels empowering to a certain
- 24:45Speaker 1: degree to be able to identify what I need to
- 24:50Speaker 1: do to get there. Yeah? Right, So okay, in terms
- 24:59Speaker 1: of of the resources you're offering for therapists, clinicians and
- 25:06Speaker 1: such on, are these some of the things you guys
- 25:09Speaker 1: are talking about and what capacity, how so.
- 25:14Speaker 2: Well We do it in a couple of ways. We
- 25:16Speaker 2: have the clinical trainings which will introduce people to this
- 25:20Speaker 2: way of thinking. But the other piece is we also
- 25:25Speaker 2: realize that because this is quite different than what most
- 25:28Speaker 2: people have been trained on and supervised to, we also
- 25:33Speaker 2: provide ongoing mentoring for people that have attended our clinical trainings.
- 25:39Speaker 2: So for the last five years, we've probably had close
- 25:44Speaker 2: to four hundred people that have spent periods of time
- 25:48Speaker 2: with us kind of learning how to put this stuff
- 25:51Speaker 2: into practice. We meet, you know several times, you know,
- 25:55Speaker 2: different like by Tuesday morning one that I did this morning.
- 25:59Speaker 2: Most of the people that tim that one, or from
- 26:02Speaker 2: the Mideast the Monday night ones I do are a
- 26:05Speaker 2: lot of people from Southeast Asia and the Philippines, so,
- 26:09Speaker 2: you know, but they are they're learning how to apply
- 26:14Speaker 2: those concepts that they were exposed to in the therapy piece,
- 26:18Speaker 2: and that's really good for them because in their community
- 26:25Speaker 2: of other mental health workers, people say, well, why aren't
- 26:27Speaker 2: you focusing on what we focus on? And you want
- 26:31Speaker 2: to make somebody, you know, a room full of therapists
- 26:34Speaker 2: real uncomfortable, you start talking about focusing on people's resources
- 26:39Speaker 2: and you just see them kind of panic because that's
- 26:41Speaker 2: not what they were trained to do. And so you know,
- 26:45Speaker 2: if you're if you're going to practice this way, you
- 26:47Speaker 2: almost need a community of like minded people to support you.
- 26:53Speaker 1: What kind of a a mental shift does this require
- 26:59Speaker 1: for a therapist? I mean, is it just is it?
- 27:04Speaker 1: Is it challenging just because most people haven't been trained
- 27:08Speaker 1: this way? Or is it challenging because it's kind of
- 27:16Speaker 1: giving a trust over to the process and the client
- 27:20Speaker 1: and kind of honoring what is it?
- 27:24Speaker 2: I think the biggest challenge people have with this is
- 27:28Speaker 2: the fact that it's so different than what they were
- 27:30Speaker 2: trained to do, and it's so different than the rest
- 27:34Speaker 2: of the culture. A lot of mental health providers would
- 27:37Speaker 2: want to be liked and accepted by their peers more
- 27:42Speaker 2: than they want to provide good services for their clients.
- 27:46Speaker 2: And so do you find a lot of resistance when
- 27:51Speaker 2: when you start talking this way with people, particularly in
- 27:54Speaker 2: public formats, you make them really uncomfortable. And when when
- 28:00Speaker 2: I used to run clinics, I would have people that
- 28:03Speaker 2: would they would refer cases to me, but occasionally I
- 28:07Speaker 2: would hear them complaining about my point of view because
- 28:11Speaker 2: you know, you know, yet if they had cases they
- 28:14Speaker 2: couldn't manage, they'd send them to me. So I it's
- 28:17Speaker 2: that kind of you know, they want to feel like
- 28:20Speaker 2: they are fitting in and being like everybody else, and
- 28:24Speaker 2: the problem is fitting in and being like everybody else
- 28:26Speaker 2: means you're going to underserve your client. And so we've
- 28:32Speaker 2: been kind of on this crusade for twenty five twenty
- 28:38Speaker 2: almost twenty eight years to have people be able to
- 28:44Speaker 2: look at someone differently. Very few mental health providers look
- 28:49Speaker 2: at a client and see anything redeeming or wonderful about them.
- 28:54Speaker 2: They the way the system operates kind of robs them
- 28:58Speaker 2: of dignity. And in a simple thing, most companies that
- 29:03Speaker 2: do intakes have a bunch of paperwork that really is invasive,
- 29:09Speaker 2: and you haven't got a person stable enough to really
- 29:12Speaker 2: give you truthful answers, and so what you end up
- 29:16Speaker 2: doing a lot of times is actually alienating people right
- 29:19Speaker 2: on the intake. Why do we do that? Well, we're
- 29:22Speaker 2: so we are so focused on how broken they are
- 29:27Speaker 2: that we don't see what's wonderful about them.
- 29:32Speaker 1: Jesus, you know, you have an incredible way of articulating
- 29:40Speaker 1: your process, which is so very different I've got to
- 29:45Speaker 1: say from a lot of other people and obviously well
- 29:50Speaker 1: meaning people that I speak with, but there's something very
- 29:54Speaker 1: inspiring and empowering about this, Robert. I love it. Thank you,
- 30:00Speaker 1: love it, appreciate it all right? How do people learn
- 30:03Speaker 1: more about you and the trainings you folks are offering
- 30:07Speaker 1: at Arizona Trauma Institute.
- 30:09Speaker 2: Sure, if people would like to explore our trainings, they
- 30:14Speaker 2: can go on to the Arizona Trauma website and do
- 30:19Speaker 2: a search for our courses, both live and online. If
- 30:24Speaker 2: they want to follow me personally, I have almost twenty
- 30:29Speaker 2: thousand people on LinkedIn in my network on LinkedIn, and
- 30:33Speaker 2: they're more than welcome to follow me on LinkedIn. We
- 30:38Speaker 2: usually are publishing four or five articles a week that
- 30:44Speaker 2: all are reflective of this kind of mindset.
- 30:49Speaker 1: So if that would be good, okay, and that's easy
- 30:52Speaker 1: Trauma dot org. Correct, okay, and we'll have all that
- 30:56Speaker 1: linked up here at the show notes page at the
- 30:58Speaker 1: Trauma Therapist to podcast dot com. Robert, appreciate you. Thank
- 31:03Speaker 1: you so much again for being here.
- 31:05Speaker 2: You're welcome, all right.
- 31:06Speaker 1: We'll be in touch by a bye h