Ben Yalom on Narrative Therapy, Theater, and Writing with my Father

An Intellectual Heir to my Father?

Lawrence Rubin: I’m here today with Ben Yalom psychotherapist, theater-maker, and author. His book, Hour of the Heart, which he wrote along with his father, Irvin Yalom, explores the complexities of human relationships and personal transformation based on one-hour consultations between the senior Yalom and his clients. In addition to his therapeutic work, Ben is the founder and artistic director emeritus of fools FURY Theater Company in San Francisco, where he directed numerous acclaimed productions.

You’ve now written a book with your father, as his light is fading. I wonder if you consider yourself to be his intellectual heir.


Ben Yalom: I think I am “an” intellectual heir to my father [Irvin Yalom] to the extent that there are some things that I can do that he has done, and others that I can’t. I could never be my father’s full intellectual heir because I would have 40 or 50 years of reading to catch up on first!

But there are many things that we’ve experienced together, beginning when I was growing up. My parents were further along in their careers, and at that point, there was only one of me because my three siblings were already grown. So, I imagine that their dinner table conversations were a little different from the ones I had with my parents, which were definitely weighted towards their interests. So, almost by osmosis, I probably gathered a lot of knowledge in the humanities. I imagine my siblings did as well, but I think I probably was more exposed in many ways. That’s just in my DNA, or what might pass for my foundational upbringing.

I have done some thinking lately because I’m working on some essays and a book proposal, on what it would mean to sort of take up the mantle of some of my father’s and my mother’s intellectual work and writings. As I say, I don’t think I can ever really be my father’s heir or equal in the sense of having that deep wealth of knowledge about philosophy and therapy and the humanities that went into his writing.

But another very important aspect of his writing that resonates with therapists and students of therapy is that he’s extremely open and honest about himself and his flaws, as well as in the sharing of his ideas. And those are things I very much can do in my writing. In that regard I think I can deliver on his way of being and his way of sharing and his way of teaching.

I’ve certainly reached a place in my life which is quite relevant to the book we just completed, Hour of the Heart. I’ve reached a place in my life where I’m very willing to be quite transparent about most things in my life with my readers and with people who come to ask me for help, I am already finding that this is helpful, much in the way that my father describes in his work. One other aspect that I’m trying to bring into my work, both as a writer and a therapist, is my background in theater.

While that background and foundation does not come from mountains of books that I have not read, I do have something analogous to that in my 25 years in making theater. Particularly in doing types of theater that are deeply engaged in mining the richness of the actors’ lives, rather than the psychology of characters that comes from a script written by someone else. My experience in theater centers around working with peoples’ experiences and psychologies and stories, and in understanding how the body can be used along with the connections between the bodies and emotions in storytelling for character development.

This knowledge is quite real and substantive and can be very powerful for a lot of people. It has taken me some time to understand how to use it therapeutically. I’ve been trying to find my way to weaving these things together in a deep and compelling way to help people, and I’m now starting to see real results, which is exciting.


LR: You’re speaking of the FoolsFURY Theater Company. What was your role in it?
BY: I founded and led the company for most of its existence. I first went to the Iowa Writers Workshop for graduate school, to write fiction. But when I got out, I learned very quickly that I didn’t like sitting alone in a room writing. And all along I’d had a parallel passion which was doing theater.

But I found that I was not that interested, or satisfied, by the theater I was seeing produced. Even in a pretty interesting and experimental place like San Francisco, much of the mainstream work was very traditional American theater. That is, a script was given, people performed on a stage, and it was almost like in many ways, putting a movie on the stage. That’s a vast oversimplification, but to some extent it’s true.

I became really interested in ideas and concepts that could be expressed in metaphor and movement, and that tackled deep themes. I was much less interested in realism. What I really wanted to explore was “What could be unique about the experience of live theater?” which was completely different from trying to put realism on stage. So, I started exploring and meeting people in theater companies in the Bay area, trying to get them to hire me to direct plays. But I found quite quickly that people were interested in working with me, but nobody was going to hand over the keys of their theater company to let me create my sort of experimental vision. Finally, my mentor came to me and said, “Okay, well, I guess that means it’s time for you to start your own company.” So, I started a company to produce one play at the time, and when it came time to actually put it on stage, I was told I needed to have a company name.

You asked earlier about the name foolsFURY. I dreamt this up as a collision of fool – our absurd and comic human position in the universe – and fury at the injustices we do to one another. I meant only to do one or two plays in order to put my name on the map. Then it became a 20-year endeavor, because we got to do the things that I wanted to do artistically that nobody else was ever going to hire us to do––to raise complex questions and be deeply curious. It was a place of experimentation and research, and ultimately a place where we hosted many other companies and nurtured their creative visions, all working in this sort of space between somebody delivering a script versus the actors and the designers and the directors creating original plays.

What I wanted was people who could do powerful realist scenes but also explode the stage, do everything that was possible to create an experience that one had to be involved with live, and that could mean the type of immersive theater that we’re seeing very strongly now, 25 years later. It might mean acrobatics. It might mean dance. It might mean breaking out of realism into some sort of crazy imagination, stylized work, and then back into realism.

At the time, most of American theater, and definitely most of the mainstream theater that was happening in the Bay Area, as well as what all the major conservatories were teaching, were variations on realist acting and was psychologically driven from the top down. I had to become an expert in things that moved from the outside to enter the bottom up; start with the body, get to the mind as opposed to starting with the mind and getting to the body. So, my expertise is very much in a number of contemporary forms that are bodily-oriented, driven by impulses in the body, or understanding a feeling in the body and how that might come out, or how a certain use of the body might generate an emotion as opposed to the inverse.


Beyond Thought and Language

LR: How have you made the transition from the theater to the therapy space?
BY: I am trying to bring this “bottom up” orientation into some of my therapeutic work. This means developing ways of getting people to find or explore—if we think about Narrative Therapy—stories of self, not verbally, but through exercises that are more physically oriented. And my feeling is that one of the challenges of traditional talk therapy is that it’s so talk heavy; this works really well for some people, but not for others. The discursive, rational language that we use isn’t the easiest way for some clients to explore themselves, or to express what they find when they do. So, I’m trying to build some tools that go with narrative and existential therapies, but which help people explore and express themselves in a less language-centered way.

LR: It’s interesting that we started the conversation around the question of whether you are ‘the’ or ‘an’ intellectual heir to your parents’ careers, particularly your father’s and specifically with regard to therapy and your understanding of the human condition. But it sounds like your work in the theater, and how you’re integrating it into therapy is almost anti-intellectual or contra intellectualism.

BY: I’m not going to disagree, but I’d say it’s more a different angle than an anti-intellectual one. The first thing that comes to mind when I’m asked about my theory of change is that peoples’ living understanding of what is meaningful for them is critical. That might look like identifying their “quest in life” or their search for meaning in the universe, and then living in ways that are more aligned with those meanings or ethics. To me, that’s a very existentialist approach through which I’m saying, “What do you find truly important in your life at a deep level?” This is inherent in my father’s work, but I don’t know that all people can answer that solely through thought and language. I think meaning exists within the framework of all the other existential questions, but I don’t think that peoples’ understanding of what is meaningful for them is always easy to articulate verbally.

LR: How do you use movement or poetry or other experiential types of explorations to help your clients make sense of some of the larger existential questions?

BY: I’m doing it based on many, many years of experience with certain theatrical forms. I also have a great network of mentors that I’ve met over the decades that have guided me in explorations or exercises that allow people to go to deeper places within themselves both individually or within a group. Often, they come out with words on the other end, but the theatrical and dramatic and dance work is usually inspired by the internal work they’ve done or are doing.

Over the decades I’ve watched some of the best theater makers and dance makers I know do this kind of deep work, and I’m constantly reminded how powerful their experiences have been. My goal has been to use these highly developed skills and expertise to help therapy clients reach those deeper, meaningful places within themselves, and between themselves and others.

An Embodied, Experiential Journey

LR: Can you give me an example of a client who you helped to bridge that divide between word and experience?

BY: Right now I’m doing this work in groups. Maybe someday we’ll get to a point where I’ll bring it into individual sessions.

One person I was working with lived with a great deal of shame. She was a Middle Eastern woman battling the shaming cultural practices that came from being a woman and from her parents. Her constant pattern in life was to hide from her parents and then dig her way out and do the things that her parents then disapproved of. None of them were particularly bad things, but those things didn’t fit the culture.

Sometimes before group sessions, I will do what I call a “mission interview.” This is a format Tom Carlson, Garret Rutz, and I are working on which is basically a very short, intense, Narrative Therapy-based re-authoring exercise, in which I would say something like, “How did you decide that you wanted to become a therapist?” or, “Can you tell me a story about a moment where you made that decision by going down one path?” or, “What were the things you were fighting against in your life that then led you to take up the mantle of fighting against that?” The mission that she developed, should she become a therapist, was to provide a place where people could come to put down their shame and be treated with love, and that she would be the person to greet them with love and offer them a place of safety. So essentially, what I created in that hour for her was the opportunity to think about a story about where she came from, the practices she was up against in her life, what she was doing to combat those practices, and the solution or power or passion that she pursued to fight against those shame-inducing practices.

She understood the mission you jointly articulated for her, at which point I said something like, “We can do this verbally, or we can do it non-verbally where you can get into their body.” She picked, and we continued working together. I offered her some guidance, asking “As you reflect on what you’re really up against in your life, see what that feels like in your body? What is the power, the thing that’s driven you to keep fighting on it against this?” So, we work either way. We identify where they came from, what her big challenges in life are, and hopefully determine what are the strengths and skills or hopes and dreams that she has to fight against this.

Okay, that’s the conceptual background. Then I’ll get them into their bodies and teach them quickly what it is to make a gesture, because it’s the smallest building block of a dance. That seems to be much easier for people to instead of me saying, “go make a dance,” which can be very intimidating. For example , I can say, “Larry, make three gestures, and then let’s put them together.” You just created a little dance!

So then we’d do an exercise where they really get into a meditative space where they spend about 15 minutes just letting their body move, really articulating it and that becomes a bit of a meditation in its own right. I’ll ask them to follow one part of their body which may have begun as an impulse, and I ask them to start paying attention, trying to let their mind and body work together. At that point, I start to bring in the image of the thing that they’re up against in their life. I’ll ask, “How does that feel when you bring that into your story, into your body? Where does it go?” Usually, they’ll go on a little internal journey that’s physical and emotional.

From there, I’ll ask them to bring in the thing that they use to fight against that or to overcome that which takes the meditation in a different direction. I might ask them to just notice at some point and pull a couple of gestures that come up out of those two sides—the thing they’re up against and how they stand up to it. So here they are building a little vocabulary of movement related to their specific stories

Two more steps! They can then do something that’s called a “container exercise” where I ask them what it feels like if they’re inside a container or something that’s holding them in and feeling what that’s like. At some point I’ll say, “I want you to start finding your way out using your specific strengths and skills. And then go back into the container and force your way out again. Then I might say, “The thing that you identified as your challenge in life is that container…that’s the thing that’s forcing you when you go through that…so, how do you use your skills to get out and what does it feel like to get out?” They do it over and over again, and I ask them what they learned from that experience. (And just to note the lineage here, this is a modification of an exercise I learned from the brilliant teacher Steven Wangh, and which he in turn modified from work with the great Polish theater maker and theoretician Jerzy Grotowski.)

I ask them to focus on any gestures or thoughts or words that came out of that such as poetic or metaphorical words or sounds. Next, I might say, “I want you to start on one side of the room in your ‘up against’ state, or the place where you’re fighting against or being contained, and then to move to the other side of the room using all of these gestures that we’ve created, and while going from there to there, somewhere in the middle, there’s going to be a transition, (which in narrative terms is like an agentive turn) where you shift into taking control of this thing. Sometimes people have to go back and forth—but eventually we help them move through to this side. And so they’re getting a very embodied, experiential sense of this inner journey, This is the bottom-up process!

Writing with My Father

LR: I always considered traditional Narrative Therapy to be a very literary, intellectual type of clinical venture, but it sounds like your orientation is to the non-literary or anti-literary, sort of in the way that your divergence from your father’s work led you to an anti-intellectual, experiential place.

BY: One of the things that I saw in Narrative Therapy, at least in the readings, were ideas about ritual ceremonies. Those really caught my attention,. And now, in addition to traditional sessions, I do these experiential exercises in group format that can run six-hours long, and even multiple day intensives.

LR: So, because of your background in theater, interest in Narrative Therapy, and willingness to depart from the written word, you’re no longer committed to that traditional template of one-hour talk therapy. It’s interesting, however, that you just finished co-authoring a book with your father called, Hour of the Heart, where the explicit purpose was to highlight his commitment to continuing his therapeutic career in the shadow of some limitations by offering one-hour sessions with people around the world. Can you share what that experience was like for you?

BY: Strangely, not difficult because my understanding of therapy goes way back to my first exposure through my father’s vision, our dinner table conversations, and later his writings, particularly Love’s Executioner. I read those stories in draft and gave him feedback on those. I did the same on pretty much every book after that so I understood his thinking about therapy and his desire to make a literary form that incorporated therapy, and featured the clinician reflecting on his own thought process and the therapeutic encounter. So, my formation was not only as a therapist but as a writer.


LR: So, it was a natural progression for you?


BY: We had worked together in the past. I had edited a book called The Yalom Reader years ago which was the first big omnibus of his work. In more recent years, I had given very significant feedback on a number of his books.

I did, however, decide that it was just too demanding for both of us to work together until the mountain of stories for Hour of the Heart grew and his memory began to decay. Eventually the manuscript grew to be between 45 or 50 stories, and it was too challenging for him to put them side by side while holding onto the threads that were going on between them.

Some of the stories were sort of repetitive of one another. It’s not because he wasn’t interested in the process or fully invested in each one of those stories, but because he had forgotten what he had written. For example, story 40 may have covered some of the themes already covered in story number 12. At a certain point, we agreed that in order to help him pull it all together, he needed somebody to work with who knew him well enough, knew his way of writing well enough, felt confident enough, and had enough of his confidence to really revise and rewrite. So that’s the work that I undertook.
Embodied writing


LR: From a Narrative Therapy perspective, what do you think your dad values in you that led him to invite you into this project, even though you have a challenging history of working with him.
BY: That’s an excellent Narrative Therapy question. I can only speculate. I think we have a pretty powerful bond and it’s different for all the children. But I am the one who was most engaged in writing. As I went through grad school and after, when I wrote plays and some fiction, I certainly always shared my work with him, and we would discuss it. Likewise, he would share his work with me, and we would discuss that.

We’re certainly not the same writer, and we have different strengths. I found at some point in my 30’s by the time I had children, that it wasn’t always easy for us to collaborate because he is an anxious, and often impatient, person. And for me, working with an anxious collaborator who would often send me a draft, and then call the very next morning saying , “Do you have the edits yet? was challenging. I would come back with “I have it, I haven’t read it yet, I’m trying to get it!” I had three kids to get off to school and whatnot. While we eventually decided not to write together often, we did co-author a column for Inc. magazine for a year, and I’ve edited chapters of many of his books.

But I understood his work well enough to be able to try to write like him in a way, and not to stick things into the stories that sounded out of place. That might have come from my way of thinking but at the same time, we had spoken enough about therapy over the years that I think there was a lot of trust there as well.

It really helped that I had turned the page in my life and decided to pick up the family business and had started my education as a therapist and started seeing clients. So, the questions I was asking were really informed by some experience, as opposed to purely from the writer’s perspective. The other aspect is that I had suffered with depression back in my 20s and 30s, and we had very long talks about that. And similarly, he has had periods of anxiety, and particularly in the years since my mother died. And we had some very long talks about that. So, I think there was a certain amount of trust in one another. And for him, in my psychological acuity and compassion.


Lessons Learned

LR: In his words, “fellow travelers.” Did the nature of your collaborative efforts change from the beginning to the end of the project?

BY: Absolutely it did, and it was really interesting. At the beginning of the book, I would say my father was more concerned about me being interested in doing this, but little by little, he gave me more rope, if you will. I would bring back suggestions that he liked, and he became more and more willing to trust me as a writer. At the same time, I think there was the process of him becoming a little bit less invested in the book, or a little less interested in the book, as time went on because with his clock ticking, and realizing that he doesn’t have that much time left on the planet, there were other things he wanted to be doing and paying attention to.

Those two things allowed him to give me more and more freedom. We also moved from really looking at pages together at the beginning, to more of my doing the work and coming back to him in a Zoom session and saying, “Hey, I’ve got some questions about therapy for you.”

After a certain point, which was quite a bit later, he couldn’t even really remember the individual stories. And sometimes he would reread a story and then we’d talk about it, but often it would be me. I might say, “I’ve written the story. I feel good about it, but I’m not sure about this particular therapeutic dialog in here or this intervention here.” So, I would go back to him and say something like, “Hey, is this something you would say or does this feel right?” I might ask him to imagine he was in this situation with a client, so he didn’t have to remember all the details of the particular interaction in the story.

For instance, if one of the stories was about suicidal ideation, I would ask him how he would address that. It got to a point where what we were having was almost supervision conversations where I was saying, “Does this feel like the right therapeutic move?” and he would say, “Yeah, that that would be good,” or “Here’s a problem with that approach.”

LR: Your father has written and worked around death, dying, grief, and, of course, he lost his wife, your mother, just a few years ago, and now his memory is diminished. What have you learned as a person, as a therapist, and as an author, about death, dying, and mortality that you want to bring into your own life, as well as your therapeutic work? You know, staring at your own sun.

BY: Yeah, it’s been really powerful. Thank you for asking that. I can’t separate it from my particular stage in life. These things are definitely affecting me as a 56-year-old man with young kids. There’s been a certain awakening on my part to the time that I have left. But I’m not coming from zero because I’ve always been having these existential thoughts, because they were part of the air I breathed as a child where the idea of how we confront death was always a common topic around the table.

So, I think now it has made me look at my life, my kids, and my wife and thinking, yeah, I have X amount of time, and I really want to make the most of it. So that is helping me say “no” to things in a way that I probably didn’t before, and also say “yes” to other things and to other people and their needs, in ways that maybe I didn’t before. I think it has helped me in my mission to be a kinder person. Because we all have frailty.

It’s been difficult watching my father diminish to the extent that he has, not only because he’s my father, and that I think it’s difficult for anyone, but also because there’s this the air of the great man being diminished. Because I’m in the field, and because I’m managing his Facebook page, I’m constantly responding to people about the emotional impact on them of his decline. Everybody wants a little piece of him and wants him to know that they wish him well.

That this book itself deals with the aging question and the memory question means that these were very direct topics of conversation for us. We were often looking specifically at, “What it’s like for you to be having these memories slip away?” And “Sometimes we disagree about something that happened in your past.” But then we can’t just sort of let it go sometimes because it’s actually relevant to the story that we’re writing, so we had to stay with those things that were uncomfortable, linger over them together, and decide how to address them, both in life, and in our writing.

LR: We started the conversation around the issue of whether you are your father’s intellectual heir. But as we move to the very end of the conversation, I see you as more of the existential heir. Would this book be one that beginning clinicians could pick up?

BY: I took on the mission of making this an accessible book to a broad range of readers. I think many of his central therapeutic ideas are laid out well enough that one could pick this up as their first book during training. My guess, however, and given that most people who are beginning their journeys as therapists are much younger, is that some of the questions about aging which do make up a lot of this book, are probably not as relevant. I think picking up the Gift of Therapy or one of the books of stories is probably a better place to start. But I don’t think you would go wrong if you began with this one.

LR: I agree, Ben, and on that note, I’ll say thanks for this deep and powerful sharing, and good luck with the book.

BY: Thanks Larry. I enjoyed it as well.

©2025, Psychotherapy.net

References

Yalom, I. & Yalom, B. (2024). Hour of the heart: Connecting in the here and now. Harper Collins.

Yalom, I. (2002). The gift of therapy: An open letter to a new generation of therapists and their patients. Harper Collins.

Christoffer Haugaard on Collaborating with Clients Who Hear Voices

Lawrence Rubin: I’m here today with Christoffer Haugaard, a Danish Narrative clinician who has a particular and fascinating interest in working with clients who hear voices. Welcome, Christoffer.

Christoffer Haugaard: Thank you, Lawrence!

The Multiplicity of the Mind

LR: I know there are a lot of clinicians who will be reading this and want to know simply, how do I work with clients who hear voices? But I don’t want to start there. Instead, I’d like to start in a somewhat different place by asking what you’ve learned or are learning about the human experience by working with clients and their voices?

CH: I think what I’ve learned is that, based on the phenomenology of what voices appear to be and how they behave when you interact with them, the mind doesn’t seem to be unified. There seems to be multiple agencies, multiple perspectives that at least can be present and seem to have their own existence and are in some way tied to a particular person.

You can interact with these agencies or entities or whatever you want to call it. And, from my experience in working with people who hear voices, they respond favorably. The voices respond favorably to being treated as some kind of person, to being respected as having a perspective and their own agency, their own opinions, rather than being dismissed or rejected or taken to be not real, or only a symptom or a representation of something. They tend to appreciate being treated as if they are people too.

LR: Have you had to shed any preconceived notions along the way or divorced yourself from any common ideas about voices in order to reach that place where you recognize the multiplicity of the mind.

CH: That’s complicated. In a way it wasn’t a stretch for me because personally, I was already quite familiar with other ideas about reality of the mind, other ontologies. I’ve always been interested in indigenous societies, shamanism, animism, that sort of thing, where people experience entities or agencies outside themselves or related to the world and interact with them.

So, that way of thinking was actually quite familiar to me, but I didn’t connect it to my work as a therapist at all. I thought of psychopathology as being something distinct from that. Or at least I didn’t have any particular interest in connecting those two things. So, I regarded voices as being dissociated thinking patterns that were on repeat in peoples’ heads.

My change in view happened because we made a discovery about it by coincidence. I was working with one of my patients, named Max, whose story has been published. He considered that maybe his voices had good intentions to begin with, and I just took that idea at face value. I suggested that I try to address these voices and tell them that we had these ideas about them, that maybe they had good intentions, and tried to explain to them that Max needed them to behave in a different way so they could assist him in life.

Max thought that was a crazy idea because you can’t talk to a mental illness, but he was kind enough to not tell me that. He just said, “yeah, sure, go ahead.” So, I spoke to the voices, and they responded very favorably to that. They enjoyed being respected and acknowledged for their good intentions, and they actually changed their behavior.

From that point onwards, Max was able to appeal to them using my words in the form of a letter. In five minutes, he could quiet them down. They had terrorized him for years but responded to this immediately. That required me to change my thinking. This certainly didn’t seem to be some thinking that was dissociated and stuck in his head on repeat like a broken record.

This was something living that was responding with an opinion, and had feelings that were different from Max’s feelings. I brought that idea with me to other patients where we were stuck and we found that treating voices in this way, acknowledging them as having their own perspective, their own opinions, being persons of some kind was very effective. We then collaborated with more and more people where we were able to confirm this.

And of course, that required me to dissociate myself from normal psychological and psychiatric thinking. I was working in a psychiatric hospital where the general idea was (and still is) that voices are false. They are hallucinations, and people should not involve themselves with them. They should reject them and not listen to them, and they should be medicated to go away. I had to dare to step completely outside of that idea. I think maybe I was willing to do that because I was familiar with that way of perceiving the world already. I just never connected it to my work as a clinician before. I had a predisposition, you might say, to think that way.

So, it wasn’t a big leap for me personally, but it was something I had to dare to do in a psychiatric context, where that was not how you thought about things. I had to deal with the possibility that other clinicians would think that I was indulging people’s insanity or entertaining their delusions. But to think that that helped me to not be persuaded by such doubts or such ideas was the fact that it was just very effective.

There was just a very immediate response from these voices and nothing else had worked. I was sitting with patients who had been medicated, sometimes heavily, and who had tried many different kinds of psychotic medication for years and years; and tried psychotherapy for years and years, and it hadn’t worked. It hadn’t made any difference to these voices. And now these voices were responding in ways that were entirely novel to these patients.

They were immediately surprised that the voices were responding like this. It was useful. They could suddenly find ways to deal with these voices so that they stopped being a menace to them. Their need for hospitalization decreased, and some of them even stopped needing it. The voices ceased to be a threat to them, something they could live with. Even in some cases, they came to appreciate the input of these voices. They changed their behavior, became more reasonable, more kind, stopped going on and on about people killing themselves and stuff like that, and becoming more constructive when they were engaged in a dialog. And that was very persuasive for me and for my patients that this happened.

And when I saw that happen and the difference it made to my patients, it was it was a no-brainer really. I did have concerns about how honest I should be about what we were doing. Should I tell my patient’s psychiatrist what we were doing? But that became easier along the way because it was working.

LR: I need to dissociate myself from the popular conception that voices are equivalent to psychopathology, just as you had to. I’ll go so far as to channel Travis Heath here by suggesting that for you, accepting the reality of, and working with, voices was an act of rebellion.

CH: Yeah, and I already had a rebellious mindset. That’s why I became interested in Narrative Therapy to begin with. I was dissatisfied with how these peoples’ experiences were pathologized and just rejected as being just wrong and not worth listening to, not worth understanding, and just something that should be medicated until it stops. I was dissatisfied with how these people were not engaged in a more equal dialog about meaning and what might be helpful for them.

I had already been creating a group therapy format and participating in psychoeducation, where you tell people about diagnosis and treatments and all that. I’d become dissatisfied with being a clinician telling these people what to think about their experiences and describing it as something that was wrong with them. In the group format I developed, I invited patients to participate and interviewed them about their experiences and then together, reflect on what might this mean.

It was important to not privilege a psychiatric understanding. I wanted these people to participate in understanding their own lives and their problems instead of having to listen to yet another psychologist tell them stuff out of a textbook. I’d already done that before making these discoveries about voices. So, yeah, I definitely had that kind of rebellious mindset about it.
LR: Have you found colleagues who have attempted to adopt your philosophy about working with these clients, and have failed because they’re not you?
CH: As far as I’m aware, none of my colleagues had tried it out. It’s sort of just became a thing I did. Sometimes they would bring along a patient and ask if I could “talk to this guy or can you talk to this woman and see if you can do your thing?” So, it was more a thing I did after having published some of these accounts, circulating this knowledge, and making it available to people who hear voices. I have been contacted by people who have tried it out and found it to be effective. Not a lot. I hope there are more people out there using it that I’m not yet aware of.

A Relational Framework for Understanding Voices

LR: My guess is that because of Western culture’s hyper-emphasis on pathology and our dependance on insurance companies for greenlighting treatment, this might not find as welcome a home here as it does in Europe, or outside of Narrative Therapy circles. How does the traditional notion that voices are simply split-off and projected unpleasant or unwanted parts of ourselves fit your model?
CH: Mostly I’ve been dealing with this in a very pragmatic fashion and haven’t worried too much about that, really. Treating the voices as people was just very effective. Trying to work out what voices mean in terms of ontology or psychology has not been a concern. My patients didn’t care about that, and it wasn’t necessary to figure that out in order to do the work with them. To my mind, people are free to make sense of their voices in whatever way works for them, you know? Some people will think “this is probably a part of myself in some way,” even though that’s actually not how the voices appear.

They actually appear and behave like something of their own. But, you know, a patient who prefers to interpret that as being parts of themselves, of course, is free to do so, and it doesn’t seem to actually be important what people think of it. Voices respond to it, no matter what the host human might think of it. Right? But it doesn’t seem to depend on what the patient believes, and we don’t have to figure out what to believe about it. We have to pragmatically make the assumption that voices are people — they have their own perspective, their own desires and intentions, and we treat them that way. As soon as people have the experience that voices respond to this, they really stop caring about how crazy it might seem. It just doesn’t matter when it works. I, of course, have been interested in trying to get some idea of how we can make sense of that

I think the more traditional psychological idea that these voices must be “split-off” parts of the self presumes that the self is supposed to be unified and that this splitting is not how it’s supposed to be. Thinking that way doesn’t lend itself to acting the way we did .

You know, it becomes sort of pretending. The therapist is pretending that the voices are persons, but they really think they’re not. So, if we want to develop an idea about what voices are that actually supports literally treating them as persons, we might need a different idea about voices. It seems to me that psychology, and certainly psychiatry, is not a very good place to look for that, because these ideas are very tied to a Cartesian way of thinking about the mind and very tied to particular notions of what’s normal that are really based on industrial Western societies in the last t couple of centuries.

Basically, much of psychology doesn’t take other societies into account, or how Europeans thought just 300 years ago, which was in many ways radically different. This idea of a self-contained subjectivity is quite recent, and historically not very normal, actually. Psychology and psychiatry are very tied to such a notion of what a mind is supposed to look like. But when you start looking at the history of religions as well as anthropology and ethnography, very different ways of how the mind operates begin showing up. And a concept that has become more popular and recently redefined in anthropology is animism, which seems to be a way of understanding the world and the mind, which is pretty much universal.

All societies that have been studied either are or used to be animistic.Animism used to be considered an erroneous attribution of mind to things that actually don’t have minds. Like the “so-called” primitive belief, for example, that trees are alive or that a stone is alive. That was the original notion of animism in anthropology. And it was used rhetorically to demonstrate that religiosity in general is a primitive, irrational thing that should basically be rejected, and that the religions of civilized societies are just refined versions of this primitive animism. that was the idea back at the beginning of anthropology.

But animism has since been redefined as being an epistemology that takes the subject to be the starting point for knowledge of the world. To interact with the world socially is a way to know the world, which is different from the rationalist scientific idea of taking the object to be fundamental. In scientific, rational thinking, we want to divorce subject and object from each other, such as in Cartesian mind-body dualism. And in this vein, we then want to remove subjectivity as much as possible from the object of study, because real knowledge is supposed to be objective, independent of perspective, independent of context. It seems that many societies, indigenous societies, assert just the opposite; to know something is to invest subjectivity in it, to interact with it, to be socially engaged with it.

To know the forest then, the forest must become a person. It must become a subject. We must see through the eyes of the forest to know the forest. . As such, a spirit is not an irrational belief in a non-empirical entity. A spirit, then, would be the subjectivity of a relationship with something in the world. And in that sense, it’s a way of knowing. Instead of regarding the world as consisting of a bunch of particles in causal relationships with each other, the world can be understood to be a set of social relationships, and that the world is fundamentally social, not just between humans, but between humans and trees and animals and so on and so forth.

In this sense, animism, may be an ontology and an epistemology, a way of engaging the world that makes a different bet to rationalism and modernity. I think these notions of subjectivity, where the mind is not closed but porous, relational, and elastic, seems to be actually a very universal way of operating for our species.

And in that light, hearing voices isn’t that difficult to understand. You can look at voices as a way of understanding your life. When something in your life begins to speak to you, it’s a personification and investment of subjectivity in some aspect of your life that is problematic that you need to deal with. That’s why it begins to talk to you, so developing the right relationship with it is the road to healing. These voices mustn’t be rejected. They must be listened to because they’re trying to tell you something, and you must establish good relations with them instead of rejecting them or ignoring them or battling them.

In Relationship with Voices

LR: It almost sounds like people who don’t hear voices are at a disadvantage in some way, or that they’re not living fully in the world, as are those who are open to the experience of voices.

CH: I guess you could say that the process of modernization has been closing human beings off from the world. In making the distinction between subject and object and presuming that humans are exceptional and separate from the natural world, from our bodies, from other beings—we are asserting that we’re somehow entirely different and that only we possess minds, and the rest of the world is sort of dead and has no inherent meaning. From a historical perspective, you can certainly make the argument that modernization has operated like that; a rejection of being in relationship with the world.

LR: You’ve used the word spiritism, so is the experience of hearing voices and sitting with someone who is hearing voices, a spiritual experience?

CH: The older understanding in anthropology is that a spirit is a non-empirical entity that people believe has causal powers. That would be the old understanding of animism. The new animism in anthropology says that a spirit is a personified relationship with some aspect of the world, a relationship with something other than another human. So, when humans enter into relationships with a particular tree that may be important to them, this tree is personified by being related to in a social way. There’s an investment of subjectivity. The relationship becomes a hub of subjectivity in itself. That is what a spirit is.

LR: So, you might work with a client in relationship to the voice?

CH: Yeah, but mostly with the voices I’ve met. It’s not trees that they have problems with. It’s usually some aspect of existence. It can be aspects of our culture, for example, certain social norms that act in a personified way, and very often it’s a kind of helper. It’s like a companion entity of some kind that is trying to help people deal with something in their lives.

Often they turn out to be quite right about what people need, but because people have been rejecting this voice and been afraid of it, the relationship has gone sour. Sometimes it turns into a war. Sadly, sometimes psychiatry contributes to creating this state of war because they encourage people to reject their voices and in telling them that this voice is a sign that there’s something wrong with your brain. That’s a very scary thing to come to understand. This element of fear and rejection tends to lead to a conflict with the voice, and then the constructive aspects of what a voice may be trying to tell people is completely lost in this war. What I’ve often done is try to be on a diplomatic mission to create a peace and to try to understand what the voice wants. Often the voices are able to communicate when you interact with them in a respectful way. Very often, they want something. When the person comes to understand this and finds a way to satisfy the voice in an acceptable way for the person, the war ends.

LR: Have you found any commonalities in the origins of patients’ relationship with the voice(s)?

CH: There’s often trauma. The first appearance of voices is often in the context of a traumatic event, but not always since some of the people I’ve collaborated with have been able to hear voices for as long as they can remember. Just seems to be an ability, something that they’ve just always had.

LR: It made me think of an interview I did a while back with an ecopsychologist, who talked about the proliferation of ecological anxiety and dread as the planet is attacked from so many different sectors. Our planet is experiencing trauma which makes me wonder if some people who hear voices are afraid of the annihilation of our world.

CH: I have collaborated with one among other voices that was extremely angry about how the world was being treated by humans and wanted the person hearing the voice to try to annihilate humanity. I wasn’t able to, to work with that person in a very consistent way. A certain reason I haven’t collaborated with this person was due to the circumstances in their life, and of course, wanting to annihilate all of humanity is not a desirable or constructive thing to do.

It was not sensible to agree with this voice about that but to appreciate the anger of this voice was certainly relevant. Of course, I would see that as the fury of this voice. You know, wanting extreme things. And we need to channel that into something that’s acceptable for a human being to actually do, and killing people wasn’t it.

LR: Can you bring to mind a client with whom you’ve worked where there was this negotiation?
CH: There is my collaboration with Alice that has been published. She heard a multiplicity of voices operating in a unified way that she called “the others.” They were very aggressive and wanted her to harm herself and other people. They enjoyed gore, suffering, pain, and things like that and wanted her to do them.

Of course, she didn’t want to do anything of the kind. Then they would torture her in various ways when she would not comply with them, and try to convince her to kill herself. Once she started talking to the others, she discovered that they had all this aggressive energy that they wanted to express through her.

Alice resisted that, but because of this, they felt trapped. They could not exercise their own being in any way. They were just trapped inside her. That caused suffering for them. They were in pain from not being able to express themselves in the way that they wanted, and therefore they didn’t want to exist anymore. The voices were trying to get Alice to kill herself, hoping that that would also put an end to their painful existence.

We found out by coincidence that they enjoyed having smoking breaks. One day, we were talking about something that they didn’t appreciate, and it seemed like an attack was coming on from them. To avert that, I said, “sure, you get it your way. We’ll talk about something else for now. You just take a break for a smoke or something.” And that was just a joke. I was trying to lighten the mood and as it turned out, that averted the attack. Alice then told me they liked that. They liked being offered a smoking break, this was after having made this discovery with Max that I mentioned earlier. After that, I brought cigarettes for them and we put them out on my desk.

They really liked that. Otherwise, they would want her to kill herself. The voices didn’t like me talking to Alice and trying to help her get better because they wanted her to die, but now they had to admit that I offered the cigarettes. No one else in the world had ever offered them anything, but I did, so they couldn’t thoroughly hate me. We also gave them coffee. We could avert attacks like that, and begin to teach them to behave more kindly and in a friendly kind of relationship instead of an aggressive one based on power, which was all they knew. They started becoming familiar with being friendly and what that meant, so we tried to accommodate them.

They also wanted all this blood and gore and aggression. They liked that but of course, Alice didn’t. I suggested putting on gory movies for them. I didn’t want to look at it. Alice certainly didn’t. So, I put them on my computer and turned the monitor away from us, up where the voices were receiving their cigarettes and coffee.

I chose something comical, something funny like Peter Jackson’s old gory comedy movies he made before the Lord of the Rings. Later on, Alice decided to start practicing martial arts and they really liked that too. She was doing something that had something aggressive in it, but which was socially acceptable and acceptable to Alice. The voices calmed down more and more. And in the end they became quite friendly and liked me and wanted to be friends with me. They eventually stopped bothering Alice, and she stopped being afraid of them. So that was this kind of negotiation, you know? Can we give you something that you’ll appreciate, but which is also acceptable for Alice?

Narrative Therapy and Working with Voices

LR: Christoffer, what is it about Narrative Therapy that’s helped you in your work with clients and their voices?

CH: I think externalizing conversations already has some similarity with working with voices where there’s a practice of personifying problems. It has this animistic element to it. The leap isn’t that big. And then there’s the element of Narrative Therapy that’s called co-research. David Epston calls it co-research when you’re in a situation where you don’t know what to do, or how to deal with a problem. You relinquish your professional identity as the one who’s supposed to know stuff and invite the patient to explore. You work from the premise of “let’s explore this together.”

Narrative Therapy has roots in anthropology and ethnography, so this idea of collaboratively exploring the world without knowing in advance is essential. That is certainly what we did because we were in a situation where the usual stuff wasn’t working and we had to recognize the fact that we didn’t know what to do. It was a matter of just going with it to see what we could find and try it out and see what works. What we found with voices was that they responded well to this, so we did this consistently with one patient after another.

LR: Are the written elements of narrative practice like letter writing and journaling particularly useful here?

CH: Yes. When I spoke with Max’s voices that first time, he had a positive experience because the voices responded and calmed down immediately. Max then asked me to write down for him what I had said to the voices. That became a letter that he would then use whenever the voices got worked up about something in his life. He would simply read this letter to them, and they would stop attacking him. I have also used letter writing with some of my other patients when we were trying to figure things out, and as a way of documenting our discoveries. In those instances, I would write to them and some of them would also write to me to explain to me what they had discovered, or what the history of the voices was like.

Lately, I’ve been writing letters, not to my patient, but to the problem, a personified version of that problem. In one case, I wrote a letter to a dream entity of a patient with PTSD who had reoccurring nightmares. In one of those nightmares, he saw a dead man who had committed suicide. The patient had been the first person on the scene.

In the nightmare, they had a conversation where the patient was extremely angry with the dead man for the impact the suicide had on his life. The dead man told him that the suicide was his decision to make and that it didn’t concern other people. That made the patient even more furious. This conversation would happen every week in a nightmare. I decided to treat this as if it were a voice and appealed to the dead man in the nightmares as a person. This person was a personification of the trauma the patient was living.

I wrote a letter for the dead man from me said to the patient, “please read this letter right before going to bed.” As with Max, the patient thought this was a crazy idea which was not going to work. But since he had been having the nightmare for two years, he was willing to go along with the plan. He liked me enough to try. The nightmare with the dead man stopped as did the other trauma-related dreams. He later told me that when I suggested this plan, he didn’t think it was going to work. But it did.
LR: He was willing to try. A long shot at hope!
CH: I’ve had quite a few patients when I read these letters. I’ve been writing it while they were there, and just wanted to read it to them to make sure that I had all the facts right. And they would cry, because it just hit something apart from their own sense of themselves or their own minds. But something else, seemed to just appreciate it.

LR: The way you describe it is very consistent with Narrative Therapy’s focus on freeing people from systems of oppression.

CH: Yes, but with the twist that what seems to accomplish this work is the assumption that the problem is a person with good intentions. So it’s important not trying to resist the problem or undermining the problem, but to actually listen to what the problem is saying. I’m trying to acknowledge the good intentions of the problem, and then explain to the problem the effects of how it is going about its work of helping the person. I ask the problem to consider that the way it’s been behaving is having all of these negative effects. And then I just ask people to read this letter on my behalf to the problem every day. I say to the person that all they have to do is read the letter to the problem. And that’s been very effective.

LR: Do you ever introduce voices into your work with clients?

CH: In what sense?

LR: Such as with a client who has no history of hearing voices other than their own, where you might invite them or invite a voice into the conversation. Or is that a crazy question?

CH: No, no, no, I get what you’re saying. Yes, I do sometimes try to relate to the problem as a person when people are not hearing voices, and that that’s often very effective. I don’t usually explicitly introduce that or explain that. I allowed the person to wonder, like I might say, “I wonder if this depression might be trying to tell you something.”

I might also wonder aloud if “the depression has come at the time that it did in your life for some reason”. And then, based on what people have told me, I consider “well, maybe this depression has been looking at you and has been looking at how your life has been unfolding and how you’ve been dealing with your life. And perhaps this depression is aware of the things that are important to you, and therefore this depression is dissatisfied. It has been dissatisfied with what you have been doing, how you have been compromising with the things that are important to you, the things that matter to you, that you have been sacrificing yourself for the boss at work or whatever.” I might add, “maybe this depression has decided to make an intervention to stop you from living your life the wrong way.” The thing is with depression, at least in my experience, they tend to be like a sawn-off shotgun. When they fire, they fire all over the place.

I might continue, “Maybe this depression is, in fact, trying to dissuade you from living in a way that isn’t right for you, but in interfering with your life, it’s just hitting everything, putting you completely at a halt with lots of negative consequences. But maybe this depression wants something for you. And maybe we need to try to hear that message. Maybe you need to try to satisfy the depression with what it actually wants, its intention, not all the negative effects it’s also having, but it’s intention for you; what’s actually important to you, how you’re supposed to live. Maybe you’ve been compromising with something essential in the way that you’ve been living up to the point where this depression stepped in and interfered with your life.”

Often I worry that people think I’m crazy when I say these things, but I’m surprised that they don’t. They tend to be on board with that quite immediately, actually.

LR: So, in a sense, and regardless of the emotional valence of the voice(s), you consider them always on the side of the patient.

CH: Yeah, I make that assumption or at least try out that idea very carefully that the voices have good intentions before assuming that the problem has only bad intentions. Voices tend to respond quite well to the assumption that they have good intentions

LR: Even when a patient’s voices are instructing them to kill their parent? In cases like this, is it a safe assumption that the client has rageful feelings, or that there are rageful feelings toward the parents?

CH: They may or may not have those feelings, but I would try to invite the patient to explore the voice’s intention with me and also directly with the voice. The voice may have different reasons for wanting that. To become a teacher here in Denmark, you have to learn how to how to teach, how to communicate in a way that’s conducive to learning. I have the impression that voices have not had this course. Sometimes they’re very angry at their host human because they think the person hasn’t been taking care of themself, such as “Back when you were raped, you should have killed that rapist. I’m so angry with you because you didn’t and because you didn’t, I think you’re useless. You should die.” When what you’re hearing is just, “you should kill yourself, you’re useless,” It’s very difficult to see the good intention, but it is often possible to actually unravel it.

What the voice wants is for this person to stand up for themself, but that communication needs to be translated into something that’s acceptable for an actual human being to do. We don’t want to kill anyone, but that may be the voice’s way of expressing a desire for protecting the person, or demanding they defend themselves. In Alice’s case, the “others” would say, “kill him,” whenever they were angry with me because they thought I overstepped my bounds or talked about something they weren’t comfortable with. There, I would say something like, “I’m sorry that I have offended you. Please take another sip of coffee or let me give you another cigarette, and I’ll be more careful to not offend you in the future. That certainly wasn’t my intention.” And then they’d calm down.

Sometimes voices can have these very violent and graphic ways of expressing themselves, and that language may need translation. It shouldn’t necessarily be taken at face value. It may be an expression of extreme frustration and desperation on the voices part. And that’s what we need to understand so that we can respond to it in the right way; saying something like,“We don’t want to kill anyone, but there’s someone you want to blame. There’s someone you’re angry at, and you want something else for this person you’re talking to. Okay, let’s see if we can solve that, because I certainly get that. I get being angry at that. Right? I get wanting to defend yourself.

But, you know, voices, this person wasn’t able to do that back then. She was a child. She was powerless against this person. We have to find other solutions here. And I invite you voices to participate in that because I appreciate your good intentions. I wish she was able to defend herself back then, but she couldn’t. I understand why you want the rapist dead, I get that. But we can’t do that. We have to find another solution. But I want to collaborate with you to find that something that this person needs , something that they can do.”

Expanding the Subjectivity of Voice Hearers

LR: Christoffer, we’re nearing the end of the hour, but may I ask a question about cultural healing practices?
CH: That’s a very big issue. We talked about spirits and animism and all that, but my point is not to say that voice hearing and spirit encounters in various cultures are necessarily the same thing, and that people in other cultures are all hearing voices and or that people in our society who hear voices would be shamans in other societies. That’s not necessarily the case. The point is more that animism provides a different way of understanding subjectivity and a way of handling subjectivity that fits quite nicely with what works for voice hearers. So, I can be agnostic about how voice hearing relates to spirits. It’s more about the commonality in the subjectivity.

You know, we might learn something from the spiritual practices in other cultures without it necessarily meaning that what we call mental illness is the same as the experiences that shamans deal with. I think that would be a conflation and an oversimplification.

But there’s a common structure of subjectivity around voice hearing and the practices and understandings in other cultures. It’s a better fit if we don’t view what I do through the lense of traditional, Western theories and practices. These don’t lend themselves very well to doing what I have done with voice hearers, because it would be very difficult to go from a traditional psychological model to offering cigarettes to a disembodied voice.

From an animistic perspective; however, it makes a lot of sense. These are offerings. We’re making an offering of tobacco that’s found in many indigenous groups in the Americas. To make an offering is to appease spirits by making a gift. And when you receive a gift, you enter a moral community of mutual obligation. That’s the logic of an offering. Alice’s others responded to that.

LR: Lastly, and speaking of community, can you say a word about the Hearing Voices Network. Is their work and philosophy consistent with what we’ve been talking about?

CH: There’s a lot of similarities. When we set out to do this co-research, David Epston and I along with these patients decided to not engage with the literature of the Hearing Voices Movement to just start from scratch and make discoveries. But a lot of what we found is very similar to some of the discoveries of the Hearing Voices Movement. And of course, the Hearing Voices Movement doesn’t have one unified idea or one unified practice. They have this idea that people should be allowed to find their own way, but certainly some of the discoveries that they have made are very similar, like for example voice dialog. So, we have arrived at practices that are like what they have arrived at. I find that very encouraging, that without trying to do the same thing, we have arrived at similar practices, working from scratch. And that expands that notion of subjectivity across continents, across borders—not just ideological borders, but geographic borders.

LR: without trying to do the same thing, we have arrived at similar practices…and that expands that notion of subjectivityI think that will be a good place to stop. Thanks so much for this fascinating conversation, Christoffer.

CH: This has been a very interesting conversation. Thank you very much. I’ve enjoyed it.

©2025, Psychotherapy.net

Links to Christoffer Haugaard’s JCNT (Journal of Contemporary Narrative Therapy) articles

Respecting Voices: A Report on a Co-research Project Concerning Voice Hearing

The Ring in the Well: Psychosis as a Crisis of Identity

Rose and the Whispering Voices

Sitting through it with the Voices: Victoria’s story by Christoffer Haugaard & Victoria

Spilling Over Modernity’s Borders and Boundaries: A Decolonial Story About Alzheimer’s, Family, and Migration

“¿De dónde eres?” My friend’s 9-year-old niece asked me shortly after we were introduced to each other during Christmas. This was in Bogotá last year at my high school friend’s place. She sat next to me, leaning slightly toward me. Her question seemed fueled by a kind of curiosity that two strangers at times share when wanting to rush through the unfamiliar and quickly find a common place from where to discuss matters of much greater importance, like her Christmas presents. It must have been around 15 years since my high school friend and I last knew about each other’s lives. Various life circumstances might have contributed to vanishing from each other’s lives—including living in two different countries—until whenever the day was going to come for us to meet again and pick up our friendship right from where we left off to catch up on whatever many years in between.

My eyes shot open and met her curiosity, sensing all over my body the shock of her question. Did she unwittingly render me foreign to and within my homeland? I wondered.

“Pues de aquí. De Bogotá. Rola 100%!” I said to her, stating what for me was the obvious.

“Es que hablas diferente.” She further explained.

“¿Y tu?” Le pregunté,” pretending to ignore the state of my body, and attempting to reciprocate an interest in our origins.

“De acá.” Me respondió, while organizing her Christmas presents for their exhibit.

My friend overheard our conversation. On the way to the kitchen, she provided some context to resolve her niece’s confusion and to create mine.

“Ella es de aca pero hace mucho que no vive aquí por eso habla así.” my friend explained with the tone of certainty of an irrefutable conclusion.

“Así cómo ???” I yelled in horror; but she had now gotten lost far back in the kitchen as the Christmas host.

Like many, I became well acquainted with the origin question as an immigrant, hence actual foreigner to the sociopolitical and material history of my host country, the United States (U.S.); as well as with the experiences of those who although were born in the United States are inadvertently or intentionally rendered foreign in their homeland by others. This is, when informed by discriminatory singular and monolingual principles about nationals and foreigners from a land. Having left Colombia as an adult, in the U.S. the socio, geo, and body-political history of Latin America/Abya Yala I carry, materializes not only in my accent but in my interactional manners, phenotype, epidermis, and knowledges, which intertwined with local racializing practices, continuously mark the well or ill intended curiosities of the inquirers, nationals or immigrants alike, about their assumptions about my foreign origins. Regardless of their intent, in foreign soil, I share my origins with my chest filled with air, trying out a new sense of pride in the diaspora evoked by its nostalgia, not quite reaching patriotism but maybe darn close to it, if I were to speculate on what incarnated patriotism would be like:

“From Colombia.” I usually respond to that question and sometimes I point at my wrist when I wear its colors.

Re-entering: From Here and From There Migration Experience

During the last couple of years, I have been spending more and more time in Bogotá than I ever have since the early 2000’s when I left. My mother’s health and increasing loss of memory called for it. Although no doctor would diagnose her with Alzheimer’s in her late 80s, that was the family’s narrative about that part of my mom’s life and our relationship with her still to this day. Her four daughters were no longer living in Colombia. My three sisters and I migrated to the U.S. at different times during our adult lives, for different reasons that required no explanation. Mom and dad raised us during the Colombian armed conflict, intensified by the international drug war and the U.S. intervention.

In a country living and enduring the ongoing wounds of war, poverty, and state neglect, as it is the case for many countries living through long-standing conflicts around the world, as I recalled, for many Colombians across various socio-political circumstances, since birth, the idea of leaving Colombia becomes part of what it means to live in Colombia, aspiring for refuge elsewhere. Violence humiliates the homeland and elevates the non-realizable promises of foreign land. Those of us who realized the idea of leaving Colombia represent the 6% of the population who currently live outside of the country—primarily in the U.S., Spain, and Venezuela. According to the Migration Policy Institute, Colombians are the largest group of South American immigrants in the U.S., representing 2% of U.S. immigrants. Colombian migration to the U.S. has increased three times as fast, from 144,000 Colombians in 1980 to 855,000 in 2022.

During our lives in the U.S., mom would come to visit for various periods of time, visiting with each one of us across states. My dad traveled once, which was more than enough contact with U.S. soil for him, given his politics. We would stay in contact through daily emails or texts, otherwise. Also, from time to time, I would travel to Bogotá for a long weekend or so for a visit. Before migrating, and all throughout the Covid pandemic, my oldest sister lived with and cared for mom in Bogotá until the impending heart-wrenching decision finally came knocking at the door to meet the four of us face to face.

The emotional intensity, and dedicated care my sister and her children had been providing mom with for the last few years had proven to be no longer sustainable for either of them. Con cabeza fría, we had to make the overdue decision, even against mom’s wishes that she no longer remembered. Mom needed to be relocated to a specialized nursing home for her proper care. She had outlived friends and close relatives. My father died back in 2008, and we heard that mom’s last living sibling, the oldest, Alberto, was still alive but bedridden in deteriorating health conditions. He died not too long after mom moved to the nursing facility.

My relatively advantageous immigrant conditions afforded me alternatives that only so many immigrants in the U.S. have in similar circumstances, with aging parents still living back in our home-countries. I began traveling to Bogotá regularly during the last year before mom died, spending months at a time with her while working remotely. My sisters would visit when able. Daily, morning and afternoon, raining or not, I would walk back and forth to visit mom at the nursing place in the north area of Bogotá from the small place nearby I rented during my stays. I would pick up on my way some kind of dessert for my mom’s sweet tooth that memory loss had forgotten to forget. I became very well acquainted with mom’s co-living folks and their visiting families; and also the nurses, aids, physical therapists, and cooking and cleaning staff, majority women, to the extent that exceptions for their visiting hours became the new visiting hours. It was through their lives—the only people I had close contact with at that point in Bogotá—that I re-entered a sense of living a life in Bogotá, although still having more than one foot in my immigrant life in the U.S., to which I remained virtually connected through a laptop.

Through life at the nursing home, I reintegrated myself to the familiar tensions of the Colombia Nation-State’ s sociopolitical heartbeat, revealing along the signs of the 24 years that have passed and have transformed both the country and my politics in the diaspora. The tensions were palpable. On the one hand, the advantageous circumstances of the families who could afford their relatives to live there were visible. And, on the other, so were the injurious sociopolitical conditions and longstanding neglect by the Nation-State toward the lives of the people working there. Although responsible for the care of the facility’s residents, they had to do so while undergoing living conditions that seemed to cry out in state neglect. This was one of the other jobs they needed for their survival and the survival of their family.

Some of their children were being educated under precarious conditions in public schools. Evictions from their home were more tangible month after month. The impeccable makeup of some of the women working in the kitchen kept hidden the marks of patriarchy’s hands from the night before, some of which was documented in futile police reports as well as in her self-defense fingernails imprinted on his skin. Their clothes served as curtains behind which their bruised bodies were concealed, while their bones would heal from their forceful impact against the wall, or the push down the stairs. Their children were their witnesses. According to the Colombian newspaper, El Pais, between May of 2023 and 2024, 149.017 family violence incidents and 630 femicides were reported in the country. Limping, the women would arrive on time at the nursing home after a 3-hours-long commute from the south of Bogotá to care for my mom with the best of dispositions possible. Story after story, the nostalgic Nation-State Colombia of the diaspora that I was so proudly holding tight to, wearing it on my wrist, and expanding my chest, started to melt throughout my body, transpiring through my skin, forming a polluted stream of outrage that took off running through la Avenida 19, running all the red lights, turning toward la Autopista Norte, eventually merging with Bogotá River, considered one of the most contaminated rivers in the world, according to WSP.

My relationship with mom that year was not exempt from a sort of re-entering experience. It was similar to how my re-entering to a life in Bogotá was. On occasion, mom would seem as if she could see in my face sort of a familial resemblance but not quite family. I was beginning to feel that way about everyday life in Bogotá although not linked to a matter of memory but migration. I recognized aspects of what I remembered was my homeland out of the unrecognizable features of the obvious changes since I left. I was able to discern some things but not others with my renewed borderland eyes as a Colombiana inmigrante en the U.S.

My life from when I lived in Colombia during the late 1900s met with my life as an immigrant living in the U.S. since the beginning of the 2000s only to discover they had already met over two decades ago and have become inseparable since. My memories from Colombia were never left behind. On the contrary, they carried me through the making of a new life in a new land. After all, we can’t separate ourselves from the history that makes us. I have been living both lives simultaneously, through a multiplicity unfolding either in Colombia or the U.S.

A sense of foreignness within the familiar, and a sense of familiarity within the foreign helped me discern the experience of dwelling in the borderlands, which my friend and her niece also brought out in the open during Christmas, when I reconnected with them months after mom died on March 29, 2023. The borderlands became a point for reflection on what it was bringing forth—difference—to ultimately transcend modernity’s definition of difference as fracturing borders or boundaries since the conquest of the Americas—the colonial difference. Walter Mignolo has written extensively on this topic.

The colonial difference refers to a hierarchy of separation (for control purposes) through the development of borders or boundaries that create races, cultures, Nation-States, identities, languages, genders, etc. Modernity’s colonial difference fractures the bones of the communal into hierarchical separate pieces whereby those lower in the hierarchy can be thrown down the stairs or against the walls of separation that it created. Thus, my friend nieces’ question about my origins, became a recognition of difference stemming from my 24 years in the diaspora crawling up my Colombian accent to renew it within a sense of plurality. My renewed accent marks a difference that does not have to be of borders, exclusion, fracture, or separation, but of relationality and connection out of what it means to live relationally, or in more than one world simultaneously.

I have heard many stories, mostly from Mexican, Chicanxs, Mexican-American, or Texanes, about their experiences when returning to their homelands in the Nation-State of México. They shared being made to feel that they do not belong on either side of the border: “not from here, not from there,” “ni de aquí, ni de allá [neither from here nor there].” I understand this to be a symptom of modernity’s logic of criminalization by difference and punishment when crossing the border. Anything that does not represent nationalism on either side of the border, thus promotes monolinguality, monoculturality, or singularity, is destitute and criminalized. On the contrary, from the borderlands of my experience, I am thinking about immigration interrogating the borders while being interrogated; thus, opening at the same time possibilities to rethink the fracturing premise of separation modernity promotes into being “from here AND from there, simultaneously, thus relationally.” This revised premise eases my body when facing the origin question by Colombians in Colombia.

Rendering the Familiar Unfamiliar: Radical Listening

More often than not, mom did not know exactly who I was, or when and where we may have met at some point in our lives. Only a couple of times, she recognized me as her youngest daughter, “marce,” as she used to call me. Although she never forgot her name, Gloria, she did not know where she was nor recognized her own image in the mirror. Sometimes I was her youngest sister, and other times, she would address me as her nurse or aid. When I would rub her hands, the touch would call her to reposition her hands and to start giving me instructions on how she wanted her nails done that day. When I would pass my fingers through her hair, sometimes she would address me as her hairdresser, or quite firmly in a tone I did not recognize, she would push my hand away demanding that I do not touch and mess her hair.

As much as mom did not remember that I was her daughter, I did not always fully recognize mom in the body and interactions of the 89-year-old woman living in the nursing home—except during her brief inconfundibles momentos [unmistakable moments] of humor here and there. This was not surprising to me, having learned about similar yet different stories from folks from various backgrounds with parents living with Alzheimer’s or dementia, not only in my therapy work. My family was now living through those stories but creating our own. Our story is also likely to be my story about possibly inheriting from mom a life with Alzheimer’s yet to manifest, at least as far as my memory can tell thus far.

Although not surprising, witnessing mom’s increasing experiences of discomfort, suffering, and loss of conversational abilities was at times hard. Yet, unexpectedly, under such unfortunate circumstances, not being remembered by mom at times opened alternative relational possibilities. But it required radical listening to recognize these as possibilities and through the rather overwhelming presence of Alzheimer’s. I have learned radical listening from various perspectives that I carried with me every day to the nursing home during my visits. These include perspectives on borders, memory, history, and aesthetics shaped by my lived experiences as a bilingual immigrant, my understanding of Narrative Therapy in English as a family therapist, and mostly by my engagement with the decolonial project from Abya Yala y el Caribe in Spanish and Spanglish as a member of the civil political society. These are perspectives that have shaped not only my family therapy work but my life as I write here.

Cognitively speaking, Alzheimer’s configured mom and I as strangers, no longer family. We became foreigners to one another. Most interestingly, however, it rendered us foreigners to modernity’s concept of the family. As an immigrant, working and living in community with immigrants in the U.S., questioning, revising, expanding, or delinking from the westernized idea of family has not been uncommon. Migration is a context for the necessary renegotiation of our ties and kinships within the context of voluntary or involuntary separation, and deportation. For example, during the current administration in the Nation-State of the U.S., during the last four years, nearly 4.4 million people have been deported to more than 170 countries according to the Migration Policy Institute.

Mom and I became foreigners to the western idea of the family settled and promoted in Colombia, and many other parts of the world, through Catholicism, heteronormativity, patriarchy, capitalism, and their institutionalization of relationships. As one of mom’s four non-adopted or non-in vitro children, our half a century-long enfleshed relationship was governed in great part by humanized fracturing assumptions of reproduction, motherhood, productivity, and gendered relationships founded on who gave birth and who was birthed to constitute a family. Thus, oddly, Alzheimer’s liberated us, not from accountability for all the headaches I caused mom over the years, rather, from thinking ourselves, and listening to each other, through the institutionalization of boundary-based relationships, its imposed social expectations, and Nation-State’s laws whereby the western family has been instituted as some sort of a social mandate. If I were to take a guess, these sort of institutionalized human laws and western concept of the family might be the sort of conundrums that would make la Pachamama, Madre Tierra, shake the earth. Mom’s forgotten aspirations for my life and my sisters’, which included growing up to become Colombian mothers, with good husbands, and decent, healthy, economically independent (from men), and hard-working women, were no longer shaping our relationship.

Deinstitutionalized by the unfortunate circumstances of Alzheimer’s, thus no longer being a Colombian mother and a Colombian daughter in the modern sense, we learned each other and cared for each other otherwise, sometimes minute by minute. The fracturing logic of the family boundaries planted by modernity was removed. Thus, I understood care to be instead about honoring the relationship with the person I owed my existence to in so many ways in addition to giving birth to me. As a family therapist, I am attentive to what the global and western concept of family imposes on relationships in an exploration of what sort of relationships are possible otherwise or in addition to.

My relationship with mom was unpredictable and in constant movement. It was to be discovered by dwelling in the moment of its expression. We had to discover who we were, a cada momento (every moment), according to the memories invoked and received as they came, no matter what. Was I the hairdresser, the woman who does her nails, her sister, one of my sisters, her nurse, or any other character out of my mom’s history? I could not arrive at the nursing home with certainty of who I was, but with clarity of where my existence—and my sisters’— came from. I became someone only through the act of being with mom and our memories, some of which we invoked together.

We connected through the ever-changing moment of the circumstances that brought to life some of the memories of what we were made of. The circumstances I am referring to were for the most part sensorial. The senses evoked sparkles of memories, interconnected with other memories, both hers and mine. The taste of the daily desserts, my touch, the temperature of my hand over hers, the boleros we listened to, the noise from the novelas on the TV we stared at, pictures of her younger life, the colors and textures of my clothes, my gray hairs, the co-living folks’ speech or appearance, the birds’ colors and their singing having Bogotá’s traffic as their symphony far in the background, as well as the colors of the flowers around us when we sat outside in the garden evoked memories intertwined. Those memories that have shaped, among other things, our half a century relationship, not only formed our lives but who we were to become moment by moment. I realized I was mom’s sister, por ejemplo, only in the brief moment that she saw me as her sister. Undoubtedly, we were radical historical and relational beings.

I can’t help to think about how social relationships, including relationships within the context of westernized therapy look like when we are to arrive at the encounter with someone else not with certainty (or doubt of) of who we are as therapists but with clarity about where we come from—as historical beings. This shifts away from the mainstream conceptualization of the therapist as an empty (no history) interventionist, solely performing according to the regulations of the institution and professional Eurocentric theories to be good or effective therapists. As historical therapists, instead, we become available to engage and receive the encounter with another, attending carefully to our histories, intentionalities and how we are shaped by the experience of the encounter. Thus, similar to who I became when visiting mom, who is the therapist is not independent from the encounter with who consults. The therapist becomes a therapist in the encounter with the person who is consulting. This shift requires an initiative to des-institutionalize the therapist, and to foreignize westernized therapy perspectives that situate an ahistorical therapist.

The Sensorial Grammar and Temporality of Memories

As mom’s cognitive abilities continued to deteriorate, it seemed as if for those of us around her, her presence in this world began to disintegrate into oblivion. She was talked about, no longer engaged with, her body moved from one place to the other, and words were put in her mouth, at times necessarily. Her existence was for the most part reduced only to her possibilities, or lack thereof in her present, in the here and now. Although her body was present, the growing absence of thought, reason, and the ability to access frameworks of intelligibility to express ideas in the present moment seemed to cast doubt on her very existence. Hence, if we were to recognize mom’s existence and vivid presence in this world, it required us—decolonially speaking —to overcome modernity’s spatial (here), temporal (now), universal assumptions. It also meant to cast doubt on the overemphasis on cognitive function, (capitalist) productivity, modern storytelling (or framework of intelligibility), and conversational skills as the only ways of being or existing. Then, it became more possible for me to continue to relate to mom, to learn from her, and to be transformed with her.

I came to understand that the sensorial had become the grammar of our communication, through memories. Mom’s life was unfolding through her bits of memories that situated us in their respective temporalities. Although evoked in the present, mom’s slivers of memories were transgressing modernity’s contemporary framework, its universalized linearity—past, present, and its spatial metaphysics that places the present as the monopoly for the principles of what is real and represented as real. She brought me into her life to take part in events that were happening before I was even born. When some of the aides or co-living folks would overhear our conversations at the nursing home, however, it was not uncommon that they would mistakenly “correct” mom’s temporality when instructing her about their (modern) sense of time—the time most of us operate under. They would persist in telling mom what year, place, and person she was, alluding to the calendar present even though it did not match the temporality of her memories. I could see in mom’s face deep concern and confusion by their efforts. She was in complete disbelief and shocked by how wrong and confused they were.

“What are they saying?” She would ask me.

Thus, even as an unborn person, unquestionably I was mom’s companion through the pieces of her history from a time that for folks in the nursing home and in the majority of the Eurocentrically educated world, was not chronologically feasible. Both of us experienced those brief moments often to resolve whatever concerns she may have had, at times involving her parents and siblings—my grandparents, aunts and uncles, all biologically dead—and her childhood home in La Candelaria, in Bogotá’s historic downtown. She worried if we had locked the house after we left, or if we had brought the keys with us, if we had enough time to eat dessert and get home in time before her younger sister, Estella, would get there, or Alberto, her oldest sibling, would pick us up. It seemed as though the sensorial grammar of our communication implicated mom’s entanglement with what decolonial theorist Rolando Vázquez calls a relational idea of time and space that doesn’t have either a geometrical, chronological, linear, or circular understanding of time like modernity marks reality.

I got a sense of the temporality of mom’s memories not by asking mom her age, since she no longer had reference to that kind of time-thinking. Modernity’s temporality—defined by calendar date, clock time, age, or generations—were not determinants for tracking her stories or a reference to time. Instead, it was the people who featured in that memory and its setting that gave me a reference to the time of the events, making them feasible. Her experience in the present was happening through her history—that is, through her memories from a time when her parents were alive, she was living in la casa de La Candelaria with her siblings, and I had not been born. Hence, there were no westernized life span or human developmental theories that would serve as frameworks to interpret her experiences.

Instead, the vegan cheesecake de maracuyá of La Despensa, the bakery around the corner of my rental, would bring to the surface memories that contained mom’s lived experiences with their own temporalities in no specific order. Events would unfold through particular relationships and their settings. Her memories jumped from one moment to the other according to what the cheesecake called for, and I jumped along. Following her memories was more helpful than listening to them from assumed theories of time, stories, and development. I would say, decolonially speaking, that relational time re-dignified mom’s existence that modernity’s capabilities of erasure through its overinflation of cognition, the contemporary idea of time, and the metaphysics of presence had rendered it suspicious. For modernity, Alzheimer’s had placed mom in an evacuated present time—with no history. She was seen as living in an empty time like Walter Benjamin’s because all that counted as a measurable reality was no longer mom’s reality. Thus, on the contrary, from de-modernity, I would say that by radical listening to the plurality of mom’s lived experiences in their own terms that modernity destitutes through erasure, the senses restituted.

Sensorial Invocation

One of the settings or temporal references that would come up quite a bit in mom’s memories was the colonial casa de La Candelaria of my grandparents. It was the house where mom and her siblings were born and raised until she married dad. This was also the house that kept many explanations of the scars still visible in my body—head, knees, and face by roller skating throughout the house from one patio to the other, running up and down, and playing with my sisters on the swing set by the large fig tree in the back patio still standing. Every weekend mom would take us to visit our grandparents. The house was finally sold to an Italian man much later after my grandparents died. He renovated it into a hotel, maintaining its colonial architecture.

Late afternoon on Sundays when Bogotá’s traffic would be more bearable, I would drive mom from the nursing home to la casa de La Candelaria. The first time we got there I was dying of anticipation for the memories and experiences we were about to live together and for what I was going to learn about mom’s history once she would see the house and the colonial neighborhood. I was hoping that seeing the material presence of the house we have visited several times, through her memories, imaginatively, from the nursing home, would call upon a flood of pieces of memories here and there, unleashed from Alzheimer’s and running loose through La Candelaria’s narrow streets, passing through la Catedral Primada were she married dad, right across from the presidential residence, el Palacio de Nariño.

Overjoyed, I would yell out calling and pointing out various landmarks of our shared history through the neighborhood. I had not been there in years! It was extraordinary to be back. To my surprise and quite a bit of disappointment, my persistence in calling upon mom’s memories was futile. The house we had been at through the memories evoked and configured from the sensorial grammar of our relationship was not the material house of la casa de la Calle 11 con 2nda in the year 2023, nor its representation. It existed in a different temporality.

Over a year after mom died, cousins on my dad’s side, my sisters, and I were finally able to arrange a time to meet in Bogotá and drive to my dad’s family farm in Sasaima, one hour away with no traffic, to bury mom’s ashes. She is buried next to my dad’s, my paternal aunt’s, and paternal cousin’s ashes. They are overlooking the mesmerizing landscape of the Andes mountains, surrounded by the farm’s variety of lush vegetation that my dad had a deep connection to. The scars on my body that la Casa de la Candelaria could not explain, the farm in Sasaima could from rolling down the hills, swimming, and barbecuing with my sisters and cousins during the various trips with dad’s family growing up. Unlike the scars of the women working at the nursing home, these were privileged scars of a life from the minority in Colombia also living in the midst of Colombia’s armed conflict. Privileged and all, even so, neither la casa de La Candelaria nor the farm in Sasaima were exempt from becoming sites for violence where kidnappings took place of an aunt and cousins on both sides of the family while I was still living in Colombia.

During our day or weekend trips to the farm growing up, at lunchtime the family would get together and sit around the large dining table to eat what the land offered–herbs, vegetables, and fruits among other foods. We were always served delicious vegetable soup with cilantro. In the diaspora, I have experienced being at that table and sipping soup with cilantro millions of times. Cilantro calls on that memory. In a split of a second, cilantro opens the door for me to enter into that moment although I am on U.S. soil. It brings me to the sensing of the taste of food, the light coming from the wood windows, the touch on my skin of Sasaima’s humidity in the mid 70’s, and the crackling sound of the straw woven mats. I can’t recreate that experience otherwise. I’ve tried. I can see static images but can’t experience the sensation of being there that cilantro brings to life.

Returning to the farm in 2024, I was amazed by being at the same table, eating the food of the land, and soup with cilantro. I couldn’t believe it. It did not take me too long to realize though that it was a different “coming back,” it did not feel the same as the experience of the memory from the diaspora. It was as if the memory linked to cilantro existed in a life with a different temporality, in a parallel reality, yet intimately connected to the material farm. Just like mom’s experience of driving by la casa de La Candelaria in 2023, the vividly sensed farm within my connection to cilantro also belongs to a reality that was embedded in a different temporality, and therefore a different relationality. It is a place I can no longer drive to on my own—no matter the traffic or the day —but I can taste my way to it.

In connection to a decolonial premise, I would say that la casa and the farm exist in memories that do not subscribe to an understanding of modernity’s contemporary, its linear temporality, and notion of reality as presence. Although I would say that our memories surfaced in the present as expressions from a relational time, relationally, not always on our own volition, but under certain circumstances, such as sensorial. According to Vázquez, these memories, like all our memories, live in a plurality that is always moving. Hence, memories are not chained to a particular date or someone’s age in a dead or static past, for example. In that sense, these memories are not representations of the material in the present—mom lived certain moments of her day at La Casa de la Candelaria while being at the nursing home, but could not recognize the material house on Sundays when we drove by.

Our lived experiences live in our memories and grow their own heartbeats, giving us life. We are made of memories, collective memories, with their own lives, sensings, and times. Our existence comes from those memories. Thus, it might be more suitable to say that memories are beside us. They are not deep in history but wide in history, next to us or in front of us, accompanying us, guiding us, and constituting our lives, even though they do not always show up in the present, unless relationally and sensorially called upon.

Like my memories, mom’s seemed to be interacting with other memories, perhaps being that the reason why it was possible for me to join her in a moment in her life when although I had not been born, memories of my aunt, uncles, grandparents and the house better helped me to be there for her and with her. Therefore, although mom’s ability to recall events that took place in the nursing home that morning, an hour ago, or last week kept dwindling, her memories interconnected to mine and our senses kept alive aspects of what she had lived, shaping how she lived, and continue to live through us, her four daughters’ memories and the memories of all she had contact with, perhaps even before she was born.

Her existence spilled over modernity’s placed boundaries of her skin to re-exist via her relational memories in a relational time that has kept her alive after her biological death. Mom got to re-exist, inadvertently putting doubt to and rendering suspicious for me modernity’s persuasive cognitive driven and over inflated perspectives that previously rendered mom’s life doubtful and suspicious, when her life was reduced to be only cognitively spoken about.

Re-existence: Restitution by De-institutionalization

After getting over my disappointment from my mom’s unexpected response to La Candelaria, I chuckled a bit and rolled my eyes while driving back to the nursing home before it got dark. “Really?” I thought. Although I had been experiencing and learning from the ongoing and uncertain movement of my relationship with mom, and attentive to what the unpredictability that each bit of memory would offer to us, my over-a-decade of experiences as a therapist, academic, and researcher—Eurocentrically trained—couldn’t help it but to show up.

I realized that I had begun to identify a pattern of response from mom to “study it” and identify its conditions or context. I tried to generalize it by manufacturing similar conditions for the sustainability of the pattern of response. I wanted to replicate it. In doing so, I was attempting to manipulate mom’s response at my will by driving her to la casa. Ugh! I was guided by my own assumption and best intentions to create a “happy” moment for mom. I am fairly confident in saying that this is somewhat similar to modernity’s logic of knowledge production in therapy.

Based on the therapeutic model’s theory of change—or what the therapist believes (based on research) makes people “happy” (well, stable, healthy, or problem free etc.), interventions are identified with expected outcomes (via research or clinical case examples) to be replicated (mostly to a homogenous population). Such interventions are technified or manualized for easier distribution, consumption, and implementation for others to use with the persuasive generalized promise of delivering an outcome of change to help a-historical people. I am afraid that by doing so, I was imposing a boundary between the subject (investigator) and object (mom) to arrogantly identify sensorial tools for change, to technify and manualize our relationship based on modernity’s arrogance to self-define what is good for others.

Very gladly so, unintentionally perhaps, mom sort of delivered a candid middle finger—not the first nor the second in her life—at my attempts at technifying our relationship. I received her delivery happily. I had re-institutionalized our relationship, losing sight of the possibilities that come from the borderlands, memories and their sensorial grammar, relational time, and defamiliarization from modernity’s logic of erasure.

Mom’s implicit middle finger reconnected me to our lived experiences to sense more clearly what institutional practices do and fracture, like the institutionalization of the land, bodies, relationships, healing, and histories. Thus better discerning deep connections—being from here AND from there—to my home-land, in various relational times, my languages, and relationships with the people I owe my existence to, the food the land offers, the Andes where my parents ashes are spread, la casa and the farm along with their explaining histories, the Bogotá altitude, the strangers in the street, the acquaintances of the bakery around the corner, and the long-time friends and the people they owe their existence to. These are the sort of experiences that contribute to de-institutionalizing my work as a therapist and training therapists, to begin conceptualizing our work first and foremost from the histories that make us.

Author’s Note: I want to thank Jill Freedman & Gene Combs at the Evanston Family Therapy Center and their 2024 training cohort for listening to my reading of an earlier version of this story, which helped me revise it. 

The Bad and Good Ghosts: A Story of Reauthoring in Narrative Therapy with Children

“There’s a boy, there’s a kid always living in my heart every time the adult shivers he comes and gives me his hand.” Brant and Nascimento [1]  
 

My childhood has been a never-ending playground of theoretical and practical knowledge that has influenced my own evolution as a therapist working with children. In my work with children, I bring my own valuable child-within who leads me through the paths and crossroads of therapeutic work and inspires my imagination and curiosity toward a world to be discovered. Favored by being born into a family where other children arrived year after year, older siblings like me were taught to take care of the younger ones. I was privileged to be raised in a generation where neighborhoods were populated with children and playing in open spaces was imperative. Thus, in my consultations, echoing the lines of Brazilian composer and musician mentioned above, there is a child always living in my heart. 

From this particular cultural heritage, I assumed positions that today I consider foundational for my personal relationships, and fundamental for my clinical practice. I understand that the therapeutic relationship with children requires letting oneself be carried away by playful and creative coexistence, and the belief in a collaborative relationship that transforms unhappy ways of living.

This article was produced because I felt invited to share a reflection on everyday clinical practice, understanding it as a written dialogue between me, the author, and other authors or readers. It involves the work I did with a family consisting of parents and two children ages eight and four. The consultations were mostly made involving the mother and her eldest son, whose main issue was the indomitable spirit that appeared whenever he was contradicted by her, with an abundant flow of anger, accusations, and dissatisfactions arising on his part and paralyzing her. These are therapeutic conversations that took place during the year 2020 and were crossed by the COVID-19 pandemic, which brings as a challenge the development of resources to maintain the therapeutic process.

In the dialogue with the reader, I intend to report fragments of the practice, seeking to give visibility to: 1) externalizing conversations as a ludic dialogical resource and promoter of preferable changes, 2) the production of therapeutic documents in the format of therapeutic chronicles (1, 2), a useful resource for pointing out remarkable moments in the participants’ reauthoring process, and 3) to the share of moments in which the use of online technology helped the co-construction of generative therapeutic relationships, making it possible to move forward in the conversational process.

Chatting with Some Textual Friends Before Entering the Therapy Room

Michael White (3), despite the expressive systematization capacity of his work as a whole, privileged the developments of his practice so that the spirit of narrative therapy could be expanded, without letting it be tied down by any preponderant discourse of this or that therapeutic school. David Epston, echoing this plurality of meanings in narrative therapy, points out both the irreverence, improvisation, and imagination present at the center of everyday life and the indignation with the injustice that generates human suffering (4). Thus, narrative therapy actively questions the individual centralization of human problems and invites one to think about their insertion into the dominant social discourses that configure people’s lives.

As a therapeutic stance, this questioning promotes an egalitarian relationship between therapist and client and denies norms that subject people to standards on how they should be, feel, and act. Such a decentered position of the therapist facilitates a joint construction of choices that clients wish to assume about their problems and difficulties, based on the values and beliefs that guide their lives. Thus, change is built from new shared meanings toward the dissolution of the problem (5).

Narrative therapy discusses the deconstruction of the therapist’s power from a Foucauldian perspective that emphasizes power not as an institutional implementation from the top-down, but as one that develops and refines itself at the local level of culture (6). In other words, people are products and producers of relationships, concepts, and dogmas that shape dominant and socially constructed cultural discourses. Thus, in the therapeutic encounter, we are faced with problem stories that are saturated by culturally-sanctioned master narratives, which objectify people and describe them as problematic, paralyzed, and incompetent in promoting change.

To face the dominant stories that produce this deficit and limited identity construction, the externalization of the problem — later renamed externalizing conversations — was an ethical and creative response developed by Michael White (3,6,7) to counter the power of uniform descriptions about people, which engulfs all the uniqueness that each individual has in facing their difficulties. Such conversations, as a dialogical resource, invite participants to understand that the problem is the problem and not the person; an approach that encourages people to question the oppression that problems acquire over them, as well as to weave the reauthoring of their lives. Michael White says:
 

There is a sense in which I regard the practice of externalizing to be a faithful friend. Over many years, this practice has assisted me to find ways forward with people who are in situations that were considered hopeless. In these situations, externalizing conversations have opened many possibilities for people to redefine their identities, to experience their lives anew, and to pursue what is precious to them.  


This fascinating spirit that rests on what is unique in each person and is so present in working with children is reflected in the enthusiasm of another young client: “I said to my father: ‘There must be some magic here! That cry that I used for everything disappeared!’”

With the inspiration of “as if it were magic,” I will present below the report of the family care on which this article was based. The meetings were mostly attended by the mother (Aurora) and her eldest son (Daniel) since the difficulties described brought many misunderstandings and a feeling of hopelessness in the relationship between them. Since problems organize the system, Leo, the youngest brother, was included when conflicts between children intensified with the social isolation imposed by the pandemic; the father could participate in only a few sessions, when we managed to schedule appointments after his work shift. In these meetings, where the whole family got together, playing freely was the main objective (8).  


A Cry for Help

Even in the first days of the January 2020 holidays, Aurora, the young mother of Daniel (eight years old) and Leo (four years old), was very distressed at not achieving a balanced relationship with her eldest son, who “throws himself at the television” and does not commit to his obligations, from taking care of personal hygiene to school obligations during class time. Born at 7 months of pregnancy, he was assessed during the literacy period and received a diagnosis of Attention-Deficit Disorder (ADD), in addition to living with an uncomfortable dysgraphia and psychomotor immaturity, which forced his mother to follow up on school tasks, correct spelling, and “correct the ugly handwriting.” Always complaining, he got irritated when his mother pressured him: he screamed, cried, and accused her of being a bad mother. It left her “out of her mind,” since she did the best she could. In those moments, anger also dominated her, from which words emerged that she would never have used if she could think before speaking. She therefore felt very guilty and convinced herself that she really wasn’t a good mother.

Aurora was also concerned about her younger son. Like his older brother, he was born prematurely, but perinatal complications and the effects of early birth were more invasive in his development. The parents began to protect him, offering him little encouragement in the autonomy of daily life activities: “He is our baby,” “required a lot of care,” “was always weak,” and “cries to get everything he wants and I end up giving in so as not to get angry anymore,” said Aurora. A kind of vicious circle was established, where Daniel’s defiant attitudes and Leo’s insistent crying resulted in a joint explosion of irritability. In this way, by giving in to her children’s demands, Aurora obtained a moment of peace: “I end up giving them what they ask to put an end to the complaints,” to soon after, be taken by guilt and the uncomfortable feeling of impotence in the face of the conflicts.

The family had moved to the city of the maternal grandparents two years before, in the hopes of receiving family support for the care and treatment of their children. They left behind schools, relationships, friendships, leisure, and professional stability. They faced professional and financial obstacles and the expected help from their family members did not materialize. The couple underwent a reorganization of their responsibilities as family providers, with the children’s father expanding his professional activities, while Aurora saw hers reduced due to the care and education of her children. Thus began a lasting period of frustration, overwhelm, and exhaustion.

“Hello, May I Come In?”: Expanding the Meaning of the Problem

Aurora and Daniel attended the first meeting. Daniel was a silent and observant boy apparently uninterested in participating in the conversation that concerned his failures in everyday life. Aurora spoke about all her disappointments with her son, such as: watching too much television, complaining about everything although she was always helping him, lacking autonomy for schoolwork, avoiding physical activities, and being uncooperative and disobedient to his parents’ expectations. His greatest difficulty, however, concerned the inability to control himself before exploding into fits of rage when contradicted. Uncomfortable, Daniel silent and sad, slowly walked away and disappeared from the room. Another environment was more interesting to him: the playroom. 

I invited the mother to accompany him and, looking for a way to involve him in the issue that brought them to the consultation, I said that many children suffer from all sorts of problems, and that, as if that were not enough, these problems also interfere with the lives of their families. Curious to know the face of the problem, I asked if we could take a picture of it; problems that haunt children’s lives are invisible and we can only get to know them by drawing them. Continuing, I said that a camera has not yet been invented to register the existence of these beings that disturb people so much. The mother looked open and curious; Daniel looked incredulous at what he had just heard. Aurora took the initiative and soon the two of them found themselves sitting on the floor, dealing with paper, brushes, paint, and enthusiasm.

While planning what could be drawn, a different conversation took place. New vocabularies sprouted from a much more collaborative mother-son relationship: “Is it a monster or a ghost? It’s quite big, so it needs a larger paper. It has a skirt, and many teeth in the mouth; the hair is spiked.” Daniel started to see the image of the problem: “Mom, the monster will be red, because red is the color of anger.” The boy, encouraged by the change of direction of the conversation, busied himself in coloring with care and the mother patiently accompanied him in the dance of the brushes. By photographing with paints and brushstrokes, the problem takes on form: “Wow! It’s nice! Mom, you look mean!”


Ghost of Fury

Satisfied with the reproduction, Daniel says: “It is a giant of Fury that torments a lot, attacks the head, and keeps hitting it.” The part of the conversation below illustrates the dialogue that is being woven around the externalized problem (the acronyms T, D, and A, refer respectively to Therapist, Daniel, and Aurora):
 

T: I think he has a jackhammer in his hands and drills holes in your head to get in! (I paint a tool in the hands of the giant). Could we come up with something to let you know when he’s turning on the jackhammer? (I paint a radar that says “No,” when it notices that the giant is approaching).

D: No… it crosses your mind… It’s a ghost.

T: Oh! We are getting to know him better! He looked like a giant, but he’s a ghost!

D: Yeah, he doesn’t drill holes; it goes through the head (erases jackhammer drawing with white paint).  
 

I understand that this attitude of Daniel concerns his authorship, and he gradually builds on his relationship with the problem. It’s like he’s saying, “Hey! This is my problem!” There is a significant change in how he relates to exploring the difficulties that brought him to therapy.

The separation between the person’s identity and that of the problem does not exempt them from facing the damage that this has brought to their lives. According to Michael White, it enables them to assume this responsibility, and, in this way, they are encouraged to establish a more clearly defined relationship, in which a range of alternative possibilities becomes possible. And continuing…

T: And does he take advantage of some “little windows” to get inside your head?

A: I think it’s when he gets jealous of his brother and when we go against him.

An alternative way of talking about the difficulties that permeate family relationships is under construction without, however, pointing out the child’s deficits, and blaming him. Externalizing conversations, by objectifying the problem, offers an antidote to internal and essential understandings of an individual.   

Building an Identity for the Problem

The problem, now named Ghost of Fury, is gradually discovered through a curious investigation where I learn from the clients about their experience. The Ghost of Fury is 1,000 years old and lives in every child’s house for one year. It arrived when the family moved from the city where they lived two years ago, leaving the loving paternal grandparents. He feeds on people’s anger and his favorite food is “rage burger.” He lives in hell and other evil ghosts also live there.

Upon hearing Daniel’s vibrant description, Aurora reported that the parents and children lost their friends. The children separated from their schoolmates, from the playground in the old house, and from the paternal grandparents’ beach house. She says: “Daniel always says it was my fault we moved here. He doesn't like it here.”

D: Yeah, we had to come here because she got a job here…(notices the mother’s tears) Mom, are you crying??!!!!  

T: I think you were all very sad to have moved to another city. Nothing happened as you expected…

A: He says I'm not a good mother, I feel very guilty. I do everything for them, I can hardly even work…

T: Yeah… one of these evil ghosts’ tricks is to make mothers feel guilty. They disrupt the whole family’s life.

D: Not my father’s life! He works and comes home late and just sits on the couch watching TV, right mom? (Aurora laughs).  

Looking for the influence that the problem has on the life of Daniel and his family, I highlight the following excerpt:

T: What does he want for your life?

D: That I become evil? He wants me to be mean!!! (His eyes are wide open, pointed at his mother).

It is important to note here the change in the child’s expression that seems to reflect on the influence the problem has on his life and suddenly discovering his real purpose. And continuing:  

T: And what does he want for your family?

D: He wants us to fight, stay in front of the TV alone, without talking to our mother, without playing… He doesn’t just disturb the family; he also goes to my (maternal) grandparents’ house. The most nervous is my grandfather. He drives my grandfather crazy.

D: Mom, grandpa needs to come here too!  

Michael White says that this type of conversation, through influencing questions, compares to investigative journalism and its first objective is “to develop an exposition of the corruption associated with abuses of power and privileges,” imposed by the problem. Like investigative journalists, therapists are not involved in the domains of problem-solving or engaging in conflict, but, again referring to White, “Rather, their actions usually reflect a relatively ‘cool’ engagement.” In contrast, clients also assume an investigative reporter position, reflect on their experience, and contribute to exposing the character of the problem. They denounce its objectives, purposes, and activities.

This posture reveals the importance of the narrative therapist’s decentered position. It paves the way for the clients to identify and build other plans for their lives, what they value, and contradict the threatening voices of the problem. In other words, externalizing conversations offer a shared island of safety for people to engage in the reauthoring of their lives.

A Story About the Externalized Problem Inspired by the Idea of Poetic Documentation

For White and Epston, the written word is an ideal path for discoveries made during therapy which, like documents, can be evoked, read, and recreated. Written tradition, through “making visible,” highlights extraordinary events, giving prestige to an alternative narrative (9). Still, according to Campillo Rodriguez (1), writing as a therapeutic resource opens up many paths through which people can see themselves through the eyes of the other.

During clinical consultations, therapeutic poems build, in a special way, an opening to new stories, which play with the imagination and give clients the freedom to experience their own images, sensations, and new meanings.

Discussing the usefulness of therapeutic poems in her work, Sanni Paljakka (2) writes:
 

Due to their unusual form (the lack of requirement for the shiny completeness of sentences and ideas in prose text), these poems have opened up a unique way for me to play with ideas. Writing in poetry form allows me to pit the horrors and hauntings of a problem story against a confection of possible counter-story ideas with no regard to orderly sequencing of life experiences or the flow of a therapy conversation.


So, at the opening of the session following the revelation of the Ghost of Fury, I asked Daniel and his mother to sit down comfortably and listen to a text that I wanted to present to them (Although the authors point out that poetic documents should be written exclusively with the words expressed by the client, I took this therapeutic tool as an inspiration, adding a personal way of narrating, to what I preferred to name therapeutic chronicles.):  

It was a problem and it was a gigantic

A giant that was so gigantic, it tormented everyone

It tormented the boy even more
The boy was a child

And he did the worst for the child Just for the kid, he had a jackhammer

He made little holes
In the boy’s head

When he was a child and the boy was a child

Clever
Thoughtful
Observer
And the boy had an artist mother
The child boy had an artist mother!!!
The smart boy and the artist mother took a picture of the giant
Click, Click, Click
Red he was
With funny hair and there was the jackhammer Making holes in the head
And making everyone nervous and quarrelsome and then… Sad
And found out the giant was all Rage Aha!!!
Now we know you!!!

And the smart boy and the artist mother didn’t notice…

The Giant of Rage, that was his name, was very intelligent

In a brush step, zas!!!
Changed to Ghost of Fury
What the hell!!!
Ghosts don't need little holes to get into the heads and families of smart boys and nice moms

Ghosts walk through walls

The smart boy figured out the trick. He found that the ghost goes through his head

And lo and behold! He knows many tricks to do bad things

He is 1,000 years old.  


I recited the chronicle, dramatizing it in such a way that the emphasis fell on the resources and extraordinary events subjugated by the problem (the boy was a child; he was smart, thoughtful and observant; the child had an artist mother; the smart boy and the mother artist took a picture of the giant), as well as the perverse purposes fueled by the problem (the giant that especially affects the boy, who is a child; his evils are preferably directed at him; a very intelligent giant, who magically transforms into a ghost to cross heads). 

As an externalizing conversation, listening to your experiences coming from another person, written in a poetic way, promotes a sense of legitimacy and centers authorship on the person. Afterward, Daniel said he liked it and thought it was funny: “He doesn’t even look that bad!” He still prefers to maintain his version of the problem as a ghost that enters his head without making small holes: “Hey tía, he doesn’t have a jackhammer.” Aurora was touched by the understanding that her son is “just a child” and that, due to so many turbulences in the family, her impatience could be harming him, in addition to expecting him to know how to renounce his place in the family in favor of his younger brother.

It was surprising to her to be perceived as an artist and she reported other craft skills, inherited from her mother. Daniel praised his maternal grandmother’s skills, attentive and creative, and discovered that his mother resembles her. The externalized problem, re-narrated, allowed the emergence of a narrative not subdued by the history of conflicts in the period between the meetings. Aurora says:

A: The giant isn’t showing up much there… he’s only showing up with strength when he’s with his brother. They fight, Leo gets in the way, and Daniel loses his temper (the words giant and ghost will alternate during the course of therapy, as meanings of an entity/problem separate from the child).

T: I think it’s the Giant of Fury’s tricks to keep taking advantage of the fights in your family.

A: He (Daniel) is better than me, calmer than me, he obeys when I speak.  

Despite the influence of the problem having diminished in the family, this meeting addressed many conflicting moments between siblings and between mother and children. Daniel suggests painting the Giant/Ghost again. Very excited, he announces:

D: Now I’m going to do it! It will have two colors. Half angry and half calm.”

The new image of the problem in metamorphosis was made with four hands, and the child tried to reproduce with his own lines the first form almost entirely created by Aurora (the Giant of Fury). This was explored in its finest details within a loving and respectful dialogue, mostly coming from the child. Everyone looked proud at the end.


Ghost of Fury in Transformation

The letters C and A were added to signify the initials for Calm and Angry, English vocabulary learned by the boy at school. Descriptions and facts previously mitigated by the problem populate the conversations, allowing the child to be perceived through his resources (learns another language, likes to paint, collaborates with the mother). Immersed in a dialogical and horizontal relationship, instigated by conversations fueled by painting, I outlined Daniel’s hands on a blank piece of paper, with the letters F (Fury) and C (Calm) to be taken home. They could help them remember that when they manage to stay calm, the Giant weakens.


Drawings of Daniel’s Hands as signalers of emotions in the house

The session that followed this one focused on efforts to distinguish the influences of the Giant/Ghost in the family’s life and the family’s in the Giant's life. The rage attacks are less intense; frustrations are expressed with lamentations. Aurora says:

A: Daniel is more loving, more understanding, helping me to calm down faster. It was a lot of just complaining, now it’s like this, more smiling. Sometimes he is more patient with his brother.

D: I didn’t get angry with Leo crying. I say: ‘Caaaalm down, Leo’.

A: We put the Hands in the room. In a place where everyone can see.

T: If the house is calmer, how is the family?

A: I bought paints, they are painting.

T: It’s a family of artists!  

At this time, they review the contributions of their maternal grandmother, skilled in manual arts. Daniel speaks proudly of his grandmother who draws house plans for engineers. Aurora has the opportunity to reframe her relationship with her parents, with whom she feels hurt by for not receiving the expected support: “My parents are very active, they have a life of their own…”

Daniel is attentive and praises his grandmother’s kindness but claims that his grandfather is very nervous: “The ghost must be living there now.” and continues… “Hey tía, I think next time the Giant of Fury will be all blue!”

From these conversations, another poetic document was presented to them at the next meeting.
It was a giant
Giant?
Not anymore

It wasn’t even a giant. It shrunk

And in its shrinking, OH! Would it also be changing color?
And the giant asked for help

Help! Somebody help me!

I’m shrinking and I’m not even red! Help!
And nobody listens

The artist mother and the smart boy continue their task of transforming him

Now the little giant is red and blue
Half bad, half good. Half angry, Half calm

The smart-mother and the artist-boy continue their work of painting the new little giant red and blue

The Giant of Fury is sneaking out

It no longer fits in that room. It no longer fits in those lives

At the door, already saying goodbye, he looks back and takes with him an image that bothers him. He sees the boy-artist calmly walking around the room, talking to his smart-mother, deciding together on the last brushstrokes.

The image has changed. And the Giant of Fury, sad, decides to leave in search of another place to live.  


“The Fired Ghost of Fury,” Made by an Artist Upon my Request

When presented with the new image, this time taken by me, the mother laughs at the ghost and its “Fired” sign. Daniel says: “Poor guy,” and, “Mom, we’re firing him from home too!”

With a social constructionist sensibility, narrative therapy assumes that the self is relational. Within the plasticity of relationships, we build reciprocal identities, shaped by contextually-situated linguistic descriptions. Thus, Daniel’s interest and initiative, in a safe and inclusive environment, transform him into a boy-artist, now accompanied by a smart mother who, less confused by her feelings of incompetence and guilt, becomes someone who knows how to take action (welcoming, encouraging, believing, hoping). Therefore, the Giant who abandons that relationship is one of misunderstanding, impotence, and pain.

The self-confident artist-boy prepares to paint another ghost: “I do. It will be all blue. Blue is the color of calmness, right mom?” 


Ghost of Calmness

Since we were at that moment on the verge of social isolation due to COVID-19, we suspended face-to-face meetings and sought to build communication via WhatsApp, through messages and audio, since the video camera sessions proved to be unproductive for the participation of the children. Contacts were more frequently aimed at supporting Aurora’s concerns regarding Daniel’s growing lack of interest in online classes. Still, mother and son agreed that the Ghost of Fury was still diminishing. In this period of confinement, the interaction between the two children deteriorated, slipping easily into conflict. I suggested that Brother Leo be invited to participate in a face-to-face meeting, and we all committed to this meeting, respecting the health standards for disease prevention.

The dialogue below illustrates a remarkable moment from this meeting, where many disputes took place, with Daniel asking for his mother’s interference to calm down and hold his brother who “only gets in the way” an

Sasha McAllum Pilkington on Grace and Storytelling at the End of Life

Lawrence Rubin: (LR): Sasha, thanks so much for joining me today. I was drawn to the narrative stories you’ve shared through your hospice work in New Zealand and the incredible way you help the dying and their families. But before we begin, I know you had something you wanted to say about your work with these clients. 
Sasha McAllum Pilkington: (SP): Kia ora, Lawrence. Thank you very much for having me. Tēna koutou katoa. Hello, everybody. My name is Sasha, and I work as a counselor for Harbour Hospice. We provide specialist palliative care for people in the community and have an inpatient unit. I work mainly as a counselor in the community. I just wanted to say that sometimes when I’m talking about practice, I use stories to illustrate what I mean, and I wanted people reading this to know that I do that with the consent of the people that I’m speaking about and with respect to their confidentiality. So, thank you. 

Meaning Making in the Shadow of Death

LR: I'm glad that you started right there, Sasha, because my very first question is, what does your way of co-creating stories with dying clients say about what you believe works in therapy or consultation?
SM: I think being alongside people who are dying, and their loved ones, is very important. When I speak of being “alongside,” I am referring to supporting a person to reflect on their experience and what matters to them in ways where they experience themselves as worthy of respect and holding knowledge about their own life. I think recognizing our shared humanity is significant in working with people who are seriously ill and approaching death. We are all mortal beings with bodies that can become unwell, and we can all suffer. I am no different in this regard from the people whom I meet in my work and keeping that idea forefront in my mind allows me to see the person beyond the illness and whatever changes that imposes. Change is a shared endeavor and, in my view, takes place in the relational space. So, the stories I have co-created with the people I have met show, I hope, a spirit of collaboration and the importance of the therapeutic relationship in generating change. It can be very hard living with a life-ending illness so I hope the writing acknowledges that while showing what might be possible for both the person who is unwell and the therapist.

You might notice that I use some unusual language constructions as we talk. My use of language reflects some particular understandings that I think are important therapeutically. For example, I speak of “the person who is dying” rather than “the dying person” to acknowledge that people are more than the illness they live with. They are more than the problems they live with. As a narrative therapist, I think identity descriptions are important as they influence how we think of ourselves, what we think might be possible for us, and then how we might respond. The identity of “dying person” can limit how the person sees themselves and then influence how they might respond and act.   

LR:
I speak of “the person who is dying” rather than “the dying person” to acknowledge that people are more than the illness they live with
Some might say that hospice work, at the very end of someone's life, either by natural causes or an illness, is the end of a story. But I'm hearing you say something that suggests that the storytelling that you co-create is not simply about an end.
SM: Relationships endure beyond death, don't they? One of the opportunities I get is to talk to people about the kinds of stories that they might like to endure and to meet with families and ask them what kinds of stories they might tell about that person after they have died. This puts me in mind of a family meeting I was part of that took place on a rural property with a farming family. The men were sitting around in their gumboots — big blokes who probably had never spoken to a counselor in their life, let alone been anywhere near one. I was asking the person who was dying how they would like to be remembered, and then the family what stories they'd be telling about their loved one.

At first, the family were shy and hesitant to talk. But as they warmed up, they started to tell some really funny farming stories, which were brilliant. One was about how the man fell out of the tractor and just lay there because he couldn't stand up but had insisted that he go on working. And these men started to laugh as they were sharing these stories from their lives, and then one of them said to me, “Oh, I thought you counselors were meant to make us cry, not laugh.” It was quite delightful. Talking about such stories not only can nurture the relationship with someone after they have died, but they can also make it grow. The written stories we co-create therefore often reflect not just how a person has died but what might endure from the relationship family members have had with them. For example, the published story called “A Small Hope,” which illustrated how a therapeutic conversation brought forward some beautiful memories two young children had of their father, and then how they were developed into legacy stories they could carry with them throughout their lives.   

LR: And perhaps that flies in the face of what the uninitiated believe counseling in hospice to be, which is about sadness, crying, and lamenting. But it sounds like the storytelling that goes on in these last days, or weeks, or months of your clients' lives are not just about sadness and grieving and saying goodbye, but almost like living eulogies.
SM: I think the work really reflects the richness of life and what people have to lose. There are stories of both great sadness and also the savouring of life, and what has been most precious. There is a lot of crying, but there is also a lot of laughter. People walking past my room sometimes wonder what on earth’s going on when they hear all the laughing coming out, and it can change from moment to moment. So, yes, the conversation can reflect what and who has mattered most to a person, the real richness in their life, and ways of living, as well as losses they may be experiencing. 
LR:
I'm always listening for the beauty in people's lives, the stories, the nested stories within whatever we're talking about
Has this particular way of working with the dying and their families over the years changed the way that you ask questions?
SM: Yes, writing collaboratively has changed my questioning. I've been writing therapeutic letters and collaborative notes for decades now and writing stories that illustrate practice over the last 10 years. It has changed both my way of questioning and what I’m listening for, as well.

If I'm looking back on conversations, say, in a transcript, it gives me the chance to really look closely at my questions and to think, “How could I have asked them better? What work is that question doing? Has it been helpful?” That constant examination and thinking about questions has really allowed me to be a lot more intentional and be more skillful in my questioning. At the same time, I think my listening has changed. I'm always listening for the beauty in people's lives, the stories, the nested stories within whatever we're talking about. Just the other night, someone was talking to me about accompanying a family member who was dying and said, “You know, the job of the family is to deeply love,” and it just really struck me. I heard that clearly and in a way, perhaps, that I wouldn't have prior to doing all this writing.  

LR: So, the stories, the notes, that flow from these interviews are, in a sense, love stories, stories of love, and how that's permeated the lives of the dying and their families?
SM: Yes, sometimes. I’m very much listening for expressions of Aristotelian goodness such as love and kindness, compassion, courage, determination, and because I'm listening for it and inquiring into those spaces, it very much comes forth. I was just thinking of your use of love. I mean, it is a form of love, doing this work, I think, isn't it?
LR:
there is an idea that the work is all sad, and what I would say is that it can be both sad and uplifting and enormously meaningful
Well, it certainly is, in my mind, the ultimate act of giving. And if love is defined in part or in whole by giving, then when you are sitting with a dying client and their family, it is, I think, the deepest form of giving. So, yeah, I think it is about love the way you describe it. What have you learned from working with the dying and their families that may encourage others, perhaps those who are sheepish, to venture into this particular domain? 
SM: I really hope that the stories I’ve published will encourage those who are interested in this work, and support them in gaining some confidence and feeling prepared for what they might encounter. I think, as we were saying previously, there is an idea that the work is all sad, and what I would say is that it can be both sad and uplifting and enormously meaningful. This work does require me to be present for suffering and to be able to enter some of the taboo areas of life. But having said that, when people are approaching death, there are also stories of what's been important and what's been good about living, and they can be incredibly rich. For me, I think there's something also about working with problems that can't be solved, that can't be fixed, and being alongside a person and making sense of what's happening… Conversations that generate helpful meaning making, that are transformative perhaps, or reveal the extraordinary in the taken-for-granted. For me, anyway, that's enormously rewarding. 
LR: So, because their futures are so foreshortened and their death is so inevitable, it's not like looking forward to alleviating depression or looking forward to lessening anxiety. It's looking forward to an absolute end and helping them to prepare for that end with the greatest sense of meaning they can.
SM: Yes, indeed. Meaning making is a significant part of the conversation I have with people. Making sense with people about what is currently happening to them as they live with the illness and also reflecting back on their lives. Having a sense of living meaningfully is very important to most people at the end of their lives. Every person's life is different and people bring different things to their dying. However, while our conversations talk about dying and perhaps what they might be afraid of, or what dying means to them, we also talk about living. We may spend time speaking about how they might like to spend the last phase of their life and what is precious to them, for example. 

Narrative Therapy: Discourses Around Death and Dying

LR: Your clinical work is grounded in the Narrative Therapy tradition of Michael White and David Epston, so I’m wondering what are some of the dominant discourses around death and dying that may actually be unhelpful to clinicians working with the dying and their families?
SM: When I first started working in palliative care, I noticed that there were many cultural messages about a “right” way to die and a “right” way to live with an illness that were highly influential in shaping people’s experience of the end of their lives. I learnt that dominant cultural discourses could be helpful for some people whereas for others they positioned them as not getting it right in some way.

One cultural idea that springs to mind is the idea that death is a bad thing to be fought. If you have a curable illness or apply this idea to your experience in particular ways it can be very useful. However, for many people living with an incurable illness, the idea of a fight can start to become unhelpful. It might lead to them fighting the illness at any cost, for example, forgoing quality of life in pursuit of more and more treatments to avoid dying. Or it may position them as either winning or losing a battle, which can be a very unhelpful and limited description for someone who is dying.

Part of my role is to create a space for people to reflect on how they are going about living with the illness and approaching death so they can examine whether they are doing it in ways that fit with their values and what matters to them.

I've illustrated therapeutic conversation with people who have taken up a fighting stance against an illness with different consequences in some of my papers. For example, in the first story that I ever wrote, I met with a man who refused to acknowledge he was dying and was fighting by continuing to work rather than spending time with his family, and that didn't fit with his values. For him, the meaning of fighting his incurable cancer was not abandoning his wife, and he decided to have some enormous experimental surgeries. It was a really important thing for him to do. A fighting stance can work for someone. I can think of another person who had a really traumatic childhood, as did his wife. They had found each other at a young age, and it had been a very happy relationship. And for him, the meaning of fighting his incurable cancer by having some enormous experimental surgery was not abandoning her. It was a really important thing for him to do. The cultural idea of fighting can be both unhelpful and helpful. Dominant ideas aren’t usually good or bad in themselves. However, if they are guiding a person’s life, are unexamined, and don’t fit with their values, they can be problematic. It's more important how particular cultural ideas are applied, the way that they affect people’s relationships with themselves and their experiences, and the meaning they hold as a way of approaching death.   

Another dominant Western idea that can have unintended consequences is the message that we should be positive. In fact, Carla Willig describes the pressure to be positive as a cultural imperative in Western societies. At the end of life, the idea that we must be positive can shut down talk of our mortality and of suffering leaving people alone in their experience. Part of what I do is to listen and be present for stories that are often silenced. They may be experiences of suffering or fears about dying for example. There are few relationships where people can speak of such things. The idea we “must be positive” affects health professionals, family, and friends as well. It may have family members and visitors trying to cheer people up rather than acknowledging what a person is going through. So, at times, it can be a very persuasive and unhelpful idea.  

There are many cultural discourses that can cause people distress when they are approaching death. The idea that relationships end with death, and we have to “move on” rather than that relationships continue beyond death. And then there are some of the individualistic discourses; Western discourses such as “the reason that I've got cancer is because I didn't eat right, exercise enough,” and so on, right? People are often made to feel they are to blame and individually responsible for the bad things that have happened in their lives even when they are societal issues. Those are just a few examples. I find Narrative Therapy helpful in untangling ideas so that the people I meet with can examine them more closely.  

LR:
another dominant Western idea that can have unintended consequences is the message that we should be positive
What is it about Narrative Therapy that helps you to untangle some of those dominant but unhelpful discourses with the dying and their families?
SM: Narrative Therapy has encouraged me to be curious about another person’s world and to use questioning practices to inquire about ideas that a person raises in conversation. This allows the ideas to be brought forward so the person can examine them and reflect on their influence on their life. The dominance of certain discourses or ideas can mean they are taken for granted as “truth” and unexamined. Narrative Therapy has trained me to pull apart the threads of an idea in collaboration with the people I meet with and to look for how that idea impacts on different groups of people with the workings of power in mind.

Hope is an experience that I commonly examine with the people I meet with. Hope can mean many things to many different people, and I can't assume that I know the meaning of it in a particular person’s life. I might ask, “What does hope mean for you?” There’s an example of such a conversation about hope and the questioning I might use in the story “A Small Hope.”

I think Narrative Therapy really lends itself to assisting people at the end of life to reflect on the cultural ideas that are shaping their experience and then choose and think about how they want to go about the end of their lives.   

LR:
Narrative Therapy has encouraged me to be curious about another person’s world and to use questioning practices to inquire about ideas that a person raises in conversation
And that sort of brings us back full circle to our opening when we talked about storytelling, co-creating stories, co-creating notes. You've said in your writing that in working with the dying, you try to bring forward identities other than illness. What did you mean by that?
SM: We're more than the problems that we live with, aren't we? We're more than an illness that we have, but when we're unwell with a serious illness that's perhaps kept us from doing what we normally do over a period of time, the idea of being a sick person, the sick identity, if you will, can really take over. And identities matter. They don't just speak to our past and to who we think of ourselves being, they really influence our decision-making and what we think is possible for us. So, the idea of being a sick person, if it takes over, can be quite limiting in what a person thinks is possible for them, and it can lead to ideas such as a person thinking that they're a burden or that they've got no way of responding to what's going on with them.

I, for instance, can think of a person I saw who didn't feel that his life was worth living because he thought he was a burden to others. When I met him, one of the things I noticed was that despite this man being unused to living with other people and describing himself as a bit of a hermit, the carers kept coming into the room. I asked him about this and the relationships with the carers and discovered he actually learned all about their families and the countries that they'd come from.

I discovered that he was someone who was deeply respectful of others and who was able to get on and make the people around him feel really good about themselves. And through exploring this, we were able to expand his possibilities by bringing forth identities of him as a person whom others liked, as someone who cared about other people and so on. I guess we were able to bring forth a sense of living meaningfully for him. The identity we brought forward of him as someone who could give to others and make them feel valued was really helpful in starting to push the idea that he was a burden out the back door.   

LR: And you wouldn't have known that had you not been at his bedside to actually see the community in action.
SM: Exactly, it was very helpful. In fact, people would be knocking on the door when I'd be seeing him. It was really quite something, and he was very surprised. He hadn't actually noticed how many people liked and cared about him until I began to ask him about all the visitors and what might lead them to want to spend time with him. 
LR: And that's one of the essences of Narrative Therapy, which is looking to take what they call the thin story and add depth and richness. So, I can see how someone approaching the end of life can become overly focused on that singular event, which you, through your storytelling, expand and enrich.
SM: Yes. The idea of a person being just sick or dying is a thin story of who a person is. Bringing forth the depth and richness of who they are can be enormously therapeutic. As I get to know people, I am listening for who and what matters and has mattered to them in their life and how they have gone about their life. As they share these details, I particularly listen for Aristotelian virtues that are expressed in how they have lived. The themes of virtues give rise to the possibility of rich identity descriptions for the person — them being a compassionate or kind person for example. Such identity descriptions are very helpful for someone who is unwell, as it is possible to enact them with a sick body. If someone’s been a great sportsman, that’s not going to be such a useful identity going forward even if it is something pleasurable to remember. Let me share an example of how these rich descriptions of a person can give rise to sometimes transformative responses.

I was once asked to see a man who was living with a number of very serious conditions. He was refusing to speak about his dying even though he was in the last few weeks of his life, and was insisting on having resuscitation even though it would be hopeless and at the same time very traumatic for his family. He was self-medicating to the point where there was real concern that he might accidentally kill himself and wouldn’t discuss his future care needs. It had come to a critical point, especially for his family. When any of our staff tried to speak with them about any of these matters, he became angry. After an incident where he shouted at one of our doctors, I was asked to go out and see him.

I went out and met him and his wife, and as is common practice for me, I began by asking him about himself and his life aside from the illness. As we discussed who and what was important to him, I was listening for Aristotelian virtues that he had expressed in the way he went about his life. I learned that he dearly loved his family. They were incredibly important to him, and he was very concerned about their well-being. I learned that he was a really considerate employer who knew all about the families of his employees. He personally bought them Christmas presents. He was a very kind man. And I also learned, in his early life, that he was a courageous person. He was an adventurer. He had been involved as a bystander in a very violent and frightening incident and had behaved with incredible compassion and courage. So, these are identities that I sought to bring forward through inquiry as I hoped that they might be helpful to him.

After nearly an hour, he said to me suddenly, “Sasha, you've got it.” And I said, “Oh, may I ask what is it that you think I've got?” And he said, “You get why I want to live. You get why I don't want to die. You will be my death philosopher, and I will talk about dying with you.” We were then able to talk about his dying and how resuscitation would be hopeless and traumatic for his family to witness. Remember, family really mattered to him, and that value was very present in the conversation. We were able to talk about his hopes in taking the medication, that it was harmful, and also about what he might want for the end of his life. I don't think it was just that he felt seen and heard, which was so important, but also that he was able to access parts of himself that he needed to have those conversations. The conversation and the two we had following this one allowed us to plan for him to have a dignified peaceful death with his family nurtured as well.  

Building Meaning at the Threshold of Death

LR: Well, it sounds like you're giving these folks an opportunity to contribute to the narrative rather than being a passive recipient of the traditional story of the dying person and giving them a sense of agency, and utility, and value. This makes me wonder, based on something you said in one of your wonderful writings that working with the dying is sacred. What did you mean?
SM: I meant that I think it needs to be revered, that we need to give every respect to the people we're talking to, that I need to give every respect to the person I'm talking to. I'm entering the most tender areas of a person's life. They may not have been able to share their fears, their experience, with anyone prior to that moment, sometimes because they want to protect those they love most, sometimes because it is taboo to go into these territories, and no one has been able to ask or even wonder.

I might be talking with a person about what their fears are about dying. What part of dying are they most frightened of? Just recently, I was talking with someone about her deep shame at the thought of other people seeing her naked body. Another was frightened about incontinence, and how would she maintain her dignity? These people are worthy of my every respect, and when they're able to share some of those fears or losses, it's the gift, and it's a gift to be honored, I think.  

LR:
these people are worthy of my every respect, and when they're able to share some of those fears or losses, it's the gift, and it's a gift to be honored
So, you don't use the word “sacred” necessarily in a spiritual or religious context.
SM: No, I'm using it just in the sense of to be revered but perhaps a bit more than that. The hospice has a Māori name called karohirohi, which means where the light hits the water, the liminal space, the space between living and death, and perhaps there is something about that space that's sacred, something that’s out of the ordinary. It's something to take great care of.
LR: By virtue of it being a liminal space, it is out of the realm of day-to-day experience. It really pushes one to be somewhere they've never been before. And to have the courage to do that, whether we call it heroic or sacred, special, unique — there may simply not be a word — but I do love the word “sacred.” Sasha, can you give an example of having worked with a client who, in spite of your best efforts, was not able to embrace meaning, was not able or even willing to take you up on your invitation to write a story that their survivors could have?
SM: I think you raise an important point. I adjust what I do according to the person or family I am meeting with and what it is that they want and works for them. I don't write stories with everybody as it’s not right for everyone for lots of reasons. I think that there is almost always the possibility for assistance, and supporting people to have a sense of living meaningfully if they are willing to have a conversation. Some people have more to grapple with than others and I may not be the best person for them to talk to. Someone else might be a better fit. I think it is for me to adjust and try and discover what works for each family. People have different ways of approaching death and living with illness. Talking may not be their preferred option or what is best for them. I respect their knowledge of themselves and what they want.  
LR:
I think that there is almost always the possibility for assistance, and supporting people to have a sense of living meaningfully if they are willing to have a conversation
They're very lucky then. What lessons about death and dying have you learned from working with the Māori?
SM: Many. I read Michael White's paper, “Saying Hello,” and learned about the idea of relationships continuing beyond death, but Māori, who are the indigenous people of Aotearoa New Zealand, have held that idea for 1,000 years or more. Māori incorporate their tipuna, their ancestors, into daily rituals. The idea that those who have died are part of our lives is a taken-for-granted idea within their culture and is a powerful example for me.

When I was learning all of this in the ‘80s, family therapy, thinking systemically, wasn't necessarily the usual way of thinking. Whereas, again, for Māori, thinking systemically, meeting as a group and working things out, was, again, a practice that they had done for 1,000 years. And I think the other thing is that the way that they mourn is, in my mind, very enlightened. For example, a tangi or tangihanga, which is a funeral, takes place over days rather than in an hour, giving meaningful time for connecting and expressions of grief. Such a practice has influenced the time my family and many others give to mourning. And I believe that New Zealanders touch their dead more than any other culture in the world, and perhaps this is part of the legacy and influence of Māori. I feel I’ve benefited from the influence of Māori processes.   

Gardening Narratives and Storyliving Ones Life

“Terra de encanto amor e sol
Não falo inglês nem espanhol
Quem te conhece não esquece
meu Brasil é com S”
–– Brasil com S, João Gilberto
 

I’m Adriana Müller (AM) and I live in the Abya Yala region, in the territory known by the native peoples as Pindorama but named on maps as Brazil. It is an area of 3.287.597 square miles (over 8 million square kilometres) filled with an exuberant nature and a wide variety of flora, fauna, and geography, ranging from the Amazon rainforest to the gaucho pampas, passing through the hinterland (known as ‘sertão’) and the wetlands (known as ‘pantanal’). It is a region that has always been inhabited by people who know the seasons and have mastered the art of land care. It is a territory that, over the centuries, has received people from every continent, coming through a number of means and for different reasons. Brazilian people are the mixture of all these stories that can be revealed in our cultural way of being cheerful, outgoing, interactive, greeting friends with hugs and kisses — and the ever-present cup of coffee. Our people love football and carnival, take for granted different kinds of faith and beliefs, use plenty of metaphors while speaking and we live with passion. Brazilian folks are creative, they care about the others and know how to cook using everything the earth yields. Brazilians are helpful and have healing strategies for almost every problem. We know what resistance means, and we usually show it by singing and dancing our love and pain in various tones and rhythms. Brazilian people find ways to weather the weather and survive through life challenges, always making a point to value and honour our legacy.

This article is a tribute to all this cultural heritage. It is about a work I have developed on Narrative Therapy, in particular the use of narrative metaphors. The central topic to be presented here is gardening. Here in Brazil, there are some metaphorical expressions that highlight our connection to the land: we say that someone who is down to earth and is not easily deceived is a “pé no chão” (they have their feet on the ground), and the traditional samba is known as “samba raiz” (root samba). Whoever has “one inch of land” has a place to live and all those who were born here are “children of the land.”

It is from the land that we derive our livelihood, and, throughout Brazil, people know how to clear the land, cut the furrows, sow the seeds, and harvest the crops. In the Tupi language, people born in the territory known today as Espírito Santo are called “capixabas,” which means ‘land ready for planting.’ That's where I live — in the capixabas’ land. Because of my personal experiences in planting as well as in gardening, I started some therapeutic conversations rooted in the metaphor of the garden. The idea is to intertwine the principles of narrative therapy and four moments in the process of tending a garden, inviting clients to view their lives through the glasses of the following metaphors: 1) pulling out the weeds; 2) choosing the good seeds; 3) ‘hopefying’ like a farmer and 4) celebrating the harvest. The process involves therapeutic documents such as letters or poems, the relational development of meanings and encouraging clients to understand their personal agency through the metaphor of gardening.

The Magic of the Narrative Therapeutic Encounter

According to narrative therapy, our life has a multiplicity of events that can be grouped in a certain temporal sequence, generating a narrative on a specific topic. We are not predefined nor fixed beings. On the contrary, in each one of us, stories are waiting for the right moment to come to light and reveal their power. And each story is activated through questions, resonances with other people’s stories, and present connections to past experiences. In short, it can happen in various ways, but always as an invitation to access, connect, and chain the events. As Paulo Freire said, “Pieces of time that, in fact, were in me since when I lived them, waiting for another time, which might not even have come as they came, when they could lengthen in the composition of the larger plot.” (1)

Hence, this text is about aligning some moments that happened in my life story while meeting some clients — and how the images and resonances of these consultations generated metaphors and poetry.

Usually, people seek therapy when they are facing problems that limit their sense of competence, their capacity for agency, and their perception of themselves as a person of value. In short, when the story reveals more about the problem than about the person. In such moments, a narrative-based therapist seeks to rescue the beauty and dignity of life, through questions, paths and processes that give prominence to information that contributes to the creation of a good story (2). 

According to my personal communication with David Epston, questions guide the conversation: trivial questions lead to trivial answers, boring questions build boring narratives and poetic questions are seeds of poetic stories. And he introduces a new kind of question — the ones with ‘Duendes’. Those questions come from the heart and bring into the conversation “the spirit of narrative therapy full of enthusiasm, irreverence, improvisation, imagination, righteous indignation at injustice, solidarity with those who suffer, collective creativity, fascination with the magic and mystery that reside at the heart of everyday life”, among others (3). An invitation to look at life with wonderfulness (4) — which Paulo Freire (5) would call the ‘beautifulness’ of life and relationships — finding ways to stop emphasising problem-saturated stories and start portraying versions that reveal people’s preferred identity.

Externalizing conversations (6), in which people name the problems and perceive themselves as separate from them, contribute to the necessary distancing so that preferred stories can be accessed. In this process, thinking about the effects of the problems in contrast to personal goals gives the person some space to see themselves as separate from the problems, and also to reconnect themselves to what La Taille (7) calls the ‘ethical view’. For me, this ethical view poses the questions “what life is worth living?” and, consequently, “who should I be to live that life?” The search for these answers leads the person to strive to be a person who deserves to live such a desirable life. Therefore, their actions are aligned with values, beliefs, principles, skills, competencies, goals, purposes, among other aspects that are their strength when facing life’s challenges and dilemmas.

Such aspects are part of the history of the person; therefore, they happen in a socio-historical environment and involve others. They also take place within what Freyre calls ‘tribio time’ – ‘tri’ for three, and ‘bio’, for life. It is an existential time that for him, is never only past, neither only present, nor only future, but all three simultaneously combined.” It is an intersection of past, present and future that evokes as well as prophesies, and in which survival and anticipation are intertwined.

La Taille also says that ethical answers about one’s life guide us to moral questions about “how should I live?” — a question that involves actions and its individual and collective consequences. In a similar way, Freire also tells us about the dialectical unity action-reflection necessary for the development of a critical consciousness that constitutes the way of being and/or transforming the world. Such concepts are very close to what Michael White called personal agency, which he described as “a sense of being able to regulate one’s own life, to intervene in one’s life to affect its course according to one’s intentions, and to do this in ways that are shaped by one’s knowledge of life and skills of living.”

In this context, re-authoring conversations which involve connecting the landscape of action (account of events) and identity (perception of meanings), seek to reveal the potentialities always present in the story and the agency of the person. In addition, re-membering conversations seek to connect us to significant people and the mutual contribution to the sense of being a person of value. Knowing that we are part of a network of affections that constitutes us and in which we actively participate by giving and receiving — and, thus, developing meaning — is important in building the notion of oneself as a person of value.

While the therapeutic meetings take place, each conversation reveals precious details that the therapist writes down or keeps in mind. Later on, such words can be given back to people as documents that ‘rescue the said from the saying of it’ (8) and can help highlight stories that reveal their preferred identities. Usually, I write documents as poetry — which can become song lyrics, as in the Rhythms of Life methodology (9) — as Rubem Alves used to say: “Words only make sense if they help us to better see the world. We learn words to improve our eyes.”

But how do we know which words are to be rescued and, later on, be delivered to those who said them? Grandesso (10) helps us:
 

If any lighthouse or compass to guide the journey in the field of meaning could be available, it would come more from the reactions of our body, responding more to the poetic forms of the words that touch us, than from any previous knowledge. (…) What (the therapist) can offer for that moment, are not his/her explanations or his/her theoretical knowledge, but his/her understandings in the form of reflections coming from words and images that arise from generous listening.  
 

That is how the narrative metaphor helps throughout the therapeutic process, reminding us of White’s warning (11) about our ethical responsibility in the development of meaning, since it “powerfully shapes the training activities of the I and the relationship in which we engage under the name of therapeutic practice.” The narrative process is always respectful and seeks to position the client as an expert, therefore, a metaphor never arises before the meeting, but, during its flow. Each metaphor represents the harmony of the therapeutic context and is always a symbolic, figurative, and poetic invitation for the person to leave what is known and familiar to go towards what is possible to know.

Such scaffolding conversations, which White elaborated based on Vygotsky’s writings, are very similar to what Freire called the achievement of the “untested-feasibility”: one that is not yet, therefore is unprecedented, but whose originality lies within viable possibilities. Paro, Ventura, & Silva (13) show that, according to this Brazilian educator and philosopher, we face, individually or collectively, concrete, challenging and historical obstacles and forms of oppression, that impose themselves as if there is no way out — and which Freire calls ‘limit-situations’. We do not accept or receive such ‘limit-situations’ passively, but rather, we seek to overcome them through ‘limit-acts’. As we take distance from the ‘limit-situations’, the ‘background-awareness’[3] can emerge. The ‘background-awareness’ is something that cannot and should not remain as it is, therefore, what needs to be faced, discussed and overcome. The ‘limit-situations’, when detached from reality, can be objectified and understood as ‘issues-problems’. So, we begin “to dream of another possible world, something that does not yet exist, but may exist through the articulated action of its subjects, as an ontological need for the transformation of our individual and social reality (…), the ‘untested-feasibility’” (14).

Creativity, joy, hope, eyes that see ‘beautifulness’, freedom, dialogue… are ingredients that make the difference in a therapeutic encounter that aims at the ‘untested-feasibility’. The magic of the therapeutic encounter creates the possibility for each one to write and live their life in an unprecedented way and, creatively, to begin the ‘storyliving’ of their own life.

My Storyliving with Gardens


One year after graduating in Psychology, I moved, for professional and family reasons, to the city of Venda Nova do Imigrante, in the countryside of the state of Espírito Santo. We lived there for 10 years in a condominium on a farm. This experience soon gave birth to the idea of creating a Sustainable Development NGO — the CDS Guaçu-Virá [3]. This whole experience, both in contact with the land and the country people as well as with ecology and preservation professionals, taught me a lot about nature and its cycles, its diversity and its peculiarities. This life experience revealed the importance of our relationship with this living organism on which we inhabit and taught me precious knowledges ‘from the root’: the ones incorporated through daily experiences, for real, and in continuous partnership with Nature. For example: how can we have potable water to drink and cook? Firstly, by recovering the water springs in the woods, planting trees that could help renew the springs — or, as we used to say: “planting water.” Secondly, taking care of every tree like a precious asset until the fountain was back to life. From then on, so long ago, it still supplies 15 houses, one factory and three lakes. Through this and other praxis, day after day, for 10 years, nature taught me about Life and living.

So, when I came back to the capital city, Vitória, all these threads of knowledge and experiences were intertwined with my life. I found myself surrounded by plants and realized that the more attention I paid to them, the more they flourished. Nature always responds and, even living in an apartment, my care for them would return as buds, blossoms, birds, butterflies, and bees. Suddenly I realized I could have the farm atmosphere right in the middle of the city. As mentioned by Reis (15), gardening and other activities that involve caring for and contemplating flowers and ornamental plants, whether in the external or internal environment, generate a sense of well-being by stimulating the senses through luminosity, colours, sounds, aromas, textures and shapes, in addition to activating the aesthetic sense. Therefore, they can be important allies for the preservation and recovery of health and well-being.

When I started using the metaphor of the garden in consultations, I noticed that the enchantment was as fast as nature’s response. There is something inside that, in a special way, connects us to the idea of a garden: being a gardener, being a seed, being a flower bud, understanding the phases of a garden. There are many possibilities for applying this metaphor, and all of them invite us to beautiful narratives of agency, of developing meaning and finding resources to deal with life’s challenges. The metaphor of the garden is an invitation to rescue each one’s connection to nature. Next, you will find the metaphor of Gardening and two stories. I hope these shared ideas can contribute to nature’s power of enchantment and poetry that activate creativity. Let’s sow narrative ideas!
 

Gardening Narratives

“Vai o bicho homem, fruto da semente, (memória)
Renascer da própria força, própria luz e fé. (memória)
Entender que tudo é nosso, sempre esteve em nós, (história)
Somos a semente, ato, mente e voz. (magia)”
(Redescobrir – Gonzaguinha) [4]  


According to White & Epston (16), “the narrative mode of thought (…) is characterised by good stories that gain credence through their lifelikeness.” Good stories have a great number of metaphorical images that organize the telling and help build a positive sense of being. If you have ever taken care of a garden — either a small one in pots or a large one over lawns — you can identify four moments of this work: pulling out the weeds, choosing the good seeds, waiting for sprouting and being happy with the result. Let me share with you the metaphor and its connections to narrative therapy.

1. Pulling out the weeds or invasive plants

Every garden has weeds that show up as unwanted guests. Dealing with them requires some specific skills: knowing how to tell plants and weeds apart, understanding the effects of these invasive plants on the flora, and establishing an action plan to better lay the garden out. This stage is the well-known narrative ‘externalization conversation’ in which we invite the clients to name the problem (weed), to check the effects of the problem on their life, to evaluate such effects and to set a plan of action to recover their life (the garden) from the consequences of the problems. In Freirian terms, we can say that this is the ‘background-awareness’ stage.
 
A garden full of weeds is like a story saturated with problems: it loses its strength, vigour and beauty, not because it lacks these characteristics, but because all its energy is being used to maintain the problem. That is why it is important to help people to recover their notion of personal agency through action-reflection, that will help them elaborate and put into practice their abilities to storyliving as the protagonist of the plot.

Some questions (metaphorical or not) that can help in this moment are:

Questions about the effect of the problem:

What have I been feeling / thinking?

What has been bothering me?

How does this ‘weed’ disturb me? Is it a mistletoe that suffocates me? Is it a kind of weed that traps and hurts me? Is it a weed that competes with me for water and nutrients?

Questions about the plan of action:

How do I want my garden to be?

What do I want to see blooming in my garden?

What are the main potentials of my garden?

What should I do to make this dream-garden come true?

Who can help me with this task?

What are my skills and abilities to deal with this challenge?

When can I start working in this garden?  

These reflections detach the person from the problem and help to start a process to connect the person to the preferred version of his/her story — the garden each one dreams of.

2. Choosing the best seeds

While speaking about gardens and gardeners, Rubem Alves (17) invites us to the following reflection:  
 

What comes first? The garden or the gardener? It’s the gardener. If there is a gardener, sooner or later a garden will appear. But if there is a garden without a gardener, sooner or later it will disappear. What is a gardener? A person whose mind is full of gardens. What makes a garden is what the gardener has in mind. What makes a nation is the sum total of the thoughts of those who are a part of it.
 

After removing the weeds, the disturbed but cleared soil is ready to receive the seeds. And, if the garden is in the gardener’s mind, it is time to help by choosing the best seeds: those aspects of life that the person holds precious, considers important and wants to keep updated. What s/he wants to plant and see growing and what activates the sense of beautifulness and wonderfulness.

In addition to the questions of the ethical and moral landscapes, arises the notion, “how do I want my garden to be?” What should I do to make it that way? What kind of gardener must I become to help this garden grow? — there are other questions that also contribute to this development, as they open the possibility for the sense of agency, values and wonderfulness:
What seeds do I choose to plant?

What do I admire and consider important to be present in the garden of my life?

What is beautiful and special about me that I want to see blossom?

What aspects of my life do I value?

What matters in my life?

Who helps me in this planting?

What did these persons teach me? And what do I teach them?

What is special and unique about this garden?

Through these reflections, people connect to what they hold precious, and their favorite story grows stronger in meaning, shape, colour and scent. The garden is coming to life.

3.'Hopefying’ like a farmer

One thing that has always impressed me in my experience living on the farm is the wisdom of the farmers. Planting is an art and, as such, it requires very specific skills, including what I usually call the ‘farmer’s hopefying.’ Firstly, the farmers let the land rest after harvesting, and, after that, they start working on it. From sunrise to sunset, they spend the day ploughing, balancing the soil nutrients, watering, planting the next crop. Tirelessly, they keep on watering that soil already sown, but still with no sign of life or success. Every farmer needs to believe in the work done and in the power of the seed — they need to believe in the ‘untested-feasibility’. They need to hopefy. They need to be “neither only patient nor only impatient, but, as Freire says, patiently impatient”.  

Achieving the ‘untested-feasibility’ involves hopefying. But make no mistake: hopefy is an energetic attitude, a way of positioning yourself in life, and not a mere linguistic pun. There is the ‘hope’ from the verb to wait for. This ‘hope’ keeps us passive, static, waiting for something to happen or for someone to do something. And there is the hope as in ‘hopefying.’ To hopefy puts us in an active, dynamic position. In Freire’s words: “To hopefy is to get up, to go for it, to build, to hopefy is not to give up! To hopefy is to move forward, to join with others to do otherwise…”.

Everything we plant in life has its own time to come into being. While this time passes by, let’s remember to hopefy as the farmer does. During the consultation, that is the moment I usually write and hand over poetry to the ‘gardeners’.

4. Celebrating the harvest

Picturing the field producing and harvesting is as important as preparing the soil, planting the best seeds and knowing how to hopefy. Celebrating this moment means recognizing the strength within the whole process. In Freire’s words, “Joy does not come only when one finds something, but it is part of the search process. Teaching and learning cannot happen outside the search, outside the beautifulness and joy.” As an educator, Freire talks about the process of ‘teaching and learning’ which, in this text, is metaphorically called ‘sowing and harvesting’ — and which, as such, applies to the most different processes in life.

The harvest unfolds the power of wonderfulness — the beautifulness’ unveiled. They are the foundation for the preferred story: the one that reveals the preferred identity of the person. Realizing that one is capable of transforming soils previously taken over by weeds into gardens full of beautifulness reveals the ability each one has, as individuals and collectively, to sow dreams and reap realities.

Now the time has come to present two stories of therapeutic meetings in which the metaphor of Gardening Narratives were used. It is important to say that both stories were authorised to be published and that, for privacy, the names were omitted or modified. I would also want to point out that, like in any process, nothing follows the rules by the book. The fluidity and organization required in a written text are not found in the same way in the dynamics of interactions, which are mostly based on simultaneity, dynamic responsiveness, and constant reorganization. In Freire’s words. “An event, a fact, a deed, a gesture of anger or love, a poem, a canvas, a song, a book never has a single reason behind it. (…) That’s why I was always much more interested in understanding the process in which and how things happen than the product itself.” Therefore, you are invited to understand the process, while I keep hopefying the essence of Gardening Narratives presented in these stories comes to life beyond the didactic sequences just shown.

First Story: Once I Met a Gardener

She arrived at the office with tears in her eyes and a story of suffering to tell. There, in front of me, another woman reporting about when she discovered her husband’s betrayal, about the effort she made to forgive him, and to give them a second chance. At that time, they were two. Time passed, the wound healed, and the couple dreamed of being three. Pregnancy came as a gift, and on the day she delivered her child, she made up her mind to put all that bad story behind her. She wanted to be reborn as a mother and as a new woman. It was time for a renewed family to come into being. Along with the baby, there came forgiveness. And she cried for joy.

She went home, breastfed, took care of herself, and felt whole. She felt that there was attention and care from the couple to the baby, and she was sure that this was the family she had always dreamed of. Nevertheless, a few months later, she discovered that the betrayal was not a shadow of the past, but the harsh reality of the present. That was when she came to my office, and I learned about this story combining pain and hope.

Michael White taught us that we are outside witnesses to the stories we are told. This is not trivial, and it requires responsibility both in listening generously and in responding to what we hear. He presents us with a four-step map to navigate this unfamiliar therapeutic conversation terrain, calling our attention to each expression that strikes us during the telling of the narrative, the image it brings to our minds, the resonance of it with our life and where it takes us. That day, while hearing those stories, several images — real and metaphorical ones — came to my mind. I heard them as a woman, as a wife, as a mother. I felt them as a storm, as lightning, as devastation. I took them as birth, as life, as forgiveness. Eventually, she wiped her tears, looked at me and waited for my words.

Inside me, this phrase echoed: “I feel devastated.” The image came naturally: a raked-up garden, holes everywhere. And the resonance took me back to the time when I lived on the farm and dedicated myself to the garden at home. There I made beds with colourful flowers and medicinal plants. Bordering the lot, I planted a hedge of calliandra (Calliandra brevipes), with their blooming fragrant flowers forecasting rainy days. Throughout the garden, I planted fruit trees to feed the birds, yellow trumpet flowers (Handroanthus albus) and a jambo tree (Syzygium jambos) to have a beautiful colourful rug with the fallen flowers, and a tree for each baby I had. In my garden, I planted trees, dreams, and stories.  

But, in the same garden, there were weeds — lots of them! And they taught me a powerful lesson: weeds are easier to remove when they are still sprouting. One can do it with one’s bare hands. But, once they are grown and rooted, one will need a hoe and some strength. All this work breaks the soil, leaving holes all over and it harms the garden’s beauty. That was the image evoked and shared — a damaged garden. But this experience with weeds taught me we can either look at the holes and at the ugliness of the garden or we can see the loose weedless soil as a terrain for new seeds. All these memories were shared with her. “Does it make sense to you?” I asked. She said yes, and we started talking about how to till a revolved garden.

This metaphor came back a number of times throughout the meetings and conversations. Through the reauthoring conversation, she connected the landscape of action to the landscape of identity, going back and forth in time, talking about what really mattered in her life, the people who contributed to her being who she was, her dreams and projects, her skills and competences, her values and principles. While listening to these stories, a new image emerged: a living and loving garden. Then I realized she was gardening narratives.

Firstly, she strengthened herself. She reconnected herself to everything she valued and cared for. She recharted her routine including things she likes and reviving her sense of religion. She realized her ability to move forward, and she appreciated the ‘beautifulness’ of her life. Step by step, she sowed new seeds in her garden.

Then, she hopefied for a new stage: togetherness. Not to re-live the past, like in a never-ending circle, but to live a spiral-present that provided something new and more rewarding. So, she decided to invite her husband to come around and learn about her ‘garden.’ This hopefying moment enclosed the wish to till the best asset of her garden: her family. She felt inside a growing power to take herself as an agent and a sower of possible futures — of ‘untested-

How to Use Narrative Therapy to Help Clients Locate Alternate Stories

As a practicing psychotherapist, I hear a lot of stories. These stories are, without fail, complex, nuanced, and multidimensional. But, often, clients come to therapy with a singular focus on only one element of their larger story. In narrative therapy, the term is “problem-saturated” story. Part of my work as a therapist is to guide clients to widen their lens beyond this problem story and recognize that many of their stories are actually a story within a story (within a story). The act of locating these missing story parts and creating an alternate narrative is a way to alter the problem-saturated story and to clear the way for a new, more accurate, and helpful story to emerge. I enjoy little more than when a therapeutic opportunity presents itself — it feels like a gift. So, when John, a 76-year-old gay man, shared his story with me, it came with a giant bow on it: here was a perfect opportunity for a narrative therapy approach. John’s story began like this. It felt as if he had spent his entire life being “sneaky,” and feeling remorseful for what he described as his “untrustworthy ways.” As he began to share his life story, however, a very different story presented itself.

A Secreted Life

Born in the late 1940’s, John grew up in a small rural town where conservative and traditional values around relationships and marriage prevailed. His parents, both uneducated immigrants, neither understood nor accept homosexuality. When John, in his teens, shared his preference for men, his parents agreed that he should not be permitted to remain in their home. Though they apologized years later and expressed regret for rejecting him, John had difficulty letting go of their implicit message that being gay was something to be ashamed of and, therefore, secreted. The telling of this “thin version” of the story, as narrative therapists call it, seemed to offer multiple therapeutic opportunities. First, we could explore where this story originated. In this case, demographics, social norms of the time, and institutionalized beliefs were what Stephen Madigan might term the “undergrowth” of John’s narrative. Next, we could investigate if this was, in fact, John’s narrative or someone else’s. Parenthetically, clients often “inherit” or are burdened with others’ stories which they take on as their own. In this sense, they become colonized. Getting back, it was, without question, a story his parents had told and not necessarily a story John believed, though he had introjected and accepted it. This is, in essence, what narrative therapy is about; an honest investigation of the stories we tell ourselves. Once clients have investigated these narratives, they are free to begin challenging them, updating them, and cultivating new, more compassionate self-stories.

A Therapeutic Path Forward

I saw my role as guiding the investigation into John’s story. In one therapy session, I asked him to tell me about life as a gay man in the mid-1960s, when he was in his twenties. He replied, “well, we had to be careful.” “Even sneaky?” I asked. He smirked, understanding where I was going with the question. “Well, yes, sometimes we had to be sneaky,” he conceded. We began to discuss how that behavior that John had so automatically viewed as “bad” was, actually, a product of the times, the geographical area, and the social climate. John went on to describe how he found community with other gay men and with straight people who were accepting of his lifestyle. Missing story parts were coming to the surface and alternate story was emerging. John’s “problem story,” for a long time, had been: “I was sneaky. That was bad and therefore, I was bad.” It was now morphing to sound more like this: “I had to behave a certain way at a certain time for reasons that were out of my control.” This is the way uncovering alternate stories works. The more he started telling and revising his story, the more he began to recognize that there was far more to his tale than the theme of ‘badness.’ Musing aloud, John drew a conclusion: “so I guess I wasn’t really sneaky. I was just finding a way to live my life.” “The life that was right for you,” I added. Be clear that in this session, John and his story did the bulk of the work, not me. I merely guided the conversation using a narrative questioning approach. Armed with a new story, John slowly shed his previous negative self-label. More than that, he began to view himself as an asset to humanity rather than as a stain on it. He explained that he had discovered a new fondness for sharing his story with younger generations so that they could understand how his generation’s struggles had helped pave the way for the greater level of inclusion that LGBTQIA+ people experience today. The alternate story ended up being much for helpful to John and to those he shared it with than had been the long-standing problem-saturated story. When clients tell me they are “just rambling” or “going off on a tangent,” I often explain that it is necessary for me to understand their story — and all of its elements. What they may see as rambling, I see as vital to my comprehension of their story. The same way I would struggle to understand a novel if I read only a few pages, I would not fully comprehend a client’s life story if I was given only a few facts. Narrative therapy, for me, is an exercise in wholeness; it encourages clients to stand back and look at their lives from an expansive, panoramic vantage point. From a higher plateau, clients begin to identify story parts that had been obscured and to cultivate a more complete telling of their lives. Part of the honor I experience as a psychotherapist is that I am often welcomed into a client’s story. I can give back by helping my clients to see their stories as important, valuable, beautiful, and nuanced…as are they.

Dialogue 1: How Do We Define Collaborative Writing?

Editor's Note: In this “dialogue” between client (Daniel X. Harris) and therapist (Trish Thompson), the co-authors explore how collaborative writing that focuses on the therapeutic relationship can be a powerful tool for building trust, multiple dimensions, and humor. They also explore some of the ethical questions surrounding this kind of work and note that the entries do not always run sequentially, “as the themes they explore circle back and around, more like circuits of curiosity than a linear journal.”

Defining Collaborative Writing

Trish Thompson: Dan, so what do we mean when we say collaborative writing? Does it have to be writing with each other, or can it be writing to each other? Or can it be considered more broadly, including things like one-way writing about collaborative sessions?

Daniel X. Harris: This is an interesting question, Trish, and one (in my view) that is framed by disciplinary considerations. There are different ways of responding to it, whether you are coming from psychotherapeutic, autoethnographic, narrative writing or creative writing perspectives. One entry point might be the work of Jane Speedy, who is both an academic and narrative therapist. Her 2017 book, Narrative Inquiry and Psychotherapy, offers many responses to your questions. For example, Speedy offers, “My own interest in narrative research is very much as a collaborative co-inquirer, first in relation to the problems that have come to overshadow and shape peoples’ lives, and secondly in terms of re-telling these stories in writing” (1). Further, she defines “meaning-making as collaborative activities and “reality” as the space between people engaged in conversation.”

There is no hard and fast rule. It can mean a wide range of things, but if it is “collaborative,” I think there has to be that element of working together, not just reporting to each other what we have done individually or independently. For example, you have described using writing with other clients in which they write to you things between sessions. If you read those works and then you work on the content in their session, I would not consider that collaborative writing. If you both read your writings to each other, and change each other in that exchange, then for me that’s moving into the realm of collaborative. Or maybe, more accurately, that would be considered “interdependent” writing! Yalom (2) falls somewhere in there, I think. While I appreciate the efficacy of those approaches, and the many diverse ways in which writing is used in art therapy, I’m more interested in the mutuality of what we have done together. That to me is the “radical” bit: how can one part of a pair (the client) be helped by the therapist’s trained knowledge, through a multi- directional exchange that requires vulnerability and sharing from both sides? That’s truly collaboration.  

Thompson: Ah yes, I like what you are saying here. It makes me think about our writing process, particularly for this book, and the different ways we worked together. What about when we recorded a Zoom chat and then converted the conversation to text? Didn’t seem to make a heap of sense on the page. Technology at fault, surely! Our writing sessions were more productive — 45 mins of writing, screens off (I wonder if your dogs are at your feet?), and then sharing what we had written after. You had always written about three times as much as me, the words pouring out of you, capturing your experience so evocatively. But for me, it is slow work, as if I have to coax out reluctant words that are not sure whether they should show up in case they don’t get along together when they arrive on the page, despite my pleading! I remember telling you about my writing imposter syndrome, saying that there are so many great (much better) writers out there, what do I think I’m doing? And you said something like, “here is room for lots of writers to be out there.” That was so helpful to me.

Harris: Trish, what difference does it make to co-write for publication, rather than just as a therapeutic tool (and does that mean they have to be good writers)? 

Thompson: The first question I ask myself whenever I write something is, “who is the audience?”

This to me is fundamental in shaping the purpose of the words. Using writing as a therapeutic tool has its focus in deepening the shared understanding of the issues being explored in sessions. It is endlessly provoking in the material it continues to throw up. I am writing with a client at the moment, and the face-to-face sessions are so enlivened by the picking up of the threads of the email exchange, once they have also been through the reflective cycle. This client uses visual imagery to great effect in her writing, which I love and respond to. She says she loves how I capture and summarise her therapeutic journey so clearly. But this co-creation is done with little thought to skill or form, it is just about an illustration of our process that continues to build connection. But if a client/therapist pair are writing for publication, they are allowing others into the intimate space of therapy because they believe that what they have to say will be of benefit to others. It could raise feelings of vulnerability when imagining what are usually confidential words reaching the eyes of an unknown audience. I think if therapy writing is to be published, it would be important that the client and therapist can write well enough to convey meaning, create interest and inspire the audience (gulp!). The ethics of this issue are also touched on in Dialogue 3.

When Narratives Meet

We wonder how therapist narratives and different parts of them might enter the space and connect with the narratives/parts of the client? We argue that the meeting point/s of these narratives can be a catalyst for change in both the client and therapist. As Speedy states, collaborative writing between therapist and client, researcher and researched, can “take issue with the low- and high- ground positions in relation to “writing” and “research”… and to promote and encourage ideas of scholarship (alongside research) within the therapeutic domain as collaborative …” This problematisation of the unequal power dynamic that typically haunts both kinds of engagement is at the heart of this book.      

Harris: Collaborative writing doesn’t have to be of equal investment. Clients are looking for witnessing more than a therapist would. They don’t need the writing to witness/reflect them. It’s okay that what the client gets out of it is different from what the therapist gets out of it. Narrative therapy tells us that what a lot of the therapeutic work does, written or not, is bearing witness to someone’s pain or joy or hardship. Validating. It takes the experience from being in one’s psyche to being made real in “real life.” Validating the difficulty of an experience.

But what allowed Trish to accept that invitation? What allowed her to become playful in ways that I experienced as deeper, more or different than in the room? We agree there is something alchemical in the movement of being in, stepping out, looking. This is both a feeling and also is materially and spatially shown by the text and the comments down the side. We were doing that together. It wasn’t just Trish going to supervision and thinking about the therapeutic work.

It felt like there was a collaboration going on around what was going on. There was a shared analysis of what we were doing. Some therapeutic models absolutely flatten the hierarchy: the therapist is not there to tell the client what it “means,” or what to do.

What did it feel like for Trish? You don’t often get a client doing that. Reflecting on the last session, or the work, or where this was helpful – you invite it, but it doesn’t happen a lot. Therapists spend a lot of time wondering if techniques work or not. We have talked a lot about the tendency of therapists to workshop these questions with one another, but less so with clients. How would you know if something worked, if you didn’t ask the client?

This collaborative process speaks to something deeper in Trish, rather than therapist Trish. She doesn’t want to assume or believe things if they’re wrong. She wants to know. This kind of dynamic has been a long-term struggle for her, so the explicit-ness of the conversation in the writing (of the first article) really jazzed her because “the dialogue is open.” You get to know, understand, no matter how hard it is; so much better than wondering. We think that’s why Yalom did that exchange of, “I’ll write my version and you write yours.” He talks about how there are some moments he thinks are pivotal successes, but then the clients debunk that.  

Thompson: What I have particularly enjoyed in the collaborative writing with you, Dan, is the energy I felt when reading something you had written. I would then have a rush of ideas and start making connections – with things we had talked about in the past, with things that were happening in my life, or questions I wanted to ask you or other clients. And then in writing a response, something would click in me about my own journey in finding myself. The writing constantly challenged my self-perceptions.

May 2023: I have been reading your chapter Unstable Sense of Self. So many emotions came up for me. And then the anger came. People don’t see. People think they know better. And because of this you have to endure the experience of the deep knowing that comes from a life’s work of amazing “you-ness” being minimised, whether it is by psychiatrists or dramaturgs. God, who doesn’t want a play that makes you laugh and scares you shitless at the same time?  

“Taking Charge” as Collaborators and as Client/Therapist (29 November, 2020)

Thompson: I’m interested in the idea that as a therapist, I might have personal motives, desires and preferences. When I was studying for my counselling qualification we were drilled with the maxims of “do no harm” and “the clients’ needs are paramount” and that there in fact can be no personal gain for therapists. It is easy to understand this in the context of, say, not allowing a client to arrange to get you the best table at the restaurant they happen to work at, or free tickets to a concert through their connections. So, what about our writing together? You are right about a long-held desire coming to fruition. Not that I haven’t already written, having had three other articles published and many letters to The Age newspaper! The fact that the experience of writing our article has been so positive for both of us equally has felt like a relief. I have been thinking about how it might be for you to feel like my desire to write creates an obligation for you to meet this need. So, it seems like the arrangement is that I can meet your needs, but if you meet mine, there is an ethical problem. And yet you say that to see my excitement and investment is gratifying for you, and you don’t resent it. Not yet anyway. I wonder what might happen to make you resent it?

Harris: I can’t imagine that. I feel that we entered into this mutually – in fact, I suggested it.

Thompson: Dan, I knew you wrote for a living, and I remember when your email came through, suggesting we co-author an article about the process of arriving at the diagnosis of Borderline personality disorder (or BPD). A light inside me flicked on. Can this be something clients and therapists do together? Something about our therapeutic relationship suggested that it could work. Those many hours of therapy-built trust, and this would allow for a story to be told – not just from one perspective (be that client or therapist), but from both. We did due diligence around ethics (spoke to the editor of the PACFA journal, my supervisor and even the CEO of PACFA). Green light given. The writing allowed for a stretching, bending, flexing, and reworking of traditional client/counsellor dynamics and enhanced the work in possibly unexpected ways.

Harris: We tried writing separately, as Yalom and his client “Ginny” do in his book Everyday Gets a Little Closer (1974/1991). But eventually we returned to co-authoring in a shared Google doc that has satisfying interactivity and vibrancy. The fluidity of being able to write into the same document, and comment on each other’s and our own writing as we go, seems to form a big part of the “energy” of this new kind of shared work. (3). It also calls to mind the important work done by Wyatt et al. (4), who have offered an overview and history of collaborative writing (CW) in general, one that might be helpful to readers who are wondering how collaborative writing might be distinct from collaborative autoethnography, for example, or from narrative therapy, as we’ve discussed elsewhere in this book.

Thompson: I often think that the client-therapist relationship resists a definition that truly lands, no matter how hard we might try. An intimate partnership that grows and deepens over time, though it does not find representation in photo albums, social media posts, or at family dinners. But this relationship can be in existence one day, and not the next. When the therapy ends, chances are the client and therapist will not ever meet again. All that sharing, all that caring comes to an end when the decision is made that the work has been completed. The relationship is very contextual though; I know that people want to experience their therapist in a different way, whether that be as a person who will ultimately tell them what to do, or as someone who will help them feel differently about themselves. As a person-centred therapist, I know I resist taking on the role of the “expert.” Clients are experts of their own lives and I am there to hold the torch in a good spot so they can see more clearly what’s up ahead and choose the path.

Harris: I’m interested in what “expert” means to you. I love your ethos, but I also want to challenge you on your unwillingness to hold a position of power or expertness in the room or in this relationship. For example, when I was a teacher, I tried to do the same thing, but the students resisted it. They WANTED a parent/expert/person in charge. We were taught that it makes them feel safe. Maybe this is the same for the client in your rooms. Inviting clients into agency and power and self-determination and collaboration is one thing, but eschewing power or control altogether may be a bit disingenuous? I’m interested in what kinds of feelings it gives you to be “in charge,” and how you relate to those feelings and where they come from.

30 November 2020

Thompson: I have to respond to some pressing client issues in the next few days, so may not get back to writing till Wednesday, but I wanted to respond to this comment, as it is wonderfully provoking. I did not say I was unwilling to hold a position of power in the room, just unwilling to label myself “the expert.” I am very aware of holding power and in fact, recognise it goes with the territory. We are trained to understand this, and I think it is only in recognising it that you can be mindful of not abusing it. There are times I will be directive with clients, and even strongly suggest what should happen next. I agree that so often clients want to sink into the feeling of being held and directed by someone more powerful than them. I have also had the experience of wanting that myself as a client, from my own therapist. I am very interested in the power dynamics between client and therapist and think there is much we can write about and explore here. I note that you feel rebellious when Yalom uses his power in a paternalistic way, and it makes me wonder if that has anything to do with him inhabiting the role of “expert” to the extent that it takes the client into an infantile space. I know he doesn’t want to do that, but maybe that also goes with the territory of being a white male of his time and circumstance.

So, for me, what I reject about the expert stance is creating a vibe that puts me in a position of being “all knowing” and bestowing the answers from a superior position, creating some idea of the client having a deficit that I will “fix.” I have training, experience and skill which allows me the authority to occupy this role and do the work. I love the question around what “being in charge” means to me. I have often thought I am more comfortable with a second in charge role. I know I have leadership skills, have often been told that, and have also been in a number of leadership positions over my career. But as the youngest of four siblings (by a long shot) and older parents, I could never have been the “expert,” or “in charge” in a million years!

Thompson: You said to me that as a result of our writing the article together, you felt you trusted me more. Initially, I think I assumed that the trusting me more was about the fact that the writing went smoothly, and that nothing went wrong. Then I wondered about what it might have been like for you to read about my experiences of you as a client and to see my care in the words I offered. Not only that I wanted so much for you to be happy and fulfilled in your life, but that I saw you as vital and full of life. But now I am wondering more about the process we engaged in to produce the article. There was a spark that was ignited as we poured what was in our minds and hearts into the document. You would write something and it would create a flash of an idea in me, and then a rush of energy in trying to capture it in words. I think the same might have happened for you. There was a synergy that I don’t know we could have predicted, but maybe it was not so surprising, given the successful therapeutic space that we have created. We have been exploring the issue of the power dynamic in the client-therapist relationship. It is a strange beast because it seems like it is both needed and rebelled against simultaneously. Sometimes as a client you want me to take the reins and show you the way, and at other times you are aware that as you bare your life to me, I keep mine under wraps. You step into a vulnerable space, and I have a boundary that keeps me safe. And I want to offer sup- port and guidance but reject labels like “expert” and get cozy with terms like “fellow travellers.” Did our writing together even the score? For in that space, I saw you as the authority and looked to you to have the answers on how the work would come together. I completely trusted that you would take us to where we needed to be with this piece. Did you know that I trusted you result in you trusting me even more? 

Harris: Trish, I’m feeling the resonances of this co-authoring work with you in other places in my life. At the time of this writing, I’m also co-writing a chapter with one of my doctoral students, and co- supervisor, Julia and Elise. The chapter uses autoethnography to explore how our relationship changed during lockdown. Julia, the student, is talking about how previously she was trapped in a perfectionist student persona that didn’t allow her to share her mental health challenges, but through COVID, widespread attention to each other’s mental health in general, and us as supervisors sharing our own mental health challenges (to a degree), she has been freed to be “imperfect” and more open, thereby allowing a richer supervisory relationship. Sound familiar? In a material way, we even saw into each other’s homes through our online video sessions. A snippet, reminiscent of our conversations here:

Importantly, this turn to the personal and emotional in the context of the pandemic and consequent reduced hierarchies does not undermine Dan and Elise’s roles as supervisors, including as intellectual guides, advisors, and supporters; on the contrary, it creates a culture of care that enables Julia to further develop as a researcher by generating an ecology of empathic collaboration which fosters curiosity, connection, understandings, confidence, risk-taking, and expressivity. I love the resonances of this work we are doing as it truly does echo out into the other parts of my life. 

What Happens Underneath “What Happens”?

Thompson and Harris: Yalom and many others teach some foundational tenets: that the therapeutic relationship is a microcosm of out- side life. That whatever occurs between them, the focus and benefit must always be on the client, not the therapist. Yet Yalom also says therapists should let clients affect them, challenge them, even change them. For him, therapists must honestly and rigorously examine what it is they are bringing to this. So here we ask ourselves from both the client and therapist perspectives: Can/should we go beyond the Yalom client-centred writing, and if so, for what purpose? These questions are informed by our enquiry into the potential risks and ethical considerations identified in our creative collaboration, a challenge we have continuously held at the forefront throughout our practice together and throughout this book. Our boundaries required constant negotiation and adjustment. The foundations of our current questions in this section are underpinned by our discussions of how those risks were processed, and resolved. For example, sometimes our writing in our shared documents veered toward the therapeutic. In one case, Dan wrote about a dream they had had about Trish, and once we started to discuss it, we both realised it felt like it had crossed a line into the “therapy” space. We acknowledged it and moved back into a more shared enquiry.

Always in relation to these questions, we wonder together about the mystery of the therapeutic encounter. What hap-pens, and what happens underneath “what happens”? Common factors theory (5) suggests that the most important influence on therapeutic change is the strength of the alliance between therapist and client. Looking beyond technique and intervention (the old-school referents of mechanistic schools of psychotherapy), we instead look at what happened in the room with the two of us, and what has changed during and after the process of our collaborative experience as client and therapist.

The Power of Dialogue

 Harris: Hey Trish, what do you call a homeless horse with borderline personality disorder?

Thompson: Unstable.

We both love to laugh, and humour was there in the room but burst out even more unrestrained once we were “on the page.” It opened up new areas of exploration and trust, and helped us both relax a little as well, while we explored this new relationship. We started co-writing online during the 2020 Melbourne lockdown, while maintaining fortnightly therapy sessions, as face-to-face sessions had been prohibited by home isolation, and the humour was there from the beginning.

Thompson: Yalom (2002) talks about the therapeutic relationship between client and counsellor as being one of “fellow travellers,” So when you share your life with me, in all of its realness, I want you to experience the humanity that connects us to one another. And so, over the years, we’ve built a strong alliance, one in which talking about disorders hasn’t really figured (6). Hey Dan! How many psychotherapists does it take to change a light bulb?

Harris: Probably just one, as long as they take responsibility for their own change. This could be called having “a light bulb moment.” (3).

“We wonder together: what if we were writing a novel instead, or painting a picture? We’re writing about our therapy, not something else, so it reinforces the therapeutic relationship. We reflect on the fact that Trish is also a teacher and practice supervisor, and in those roles she encourages her students to be prepared to walk the talk, to consider the ethics of asking clients to go further than they’ll go themselves. 

We use many of the suggestions Yalom offers for calling attention to the bond between client and therapist including: doing process checks, inquiring about the state of the encounter during the session, me asking if Dan has questions for me. Through creative collaboration, the trusting here and now becomes multi-modal and multi-directional in ways that can offer new forms of corrective emotional experience.

Collaboration Extends to Co-Presenting

Harris: In May 2021, we were invited to co-present on our collaborative creative work at an art therapists conference near Melbourne, on the beautiful Morning Peninsula. We were well-prepared, drawing on our three already-published articles together, and having rehearsed. We were excited for the day. But the night before, I had this dream:

Dan’s dream:

So, we show up at Inverloch but arrive late for some reason – just before our session.

We are getting ready, and I have to go to the bathroom, and we are both fussing around and Carla is getting impatient.

All the participants are sitting at their tables, waiting for our “performance” to begin.

I take out my script but it’s not the right one – a previous draft. I ask you if you have yours and basically, we just spend a lot of time fussing around and you tell me I can read off yours, and then you say I can use your computer, etc., but all these versions of the script are wrong. Things are getting tense. The audience is impatient.

Finally, I say to you to just follow me. I start improvising, narrating that I don’t have the right script and narrating what we are going through out loud. Then I start blaming you – your script isn’t right either. Why don’t you know your script isn’t right? What are we going to do? You start laughing. I say, “don’t laugh out of nervousness, we need to do our show for these people.” It’s funnier than it sounds here.

The audience is not sure what to think. Eventually we do a series of audible asides and morph into a full blown “fight,” where we move around the room and then up to a semi-private space still in view of the participants. By now, we are arguing about the performance, and you are telling me I’m projecting and that this is the problem with doing standup with your client! The audience start to wander away, into the dining room for their meal, and we realise we need to re-engage them by asking for their help. I woke up and realised that we could perform therapist-client and that it might be funny but also instructive in a “‘show-not-tell” kind of way. I also remembered that I had done this with a student teacher in one of my first university classes. We pulled a prank where I went into class first and started complaining loudly about the teacher not being there, being late and getting the students kind of riled up, and then when Nick arrived, we were all difficult to control. He did some expert redirecting, and when it was finally calm, I would go up to the front of the room and say I was the lecturer and they always loved it.   

Thompson: I remember you telling me about this dream on the drive to Inver- loch. I thought it was hilarious and it got me imagining what we could do after we do the collaborative writing gig. We should so do stand-up comedy! I mean, how great would that be, telling insider therapy jokes and making people laugh and cry? Did I tell you that on the drive? I can’t remember if I said it or just thought it. And we had a great experience presenting to this gathering of art therapists, who were familiar and comfortable with our methods but also affirmed the radicalness of the reciprocity of our approach.

Harris: It’s challenging and at times risky work. Work that’s asked us both in different ways to re-examine the power of letting go: letting go of what we thought we were good at, who we thought we were … but the rewards are a powerful experience that is changing our self-awareness as both client and therapist.

Thompson: We have used a number of other writers in our shared work, including the meditation master and psychologist Tara Brach, and one of her favourite poets, yoga practitioner Danna Faulds. We ended our workshop with the arts therapists with the following poem by Faulds, called LET IT GO:

Harris: “Let go of the ways you thought life would unfold,
the holding of plans or dreams or expectations, let it all go.
Save your strength
to swim with the tide.  

Thompson: The choice to fight what is here before you now will only result in struggle, fear, and desperate attempts to flee from the very energy you long for.

Harris: Let go.
Let it all go and flow with the grace that washes through your days whether you received it gently or with all your quills raised to defend against invaders. 

Thompson: Take this on faith:
the mind may never find the explanations that it seeks, but you will move forward nonetheless.  

Harris: Let go,
and the wave’s crest will carry you to unknown shores, beyond your wildest dreams or destinations.

Thompson: Let it all go and find the place of rest and peace

Harris: and certain transformation.

 *** 

This material is taken from Collaborative Writing and Psychotherapy: Flattening the Hierarchy Between Therapist and Client (2024), by Trish Thompson and Daniel X. Harris, published by, and with the consent of Routledge. Buy the book with a 20% discount using code CWP23 here (discount valid from 1st December to 31st January): https://www.routledge.com/Collaborative-Writing-and-Psychotherapy-Flattening-the-Hierarchy-Between/Thompson-Harris/p/bo

My Romance with Narrative Letters: Counter-Storying Through Letter Writing

How My Romance with Narrative Letters Began

From the second time I met with David Epston for supervision in December of 2003, learning to craft narrative letters became almost as important to me for learning to devise counter-stories as studying the verbatim transcriptions of my therapy conversations, which David had amended with his own questions. When I arrived at the door of David’s practice in Auckland on that December afternoon, he met me with these words:

“Kay, as chance would have it, Wally has just been meeting with me, and I wondered whether you would mind if he joined us for our supervision session today.”  

Before I had had time to find out who on earth Wally was or why David might consider it a good idea for him to join us, “Yes of course,” popped out of my mouth. Despite my consent, I wasn’t at all sure about the idea, especially as this was the first transcript of one of the therapy sessions I had brought to my supervision with David. I was more than a little nervous and already the paper I clutched in my hand was somewhat damp with perspiration.

As if it were not enough to be presenting my first transcript, my anxiety was heightened because I had “failed” my first supervision session a month earlier. I had made the grave assumption that our inaugural meeting would be given over to an introductory chat, preparing a supervision contract which we would sign, after which away I would run until we met for supervision properly. Surely this is how my experience told me supervision was always done? I should have known that just as David’s approach to therapy is uniquely his, so too would be his approach to supervision. At that fateful first session, when David realized that I had arrived empty-handed, he almost threw me out on my ear, but thankfully relented, settling for a firm reprimand and gifting me two more sessions in which to prove myself as a worthy supervisee. This second session had to go well, so the surprise presence of Wally was something of a curveball.

The warmth of David’s greeting slightly thawed the edges of my anxiety, and when Wally rose to greet me with his broad smile, generous handshake, and cozy, bear-like presence, I was somewhat soothed. Wally turned out to be Wally McKenzie, a veteran narrative therapist, famous for his practice in Hamilton, and for his narrative teaching on the Waikato University Masters Programme in Narrative Therapy.

“Hey, Kay,” David said as he caught sight of the pages of transcript in my slightly sweaty palms. “I can see you have brought a transcript!” David, overcome with what I soon came to know as his irrepressible and indefatigable excitement, slapped me on the back and before I knew it, he was reading the transcript aloud whilst Wally, chin in hand, listened with the ears of a seasoned therapist.

The transcript was of the second session with Wiremu and Mere, M?ori couple whose fourteen-year-old son, Edward, had found himself on the “wrong side of the tracks,” and had taken to joyriding with his mates. Rather than see his son risking the wilds of the “West Auckland hood” on his own, Wiremu had begun to join his son in his drinking and driving escapades, much to the distress of his wife.

When David had finished reading, a fevered discussion followed. Alternative questions zoomed around like silver balls on a table — first one from David, then one from Wally, rapidly followed by another from David and so it went on. Feeling that I was on something of a joyride myself, I held onto my seat and observed the narrative spectacle unfolding before me. With his usual aplomb, David then announced that he thought a letter was in order. “A letter,” I thought “What does he mean?” I soon found out. I left that day holding in my hand the gift of a two-page letter, feverishly crafted by David and Wally for this beleaguered couple and for their son, Edward.

The letter spoke of how the couple had stuck together through hard times. It acknowledged the injustices and struggles that their son had experienced, and spoke of how, despite his understandable anger, his attributes shine through in his care of his siblings and in other ways. The letter went on to invite Edward to join his parents in their commitment to put the hard times, together with mistakes they had all made, behind them. It spoke to his parents’ conviction that life could get better for them all and that they all deserved a break. It ended with an invitation to “stick together as a family,” and for their son to join them at the next session. Edward did not come with them when we next met. I began our session by reading the letter out loud to Mere and Wiremu.

Here is the beginning of my email to David written straight after my next session with Wiremu and Mere:

“When I read the letter to Wiremu and Mere, it was emotional for them both. Mere cried quietly. Wiremu began to talk about wanting his place back in the family and declared to Mere that he was no longer going to try to be a ‘mate’ to his son and instead would learn to be a father.”

And so that was how my relationship with narrative letters began, even if it might have been better described as an arranged marriage.  

Narrative letters have come to serve as extensions of sessions in my practice. Initially, they became the way in which I made up for what I judged to be mistakes in my conversations with people, or when I deemed that there was something missing from a conversation. As David once said to me with humility, “Kay, whenever I have messed up, I have always known that I could write a letter by way of apology.” While I am not immune from the need to write letters for such a reason, and I doubt if I ever will be, nowadays the purpose of my letters is almost entirely to add momentum to counter-storying. Sometimes they serve as counter-story “bombs” designed to explode the “Problem Story” between sessions.

Over the years, I have learnt how to write various types of narrative letters to serve different purposes. There are letters which act as a reminder of ideas discussed in a session; there are letters which serve to “keep the problem at bay;” letters which help to forge understandings and solidarity between the person, family members and friends; letters which recruit communities into a person’s life; letters which are written with a person to send to “a community of concern;” letters to respond to emergencies including life-saving letters; letters that I write with someone to another person or persons in their life to bring about changes in a relationship, and more. The letters that David has schooled me to write over many years have included all these intentions at times. However, despite the form of the letter, their purpose is always to give traction to an emerging counter-story. 

How My Romance with Narrative Letters Evolved

For many years (roughly between 2004-2010), I would submit draft letters to David’s “narrative eye” as regularly as I would submit transcripts. Letter writing became my way of wrestling with intransigent problems in the hopes that doing so would aid me and the people with whom I worked to find quicker and more clever ways to evade the Problem. Along with “mind maps” of possible questions, they were also my “drawing board” for my practice.

For some time, my letters would be impossibly long. I would go through reams of notes to find ideas and the germs of counter-stories themes that I wished to include. Mind-mapping of conversations would give me a picture of the story so far. The maps would lay out the different threads of possible counter-stories before me and make visible possible lines of enquiry to form the backbone of the letter. Sometimes lengthy letters were invaluable with complex problems such as anorexia/bulimia and attempted suicide, as they pulled together vital counter-story threads from sessions and juxtaposed the problem’s story and the emerging counter-story, laying each of them bare for all to see. Over the years my letters have tended to become a great deal shorter as experience has enabled me to glimpse the counter-story more keenly and resolutely. 

How I Compose Narrative Letters Today

Whenever possible, I write the letters immediately after a session. Letters written straight away have more effect because the conversation is still fresh in our minds (mine and my client’s) and in a manner of speaking, the Problem has less opportunity to displace the Counter-story. I put a limit on the time I will spend. Otherwise, I can become intoxicated with the emerging counter-story and a fifteen-minute letter can turn into a three-hour blockbuster. Rather than beginning by reading through my notes, I draft the key ideas of the letter in mind map form or by writing them down. I tend to find this easier to do on paper. Once I have a skeleton plan, I read through my notes from my sessions and circle or highlight key phrases. I then type my client’s words into the plan for the letter. As David has suggested, I aim for 40% of the letter to be in a client’s words, although sometimes this is too difficult or doesn’t ideally serve the purposes of the letter. The client’s words become the structure for the letter, arranged in a form that best “tells” the Counter-story. I then ruthlessly edit out whatever does not “move the action of the story forwards.” I then re-read and edit as I go.

Examples of Three Narrative Letters

I thought I would end with some examples of very different letters from my recent practice. The letters speak for themselves. In each letter you will see counter-stories unfolding.

This first letter is to “Leni,” a twelve-year-old girl who was referred to me through the Youth Health Hub, the community wing of the Child and Adolescent Mental Health Services here in Auckland. The letter was written after the second session. This is what her parents wrote on the referral form:

“As a family, we are struggling with Leni’s anxiety issues which have worsened since starting Intermediate School. It is getting increasingly difficult to get her to school as she worries about having to go to the toilet during class time, etc. We have talked to the school, and they are trying to work around the anxiety, but Leni gets extremely anxious when her school days involve any activities outside of her normal class (sport, drama, etc.). Normally, Leni becomes emotional during these mornings and refuses to go to school. We have managed to keep her attendance quite high, but we are usually emotionally drained each morning.

The anxiety over needing to go to the toilet so often is now affecting her out-of-school activities, and she is now refusing to go to her dance classes in case she needs to go to the toilet whilst she is at the class.   

Leni has always been an anxious girl, worrying about issues she has no control over. We are looking for strategies to help manage her anxiety. The whole family is struggling because of Leni’s emotional outbursts which seem to be increasing. We feel we need to help her before her next transition to high school.”

Dear Leni

“Dear Leni,

I looked at the date before I started writing to you and realized you had been 12 for a whole week! Do you think that you are noticing being 12 at all? Even though some people might only think of 12 as just being the number after 11, are you noticing that you are a little wiser and more mature than you were this time last year? If you are, are you noticing that you are more worry-wise this year than last? If you agree that you are becoming more worry-wise, do you think it is most unlikely that as you continue to mature and grow in your wisdom that the worries will ever worry you as much as they did when you were 11 or 10, or 9 or 8?

Anyway, I said I would write to you because I thought it would be good to collect up on paper all I have learnt from you about how you have been distracting and calming down the tiger worries. Leni, would you mind letting me know when we next meet if I have got anything wrong in my letter? Can I rely on you to let me know?

I am thinking that perhaps you haven’t realized how much worry-wisdom you have now. Do you think there might be some truth in that? I ask this because when we first met, I was expecting to find that the worries had really got the better of you. Instead, I discovered that you had been using your ability to ‘pick up on stuff,’ that your Mum told me about, and had already worked out that the best way of calming the worries down was to distract them. You told me about how you worked out that distraction was your best anti-worry tactic on your own and that compared to before, you were doing ‘quite good.’

Between you and me, I had to wonder whether I would be needed at all, and I got worried I might be out of a job. I thought to myself that if you just kept distracting the worries, there was a good chance that your strategy would pay off completely. I decided to hang on in there though just in case. I’ve noticed that worries can get pretty tricky so hoped I might still be of help in a backup kind of a way. After the first time we met, you told me that you had shrunk the worries down to about twenty centimetres from thirty centimetres and then the next time you shrunk them down to ten centimetres. I have to say that this made me think even more that you had become worry-wise and it might just be a matter of time before you got the better of them completely.

That first day we met, you also told me that you had worked out that talking about the worries made them stronger, and so you had stopped telling your Mum about them.

Keeping quiet about the worries had worked so well that your Mum even wondered if they had gone! You also told me about another anti-worry tactic you had devised — you had decided to go to a different toilet at school. I didn’t ask you why you did this and now I am wondering if you decided that this would confuse the worries because they were used to you going to another toilet? Is this why you decided to do this or was there another reason?

That first day we also talked about the worries as being ‘tiger worries’ because I got to wondering about whether the worries that have been bothering you come from the same place that lots of other people have told me that the worries that bother them come from. And truth be told, the worries that bother me come from. Do you think its possible, as we talked about, that they come from that old cave girl part of you which kind of got left behind and had not grown up over the centuries like most of the other parts of us have? People say this old, cave girl, cave boy, or cave man or cave woman part is a part we needed centuries ago in case there were dangers around like tigers because it helped us to run away from them or to fight them.

Some people also say that although the tiger worries are trying to protect us, they cause trouble and instead are ‘killjoys’ because there are no real tigers. So, there is nothing to get you to run from or fight and they end up running around in circles in people’s heads instead. Do you think that the tiger worries that have bothered you are like this? Do you think they might have been frozen in time and don’t realize that there are no tigers in Te Atatu (western suburb in Auckland)? Considering you are a very caring person, I am wondering if rather than being scared of the worries as much as you were, you have started to feel a bit sorry for them because they don’t know there are no tigers in Te Atatu and don’t know what to do except run around and around?  

Do you know the phrase ‘why re-invent the wheel?’ Well, I thought to myself ‘why re-invent the wheel’ because you had already found out that distracting the tiger worries worked. Do you remember how we thought that you might have a go at distracting the worries with fun and how last time we met you told me how you and your Mum had been spending time being silly and entertaining each other (and perhaps the tiger worries too) whilst you were waiting to go to school?

Do you remember that we talked about your dog Henry when he first came to live with you, and how he was scared and cried in the kitchen the first night? Do you remember your Mum telling me about how your brother had to sleep with him to stop him crying because maybe he thought he was all alone? Do you also remember how we talked about how your whole family went with Henry to dog training to teach him how to be calm and to behave?

When we talked about Henry, I got to thinking about how it might be a bit the same for the tiger worries. You agreed that maybe they needed training, so they understood that there are no tigers in Te Atatu. We then had a bit of a problem though because the problem with these tiger worries is that you can’t see them, so how do you go about training them and calming them? We thought about you getting a little furry tiger keyring to put on your school bag to remind you to calm and train the tiger worries. We agreed that maybe you could stroke the little furry tiger on your bag when you sensed that the tiger worries might be about to come along so that you could calm them down. Do you think that this is maybe where your caring nature comes in so handy?

I am so looking forward to finding out how you have been getting on with this new anti-tiger worry tactic.

Yours in anti-tiger-worrydom,
Kay

P.S. Did I spell Henry’s name right? I don’t want to offend him or you, so please would you let me know? Thanks.” 

After the letter, Leni continued to grow her anti-worry wisdom. We had two more sessions. She is now happily settled at high school. 

Dear Jasmin

The next letter was written to “Jasmin,” a 20-year-old Egyptian, Muslim, young woman after our third session. She had also been referred by the Youth Health Hub. This is what she had written on her referral form.

“I am a 20-year-old girl who is dealing with homophobic parents. They have disowned me, and I have been living all over the country for the last year. My mood is so low that I have been in hospital four times this year and the police have been involved in helping me as well. I’m currently unsure if I should accept my parent’s support and ‘be straight,’ or live with my girlfriend… and be sad? I don’t know.”

“Dear Jasmin,

Here is your letter! We agreed I would write to you about some of what we have talked about in the hope that this gathering up of the very different strands of our conversation might help you to see them more clearly, and to support you in your attempts to ‘anchor myself inside of the two worlds I am struggling to live in.’

I have been sitting here today, reading through the notes from all our conversations, pondering the ideas, thoughts, and feelings that we have talked about and wondering what to include and what to leave out for now. Would you please let me know if you think I have not made mention of something that is important to you or if I have got anything wrong?

Jasmin, when I think of you, I think of that first day we met and how we likened your being shunned and cast out by your beloved family to being a refugee. Jasmin, would you say that for as long as you can remember you have tried to live with a foot in New Zealand and a foot in the miniature Egypt of your family home?

When you were cast out because you were in a relationship with Anna, do you ever suspect that although this casting out was more dramatic that you could ever have anticipated, that sooner or later the tensions between being ‘a Kiwi’(colloquial term for a New Zealander) and being Egyptian, would have caused a rift between you and your family as you attempted to navigate the territories of both worlds at the same time? Has your love of Anna and your parent's refusal to ‘accept me being with a woman’ intensified and perhaps hastened the tensions that might well have burst through, and perhaps forced you and your parents apart at some point or another?

As you wrestled with the heartbreak and feeling ‘so very lost,’ you also wrestled with seemingly impossible dilemmas: ‘My parents say come home, but what is home? Is it worth choosing my family over my partner or my partner over my family? If they love me, why do they not accept me?’ We talked about how perhaps your parents’ love for you and Anna’s love for you are not loves that can be compared; how your parents’ love for you is not less than Anna’s love for you and Anna’s love for you is not less than theirs.  

We discussed how every culture has blind spots which render some other ways of living so alien that they either are not seen at all or are seen very differently from the inside than from the outside. Jasmin, do you think that same-sex love is so unfamiliar to your parents as an expression of love that, in fact, it does not appear to be love to them? Do you think that perhaps your love for Anna appears only to be a threat to the life that they believe will bring you happiness? If this is true, then is their casting out of you a misguided attempt to force you to choose the only way of life that they believe will bring you and your family happiness? Is it, in fact, a very awkward and confused expression of love?

Even though these are probably not dilemmas that can be resolved, we talked at our second meeting about ‘can I find a way of living in both worlds that is not a lie?’ Do you think it is possible, Jasmin, that this question may have come to seem unanswerable to you because you have been very understandably assured that there is a true way of living? If your love for your parents and their love for you is true, and your love for Anna and her love for you is true, then could looking through the lens of a ‘one truth’ be unhelpful? Would you be interested in playing with the idea of many truths? If so, then do you think it is possible that what is said or done in one world may possibly not belie what is said or done in another world even if they seem opposed at face value? 

Jasmin, what do you think of extricating yourself from ideas of ‘truth’ and asking instead different questions? For instance, what if you were to ask yourself: ‘If my family’s love for me and my love for them is true, then is it a lie to express my love to them in a way that makes sense within that world?’ ‘In their world, can I speak my love for them “in Egyptian ways” without pretending to love in the same ways as they do?’ ‘If my love for Anna and her love for me is true, then when walking in Anna’s world, can I “speak love” as a modern, gay, Kiwi?’

Although speaking more than one language of love could be nigh impossible if these worlds collide, do you wonder whether sometime in the future, it may be possible to traverse these two worlds even if it remains hazardous and delicate? If this means agreeing to the pact that your parent’s proposed: ‘To never speak of this again,’ do you think that they and you could find some kind of unspoken understanding that, just as you will not speak of your love for women, that they will not push you towards heterosexual love? Jasmin, would you forgive me if these ideas seem impossible to you? Do they seem impossible, or do you think that there may be some virtue in considering them?

Warm regards,

Kay”

I met with Jasmin for three more sessions. She went back to work full-time, and she began to find ways to navigate ways of seeing her parents and her sister whilst remaining with her partner. Previously, her parents had refused to see her, and they had no contact for a year. When I called her recently to talk to her about publishing her letter, she was going through a tricky time after a whole year of doing very well. She is seeing a counsellor at her university. 

Recent Developments

A recent development in my letter-writing has been my “four-letter-series" for young people, an idea invented from necessity when the mental health agency, which refers to me most of the young people with whom I work, recently had their funding reduced and consequently the entitlement of sessions was reduced from a possible five to eight to a maximum of four. As a way of reconciling this, I decided to shorten the sessions to 45 minutes and spend the fifteen minutes remaining crafting short counter-story letters.   

Dear Lucy

Here is an example of a letter quartet which shows the development of the counter-story between sessions. The letters are to “Lucy,” a 14-year-old young woman. Here is what Lucy’s General Practitioner wrote on her referral from:

“Lucy presents with low mood and social anxiety worsening over the last few months. She would really benefit from some counselling.”

Again, I will let the letters speak for themselves and tell you the story of our four sessions. The letters are each written one week apart: 

Letter after Session One

"Dear Lucy,

It was a real pleasure to meet you today! Here is the letter I promised. If there is anything that you think I have misunderstood or that I have missed out, would you please let me know when we meet? Would you also mind letting me know if there is anything in this letter which particularly interests you?

Lucy, we mostly talked about ‘the glass wall’ that seems to have appeared, separating you from others and the dreadful loneliness of life behind the wall. You told me how much you would like to be able to reach through the wall, and even that you might consider ‘letting people in more.’ As we talked, it was no surprise to me to find out that you have had your trust most hurtfully broken in the past, not only by other young people but by a teacher, an adult in authority, who should have known better. I suggested to you that just maybe the reason the wall suddenly appeared in high school might have been because your body remembered how badly and shockingly hurt you were in 5th form and leapt in to protect you with the wall. If this is indeed what has happened, then do you think that your body overdid it? In its attempts to protect you, has it left you out in the cold, and you have become a little rusty in the friendship-making department? Do you think that we might be able to teach your body that, slowly but surely it can allow you to risk getting a bit closer to people again?

At the same time as you have the gift of being able to enjoy your own company, do you think that you could give yourself permission to retreat into your own world whenever you need and want to?  

As you taught me more about your experiences, it became apparent that you have learnt a great deal from these past hurts. You have learnt to speak out and to stand up to authority. Would you say that the suffering has not all been in vain because by un-suffering yourself, you have learnt to look after yourself better?

Lucy, next time we meet, how about we start to talk about what it is that you would look for in a friend and then we can start ‘testing’ people around you (even if they are only people who would be lesser friends or acquaintances), to slowly find out if they are worthy of your time, attention, and friendship?

Warm regards,

Kay”    

Letter after Session Two

“Hi Lucy,

Good to see you today. So, here is a little account of what we spoke about today and some questions that we might both like to think about.

We began our chat today by reading the letter that I wrote to you after our first session. You looked very thoughtful as you told me that you agreed that the ‘wall had come up when I went to high school because I was going through puberty, and it made me more self-conscious.’

Lucy, if self-consciousness has grown with puberty, do you think it might also be possible that you might be able to shrink it back down again as you mature more?

Do you think that the difference between now and when you were little might just be that when you were little you didn’t need to learn how to be un-self-conscious (or out-going), it just kind of happened, but now as a young person, you have to learn how to do it?

We talked a little about how you made and kept friendships before the wall went up. You told me about a whole group of friends. Melinda was the person that you felt closest to. When I asked you what it would be like if the wall isolated you from others for the rest of your life, you told me that it was if you were ‘in a bubble,’ and if you remained in the bubble you would become ‘a hermit.’ You admitted that you really don’t want this life for yourself and if you did, you wouldn’t have come for counselling. Then, you told me something I found very interesting. You likened your friendships to an egg, telling me that ‘I only need one yolk and the others are acquaintances — they are

A Small Hope: Co-creating a Narrative of Grief – Part II

Bringing Memories to Life

“I want to remember the precious times we had together in those last weeks but already they are fading and I am forgetting,” Claudia said with resignation. It was now a month after Tom had died and the conversation had just shifted from the challenges of getting through each day.

“Is gathering up memories of the precious times something that you might like to do in this conversation?” I checked.

“Yes, those last four weeks,” Claudia said through tears. “From when we were told in the hospital Tom was dying and decided to come home. In the hospital, I asked one of the nurses, ‘How long does he have?’ and she replied, ‘Maybe a week.’ As you know, however, he lived for four weeks… Tom didn’t ask how long he had to live but I wanted to know.”

“Would it be OK to ask… what was important to you that you asked for the nurse’s guess as to how long he had to live?” I added the word “guess” as no one ever definitely knows and that uncertainty is often unfamiliar to people.

Claudia’s voice broke, “I just wanted to know how long I had with him. I think I was just trying to get a clear view of the future.”

“Did you have any hopes for what a clear view might provide you and Tom?”

“I was thinking this is valuable time. It clarified that we wanted him to come home,” Claudia affirmed.

“In this decision to go home, what kind of valuable time were you and Tom hoping for?” (22)

“It meant he could see the changes in the girls. They are so young they change rapidly, especially Libby who develops in small ways every week. I knew that visiting in hospital is just not the same. Everything is different, distorted and not in their natural state,” she explained. Visions of hospital rooms with their lack of privacy and noisy nights floated through my mind. I tried to imagine visiting such an unfamiliar environment frequently with a baby and young child.

“What does it say about Tom’s relationship with Imogen and Libby that he prioritised noticing small changes in them even when he was dying?”

Claudia smiled. “He treasured and valued every little thing about them. He’s been quite good at appreciating small things for a very long time,” she answered, speaking of Tom in the present.

“Could you tell me a story of Tom appreciating Libby and the small changes in her perhaps? And then Imogen and what he enjoyed about her?” I was aware that I was collecting memories, not only for Claudia, but for her girls as well. Together we would build a document of memories she could keep. (23)

After Claudia had shared some stories, I became aware we had diverged from what she had originally said she wanted to discuss. “I notice we have moved away from speaking about the four weeks you said you wanted to focus on. Would you like to continue on this track or would you like to spend some time talking about the last weeks of Tom’s life? What would you like to do at this point?” (24)

“The last four weeks. It’s fading so fast. I’ve even forgotten subtleties that were routine to me, like giving him his morning wash, and that was something I treasured doing,” Claudia stated. I was glad I had checked. I didn’t want the conversation to end without it having been what she wished.

“Would asking you about treasuring his wash be a good place to begin?” Claudia nodded and sat back on the sofa. “Would you like to walk me through how you went about giving him his wash?”

Claudia began to recall previously unspoken details of the daily routine with me, inquiring into their meaning. Towards the end of collecting as many details as I could I asked, “When you were washing him, was there a particular way you touched him?”

“Yes. When he was moving less, I would give him a little massage, or I’d move his legs around. I could tell he liked it. After his massage, we’d put frankincense on his palms and the soles of his feet and he’d go, ‘Oh, Frank!’ and wiggle his fingers making a joke!” Claudia laughed.

“Did he keep his sense of humour even…”

Claudia’s words tumbled out in her enthusiasm. “Always, right up until that last night. A carer came for the night to help. When she saw Tom she said, ‘Still unresponsive,’ so he wriggled his eyebrows at me. It was our little joke! Frequently through the day I would wash his face and I’d say, ‘Would you like a cool flannel or a hot flannel to wash your face?”

“When you were giving him that choice… what was your intention?”

“He had very little control over his life. He deserved respect,” Claudia explained.

“What did you want him to know by giving him that choice and respect…and control?” In tender tones Claudia answered, “He was still just as valuable. Even though he couldn’t move or see much, he was still my Tom, he was still the same to me.” Moved by her love and respect I responded, “May I ask, what would have Tom noticed that would have told him it was you washing him rather than someone else and that he was still the same to you?”

“He would have felt my love in the way I washed him. I was given a choice of washing him or having a carer do it. There was no way I was going to let someone else do such a personal, private thing for him,” Claudia stated, flicking her hair behind her. (25)

“What were you valuing, do you think, when you prioritised this loving moment with him and protecting his privacy even as you were parenting two small children and doing everything else that was required of you?” I reflected on the exhaustion that comes with parenting very young children. Such a choice was not right for everyone. Claudia lowered her voice, leaning towards me as she spoke, “I wanted to protect his dignity and have that intimate time with him.”

“May I ask, what did you experience as meaningful in the relationship when you managed to get that time together and share love and intimacy?”

“It felt like this was why we had him at home. It meant I was the one changing his nappy… And I did feel proud and honoured that I could do that for him. It’s not something a wife normally does for a partner, but I guess it was a new intimate thing we could do where there were precious few of those new things.”

Struck by her ability to generate such a deeply loving experience in something so far from what couples ordinarily do together, I responded, “What does it say about you that you felt proud and honoured to do that care for Tom … that you could find intimacy in changing his nappy for him rather than seeing it as a chore?” (26)

Thoughtfully Claudia answered, “I think I understood what he needed. I understood the best way to do that for him.”

“What was it that you understood about Tom in those last weeks that was important to you both?” Claudia pondered. “We were able to slow things down a bit.”

“How did you do this slowing?” I wondered. Claudia spoke slowly as she considered, “Just focusing on little things. I’d go and get him milkshakes and I’d say, ‘So what flavour milkshake do you want today and where do you want me to get it from?’ It was treasuring very small decisions. I got great pleasure from him eating or drinking something and he got to make decisions and think about that milkshake and what he wanted. Life zoomed in and focused on those nice moments.”

“What did you know, Claudia, perhaps about living with such a serious illness, or about Tom, that had you recognising that making a decision about the flavour of a milkshake was worth treasuring?” I couldn’t help but notice her extraordinary sensitivity to Tom’s experience and I hoped that my questions might draw Claudia’s attention to her wise and gentle care.    

Claudia laughed. “Tom knew his own mind. I would never make that decision for him, particularly around food,” she said, reminding me that Tom was a skillful and passionate cook. “Choices in his life were dwindling. He didn’t have a lot of control.” She dropped her head for a moment, reflecting. Tears glistened in Claudia’s eyes as another thought occurred to her. “Tom knew how much it would hurt me when he went.” The tears gathered and a sob escaped but she went on speaking. “He didn’t want to go but most of all he was worried about me…” Claudia started to cry unreservedly. Her face reddened as more of her body joined the experience of grief. Rather than a break in the conversation, it was as if these tears spoke what words couldn’t as we reflected on Tom’s love for her even as he was dying. (27)

Quietly, I eventually asked her, “What were these worries Tom held for you?”

Claudia was barely able to speak yet she persevered, wanting to express what the emotion meant in words. “He just knew how hard it was going to be… he cared enormously about me being alone.”

We were quiet for a time as Claudia continued to weep.

“He was sad for himself and the girls, but he was really sad for me,” she eventually explained.

I thought about Tom worrying about Claudia even as he lay in bed so sick. “What does Tom’s compassion mean to you? …. that he couldn’t bear to think of you being on your own…that he cared so much about what might happen to you…?”

“It was a demonstration of how much he loved me,” Claudia choked out. “I usually cried,” she explained, smiling at herself through the tears. “I felt guilty every time I cried and got comfort from him but he’s the person I turned to when things were wrong. He said comforting me was something he could do.” She stared at me with her eyes wide waiting for my response.

“Do you have a sense of what it was to Tom that you chose him to seek support from?”

Claudia exhaled, “I think he was thinking about the time when he wouldn’t be able to support me, and he was doing what he could.”

“How would Tom have understood the way you saw him when you sought comfort from him?”

Claudia considered, speaking what seemed like newly formed thoughts. “He was my best friend, and we were there for each other. It didn’t change when he was sick. I think it was hard but very important for him. It allowed him to show support for me, I guess. He saw it as something he could do for me when he could do so little, when I was doing so much for him. I didn’t feel the need to protect him.”

“What do you know about Tom that you knew you didn’t need to protect him?”

“He was strong. He said he wasn’t scared of dying.” Claudia let out a big, long sigh collapsing in on herself in seeming resignation.

“Would it be OK to ask you one more question about the way you shared your grief together?” Claudia nodded.

“What did you know about the relationship that told you that talking would be best for it?” I wanted to bring forward Claudia’s knowledge of their particular relationship because I knew that this kind of talking wasn’t best for everyone.

“It’s what we’ve always done,” she readily replied.

Our time was coming to an end. After I summarised what we had been discussing, I checked with Claudia, “How has our conversation gone today? Has the experience of reflecting on the last four weeks connected you with anything that is helpful or important to you?” (28)

“I think it’s highlighted how we did it according to our values. That’s incredibly important to me. It eases the pain just a little to know that,” Claudia responded.

“How might you carry that knowledge do you think? That you did it according to your values?”

“I guess by carrying on doing that with the girls,” she replied thoughtfully.

“Perhaps we might come back to that next time if it interests you…. but could I ask you something else? As you reflect on the last weeks of Tom’s life, was there anything that happened that moved you a little closer to being the person you want to be?”

With some energy and perhaps surprise in her voice, Claudia answered, “Now that I talk about it, lots of things. Doing it our way and speaking up to make that happen. The way I was able to show him how much I love him through what I did. It was so hard, but I was there to support him die the way he wanted to do it. I hadn’t really thought about it before.”

Turning Towards Pain

Claudia and I met each week until I was scheduled to be away on leave. (29) Before I left, we planned who Claudia might turn to in difficult times for support and what she might do. Not long after I returned, we were once again sitting in her home. After greeting each other warmly, Claudia brought her cup of tea into the living room, and we sat down.

“We had a fortnight gap this time, how did that go?” I inquired.

Claudia let a rush of air out. “My sister said, ‘Have you seen your counsellor this week?’ And I said, ‘No we couldn’t make it. Sasha was away.” And she said, “I always know when you haven’t seen her.” I thought I’d be fine, but I’ve had a really awful fortnight.”

“What is it that you do differently in the week when you’ve had a chance to talk?” I inquired, but I was off track. (30)

“I was thinking about what it was that changed. You know how I was feeling numb? Well, I’m raw now. I can’t seem to stop crying…” Claudia’s voice broke, and she could no longer speak. The pain gathered and eventually she sobbed, “It’s all the time… just crying all the time. I’m right back to raw and where is he? And how can this be happening?”

I listened, feeling the echoes of her pain. (31)

Claudia bowed her head and tightly wound her arms around her body. It was as if she was holding herself together. “I’m right back there… and that lovely numbness… that I was feeling has just gone,” she stuttered through the sobs. “It’s horrible… just that relentlessness… And I went to see a clairvoyant and she was just ghastly. I think that tipped me over the edge a bit. I realised I had a lot of hope riding on it.” She looked up at me with wet eyes.

My voice was soft. “May I ask …what were your hopes in seeing the clairvoyant?” I wasn’t surprised Claudia had visited a clairvoyant. Many people search for connection with someone who has died through spiritual understandings they hold.

“I didn’t realise until afterwards that I was hoping that it would be for real. I would have got a feeling of peace knowing that he is somewhere and can be with us. I didn’t get that at all. I just felt duped. I was already feeling quite low but hopeful, I realised afterwards.”

“Would it be okay if I ask a bit more about these hopes?” Claudia nodded as she blew her nose. “Would you mind speaking a little about what you were hoping for?”

“That he’s somewhere…And he’s not just puff gone. That he is somewhere and sometimes, somehow, he is around…that’s what I really want to believe…I need a message to say, ‘I’m OK, I can never see you again but I’m OK…and I know you are OK.” It is one of the hardest things I think, the not knowing.” I reflected on how much not knowing there could be surrounding illness and death.

Claudia’s anguish layered her words as she again tightly encased herself with her arms. “I’m stuck in this awful hole…I don’t know how to go on. I just don’t know how to hold on. I feel like I’m clinging on to a ledge. I have to but I don’t know how to keep going and going and going…” (32) I tried to imagine the relentlessness of continuing on. Her words created a vivid picture of the ledge. I made sounds of empathy as I listened, a witness to her pain and sorrow. “How important was knowing where Tom is in this holding on?” (33)

“Very important,” she cried.

“Yeah… yeah…,” I replied, almost crooning in my compassion for her. “What would it have given you in the holding on?”

Claudia cried, hiccupping as she answered, “Some sort of peace that he’s OK…that he’s with us…and that I might see him again…It’s so hard. It’s not like breaking up with someone and you know they’re OK. Somewhere they’re alive…”

“Completely different,” I affirmed.

Claudia voice was husky, “I just can’t get my head around it. It’s the absolute worst that could happen to me…I’m really struggling…” Her tears took over and we paused, neither of us hurrying or censoring her expressions of grief. “…and I’m sure having less help this week is making a difference. The family have been away. I’ve actually been feeling OK with my parenting.”

My ears pricked up. “Yeah…?” We had talked a lot about the impact of grief on her parenting as Imogen and Libby were Claudia’s top priority. However, I didn’t want to move Claudia away from her talk of the struggle sooner than she wanted so I resisted asking a question and kept my query very small.

“We’ve found a routine and I’m not shouting. I’m not feeling desperate about those times,” Claudia told me with an energy that conveyed to me she might have a possible interest in speaking further about her parenting.

“Is this something you would be interested in talking about?” When Claudia indicated, she would like to follow this direction I continued, “What’s allowed you to be OK with your parenting especially when there is so much struggle?”

“I think routine has helped. It’s soothing. And I’ve got really, really good at filling in the time now. Those girls are bloody tired by the end of the day because I’ve worn them out. Like last Sunday, we went to the markets and met a friend for breakfast, then we went to a school children’s art exhibition which was a couple of hours and then we went out west to see another friend. We got home at 6 P.M.” Claudia sighed, sounding exhausted even by the thought of what she had just relayed to me.

While being so busy was not Claudia’s preferred way of parenting prior to Tom’s death, this was a survival strategy she was using. “I’m really tired but that’s how I cope. Just fill in every hour possible. It’s not because I don’t want to think because I like to think about him. It’s just the only way I can cope with the kids. It’s helped.”

I returned to the aspect of parenting Claudia was feeling good about and, remembering Tom’s belief in Claudia’s parenting, decided to bring him into the conversation. (34) “And what would Tom make of you doing your parenting in a way that you felt good about? Finding a routine and being more how you want to be with the girls. What would he be thinking about that?”

“He’d be saying, ‘I knew you could. I’m proud of you.’”

We both smiled. With a lighter voice I asked, “What might Tom have known about you that allowed him to know you could do it?”

“That I put them first…,” she replied as tears trickled down her face. “…That I’ll always look after them…” Intensity and what sounded like determination entered her tones of sadness “…and I’ll hold onto that ledge for them…hard as it is…”

“Is Tom under your feet helping to hold you up a bit too?” I asked, wanting to add his support if it was there.

“I don’t know…I hope so…He would if he could…if he can he will…I forgot about the rawness. It’s so horrible.” I nodded.

“It’s only three months since he died,” Claudia told me with emphasis.

“No time at all and yet perhaps a long time too. How would you describe it?” I reflected, slowly waiting for what else she might be about to share. Claudia replied, crying as if her heart would break, “No time and yet forever. It’s part of why I hurt so much. How’s three years going to feel since I saw him? And thirty years? I feel like I’m only living for my girls…to give them a good life…and not enjoying any of it myself. The hole just keeps getting bigger.”

“Is it hard to imagine that the hole might stop expanding and steady a bit? That it might be less gaping one day?” I said, offering a future possibility.

“I can’t…”

I nodded.

“Is your wanting to parent the girls so they have good lives…” I began to ask as I looked to connect Claudia to parts of her life that might help support her keep holding on. Her virtuous desire to care for her children in spite of the pain of living stood out to me.

Claudia interrupted me, staunch as always in her love of her girls. “I want them to have good happy lives, absolutely.”

“How would you describe a good, happy life for your girls?” I invited, seeking to connect her with a future for them that might be possible to envisage.

“Doing things that stimulate them and interest them with me…positive times with me and …being strong in themselves…able to weather some storms… and get enjoyment out of things…and finding passions. I want that for them but not for myself. I don’t believe in having that for myself. I can’t see it again. It feels like it’s all gone…”

We paused together for a time and Claudia wept. (35) “I feel like something in my soul has gone… an intrinsic part of me.” Her description touched me as I murmured a quiet acknowledgment. After a pause I added, “May I ask what part of your soul would that be?”

“All of my adult self…is connected to Tom. Everything I do and think is influenced by him and our relationship. All my memories of being an adult…are with him. The way I view things is because of him. It is lovely and I’m very glad. But it’s such a wrench.”

“Was your soul entwined with his?” I wondered. Claudia nodded. “And was his entwined with yours?”

She nodded vehemently. “I don’t know where he is! It’s just so hard.” Claudia’s body shook and she put her head in her hands. It was my turn to nod as we both acknowledged the hardness. It was so hard (36). As we sat there for a time, I considered Claudia’s disappointment with the clairvoyant and how it had made the pain worse.

“I wonder if we can think about that a little bit…if we could figure something out, away from the experience you had with that particular clairvoyant…”

Claudia laughed heartily through her tears, “…Who believes in herself even if she is a complete fraud. I can’t accept that he’s not somewhere or not existing.”

“What are your understandings of possible places or ways that Tom could be existing?” I asked. People I meet with often have very different ways of understanding death even if they identify as belonging to a well-known faith tradition. They also often re-evaluate beliefs they’ve held for a lifetime in moments of illness and loss. I can never assume I know what someone believes.

“That he is part of the energy, the finite energy of the universe… that’s scientific,” Claudia explained to me. I listened attentively as she continued, “Or he could be in a different realm or a different world which is potentially scientific as well.”

“… like a parallel universe?” I inquired, noting her tears had stopped. “Yes. Or in some heavenly place, someplace souls go where there’s peace. I’m sure there are other frontiers but those are the ones I think of…I want him to be conscious somewhere and aware of us. If I think about another world or a heavenly place, he would be conscious of us.” She stared at the sky out the window. “What would a sense of Tom’s presence give you?” Claudia returned her gaze to me. “I would know he’s with us, present in our lives”.

“Do you think you have any impact on that sense of presence or how that presence could be felt?” I inquired. Claudia looked at me quizzically. “Clairvoyant people say we do, don’t they? If we can be open to it or not open to it.”

“I don’t know…Can you influence the way you feel Tom?” I wondered curious.

“I don’t know. I’d like to,” she affirmed. I cast my mind back to a previous conversation. “When we met last time, you mentioned you had felt him.”

Claudia confirmed, “I felt him really strongly.”

“May I ask what you were doing at the time?”

“I wasn’t doing anything out of the ordinary. I was probably having a laugh which was unusual as it was maybe two or three weeks after he died. The girls were playing around so a bit of a lighter moment and I was laughing with Libby playing peek-a-boo.”

“Would it be possible for you to have faith in yourself even if you can’t have faith in the clairvoyant you met?” (37)

“I’ve tried very hard to separate those two. It’s where I came to on Saturday. I didn’t have a very good experience with her but that doesn’t mean it’s all out. I didn’t pin my hopes on just one person. I booked two clairvoyants. I’ve booked the other one for August and I’ve heard she is authentic and very good. I’ll keep that booking. I’m not giving up on it altogether.” Claudia sounded calm.

Laughing, she added, “I can spare another $120! If she’s good!” I laughed in response before inquiring, “What about your own experience of feeling Tom was with you?”

“It was very strong. But it’s very easy to doubt myself. That’s what’s hard I think,” Claudia explained. “I had another experience where I was looking for a necklace and I felt Tom very strongly. I was looking and looking and then I found it one day and I had a very strong feeling that Tom had helped me find it. I know that sounds strange. But it was such a strong feeling that I said, ‘Thank you Tom! That’s for Imogen.’ It just came out. I need more! Greedy, greedy!”

“When you feel Tom with you, what does that feel like?” I asked curiously.

“Normal! The old normal,” she explained with energy.

“How do you know he’s there? When he helped you find the necklace, what happened that told you that?” I wondered, keen to learn more.

“It just felt like everything’s OK again.”

“Ah.” I sat back in my chair.

“And I don’t have to have this new normal. Both times I just felt lighter and happier. This nightmare is over or maybe not what it seems.”

“If you met with another clairvoyant whom you did or didn’t find authentic, could anyone take away those experiences that you’ve had?”

“No. They’re authentic to me,” Claudia stated.

“You said you want more of them…”

In a sing-song voice Claudia interrupted, “I do!” She was grinning.

I returned her grin. “On demand!” I echoed in the same sing-song tones. Claudia laughed. (38)

“They felt authentic to me and I’m a big believer in going with your gut instinct. I’m quite in tune with those things. They felt real.” Claudia sat back looking steady.

"I drove back to the hospice some time later reflecting on the many understandings people hold about what happens to a person after they die." (39)

New Understandings

Claudia returned to work and, as the routine settled and time passed, the pain of Tom’s death intensified. As Claudia explained to me, “It is now not just days or weeks since I last saw Tom, but six months. The longer it is since I last saw my Tom, the more I miss him.” I wasn’t surprised as many other people have described a similar experience to me.

It was a rainy day. Claudia had finished breastfeeding Libby and had returned from laying her down to sleep. She walked up the stairs with a heavy tread and sat down. “It feels like we are now in a new normal. The new normal makes me so sad. I don’t want a new normal. I want the old normal. I’m feeling guilty; sad and guilty.”

I made a few acknowledging sounds as she talked, “It is so tough. Who would want this normal when comparing it to having a partner they loved alive?” I paused a moment as I looked at Claudia’s drawn face. “Would it be helpful to share with me some more about this sadness and guilt?” I continued, wondering if it might be useful to get to know th