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11/3/2017 1 1 Counseling as Storytelling Rik Lundgren MAPL LADC Or ‘Storytelling in counseling.’ Take Your Pick. From the description: This session is about presenting the concepts of Recovery in a person-centered way. Who Am I? Person in Long Term Recovery What that means for me is… Part of the Recovery Community since… A Long Time Ago… LADC Licensed since 2007 Worked at all levels of treatment except… 5 Years as a Case Manager MAPL Metropolitan State - College of Community Studies and Public Affairs “Recovering Academic”: Navy P.E. “A” School, MCTC, U of M, Advocate for Recovery Empower Prevention -- Make Recovery Visible – Give Recovery a Voice Celebrate Recovery – Confront Stigma Everywhere

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11/3/2017

1

1

Counseling as Storytelling

Rik Lundgren MAPL LADC

Or

‘Storytelling in counseling.’ Take Your Pick.

From the description:

This session is about presenting the concepts of Recovery in a

person-centered way.

Who Am I? Person in Long Term Recovery

What that means for me is… Part of the Recovery Community since…

A Long Time Ago…

LADC Licensed since 2007 Worked at all levels of treatment except… 5 Years as a Case Manager

MAPL Metropolitan State - College of Community Studies and Public Affairs

“Recovering Academic”: Navy P.E. “A” School, MCTC, U of M,

Advocate for Recovery Empower Prevention -- Make Recovery Visible – Give Recovery a Voice

Celebrate Recovery – Confront Stigma Everywhere

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Now You Know My Story We might have something in common…

What that means for me is… Part of the Recovery Community since…

A Long Time Ago…

You know some of my history Licensed since 2007 Worked at all levels of treatment except… 5 Years as a Case Manager

You begin to make guesses about my opinions Metropolitan State - College of Community Studies and Public Affairs “Recovering Academic”: Navy P.E. “A” School, MCTC, U of M,

Some of the mystery is gone. Doubt can be questioned. Ambivalence has a chink in its armor.

My Commitments to You:

I Will Not (intentionally) steer you wrong.

All of the research is cited below.

Do my best to finish a little early.

I want some cool swag, too…

Three Assumptions:

You are all responsible, healthy practitioners

• Regular self-care, in mind, body and spirit.

Knowledgeable and informed in your area of practice. Familiar with:

• Transtheoretical Model (Stages of Change)

• Motivational Interviewing

• Relevant State and Organizational Ethics

Not interested in complexity, but don’t want to be bored.

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A Few Core Ideas Behind This Presentation:

Recovery Oriented Systems of Care Values That Underlie A ROSC:

• A Person-Centered Approach

• A Self-Directed Approach

• A Strengths Based Approach

Some (same old) Motivational Interviewing Principles: • Ambivalence about substance use (and change) is normal.

• Ambivalence can be resolved by working with your client's intrinsic motivations and values.

• The alliance between you and your client is a collaborative partnership to which you each bring important expertise.

• An empathic, supportive, yet directive, counseling style provides conditions under which change can occur.

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Core Ideas (cont.):

There are many paths to Recovery.

• Any method is a good method, if it works.

• There is no single method that works for everyone.

Stigma

• A very real barrier to people seeking treatment.

(Most Important!) Communication can be hard.

• Different cultures, Different histories, Different Drugs

• Different plans for our future

A Few Ideas I Will Not Be Bringing To This Presentation:

All of you are in Recovery.

• Only half of the Recovery counseling workforce is in Recovery. • It’s a little higher Minnesota

The 12 Steps

• There are other paths to Recovery

But there are some stories in their book...

Everyone is comfortable telling stories

• I’m not going to ask anyone to stand up and speak.

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One More Assumption:

You are all “Allies of Recovery”.

As an Ally of Recovery, I promise to be:

• An open-minded and active listener

• Conscious of my own biases and work to adjust them

• Informed and open to learning more about life in recovery

• Aware of the environments I create and work to build a safe space for all people in recovery through my words and actions

• An amplifier for the voices of people in recovery and an advocate for the rights of people in recovery

Our First Story

This was a Demonstration.

What happened?

What did you feel?

What did you think?

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“We cannot wish old feelings away

nor do spiritual exercises for overcoming them

until we have woven a healing story

that transforms our previous life’s experience

and gives meaning to whatever pain we have endured.”

Joan Borysenko

Why Storytelling?

“You have to Dance with the one that brought you”

One more tool for the collection.

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Then What is Storytelling?

It’s not just reciting parables-

It’s teaching a different way of thinking about our lives.

The Foundation of Storytelling as a Counseling Technique:

We all have an internal dialogue, always.

We build ourselves out of that story.

It just makes sense to choose what that story is.

Why Use a Story?

All Stories Are Memories, And All Memories Are Stories. "A typical memory is really just a reactivation of connections between different parts of your brain that were active at some previous time,"

- Neuroscientist Nikolay Kukushkin

We can help them begin to write a new draft of their internal dialogue.

Why Use a Story? (cont.)

Therapeutic Motives of Storytelling

1. To direct (or redirect) a client’s attention.

2. To make or illustrate a point.

3. To set a reflective mood.

4. To help people recognize themselves.

5. To seed ideas and increase motivation.

6. To redefine a problem.

7. To decrease “resistance.”

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How to Use a Story. (cont.)

Here is what we are trying to do with a story:

Activate- Existing Memories, familiar concepts

Connect- Build the therapeutic Alliance

Illustrate- Complex or unfamiliar ideas

Expand- Add to their knowledge, experience

What Stories?

4 Kinds of Story:

1. Analogies

2. Metaphors

3. Anecdotes

4. Narratives

What Stories?

Analogies – aka Reframing

a. A similarity in some respects between things that are otherwise dissimilar: sees an analogy between viral infection and the spread of ideas.

b. A comparison based on such similarity: made an analogy between love and a fever.

A couple of words, a phrase

-“What’s in a name? That which we call a rose

By any other word would smell as sweet.”

-“Opinions are like…”

-’”worrying is as effective as trying to solve an algebra equation by chewing bubble gum”

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What Stories?

Metaphors

1. A figure of speech in which a word or phrase that ordinarily designates one thing is used to designate another, thus making an implicit comparison.

2. One thing conceived as representing another; a symbol.

Usually intended to have an emotional impact

-"All the world’s a stage, and all the men and women merely players“ (Shakespeare)

-”an honest man's pillow is his peace of mind” (John Mellencamp)

- “life is just a tire swing” (Jimmy Buffett)

What Stories?

Anecdotes

1. A short account of an interesting or humorous incident.

Very Brief

Very Concrete

Makes a point or leaches a lesson.

Can convey an abstract concept

or be used to make a point.

What Stories?

Narratives 1. A narrated account; a story. 2. The art, technique, or process of narrating. 3.

a. A presentation of real-world events that connects them in a story like way. b. An explanation or interpretation of events in accordance with a particular theory, ideology, or point of view:

Story as you are used to seeing it

Save for Lecture

Wrap a lesson in emotion

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One of the Best Storytellers in America… How many stories can you find in these 4, short paragraphs?

That is the true genius of America, a faith in simple dreams, an insistence on small miracles; that we can tuck in our children at night and know that they are fed and clothed and safe from harm; that we can say what we think, write what we think, without hearing a sudden knock on the door; that we can have an idea and start our own business without paying a bribe; that we can participate in the political process without fear of retribution; and that our votes will be counted -- or at least, most of the time.

This year, in this election, we are called to reaffirm our values and our commitments, to hold them against a hard reality and see how we are measuring up, to the legacy of our forbearers and the promise of future generations.

And fellow Americans, Democrats, Republicans, independents, I say to you, tonight, we have more work to do, for the workers I met in Galesburg, Illinois, who are losing their union jobs at the Maytag plant that's moving to Mexico, and now they're having to compete with their own children for jobs that pay 7 bucks an hour; more to do for the father I met who was losing his job and chocking back the tears wondering how he would pay $4,500 a months for the drugs his son needs without the health benefits that he counted on; more to do for the young woman in East St. Louis, and thousands more like her who have the grades, have the drive, have the will, but doesn't have the money to go to college.

Now, don't get me wrong, the people I meet in small towns and big cities and diners and office parks, they don't expect government to solve all of their problems. They know they have to work hard to get a head. And they want to.

--Barack Obama, Speech to the Democratic National Convention, July 27th, 2004

I Count 9: That is the true genius of America, a faith in simple dreams, an insistence on small miracles; that we can

tuck in our children at night and know that they are fed and clothed and safe from harm; that we can say what we think, write what we think, without hearing a sudden knock on the door; that we can have an idea and start our own business without paying a bribe; that we can participate in the political process without fear of retribution; and that our votes will be counted -- or at least, most of the time.

This year, in this election, we are called to reaffirm our values and our commitments, to hold them against a hard reality and see how we are measuring up, to the legacy of our forbearers and the promise of future generations.

And fellow Americans, Democrats, Republicans, independents, I say to you, tonight, we have more work to do, for the workers I met in Galesburg, Illinois, who are losing their union jobs at the Maytag plant that's moving to Mexico, and now they're having to compete with their own children for jobs that pay 7 bucks an hour; more to do for the father I met who was losing his job and chocking back the tears wondering how he would pay $4,500 a months for the drugs his son needs without the health benefits that he counted on; more to do for the young woman in East St. Louis, and thousands more like her who have the grades, have the drive, have the will, but doesn't have the money to go to college.

Now, don't get me wrong, the people I meet in small towns and big cities and diners and office parks, they don't expect government to solve all of their problems. They know they have to work hard to get a head. And they want to.

Why Not use a Story? Because It Isn’t True?

You actually can make this stuff up, you just shouldn’t.

B.S. Destroys Credibility

Consider Your Audience

Authenticity

Know Who You Are

Be Who You Are

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Why Not use a Story? (cont)

Bad Old Self Disclosure

Clear, consistent boundaries provide a structure and safety for many patients that is therapeutic in itself.

Reactions to changes in usual boundaries can be unpredictable, even volatile.

We need to ask whether disclosure is for the client or for ourselves.

Avoid exposing vulnerability

Get Fully Informed on Ethics and Boundaries.

When to Use a Story (Context) Human beings have been telling stories since before there were written languages. Anytime is a good time if it suits the Recoveree’s needs.

During the Assessment In Group

Be Brief! During Lecture Making Space

I use Stories to do the one thing my clients tell me they appreciate most often: Make analogies to make complicated ideas simple

How to Use a Story

Pre-contemplation

Establishing Rapport

The first conversation you have with your client shapes their mental image of you.

It's the most important interaction you will have with them.

Choose Wisely.

Building the Therapeutic Alliance

As a vehicle for Factual Information, (Maybe…)

Be Careful! Gauge receptiveness

Be Accurate! KNOW your facts and sources.

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How to Use a Story

Contemplation Identify intrinsic motivators.

Emphasize (and demonstrate) Personal Choice

Reframing

Preparation Introduce different treatment options and community resources (With permission!)

Offer expertise and advice

How to Use a Story

Action

Continue to educate clients

Prepare clients so that they know there may be some embarrassing, emotionally awkward, and uncomfortable moments

Help clients to recognize stressful situations

What Story? Your story doesn’t necessarily have to be your story.

“I had a client who…”

Your Clients

Always be Listening!

Journaling

Meetings

Addiction Memoirs

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What Story? (cont)

Recovery Narratives Project

Recovery Podcasts

Recovery Memoirs

Your Own Experience

What is Your Story?

It is in the transition from personal recovery to

social/political advocacy that recovering people

discover the connection between telling their stories

and changing the world.

-- William White

11/3/2017

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Questions/Feedback

Rik Lundgren MAPL LADC

[email protected]

(651) 232-3687

References

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Bergner, R. (2007, March 01). Therapeutic Storytelling Revisited. American Journal of Psychotherapy, 61(2), 149-162.

Boeke, M., & Clarke, J. (2011, April). The Human and Economic Costs of Alcohol Abuse in Minnesota. Retrieved 12 01, 2016, from Minnesota Department of Health: http://www.health.state.mn.us/alcohol/alcpdf/HumanandEcono micCostofAlcoholUseinMinnesota.pdf

Borys, D. (1994, September 01). Maintaining Therapeutic boundaries: The Motive Is Therapeutic Effectiveness, not Defensive Practice. Ethics and Behavior, 4(3), 267-273.

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Brockman, R. (2013). "Only Stories Matter: The Psychology and Neurobiology of Story. American Imago, 445-460.

11/3/2017

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Carr, D. (2008). The Night of the Gun. A Reporter Investigates the Darkest Story of His Life, His Own. New York, New York: Simon and Schuster.

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References

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Egley, L., Frisch, M. T., Greenlee, D., Holthausen, J., & Maroney- Ryan, J. (2017, October 31). MARRCH Organizational Ethics Codes. Retrieved from Minnesota Association of Resources for Recovery and Chemical Health: http://www.marrch.org/default.asp?page=ethics_arch_code

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Freed, R. (2011, November 17). The Importance of Telling Our Stories. Retrieved from The huffington Post: https://www.huffingtonpost.com/rachael-freed/legacy-telling- our-story_b_776195.html

Gibson, M. F. (2012, September 01). Opening Up: Therapist Self- Disclosure in Theory, Research, and Practice. Clinical Social Work Journal, 40, 287-296. doi:10.1007/s10615-012-0391-4

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References

Gots, J. (2012, January 14). Your Storytelling Brain. Retrieved from Big Think: http://bigthink.com/overthinking-everything- with-jason-gots/your-storytelling-brain

Green, M. (2017). Breaking Through. Newsweek Global, 168(12), p. 24.

Hamby, S. (2013, September 03). Resilience and…..4 Benefits to Sharing Your Story. Retrieved from Psychology Today: https://www.psychologytoday.com/blog/the-web- violence/201309/resilience-and-4-benefits-sharing-your-story

Hari, J. (2015). Chasing the Scream: the First and Last Days of the War on Drugs. New York, New York: Bloomsbury.

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References

Hsu, J. (2008, August). The Secrets of Storytelling: Our Love for Telling

Tales Reveals the Workings of the Mind. Scientific American Mind, 19(4), p. 46.

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Kaufman, S. B. (2013, August 19). The Real Neuroscience of Creativity. Retrieved from Scientific American: https://blogs.scientificamerican.com/beautiful-minds/the-real- neuroscience-of-creativity/

Kautz-Sheedy, C., & Whitter, M. (2009). Guiding Principles and Elements of Recovery-Oriented Systems of Care: What Do We Know From the Research? HHS Publication No. (SMA) 09- 4439. Rockville, Maryland: Substance Abuse and Mental Health Services Administration. Retrieved October 2, 2017, from http://pfr.samhsa.gov/rosc.html

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References

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Metaphor as an Instrument for Orchestrating Change in Counselor

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References

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References

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Web Sites:

http://leanin.org/education/harnessing-the-power-of-stories/

http://recoverynarratives.org/

http://www.williamwhitepapers.com/

https://facesandvoicesofrecovery.org/

https://www.thefix.com/