Thursday, March 9, 2017

REFLECTIONS YARO BLOG – MARCH AND APRIL 2017

 
 
 
ILLUSION – THE OTHER FACE OF REALITY
 
 
Dr. Fritz Perls by Otto Dix
Berlin Art Gallery
 
 
 
 

 WHAT IS REAL?

Definition of what is real: It is the unity of our conscious experience. Our focussed attention (awareness) draws together a myriad of sensory impressions from the environment (both inner and outer) creating a sense of the real.
Like the notes of a melody, our consciousness ‘interfaces’ together all sensory perceptions forming a whole or a figure. Each part of the figure derives its meaning from the whole and its own ‘being’ reflects both, the whole and all the constituent parts. Without this unity of different parts, there would be no experience of reality as we know it.
Most people take for granted the phenomena of consciousness. However, it is the most essential feature of our mental life. Trying to understand this unity in ‘technical’ terms, we realise how deeply mysterious consciousness is and why its ‘physics’ has, so far, eluded all scientific search.

Recently psychiatry theorists have embraced the “computer” model calling it "Artificial Intelligence" (AI) to explain how the brain works and as an interpretation of what is consciousness. Much research is being done around the brain studies and neurobiology to explain the scientific model with some good results but only as a study of the function of our grey matter.
Ever since the Greek philosopher Plato postured the notion of “I think therefore I am” the West stressed the relationship between rational and analytical thinking as the basic rule by which we form our thinking and make decisions. This led to the ‘computer’ model of brain functioning at the expense of overlooking the intuitive side of the organic brain. This intuitive side draws upon wisdom, imagination, creativity spontaneity and insight. So modern science found a rational explanation by pointing the neurological split between the right brain and left brain, each having different functions.
The ‘Holists’ emphasise the creative element of consciousness as all elements of reality, that is, everything is related to everything else. Even the medical studies of the brain revealed that the two brains have a common link connecting both by the Corpus Collosum, therefore proving that the unity of all parts is indeed more than the sum of all parts. [1](David Bohm). We may conclude that everything and everyone is so intimately connected that all talk of individuals or separation is a distortion of facts or an ILLUSION. Yet, our individuality is also essential (paradox) to be able to separate ourselves from attachments and the resulting pain.
The trance we live in most of our lives is that somebody else is responsible for our problems, issues, sufferings and needs. We eventually must accept that on one level of consciousness we are a unity with ALL and on another level, we are ALONE. We are born alone and we will die alone. Also we have to accept the fact that living our life is being alone. We may be in a family, friends, clubs, etc., but ultimately we live alone. Our family members, wife, children, friends, co-workers are with us as we go about our living, but they also live in their aloneness. All those alonenesses neither act on nor connect with each other. We may live with someone for 30 years or more but it makes no difference, we will remain strangers and wanting (like we all do) to be close and safe with others. It is basically an illusion created by our fears.

Buddha stated: “In the house of Indra there is said to be a network of pearls arranged so that if you look at one you see all the others, reflected in it”

So, we as individuals living alone, see the reflection in others our inner needs that we have projected on the multiple environments. This phenomena creates a space for psychotherapists that are trained to ‘help’ or ‘treat’ patients or clients to become very clear at all times and be able to identify the ‘illusions’ that people experience throughout their lives and how these illusions create dramas and suffering for themselves and others around them.
Most therapists follow the clients’ lead of the material they present and say or do things that are experienced by the client as relatively understandable and safe. This approach to therapy by many psychotherapists (of all persuasions) is rather lame as we reflected in the article on “talking therapies’ in this blog.
Fritz Perls, the principal founder of Gestalt Therapy, was very clear about the issues of projections and being responsible or, as he said response-able  for one self. That small shift of the word brought about the idea that we are totally responsible for ourselves and have the ability to respond to our life issues.

Why, then most adult people either deflect from being responsible or look toward others to help them?

[2]Erich Fromm in his book “Escape from Freedom” stated that we all want freedom, it is our right to be totally free but deep inside our unconscious we are afraid of freedom. One reason is that with freedom comes responsibility- that is- we must respond to our decisions and live with the consequences of our free decisions. We need to deal with our environment and all the shifts that come with it.
The other reason of fearing our freedom is that we must face those consequences coming forth but we are afraid of what may happen if we take on board those consequences. So it is easier to deflect, play victim, (‘poor me’), play manipulation games and thus diminish our self-esteem and our ability to respond.
The third reason is that our past is a trance belief. Our family upbringing, our culture, religious dogmas, education the media and knowledge derived from others is so powerful that we keep avoiding every sort of personal responsibility.

Buddha said: “This is the basic truth: that you are NOT. Because you are NOT, you cannot die, you cannot be born and so you cannot be in suffering, in bondage – are you ready to accept that?”

Everybody has a deep sense that we are born and we will die. Life is like a river flowing towards the sea- the final cosmic sea. Everything in Nature has its beginnings and ends. Just take some time to watch the seasons. However humans do not know their end and therefore they spend time filling in with ‘things to do’. When we feel alone, we seek someone to fill that void: a friend, a teacher, a guru and in the West it is usually a therapist.
If a therapist is well experienced and has done his or her inner work, then he or she may begin with a short term contract with the client to enable that seeker to learn how to recognise their inner capabilities to live well and accept that one is alone. Then the inner work will begin.
Alejandro [3]Jodorowsky (we reflected about his work in a previous blog) writes about the necessity to ‘learn how to die’ by abandoning fear and begin to enter in the process of inner change. Just like Buddha encouraged his disciples to surrender, to let go in order to be able to accept the beauty of life and the joy of death.
The next section will examine the techniques of Brief Therapy that I found to be very useful and successful in terms of alternatives to common therapies. Let me know what you think.

BRIEF THERAPY

In the last few blog REFLECTIONS we were able to explore various alternatives to psychotherapy from the point of view of Gestalt therapy theory and practice. Fritz Perls was an excellent ‘integrator’. He adapted ideas from Zen, Psychodrama, Body Work, Art therapy, Psychoanalysis and more. He developed an exiting methodology that is existential, practical and Holistic.
I am supporting brief therapy because in my own practice, Gestalt therapy is, by definition, a brief modality. Over the years my contracts with clients and groups is usually for six sessions, then a revision of outcomes and, if needed six sessions more. It is my own experience that brief therapy, used in a Gestalt context, can be more grounded in the here and now; promote deep life shifts with clear outcomes that are not usually so clear in long term therapy :( psychodynamic, behavioural and Psychoanalysis).
In brief therapy the therapist does not follow the client’s conscious issues or presented problems. There is little emphasis to deal with transference or working through the relationship with client and therapist. Here are a few examples from the work of the great teachers in psychotherapy.
Fritz Perls, Milton Erickson and Walter Kempler are only a few examples of the first explorers of brief therapy. Fritz developed a group style workshop where he ‘worked’ with one person and the rest observed and, at the same time, learned from the client’s work with Fritz.
Milton Erickson used hypnosis and trance inducing stories (metaphors) to accomplish fast and lasting shifts in his clients in only one session. He took painstaking details from the client’s process, noting minimal clues to reach the unconscious and access inner healing.
Walter Kempler , a student of Friz, was known for his Gestalt work with families and couples. He was considerate, passionate and at times ruthless with his attempt to reach the family’s deep conflicts. He would work with a force that would deconstruct the stuck places of each family member and open deep healing resources for the family’s issues. He promoted self-regulating ways of achieving positive results in two or three hours of work. He would carry on for more hours until a deep solution was achieved. Therefore the evidence from his results was the achievement of successful and deep impacts on the whole family system and each individual.
In exploring the work of the three major pioneers of brief therapy, I conclude that no matter how the client or family experience their deepest issues, the therapist, with him or herself as the focus of intervention  selects the greatest obstacle that will be worked on to resolve the deep conflicts within each member (or person) and engages this conflict as a warrior would. Thus, the pain, suffering and denials or deflections of reality, all are confronted and resolved in a shortest time possible in order that the individual can recuperate his or her inner power to go on with life.
Finally, therapists must become aware that clients are much more resilient than therapists give them credit for. This means that all clients have a strong possibility to benefit from brief therapy that brings them to the deep capacity to deal with their conscious and unconscious self.

BRIEF THERPAY GUIDELINES

1. Start to take some small risks slowly. Be clear about your interventions that may not go in the desired direction, experiment.

2. Use art therapy tools.

3. Make sure you have some years of training and experience and supervision in brief therapy.

4. Some deep interventions that reach into the unconscious may surface issues like suicidal wishes, homicidal phantasies, illusions of grandeur and/ or primitive ways of being. You can expect that these symptoms may develop confusion, anxiety and fears in the client. This may indicate a positive movement toward healing old pain.

“To know yourself means to understand that you are the Universe” A. Jodorowsky
 
 

 

 




[1] David Joseph Bohm FRS[1] (December 20, 1917 – October 27, 1992) was an American scientist who has been described as one of the most significant theoretical physicists of the 20th century[2] and who contributed unorthodox ideas to quantum theory, neuropsychology and the philosophy of mind.
[2] Erich Seligmann Fromm;(March 23, 1900 – March 18, 1980) was a German social psychologist, psychoanalyst, sociologist, humanistic philosopher, and democratic socialist. He was associated with the Frankfurt School of critical theory.
[3] (2010), Psychomagic: The Transformative Power of Shamanic Psychotherapy, Rochester, VT: Inner Traditions, ISBN 978-1-59477-336-5. Jodorowsky, Alejandro (2001).

 


Tuesday, February 7, 2017

TAROT FOR PSYCHOTHERAPISTS

 
 

TAROT of Marseille, France 1760



REFLECTIONS YARO BLOG – FEBRUARY & MARCH 2017


TAROT FOR PSYCHOTHERAPISTS

This is a new Reflection following the on-going theme, mentioned earlier, about Alternative ways of working as a therapist. In a world full of uncertainties we need to find and implement new ways of enabling people on their life journey. No matter what training or theoretical perspective you may be ‘a true believer’ in, the world a changing and expanding entity, is moving all that lives into a path of expansion and growth.
In the last few blogs we reflected on alternatives to therapy such as Process Psychology, Psychomagic, Shamanism and now the TAROT. This is a short reflection about the TAROT deck of cards and how this deck is being reborn as a healing tool.
The exact origins of the TAROT are not clear. Card playing decks were being developed in Italy as far back as the 1400’s. They were beautifully hand crafted and used mainly for divination. The oldest deck is called the “Michelino deck” produced around 1417. The deck was commissioned by the Duke of Milano who was a very keen card lover and who designed the TARUCCI play cards.
Dr. Yoav Ben-Dov, a psychotherapist and student of the TAROT writes that in 1700’s and 1800’s card makers in Marseille, France adopted a common model for the TAROT deck that eventually became the standard that is basically used today (with some innovations by Crowley and A.E. Waite). The OSHO ZEN TAROT is also very popular today.
As we know, psychoanalysis and psychotherapy are rather recent phenomena. Sigmund Freud begun the study of the unconscious aspects of his patients by having them lying on the couch and ‘free-associate’, meaning stating freely whatever came to their mind while he made notes and interpreted the outcome of such sessions. Later, Carl G. Jung and Alfred Adler, both students of Freud, begun experimenting with sitting face-to-face with their patients.
In our current state of development of Psychotherapy and Counselling we note two differing movements: One, are those practitioners that claim ‘scientific’ proofs of their therapy is necessary by using complex statistical measurements of results and on the other side, those who explore the Humanistic and Existential aspects of healing. Later on(1960’s & 70’s) the Esalen Institute pioneered and expanded a multitude of therapies and healing methods with leaders like Carl Rogers(person-centred therapy); J. Moreno(psychodrama); Fritz Perls (Gestalt Therapy) and many others.
In addition to the verbal communication with clients, they experimented with body postures, gestures, muscular movement, facial expressions, tones of voice, sitting, standing, moving and the use of art therapy. This led to the practice of full awareness or attention to the ‘here and now’ phenomena in the healing process.
Starting at the surface of attention, such therapists gradually guided clients into depths of their psyches some even claimed that they were working with the very Soul of their clients. Carl G. Jung’s student Dora Kalff developed the Sand Play method of working with symbols. She begun with children who usually are limited using only verbal communication and later worked with adults to enable them to reach a deep understanding about their unconscious processes.
As more artistic tools were in use and body experiments conducted (W. Reich) the alternatives to the ‘talking cure’ were widely accepted by most western populations. It is now more and more popular to add to any form of therapy, used by any discipline,  the artistic and creative tools available and accepted by many in the therapy field. Symbolic tools like the Rorschach test, Mandala drawing and TAROT cards are used often by creative therapists in their work with clients and groups.
The current book by two talented psychotherapist Dr. Victor Daniels and Kooch N. Daniels M.A. , both from California," TAROT AT A CROSSROADS"  recently published, is a classic book about the crossover between psychology and the TAROT. They state: "a decade ago, we began exploring the therapeutic potential of TAROT cards . We already knew that their imagery could illuminate a broad spectrum of dilemmas, vices, virtues, cravings and opportunities. We have found that pictorial imagery – especially TAROT cards – support the telling of emotionally loaded stories and memories. They can be used in a onetime session or repeatedly in ongoing sessions over a period of time” (p 23).
The authors also became aware that some of the practices used by Gestalt Therapists can also be used with the cards. For example, they would ask a client to select cards and then project a dialogue between two or more cards (like in the empty chair method) or like those used in adult Sand Tray work.
In our modern ‘virtual reality’ world most people are increasingly accustomed to use pictorial images. Children are watching and playing games on their computers and we all look at YouTube for stories and visually learn skills on line. It is clear then, that today’s psychotherapy must use the evocative imagery and one such tool is the TAROT that readers and healers used for centuries to bring more understanding and deeper meanings to our unconscious and a full integration of mind-body-spirit. Most importantly, to become aware of the whole person.       
It is important to know that there are some differences between a TAROT divinatory reading and a therapy session. Here is a brief explanation by the authors of the TAROT book:


 
DIVINATORY USE OF TAROT
 
·         Offered by the reader
·         Cards are a point of contact
·         Meets the needs of the querent
·         Extensive knowledge and experience needed to guide readings
·         Querent picks up cards face down on table
·         Focus on the traditional meaning of cards
·         Reader leads the discussion and offers suggestions
 
 
 
 
PSYCHOTERAPEUTIC USE OF TAROT
 
·         Offered by therapist or counsellor
·         Cards are effective point of contact
·         Meets needs of client
·         Therapeutic training and experience needed
·         Client selects specific cards on a face up deck
·         Focus is on client’s reactions to the cards
·         Therapist does not interpret, client sparks key points

 
In conclusion to these Reflections on the TAROT, I am adding here the 12 activities for psychotherapists that may help them to learn how to use the TAROT imagery in therapy sessions. For more understanding, I suggest a visit to a good TAROT school or workshop.
1. Make a daily practice of placing a TAROT card on your desk and attempt at a ‘dialogue’ with the image.
2. Associate any meaning that emerges as you connect with each card (work like in a dream session).
3. What symbols & colours stand out for you ?
4. Any specific clues you get from the ‘gender’ cards.
5. Do you ‘receive’ a message or an intuitive awareness from the card?
6. Reflect on your moods or feelings evoked by the card(s).
7. Use the card as a motivator to move, dance, voice expression or all of the above.
8. Place two cards side by side and look at their differences and similarities. Are they looking at each other or facing away from each other?
9. Notice if you find the same symbol in each card you look at.
10. Can you recognise(remember) a story, fairy tale or dream that may be connected to the cards.
11. Meditate on the card or cards – one at a time and note what feelings emerge for you.
12. Keep a TAROT journal and add pictures as they come up in your mind. Develop a collage.
 FOR THE MORE INTERESTED: If you want to follow up the meaning of the major Arcanas (21 cards), you can examine the small list here. Google images also give a very colourful list of TAROT cards.
 
THE DIVINATORY MEANINGS OF THE TAROT
1 The Magician- The Magician is a person of new opportunities and ambition. He has incredible willpower, but is often overcome by his emotions. Positively associated with confidence, individuality, willpower, new beginnings, and inner potential. Negatively associated with trickery, deception, lack of compassion, indecision, and abuse of power.
2 The High Priestess- The High Priestess is the guardian of hidden secrets. She keeps the divine knowledge secretly tucked away for the right time to reveal. Positively associated with intuitiveness, understanding, wisdom, mystery, psychic ability, and the divine feminine. Negatively associated with lack of motherliness, emotional insecurity, secretiveness, and hidden obstacles or opponents.
3 The Empress- The Empress is a symbol of love, fertility and motherhood. She represents compassion and devotion. Positively associated with fertility, birth, motherhood, harmony, nature, prosperity, joy, love, and artistic ambition. Negatively associated with domestic upheaval, emotional blackmail, over-protectiveness, poverty, infertility, unwanted pregnancy, and suppressed logical expression.
4 The Emperor- The Emperor is a sign of achievement and honour. He represents paternity and strong leadership. Positively associated with achievement, authority, protection, support, trustworthiness, discipline, provider, consolidation, reason, and willpower. Negatively associated with weakness, immaturity, failed ambition, status driven, tyrannical, and an overbearing nature.
 5 The Hierophant- The Hierophant is a symbol of moral law and convictions. He is also a welcomed advisor and spiritual guide. Positively associated with advice, wise counsel, spiritual consolation, knowledge, identification, faith, conformity, and traditions. Negatively associated with misinformation, lack of faith, deviousness, bad advice, confusion, and disorderly conduct.
6 The Lovers- The Lovers represent a new breath of life. They symbolize love, devotion and spiritual friendship. Positively associated with desire, new lover, relationships, physical attraction, love, sex, and commitment. Negatively associated with lust, moral lapse, temptation, indecision, separation, failed love affair, and emotional loss of control.
7 The Chariot- The Chariot symbolises conflict and victory. It also represents unknown forces pulling you forward quickly. Positively associated with triumph, movement, change, self-belief, assertiveness, and good news. Negatively associated with rage, tyranny, overinflated ego, selfishness, arrogance, delays, and frustration.
 8 Justice- This card directly means justice, fairness, and balance. It also has sway over partnerships and legal matters. Positively associated with justice, truth, integrity, balance, arbitration, responsibility, and fairness. Negatively associated with prejudice, injustice, bad judgement, bias, and bad advice.
9 The Hermit- The Hermit is a solitary person, one who looks for answers within and away from others. he represents a time for solitude and peace. Positively associated with introspection, solitude, guidance, advice, and patience. Negatively associated with obstinacy, suspiciousness, fear, impatience, folly, and arrogance.
10 The Wheel of Fortune- The Wheel of Fortune is a sign of fates spinning round and round bringing in a new era. It represents the randomness of life and what comes at you. Positively associated with destiny, movement, vision, good luck, new cycle, and synchronicity. Negatively associated with obstacles, temporary bad luck, and unpleasant surprises.
 11 Strength- The Strength cards shows the inner resolves you have. It represents the emotional, physical and spiritual strength associated with the situation. Positively associated with strength, willpower, compassion, patience, courage, triumph, and fortitude. Negatively associated with over compensation, fear, inertia, defeat, loss of opportunity, and entropy.
12 The Hanged Man- The Hanged Man symbolizes self-sacrifice and the unaware mind. He is representative of the blind sacrifice that is needed in the situation. Positively associate with transition, flexibility, rebirth, deliverance, and release. Negatively associated with materialism, inflated ego, lack of willpower, easily influenced, and martyrdom.
13 Death- The Death card symbolizes anything but that. It is a card of release and starting over. It represents the absolute, both the end and the beginning. Positively associate with endings, transformation, clearance, and sweeping change. Negatively associated with stagnation, loss of opportunity, loss of friendship, and fear of change.
14 Temperance- The Temperance card is a card of self-control and abstinence. It represents the ability to handle overwhelming circumstances and emotions. Positively associated with harmony, health, moderation, compromise, peace, and self-control. Negatively associated with impatience, lack of foresight, conflict, quarrels, and domestic strife.
15 The Devil- The Devil is the embodiment of primal instincts. Heated emotions runs strong with him, passions devour the mind and self-control is lost. Positively associated with permanence and commitment. Negatively associated with entrapment, lust, greed, ignorance, anger, tyranny, and obsession.
16 The Tower- The Tower shows the crumbling of stability and the breaking down of all things. It represent change, upheaval and unwanted change. Positively associated with re-evaluation, necessary change, and a blessing in disguise. Negatively associated with sudden change, downfall, disruption, and disaster.
 17 The Star- The Star is a beacon shining through the darkness, a guiding light. It represents renewal of faith, hope and youth. Positively associated with hope, generosity, serenity, wishes coming true, good health, and spiritual awareness. Negatively associated with self-doubt, lack of trust, cynicism, and pessimism.
18 The Moon- The Moon is a card of hidden and buried emotions. It casts and eerie light over everything. It represents hard travels and a rough inner journey. Positively associated with imagination, unexpected possibilities, and illumination. Negatively associated with fear, confusion, highly charged emotions, bewilderment, lies, and deceit.
 19 The Sun- The Sun shines down on everything, giving warmth, life and joy. The Sun is the light at the end of the tunnel, the source of all that is wished for. Positively associated with happiness, greatness, enlightenment, vitality, good health, love, and fulfilment. Negatively associated with misjudgement, delays, potential failure, and inflated ego.
20 Judgement- Judgement heralds a time of reward. It is the card of wisdom and acceptance. It represents new phases in life and new relationships with the self. Positively associated with rebirth, rejoicing, absolution, new potential, and rewards for past efforts. Negatively associated with guilt, loss, self-reproach, delays, fear, and obstinacy.
21 The World- The World is the end. The arrival of all the desires you hoped for. It is the beginning and the end, the dream, the hope and wish itself. Positively associated with fulfilment, completion, satisfaction, joy, wholeness, and success. Negatively associate with stagnation, lack of will, impatience, and delays.
Quoted from:  http://www.predictiontarot.com/Tarot-Cards-Meaning-or-Tarot-Interpretation#sthash.01HeomzO.dpuf
 

Saturday, January 14, 2017

WELCOME TO THE NEW YEAR!



NEW YEAR

Awaken I lay at 3 am
Seeking answers in my head
None came
I waited that night
Only shadows greeted me.

New Year has arrived
Quietly, softly on this sunny day
Birds sing and trees growing mute
In this circular grassy place
Where the houses stand alone

All is the same except the New Year
All is different in my soul
Longing for home, I sit with a book
Reading “The Fall of Light”

Sadly I think of my life;
How brilliantly in shone
And slowly has dimmed
Falling in a dark place
Like a hollow tree burned inside
By the fire of yesteryears.

Now, the New Year
Like many more, hold some promise
Of better times and happiness
The rising sun shines on me
And my sadness disappears
Like this full moon from the dark-night sky.


The old year has gone and the new one is upon us with more uncertainties and surprises. So, this ‘reflection’ is taking a new path towards making us think. This path may not be so ‘new’ after all, to some, but perhaps a refreshing one.

The last blog was about the way some therapists could reflect about seeking ways of broadening their practice. One way was to look at the work of Alejandro Jodorowsky and his research about Psychomagic.  He clearly opened a door to the ancient practices of shamans and he uses the TAROT card symbolism as a way to offer the client a way towards self-regulation in the healing process. Just like Dr. Fritz Perls opened the door to existential and humanistic therapy, Jodorowsky opened the doors to Psychomagic therapy. A therapy based on his experiences with teachers like Zen masters and Mexican spiritual healers.

Stanley Krippner, director of the Saybrook Institute in San Francisco CA,  states the following in an article  about shams as the first healers: “Shamans have not been taken seriously by most allopathic  physicians despite the fact that many shamanic traditions have developed sophisticated models of healing over the centuries. Furthermore, the models have been flexible enough to survive their contact with allopathic medicine and even to be incorporated in its practice".

One such practitioner is Dr. Stan Grof. Grof and his wife Christina, studied the relationship between altered states of consciousness and Shamanic healing for the past 30 years. Grof begun exploring psychedelics (LSD, Mushrooms, etc) and then spent the last ten years experimenting and writing about powerful non-drug alternatives. His method of therapy is called Holotropic Therapy. This is a method that closely parallels many of the recorded Shamanic healing practices. It combines controlled breathing, evocative music,  focused body work and art therapy (like Mandala drawing).

As we have already explored in the past blog posts, the current ‘verbal’ psychotherapies have not given any positive or conclusive evidence that they work as a way of healing the body, mind and spirit. By using Grof’s holistic approach we transform ‘ordinary’ experience of being into transcendental deep work.  (See article on Holotropic therapy).

The other interesting alternative to  the ‘talking therapies’ is is described in the work of Dr. Arnold Mindell and Amy Mindell. Some of this work (process work) has been mentioned in the previous post but here is a more specific commentary for your reflection.

In Process Work, the authors encourage us to become aware of the more subtle states of consciousness. Often the therapy is not effective because the therapist is not recognizing (not aware) nor interested in the client’s states of consciousness.

It is well documented today that a person can experience a number of different states of consciousness. The first aspect is called “meta-communication”. Here the person can ‘talk about’ and describe clearly their current state of being in the here and now. That means that the client is aware of his or her current state. If a person is not able to describe the state of consciousness, then he or she may be having an inner identification with that state but unable to express it. This then becomes a portal where the Shaman can enter (using various rituals) into this fluid state of consciousness without the need to have a verbal explanation or description.

Many altered states are culturally conditioned. What is considered ‘normal’ in one culture is not so in another. A person with a certain behaviors may be considered ‘abnormal’ in one culture and totally well in another. This is called a “consensus reality”. That is a reality or “truth” based on what most people in that culture define and agree as being real. The Holotropic methods devised by Stan Grof and the many Shamanic healing rituals are designed to enter  the non- consensual reality of the client(or participant) to be able to find the roots of illnesses  that are based mainly on cultural consensus and reverse the mental structures and connect with the clients self- healing ability.

If a person spends a lot of time (which is often) in the consensual state, he or she may find themselves in a split between the inner non-consensual awareness and the cultural belief states thus leading to serious psychotic break down.

Another very interesting state of consciousness is called “extreme state” and is often manifested in a comatose situation. Here the person is not talking, not aware, nor communicating in any way. The person is completely inside of the experience. Amy and Arny Mindell describe the work they do with clients in coma in the book: “Coma: a healing journey”  Laotse pub. 1989.

In summary, here is a list of skills to work with a client’s state of consciousness:

·         -Pay attention how consensus reality is influencing the client’s behavior and beliefs.
·       -  Pay attention to the client’s Inner Child persona.
·       -  Notice client’s projections on the therapist – using “you”, “they” words
·        - Use indirect methods of working like collage, painting ,drama.
·         -Give prescriptions or ‘homework’ for the client to do at home. (see the Psychomagic post).
·       -  Joining the client’s reality as is presented here and now and  designing rituals that connect with that reality.
·         -Working on dreams.

In conclusion, I recommend that you reflect on the various interesting non-ordinary interventions and develop your own style and methods of healing. Practice becoming a Shaman or use Psychomagic tools.
Stanley Krippner, again states: “ There are shamanic healing processes that closely parallel contemporary behavior therapies, chemotherapy, dream work, family therapy, hypnotherapy, milieu therapy, and psychodrama. It is clear that Shamans, psychiatrists, psychologists and physicians have more in common than is generally suspected. (acknowledged). For the Shaman, however, the spiritual dimension of healing is extremely important whereas contemporary therapists and  physicians ignore it".

In Art Therapy and Gestalt Therapy we consciously include the spiritual work as essential to wellness. We do not separate the various services that claim the ownership of much consensus reality. The priests claim the soul, the psychologists claim the mind and the physicians claim the body. We explore and include ALL of the dimensions of the human being.

Some day we will include in our therapeutic work the old Shamanic ‘tools’ of soul retrieval, spirit communication, community connection and group healing, explain the meaning of dreams, vision quests and so on. WE must stress the importance of sharing life purpose, service to community, society and caring for Nature.


As a 'bonus' here is an article about Stan Grof and Holotropic therapy:

Healing and Transformation:
The Use of Non-Ordinary States of Consciousness  - With special reference to the work of Stanislav and Christina Grof.
By Martin Boroson, Martin Duffy and Barbara Egan
Psychological illness, or neurosis, can be defined simply as a restriction of consciousness or – to borrow a Hopi Indian idea – a way of living that calls for a new way of living. Psychotherapy, self-exploration and spiritual questing can all be seen as attempts to gain access to the “foreign” realms of the psyche, the territory that transcends the tight, limited boundaries of the ego. Healing begins when the individual finds some way to reach across the divide between ego and non-ego, and acknowledges some of the material as his/her own. The individual dies to his/her former self-image and world-view, and is reborn at a higher (more expanded) level of awareness.
Psychotherapists call this realm beyond ego, the unconscious. In discovering a collective aspect or layer of the unconscious, Jung suggested that the content of our mind is not limited to what we have experienced since birth. Our normal, everyday state-of-consciousness, dominated by the ego, can be called “ordinary reality”, and all other realms of the psyche or states-of-consciousncss can be called “non-ordinary”. In a non-ordinary state of consciousness, the universe can appear fluid and non-mechanical, space and time are relative, moral absolutes vanish, death is but a transition and life exists in a variety of forms. Stanislav Grof, one of the world’s foremost researchers into the healing properties of non-ordinary states of consciousness, calls ordinary reality “hylotropic”, meaning matter-orientated, and the latter, non-ordinary reality, “holotropic”, meaning wholeness-orientated.
Grof observed that the phenomena experienced in a non-ordinary state are thematically linked to one another, and to issues in one’s conscious life or “ordinary” reality. He calls these thematic links “systems of condensed experience” (COEX). An example of a COEX in one individual might be:
Personality:           Fear of intimacy, claustrophobia
Psychosomatic:   Asthma or tightness in the chest
Biography:           Near death experience of drowning or lack of oxygen. Smothering family life; repressive environment
Perinatal:           Experience of being suffocated (swallowing mucous or being strangled by the umbilical cord).
Transpersonal:    Symbolic (or past-life) experience of being buried alive, hanged, etc.
According to Grof’s model, everyone has several different COEX’s operative at one time, and each would have a positive and a negative charge. By experiencing each aspect of the COEX, an individual can clear its negative influence from ordinary life. Using the example above, one could have the full emotional and physical response appropriate to the experiences of drowning, choking, repression (e.g. screaming, fighting, crying, giving up). This would free up the psychological and/or physical pattern, rather than perpetuate the experience in a locked, frozen or jammed form in the unconscious. Each experience of one level of a COEX would subsume major changes of perception and philosophy of life, as well as concrete changes in everyday life. In the above example, the individual might find him/herself able to break free of restricting situations, such as a relationship or job, and find improvements in his/her breathing, self-expression and emotional life. The individual would feel free within, and know that, in the final analysis, the constriction was internal, i.e. maintained in his or her own state of consciousness.
As one goes deeper into the psyche, into the transpersonal realms, it becomes impossible to sustain a belief in simple cause and effect. What one develops instead in a non-causal, more mystical world view that everything the individual has suffered is in some way necessary. Individuals who complete a process of death and rebirth will say that their suffering – no matter how painful or “wrong” from the point of view of ordinary reality – advanced their growth. They are connected to a deeper sense of spirituality, or feel that their existence is part of a greater whole.
Non-Ordinary States for Self-Exploration and Healing
One method through which a non-ordinary state of consciousness can safely be experienced is Holotropic Breathwork, devised by Stanislav and Christina Grof. Deep breathing and carefully selected music are used to induce a non-ordinary state, and focused bodywork is used to finish a session. This work is typically done in a group setting, although everyone’s process is individual. Maximum attention is paid to the safety (both physical and emotional) of the setting. Generally, workshops are residential, in a place removed from ordinary reality, to enable participants to “let go”. A great deal of preparation and integration is done around the sessions, as in any sacred, transforming ritual. Participants are urged to go fully towards any experience that emerges and to suspend judgement until after the experience is completed.
One of the advantages of this work is that the unconscious selects the most important or relevant issue. No ideology is imposed on the client, and the facilitator is not in the role of all-knowing interpreter. The unconscious is completely trusted to provide the necessary healing experience, without therapeutic intervention or prediction. For some people, healing may come in a completely calm and quiet way. For others, it may involve a huge emotional or bioenergetic release. And it can come from any part of the mind or body. As an adjunct to ongoing therapy – particularly for a client who is blocked, has a traumatic history or is very emotionally charged – a holotropic workshop can be invaluable. The preparation for such an experience, and the continued exploration and integration of what emerges, can be done effectively in individual or group therapy.
Holotropic work can often provide a “breakthrough” experience for people whose personal therapy is stuck. A holotropic session encourages and allows the unseen unconscious factor to emerge without any theoretical programme, and gives people a powerful tool for overcoming resistance.
Spiritual Emergence and Non-ordinary States
Research into non-ordinary states of consciousness indicates that many experiences that have been labelled psychotic are actually mystical, and potentially healing, if they are allowed to occur in a safe and supportive environment and if they are properly integrated. The traditional therapeutic situation tries to explore symptoms while ensuring that they do not get too big or unmanageable. The psychiatric model actually tries to suppress symptoms altogether and mistakes that for a cure. In the holotropic model, symptoms are facilitated, i.e. they are helped and encouraged to get as big as they need to until they are resolved. From a holotropic point of view, the problem is not the appearance of the symptom, but the ego’s attempt to control it. In many cases, we have seen longstanding, intense anxiety conditions and psychosomatic disorders resolve, once the client was given permission to allow the non-ordinary experience implicit in the symptoms to emerge fully (i.e. with its visual, emotional and physical components).
It must be stressed that experience with non-ordinary states should be undertaken only in very carefully constructed situations, and that this technique of self-exploration is not suitable for everyone. But for the vast majority of ordinary seekers – people whose pain and confusion has led them to get help, to question who they are – this method of self-exploration holds great rewards and the possibility of profound transformation.
Our culture is certainly one of the most spiritually impoverished of all time. Going about our ordinary lives, obsessed with what Grof calls the nine-to-five “hamburger stand” consciousness, we fail to see the vast, meaningful dimensions of the human soul that await just behind a thin veil. As a culture we have lost the means, and the belief in the importance of gaining access to our deeper selves. It is a skill that most other cultures in the world have considered not just sacred, not just special or exalted, but vital to life itself.
Bibliography
Grof, Stanislav, The Holotropic Mind, 1992, Harper San Francisco Beyond the Brain, 1985,
Grof, Stanislav and Christina, The Stormy Search for the Self: Understanding and Living with Spiritual Emergency, 1991, London.
Spiritual Emergency: When Personal Transformation Becomes a Crisis, 1989, Los Angeles.
Jung, C.G., Memories, Dreams and Reflections.
Barbara Egan, Martin Duffy and Martin Boroson together form the Transpersonal Psychotherapy Group. They are currently training in Holotropic Breathwork with the Grofs. They run three-day, one-day and week-long holotropic workshops in Ireland. 

 Stanislav Grof MD

 Grof is known, in scientific circles, for his early studies of LSD and its effects on the psyche, the field of psychedelic therapy. Building on his observations while conducting LSD research and on Otto Rank's theory of birth trauma, Grof constructed a theoretical framework for prenatal and perinatal psychology and transpersonal psychology in which LSD trips and other powerfully emotional experiences were mapped onto a person's early fetal and neonatal experiences. Over time, this theory developed into what Grof called a "cartography" of the deep human psyche. Following the suppression of legal LSD use in the late 1960s, Grof went on to develop a theory that many states of mind could be explored without drugs by using certain breathing techniques. He continues this work as of 2015 under the trademark "Holotropic Breathwork".
Grof received his M.D. from Charles University in Prague in 1957 and then completed his Ph.D. in medicine at the Czechoslovakian Academy of Sciences in 1965, training as a Freudian psychoanalyst at this time. In 1967 he was invited to be as an Assistant Professor of Psychiatry at Johns Hopkins University School of Medicine in Baltimore, United States, and went on to become Chief of Psychiatric Research at the Maryland Psychiatric Research Center where he worked with Walter Pahnke and Bill Richards among others. In 1973 he was invited to the Esalen Institute in Big Sur, California, and lived there until 1987 as a scholar-in-residence, developing his ideas.
As founding president of the International Transpersonal Association (founded in 1977), he went on to become distinguished adjunct faculty member of the Department of Philosophy, Cosmology, and Consciousness at the California Institute of Integral Studies, a position he remains in as of 2015[update].