Archive for the ‘Therapy’ Category

Dealing with Difficult Emotions through Mindfulness

Sunday, September 7th, 2014

Beginning in October I am offering  Exploring Mindfulness,  an eight-session book discussion and support group for starting, re-starting or maintaining the practice of mindfulness.

mindful1Mindfulness can be described simply as seeing clearly in the here and now. I chose Pema Chödrön’s book When Things Fall Apart as our guide because, through this book, she is a calm and reassuring voice in helping us to accept life as it is.  She is also a clear and articulate teacher with practical guidance for facing our fears, anger and loneliness.  I find her approach, which comes from the Buddhist tradition, to be extremely relevant to psychology and therapy as we practice it today.

 

Beginning on October 3, 2014 there will be the opportunity to take this class in person and/or through an online discussion.  One can choose from a Friday or Saturday morning class, or through a blog discussion that I will post each Saturday morning. The post will correspond to what will be covered in the Friday/Saturday classes.  One could choose to participate via the blog discussions alone, or through some combination of the blog and in person.  The minimal expectation is to read the book, but everyone is strongly encouraged to commit to a daily mindfulness meditation practice for 90 days (10/3 -12/31). It is okay if it is only five minutes a day—establishing a habit is the key to developing mindful awareness in a way that will make a difference in ones life.

In order to support a 90 day practice, after the first six sessions the next two sessions will be spaced two weeks apart.  After that there will be two more blog discussions every other week.

Each sessions will include three parts:  1) a teaching from the book or audio/visual from Pema Chödrön or some other teacher in the Shambhala school from which she comes; 2) a guided meditation practice; 3) questions, discussion and support for developing a practice.

Schedule

Fridays 7:10am – 8:40 am Saturdays 9:00am – 10:30 am In-Person Class /Online Comment
10/3/14 10/4/14 In-Person & Online
10/10/14 10/11/14 In-Person & Online
10/17/14 10/18/14 In-Person & Online
10/24/14 10/25/14 In-Person & Online
10/31/14 11/1/14 In-Person & Online
11/7/14 11/7/14 In-Person & Online
11/14/14 11/15/14 None
11/21/14 11/22/14 In-Person & Online
11/28/14 11/29/14 None Thanksgiving Week
12/5/14 12/6/14 In-Person & Online
12/12/14 12/12/14 None
12/19/14 12/19/14 Online Only Christmas Week
12/26/14 12/26/14 None
Wednesday 12/31/14 Online Only 90th Day

Each group is approximately one hour and twenty minutes from the time we begin.  I have designed it so that if you can only stay an hour you can leave after the meditation practice and before the discussion.  In order to maintain the necessary concentration, though, I ask that an effort be made by each person to not arrive or leave from the start of the teaching to the completion of the meditation.

There is no cost per se, but each participant in the class is welcome to offer up to $5 per class.  Money will not be formally collected but can be placed in the “hat”.

 Location

The classes will be held at 227 North Duke Street in the city of Lancaster—halfway between Walnut & Chestnut on the left hand side. My name is on the shingle. Once in the building the group room is the 1st door to the left.   It is on-street parking and meters require 6 quarters for an hour after 8am but not on Saturdays.  I always keep quarters handy.  Lemon Street is 1 ½ blocks away and there are no meters there.

Please contact me at phazeltine@gmail.com to let me know that you’d like to take part and I will send you the necessary information and answer any questions you have.

To learn more about Pema Chödrön click on her name. If you scroll down you can watch a YouTube video of Pema being interviewed by Bill Moyers as part of his Faith and Reason series.  To order the book click this title, When Things Fall Apart.

To find out more about by therapy practice go to HOME        http://perryhazeltine.blogspot.com/

TeenHope COLOR RUN

Monday, September 1st, 2014

     

color blast

 A 5K Run Celebrating TeenHope & AEVIDUM!

Sunday Afternoon September 21st

Join the movement to make it easier for teens to talk about their emotional and mental health concerns.  This COLOR RUN is a great way to start the school year.

                       To find out more and register click here: COLOR BLAST

To find out more about TeenHope see the previous blog post.

 To learn about Aevidum click here: AEVIDUM

 

color blast 2

Death Valley: A Love Story

Friday, August 2nd, 2013

 

Some of you know that our offices have been a part-time art gallery—the Painted Desert—on  First Fridays.  We’re taking a break now but I wanted to let you know of a related event happening in August.   The first two art shows for the Painted Desert Gallery four years ago were the photography of David Nutter followed by an exhibit of Carol Emerson’s collages.  These shows and the narrative around them have been made into a play.  Below is an adaptation of the press release for the upcoming performance.  I have had the good fortune to share space with the exhibits and to see  the first reading of the play—which were all very moving. Please go and see the production!

 

 

My personal experiences of Dave and Carol’s shows as they relate to my work as a therapist are addressed in two posts from the Summer of 2009.  Dave, a psychiatrist, was a colleague and mentor of mine at the Samaritan Counseling Center. The posts are at  http://www.perryhazeltine.com/2009/08/ and http://www.perryhazeltine.com/2009/10/ .

~Perry J Hazeltine~

_________________________________________________________________________________________________

“Death Valley: A Love Story,” a new full-length play by Lancaster-based author and playwright Sandy Asher, will be given its first public, rehearsed reading on Thursday, August 22 at 7:30 p.m. and Sunday, August 25 at 2:30 p.m. at Tellus360, 24 E. King Street, Lancaster.

Inspired by the photographs, collages, and journals of Lancaster artist/ therapist Carol Emerson and the late psychiatrist/photographer David Nutter, “Death Valley: A Love Story” will be directed by Laura Korach Howell, executive director of The People’s Shakespeare Project and will feature well-known area actors Anne Meeder, Sharon Mellinger, and Lisa Budwig. Carol L. Woodman will serve as stage manager.

“Because this is a memory play,” Asher explains, “I wanted all of the characters and action to be filtered through the one person remembering what happened.  So all three actors play Carol at various moments, but they also play everyone else involved in the story, male and female. They transform instantly with the help of only a few props and their own inventiveness. It’s quite a challenge, but Laura has chosen her actors well.”

Development of the script began several years ago at the Painted Desert Gallery when Asher saw David Nutter’s photographs of Death Valley displayed along with snippets of prose and poetry from his journal and Carol’s.  “I was deeply moved by both the visual art and the language,” Asher recalls, “and suggested to Carol that the combination might make a wonderful book or play.  She generously allowed me to read the full journals, and the script began to take shape.”

The story taken from journal to stage begins in the winter of 2003, when, during their first joyful year of being in love, Carol and David spent a week in Death Valley.  There David took dozens of photos but also began experiencing symptoms that were diagnosed on their return home as Acute Lymphocytic Leukemia.  Months of chemotherapy followed, leading in a stem cell transplant that went awry, ending David’s life.  Both kept journals throughout this ordeal, and Carol continued hers after David’s death.  The play opens and closes with slide shows created by David’s son AJ Nutter of David’s photography and Carol’s collages.

Though a personal, local story, “Death Valley” explores universal experiences of love, loss, grief, and recovery.  “Carol hopes sharing her process will prove helpful to others,” Asher says, “and I’m confident it will. Trusted friends and colleagues who have read or heard the script have encouraged us to continue working on it.  These readings are the next step.  The audiences’ responses will affect the play’s future development.”

General admission to the readings is $10. Reservations may be made at the Tellus360 store or on-line at http://www.tellus360.com/store/category/event-tickets/.

_____________________________________________________________________________

Proceeds will benefit the Samaritan Counseling Center’s “Silent Samaritan” program. Silent Samaritans are women of compassion in the community who are able to share with women in need of professional counseling. This program is underwritten by individual, corporate, and foundation gifts. Women are invited to contribute annually $100 or more, tax deductible. To see a video about the Silent Samaritans and other Samaritan programs, visit http://www.youtube.com/watch?v=i3rMB4PmLVw. For more information contact Anita Hanna at ahanna@scclanc.org  or call 717-560-9969.

 

Company Bios

SANDY ASHER‘s plays have been produced nationally and internationally and honored with an NEA grant, three AATE Distinguished Play Awards (for A Woman Called Truth, In the Garden of the Selfish Giant, and Jesse and Grace: A Best Friends Story), the Charlotte Chorpenning Award for a distinguished body of work, and an Aurand Harris Fellowship grant from the Children’s Theatre Foundation of America.  Six of her scripts are included in Tell Your Story: The Plays and Playwriting of Sandra Fenichel Asher.  Sandy lives in Lancaster City.

 

LAURA KORACH HOWELL is an Equity actress, a roster artist with The Pennsylvania Council on the Arts and a seasoned theatre teacher and director. She received her training at Circle-in-the-Square Theatre (NYC), The Actor’s Center (NYC) and Shakespeare & Co. (Lenox, MA). She has directed professionally and taught students of all ages for over thirty years.  Laura is the founder and artistic director of the People’s Shakespeare Project.  She lives in Lancaster.

 

LISA BUDWIG has been active in Central Pennsylvania theatre for eight years, performing at Oyster Mill Playhouse, Theatre Harrisburg, York Little Theatre, and with The Creative Works of Lancaster.  Lisa lives in Lemoyne and acts professionally as a Standardized Patient at the Penn State Hershey School of Medicine, where she simulates patients in a variety of clinical and ethical scenarios to assist medical students in learning and practicing empathetic, patient-centered communication, diagnostic and examination skills.

 

ANNE MEEDER holds a B.S. degree in Speech, Communications and Theater Arts from Clarion State University.  She is a professional member of NDEO – The National Dance Education Organization. Anne works as a drama and dance educator in the Lancaster area, and her leading theatrical roles in musical theater and the opera span twenty-five years. She remains active as a dancer, actor, choreographer, singer, director and teacher while working as a teaching artist at The Fulton’s Academy of Theatre.  She lives in Lancaster City.  

 

SHARON MELLINGER’s extensive theater background includes work for CoMotion, Theatre of the Seventh Sister, Creative Works of Lancaster, Woodstove House,  and EPAC.  Earlier this summer, she played the nurse in the People’s Shakespeare Project production of “Romeo and Juliet,” directed by Laura Korach Howell.  Sharon lives in Lancaster City, works at Lancaster Dispensing Company, is a voracious reader, writer, and pedestrian, and a dedicated Cat Co-habitator.

 

CAROL L. WOODMAN A graduate of Ithaca College with a Bachelor of Fine Arts degree in acting and directing, Carol has more recently received her Pennsylvania certification as a Special Education teacher and works for Lancaster Lebanon IU13. Since moving to Lancaster in 1996, Carol has also volunteered with Dramability, a theatre group in which high school students and young adults with disabilities learn to develop their performance skills.

 

Real and Imagined: The paintings of Benjamin Nelson

Thursday, July 5th, 2012

 

The day that Ben came to set up his show at the gallery with Carol Emerson and I it was hot and humid–one of those days where the air conditioner seems to be heaving to catch it’s breath as it tries to lift the heavy humidity out of the dense air.  Thankfully the AC got the upper hand and the lifting and holding of Ben’s large paintings, as we placed them, viewed them and finally hung them, was bearable.  And something else seemed to cool the room despite our labors.  The blues and greens and earthy grays and browns of his paintings brought us to a quiet and shaded spot protected from the heat.  We were beside waterfalls , abstract  foaming waves, or in the shade beside a stream in the woods–we happily found ourselves surrounded by water.

We joked that he was probably hot when he chose the paintings to bring to the show.  Ben described to us his attempt to work in his studio the day before–a studio armed with only a fan to fight the heat, which lost the battle.  Ben packed up his painting supplies and left his home in inner city Philadelphia for the park along Wissahickon Creek.  He walked in the creek and placed stones to create a place to sit where most of his body was submerged.  He then created a shelf before him to serve as a table so that he could paint.  He laughed, explaining that he was no longer hot.

His arrangement was, however, imperfect and his work managed to get wet, but this was no bother to him because Ben does not paint only what he sees–he paints what he experiences, imagines and what he synthesizes with other natural settings where he has been.  The places he paints don’t exist per se, but I would say they are real–because the viewer recognizes, through the abstraction, experiences and impressions of the creeks they have waded through or the beaches they have visited. When in nature, Ben explained, he observes, sketches or takes a photo. In his studio the synthesis of the real and imagined happens as he paints. 

Isn’t this, in a sense, what we all do?  We synthesis our imaginations , memories, experiences and knowledge when we are at our best.  The real is enhanced by imagination because it becomes adaptive to the present moment and to future possibilities as opposed  calcifying.

Ben describes his work as organic.  “The subjects of inspiration are starting points for something that will become much more intensified,  as I reinterpret how I see the world we live in,”  he explains. “I view nature as a macro reservoir of an infinite number of subjects that can be explored and rendered.  These organic forms can be altered and recreated, made abstract while still remaining recognizable to their original subject. ”  To find out about Ben’s First Friday July 6th show and see another of his paintings visit the Painted Desert Galley.

Ministry Assessment Program (MAP)

Friday, June 15th, 2012

In addition to my work as a therapist in my own practice, I coordinate the Ministry Assessment Program (MAP) at the Samaritan Counseling Center where I have worked for sixteen years. MAP assists leaders in various religious denominations to discern which candidates seeking ordination have an authentic vocation in ministry and are psychologically and emotionally sound enough to proceed. Our evaluations are just one part of a rigorous vetting and formation process.  It can go on for several years with personal, academic, and theological reviews and tests at different stages along the way.

You can imagine, then, what it feels like to be a candidate coming to a psychologist for an interview about very personal things and to undergo extensive psychological testing—intimidating to say the least.  It is important then, that the evaluator approaches this process with respect and consideration for the feelings and privacy of the candidate.  The fact is that the vast majority of those who come before us are sound psychologically and many are talented and experienced to boot.  We hope, then, to give them something for their trouble— to create  an experience for  them that will help them to better understand themselves and to help them grow while at the same time encouraging  them.

Sometimes candidates have an experience during the process that is not all that different than what clients experience in therapy.  Though the expressed purpose of the process is evaluative not therapeutic, in my experience some of the best assessments turn out to be therapeutic as well. If I listen to the candidate attentively and appreciatively, candidates often find the words to say who they really are and why they are on their particular spiritual journey.

I am reminded of a young man who was surprised to find his eyes filling up with tears when he told me about how deeply affected he was by the hymns in his childhood church. “I had a lot of energy “, he recalled, “was nervous and insecure.  The songs told me that I and other people were important.” I wanted to get across, in the report, the depth of the emotional connection with God and others that he conveyed to me. I wrote, “Music seems tap in to his emotional and spiritual core—the part of his experience that he finds hard to articulate.”  It wasn’t that he felt called to music ministry. He is an energetic advocate for social justice who sees evangelism as creating a sense of community outside the church walls in the inner-city neighborhood of his church.  His high energy, though, could at times be a liability—sometimes leaving him tense and restless. Music was a potentially quieting experience for him and a pathway of his spiritual life.  One of the recommendations I gave was, then, for him to “foster this part of himself, perhaps through using music as a regular practice of prayer.”

I hope that I am getting across that a good assessment captures the “person” not just data—that in the right environment candidates sense it is safe to talk about what’s most important to them.  And as one would expect in this work what is most important is often a meaningful  relationship with God and others, or the sense of being a part of “something larger than oneself”.  As I wrote in a previous post on therapy and spirituality,  I hope to grasp  “something in the client’s voice, cadence or metaphors that suggest something of faith. And with patience and gentleness the therapist, without being intrusive, may welcome the subtle spirit into the session”.  It is not the role of a psychological evaluation to judge a person’s theology or beliefs, but I would fail to know them if I did not come to understand what these things mean to them.

I have learned to take the stance that  James and Melissa Griffith wrote about in their book  Encountering the Sacred in Psychotherapy: How to talk with people about their spiritual lives. They try to “stay in the position of an anthropologist meeting another person in an unknown culture….The skills most helpful for opening therapy to the spiritual and religious domains have been those for preparing our own selves to meet someone not yet known- the fostering within ourselves of curiosity, wonder and openness to the being of the other.”

As the  candidates receive feedback several weeks later and eventually a copy of the final report, we hope to mirror back to them their hopes, fears, gifts as well as the places they may be in  need of healing or growth. When we are successful,  we have done it in a way to preserves their dignity and they feel like we “got them”.

 

 

 

 

“Nice Jacket!”

Sunday, January 8th, 2012

I ran into a friend at the open air Eastern Market yesterday.  Because it was a Spring like day in early January we stood outside awhile and had a meandering conversation.  Somehow we got talking about cognitive/behavioral psychology and how, though it is a fruitful theory for creating effective therapy, it is somehow lacking in capturing the beauty of irrational thinking which is part of why we are so lovable and able to love.  In other words, the same irrational thinking that can cause us so much suffering (for example, painful self-consciousness that leads one to automatically assume that others are being critical) can also create the kind of quirkiness that engenders affection.

I must say, first of all, that I realize the trouble that faulty thinking can cause.  A benign example of the kind of thinking that can lead to trouble happened today when my daughter, Hannah, and I were walking our dog, Oliver, downtown.  A guy stepped out of House of Pizza, smiled at us and asked us how we were.  As we walked on Hannah heard him say, “I like your jacket”, followed by a laugh.  She looked at me and asked if I thought he was laughing about my jacket or hers.  You see she was wearing her  pilly and oversized granny-sweater. I, for my part, was, wearing my wife’s jacket since mine was in the laundry.  Hannah boasted that she didn’t care since she loved the sweater and it wasn’t first time someone insulted it.   I figured he was laughing at me, since it’s the kind of thing a guy might laugh at, (though I must admit Hannah’s sweater was pretty ratty).

Hannah did admit surprise, however, since he had seemed so authentically friendly at first.  I pointed out that since I left middle school it’s been pretty rare that some one randomly makes fun of me.  With that we went on our way.

When we arrived at my office Hannah happened to look down at Oliver and suddenly realized the man had been talking to him.  Oliver was, as we knew, wearing a jaunty red jacket.  Some how, though,  we each managed to leave that little piece of information out of our analysis.  In addition, the fact that the man had been friendly and that we were not in middle school did not sufficiently sway us from the  distorted perception of what he was saying. Our pre-conceived ideas about how someone might judge our jackets led to our mistakes.  In this  case the preconception was a negative self-reference.  Not much harm done here, but imagine if such things  won the day—if, for example, one’s low self-esteem multiplied itself by seeing negative comments everywhere.   This is where  cognitive therapy is extremely helpful—to help people learn to recognize, and to scrutinize negative thoughts as opposed to swallowing them whole.

It is humbling to find, as Hannah and I did, that even a reasonable analysis leads to the wrong conclusion when important information is ignored.  But back to the idea I introduced at the beginning,  that this faulty thinking is often what endears us to one another.

To illustrate this point ,I have created a link to a story I heard this week on the public radio program This American Life.  It is about a woman who comes up with an ill-advised scheme out of love for her adult son who has Asperger’s Syndrome and out of a simplistic belief in the goodness of people.  She advertises to find people to volunteer to companion her son for the long haul. The scheme fails after the woman devoted a huge amount of time and energy to it.  It is easy to see the misconceptions on which her plan was based, but it is even easier to see the love for her son, and the seriousness with which she accepted the responsibility that comes with  that love.  It is this sort of crazy love that defines us, in the end, more than our cognitive functioning or, as in the case of Hannah and I,  the lack thereof.

To listen to the story  click:  http://www.thisamericanlife.org/radio-archives/episode/420/neighborhood-watch and then choose Act 1: Wary Home Companion.

 

 

The Chaos Within

Monday, September 5th, 2011

Most of us know the feeling—and it’s a terrible one. We are in the grip of a powerful and painful emotion. It seems to have a life of its own—Instead of us having the feeling, the feeling seems to have us. The feeling is automatic. We don’t “will it” it “takes us” and often at the worst times. If the feeling is shame, it’s paralyzes us, if it is fear it brings a sense of doom, if it is anger, it may destroy something beyond repair.

Taking a step back we can see that feelings at their strongest and most irrational come from the most primitive parts of us. The primitive part is always there even in our maturity. Our mature Selves are like a city built on the ruins of ancient civilizations which themselves were built one the ruins of primitive tribal regions.

There are periods when all is stable, when the past is the past. Then there is seismic activity, and when there is trauma or mental illness in our history it is like a Fault Line where all the pressure from life’s Teutonic plates create a vulnerability. When certain factors shift, the earth quakes, and the mists from the primitive parts of ourselves rise.

The Ancients conceived of the primeval period as Chaos—the infinite space and formless void which existed prior to the creation of the world.  Out of Chaos the gods, men, women, all life and all things arose. Poets have envisioned Chaos as darkness and things of the lower realms.

There is a parallel to this mythological view in neuroscience—the lower realm is the lower and mid-brain, the part of us that acts and feels. The lower realms of the brain  existed hundreds of  thousands of years before the higher (thinking) brain evolved. The low and mid-brain are quicker than higher brain.  They  are great when fight-or-flight is called for, but not so good in the complex world of civilization. The psychoanalyst, Heinz Hartmann pointed out that we have evolved to be more independent of the natural environment where the basic instincts of the lower brain are most needed. Modern life calls for much repression of the anger and fear necessary for fight-and-flight. Psychoanalysis, which is the forerunner of psychotherapy, is based on the premise that most mental illness is related to the conflict between instinct (with all the primitive emotions that come with it) and the expectations of society. Troublesome emotions that are completely repressed, have never been processed and refined from the higher thinking brain. So they inhabit the lower realms and can be released in their unrefined form during a seismic shift.

In the religions of the ancient Near East, there is a recurring motif of struggle against Chaos where the Hero battles a monster depicted sometimes as a dragon. Isn’t the dragon a great image for that powerful emotion that “rears its ugly head” within us?

Psychologists who explore the emotions, which in their most basic form are called the “primary affects”, emphasize the role and value of the emotions.  Even the negative emotions are positive in their proper place. When, however,  our emotions come with such force that they are way out of proportion to the event that stimulated them we know that something is wrong.

It is an important journey to become aware of our emotions and resources such as therapy can be invaluable in helping us to address them instead of repress them. But understanding can take a long time. What do we do, in the mean time to manage emotions so that they do not cause us too much pain or wreak too much havoc?

This is what my colleague, Carol Emerson, and I hope to address in our Fall Series From Chaos to Freedom . Through a viewing videos followed by discussion  we hope to offer opportunities for learning strategies to handle what often feels like emotional chaos.

The video series is on Marsha Linehan’s “Dialectical Behavior Therapy”(DBT) which offers a way of approaching problems of emotions. One strategy, Mindfulness, for example, develops the presence of mind to be in the moment. Once one can stay present to a crisis, Tolerating Distress without escalating the emotion is the next task. Having some strategies available to weather the crisis is a way to turn it into an opportunity for change.

This video series is open to anyone who is interested in learning the strategies of mindfulness, distress tolerance, radical acceptance and opposite action. The group will view 30 minutes of Marsha Linehan demonstrating one of her strategies. Following the viewing, there will be open discussion about the strategy and how to apply it to one’s situation.

 

To Register: Please email me at phazeltine@gmail.com

 

Fee:                $20 per session

 

9/20/11          7:30 to 9:00   Mindfulness Part I

9/27/11          7:30 to 9:00   Mindfulness Part II

10/4/11          7:30 to 9:00   Distress Tolerance: Distracting

10/11/11        7:30 to 9:00   Distress Tolerance:  Self Soothing

10/18/11        7:30 to 9:00   Distress Tolerance: Improve the Moment

10/25/11        7:30 to 9:00   Distress Tolerance: Pros and Cons

11/1/11          7:30 to 9:00   Practicing Reality Acceptance: Part I

11/8/11          7:30 to 9:00   Practicing Reality Acceptance: Part II

11/15/11        7:30 to 9:00   Opposite Action

 

Location:       227 North Duke Street, Lancaster, Pa 17602

 

To find out about a parent education and support group using DBT strategies click here  a delicate balance

 

The Sacrament of Penance and Therapy

Monday, January 4th, 2010

I have been reading a little book of essays by writers who are Catholic. In Signatures of Grace: Catholic Writers on the Sacraments each writer was commissioned to write about one sacrament while including personal experience and the history of the sacrament as context.

Author Patricia Hampl wrote the essay “Penance”. In reflecting on the history of Penance, Hampl draws our attention the communal nature of the sacrament in the early church and its essential communal function for all time. “It is strange”, she mused, “that the sacrament of Penance should be so thoroughly associated with privacy, even secrecy.” This is certainly the experience of many baby boom Catholics christened with pre- Vatican II sensibilities (many of who have never darkened the door of a confessional in their adult life.) The fear and shame of our own sins told to God as represented by our parish priest were mercifully covered with a prescribed privacy. This was followed by the relief in stepping out of the ordeal with a child-like joy at being made anew. The prelude of fear and shame have been transformed into awe and humility, the most basic religious dispositions.

This, Hampl points out, was not always so. The “felt need” for the sacrament she writes was at the beginning “rooted in the ancient world’s elemental commitment to the community, not in modernity’s abstract concern for the individual.” Yet she acknowledges a sort of paradox in the birth of this deeply communal sacrament “the individual counts- counts absolutely.” She refers to Luke 15:4-7 (e.g., …I tell you there will be more rejoicing in heaven over one sinner repenting than over ninety-nine people who have no need of repentance.”)

It is here in her essay that Hampl refers to therapy, with its modern orientation toward the individual, as a counterpoint to Penance with its ancient orientation to the community and the importance of the individual to the whole.

“The joy in finding the repentant sinner is not the kind of satisfaction to be found in the therapist’s office, where the lost and scattered shards of a life are excavated and carefully pieced together to form the essential thing: a life worth living bred of a life story worth telling. “Penance”, she continues, “was intended to heal a different wound- not the break between a person and individual consciousness (or a personal past), but that between the self and the community, which for the ancient, was the core of existence”.

To really understand another’s religious experience or world view we must understand how their disposition is shaped by the forms they have inherited. In the case of a Catholic, the sacrament of Penance holds the memory of a time when to not be part of the tribe was to die. Nomads, in the arid wilderness, living a fragile tightrope between survival and death, could easily be shattered by the selfishness of one of its members. Fear of separation, guilt for failed duties and shame for putting self before the group were necessary and adaptive attitudes of survival. Superficial pop-psychology portray fear, shame and guilt as enemies of self-actualization imposed on the individual by conventional society. But in the context of a loving community they are the cornerstone of the most beautiful aspects of religious sensibilities. Fear, shame and guilt play, in ones family and communal life, the same role that pain plays in ones bodily experience, as a warning signal that something wrong needs to be made right. Fear, then, becomes awe, shame becomes humility and guilt becomes the impetus for reconciliation and restoration of ones place as a contributor to the welfare of the community.

To be communal is also to communicate something important between the individual and the community- that is, it is insufficient to be contrite, confess to God and oneself internally as part of healing because it is incomplete if one is not reconciled to the community. The communal aspect may not be so obvious in the actions- the actual confession may be an quiet encounter between penitent and priest- but the act of “going to confession” is communal and is expressed in many churches in communal penance services particularly offered during Advent and Lent- times set apart in the seasons of the church for prayer, fasting and almsgiving.

Hampl points out that the references to sackcloth and ashes comes from the church as it entered the third century AD. “Though the modern mind”, she acknowledges find this image “histrionic or unnecessarily humiliating. The community had to see, in public weeping, prayer, fasting, and almsgiving, clear symbols of repentance so that the reclamation of the individual into the congregation could be entire.” Coming out of the therapist’s office in a sack cloth, Hampl acknowledges would be “a strange even sadistic exercise”. But in “the early church the individual was being reunited with the community, not with himself. Penance was not a psychological but a sociological act.”

As Hampl tells her own story the reader finds that she like many of her Catholic peers had left the Sacrament behind- in her case for thirty years. She ends with her experience of the Sacrament in it’s post-Vatican II form while on a silent retreat at a monastery. In her experience of what is now called the Sacrament of Reconciliation, she spoke face to face with an elderly priest. So modern in its intimacy, where one can lower or raise ones eyes in shame or connection, the experience is still ancient with the priest representing Christ and the community with whom she reconciles and in a more “public” way then behind the screen.

As she progresses toward this experience where “you don’t get to understand; you just get to acquiesce”, she becomes more disparaging of psychotherapy. In retrospect the 18 months of therapy she experienced, which she recounts with a touch of comedy, seems self-indulgent, and its self-understanding and reconciliation with the self. Contrasted with the acquiescence of the sacrament, the analysis of therapy was found wanting.

Trying not to be defensive as psychotherapy took it on the chin, I wondered about her journey or in psychological terms, the course of her identity development. Was the casting about the “scattered shards” of her life to form a story, as she described her course of therapy, however incomplete, somehow a preliminary to her later spiritual and communal reconciliation? At ones mid-life there is an opportunity to look back on ones life from a potentially wiser perspective. Wisdom, however, is not gained through age and experience alone. It is gained through self and spiritual awareness often developed through falling apart and struggling to reform oneself. Yet, I and my fellow psychotherapists should take the hit. A little slap in the face is always an opportunity to shake free of the arrogance brought on by taking too seriously the value of ones profession.

Here’s where I agree with Hampl’s critique: One will never, as it were, figure oneself out. And even as a psychotherapist who respects the role of guilt and shame in our interpersonal lives, I must perhaps take some responsibility for the overzealousness of psychology in its brash call to liberate clients from the tyranny of religious legalism. Religion, like any human enterprise, can go awry. Yet religion at its best points to what is best in us and what transcends us. Perhaps it is best in the end to acquiesce and stand “ shivering in the growing cold,” as did Hampl after the sacrament, “unable to make out the hinge of sea and sky, glad of that confusion, glad to give over to the mystery at last.” I, for myself, draw upon one of the fruits of my spiritual formation as a Catholic child: humility- freed now from excessive guilt and shame (with the help of psychotherapy.) As I accompany my clients among the shards it is not so much as a doctor or expert but as a humble companion with some experience. Humility is, in the end, an important disposition for the therapist as well as the client if there is to be healing and growth.