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Play to your strengths

Two autistic members of ACTO challenge all of us to think differently

This blog post is written by two autistic members of ACTO, with over thirty years of experience between us. We both became therapists before we knew we were autistic, and discovering something so essential about the selves we truly are has proved enlightening in understanding the way we work as therapists. But this post is not about Vauna and Max. On Autism Awareness Day it’s about autistic people in general and autistic counsellors and psychotherapists in particular. 

The watchword of Chris Bonnello, an autistic educator, advocate and author, is “play to your strengths”.

That applies to everyone. Beisser’s Paradoxical Theory of Change says that therapeutic change occurs when one becomes what one is, not when one tries to become what one is not. (1) The more we play to the strengths we actually have, rather than chasing those we haven’t, the more we will thrive and grow.

So it also applies to us as autistic, and to us as autistic therapists.

The traditional view of autism

Autism has traditionally been seen / defined as a collection of deficiencies. The traditional view is this:

“Autism spectrum disorder (ASD) is an early onset neurodevelopmental condition that is associated with diverse social, occupational and educational challenges. ASD is characterised by impairment in qualitative social communication and interaction, alongside rigid, repetitive, routine, ritualistic behaviours and adverse sensory responses to certain stimuli.” (2)

An alternative view of autism

However, there are other ways of seeing it.

For example: autism is a way of being, a way of experiencing the world: not in itself a disorder, simply a difference. Many autistic people regard it as not unlike a culture: we have trouble understanding the non-autistic world because it is not our culture, just as the bloggers, born in England, might have trouble understanding the culture of Japan. And non-autistic people have equal trouble understanding our culture. This has been demonstrated very nicely by Crompton et al in their “diffusion chain” experiment (3), is at the heart of Damian Milton’s Double Empathy theory (4), and underpins the neurodiversity model (5): just as the world is biodiverse – and the more biodiverse the better – so humans are neurodiverse. Autistic people are not in any sense inferior, simply neurodivergent – they diverge from the majority, just as a jumping spider that lives on vegetables might be described as bio divergent. It may be unusual, but it’s the one that will survive in a time of food shortage.

The graphic above is Chris Bonnello’s list of autistic strengths (6). Of course, we do not all have all these strengths to the same degree, and people who are not autistic may also have many of them. But it is a useful corrective to the deficiency model.  

For anyone used to the traditional view of autism it may seem counterintuitive that an autistic person should choose to become a counsellor, and unlikely that we should be effective in that field. However, looking at the list of strengths above, it may seem a little less unlikely.

Autism awareness: a perspective

Many autistic people feel uncomfortable about autism “awareness”. Surely, they say, we deserve better than mere awareness? Acceptance at least, if not appreciation? We certainly appreciate our autistic minds and our autistic senses, even if at times they disable us in a society – a world – that is designed by and for people who are not like us.

However, as therapists we know that awareness is not something superficial. When we talk about something being in awareness we mean a full experiencing of that thing, not just a cognitive understanding of it. So maybe on this World Autism Day, rather than reading a theoretical piece on autism as a disorder, read or listen to an actually autistic person talking about our life, our perception and processing of our world.

Why not start with Naoki Higashida’s “The Reason I Jump”? (7) In the words of that so-called low-functioning Japanese thirteen-year-old you will find one of the clearest depictions of the autistic world. That is his world, and that is our world. Come and meet us.

To finish, just to throw some doubt on the stereotype that autistic people are not creative and have no empathy, here’s a wee poem written by one of us about the inner world of a client. The English is a loose translation of the Gaelic.

Cho trom an t-saoghal.

Tha’ n cù a’ teum le muirn

Tha mi’ n dùil, mi’ n dùil.


So heavy the world.

The dog nips in ecstasy

Oh, I wish, I wish.

Authors: Max Marnau and Vauna Beauvais 

Max is an autistic therapist and clinical supervisor, artist and poet living in the Scottish Borders and working with neurodivergent and neurotypical adults.

Vauna Beauvais is an autistic psychotherapist and clinical supervisor, and a coach for adults with ADHD.

Further information: https://www.un.org/en/observances/autism-day/background

References

1. A. Beisser (1970) The Paradoxical Theory of Change. In: Fagan, J. and Shepherd, I.L., Eds., Gestalt Therapy Now, Harper & Row, New York, 77-80.

2. E. Nicholson, ‘How do you know if your client has autism?’ Healthcare Counselling and Psychotherapy Journal, April 2020

3. C.J Crompton et al, ‘Autistic peer-to-peer information transfer is highly effective’, Autism vol 24 (7), 2020, pp. 1704-1712

4. D. Milton, ‘On the ontological status of autism: the ‘double empathy problem’’, Disability & Society, 27 (6), 2012, pp. 883-887

5. Term probably coined by Judy Singer in her thesis, later published as “Why Can’t You be Normal for Once in Your Life?”in Disability Discourse, Mairian Corker Ed., Open University Press, 1999. A discussion can be found in N. Walker ‘Towards a neuroqueer future, an interview with Nick Walker’, Autism in Adulthood, vol 3 no 1, 2021. See also J. Singer, ‘NeuroDIversity – the Birth of an Idea’ Amazon, 2017

6. See website Autistic Not Weird: https://autisticnotweird.com/

7. N. Higashida, ‘The Reason I Jump’ tr K. A. Yoshida and D. Mitchell, Hodder & Stoughton 2014

Categories
Blog

ACTO is supporting Neurodiversity Celebration Week

ACTO’s CYP team wish to bring awareness to Neurodiversity Celebration Week, which supports changes in attitude and understanding. Sienna Castellon, the founder of Neurodiversity Celebration week www.neurodiversityweek.com and a real innovator, has worked hard since 2018 to change minds and narratives from her own experiences, to ensure that we all move forward in a more enlightened and educated way. ACTO support this.

Here are some links about experiences from different celebrities who challenge stereotypes and help us to create an open forum for support, learning and of course, celebration.

Steve McQueen (3min 47sec):https://www.youtube.com/watch?v=S9Aftu2uZvc

Michael Phelps (2min 53sec):https://www.youtube.com/watch?v=F5OSbrT8OJU

Dr Maggie Aderin-Pocock (3min 55sec):https://www.youtube.com/watch?v=xhJiC-ieXAg

Chris Packham (4min 25sec):https://www.youtube.com/watch?v=5_tn0GFlwwI

Keira Knightley (4min 04sec):https://www.youtube.com/watch?v=OLb6ehPPc4E

Categories
Vlogs

How to access the members area

Find out more about a new feature on the website. The area that is only accessible to ACTO members.

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Uncategorized

Workshop Directory Photo

We have noticed that a lot of professional and senior professional members have not uploaded a photo to their directory entry yet.

Feedback shows that a lot of people like to see a photo before they engage with a therapist. So it is a pity to miss out on an opportunity to show your face.

In this workshop we are going to show you how to reduce the size of your photo and then upload it to your profile. You can follow along the steps from behind your own laptop screen. We do encourage you use a laptop and not a mobile phone to follow along with this workshop.

About Mieke

Mieke is on the board of directors and also manages the website. She likes to stay up to date on social media and WordPress websites.

She will guide you through the steps of uploading your photo’s and along the way she will also give some tips on what makes a good profile photo.

When and where?

Tuesday March 29th at 12:00 UK time. This event will take place through zoom. Please reserve your place here.

What do I need?

A nice profile picture of yourself

A laptop computer

Your log in details for the ACTO website

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Uncategorized

The challenges of working across borders – and how to address them

Join us for a FREE webinar with insurance expert Steve Johnson

March 2022 sees the start of ACTO’s monthly webinars series. The webinars will be free for members – and this first one is free for anyone to join.

For the first webinar, ACTO are delighted that Steve Johnson has agreed to share with us his experience as an insurance broker.

About Steve

Steve has been an insurance broker all his working life. For the last 34 years he has specialised in professional liability insurance for the psychological professions including counsellors and psychotherapists – and has been involved with online therapy from its very beginnings. Steve ran Oxygen Insurance from its launch in 2010 until he left last year to join Partners& Insurance where he has been working on a new insurance facility which will be ready for launch next month. The brand name will be… &Breathe.

About the Webinar

The questions we are asked most often at ACTO revolve around insurance issues. The session will cover the challenges of working across borders including data protection laws, financial sanctions, regulation, insurance and local infrastructure.

Steve is very happy to answer any questions you may have; however it is helpful if you could send them in to us beforehand. You can do so by leaving a comment on this post.

Steve Jonso

When and where?

March 25th 2:30 PM on Zoom. Please register through eventbrite and you will be sent the Zoom link.

Categories
Opportunities

Mankind Group Facilitator

Role: Group Facilitator

Application deadline: 9am Mon 28 Mar 22

Interviews: Tues 12 Apr 22


Contract: 1 year fixed term – to be extended subject to funding


Hours: 11 hrs a week – Mondays 09:30-15:30 and Tuesdays 13:30-19:30
Salary: 
£40,057 FTE – AfC band 7 (actual £11,750 pa)

Pension: Employer contribution 3% 


Holiday entitlement: 240 hours per year (actual 71 hours pa)

Line Manager: Clinical Services Manager

Since 2000 Mankind UK (www.mkcharity.org) has offered therapeutic services to support men 18+ in Sussex who have experienced sexual assault or abuse including:

  • online self help resources via www.1in6.uk
  • 24 weeks of 121 counselling
  • 10 week Psycho-educational Group Course
  • 20 weeks Group Therapy.

Main Duties

  • Deliver 1 psycho-educational course session a week with a co-facilitator (courses run with up to 10 participants for 10 weeks)
  • Deliver 1 face to face therapeutic group session a week with a co-facilitator (groups run with up to 8 participants for 20 weeks)
  • Deliver sessions via online platforms and/or in person as needed.
  • Prepare and update course materials as needed and assist in the development of complimentary online resources.
  • Deliver training to new facilitators on the delivery of the course and groups as needed.
  • Deliver training to counsellors to aid referral into the course and groups, and effective use of complimentary online resources.
  • Manage administration of new referrals into courses or therapy groups and hold waiting lists.
  • Maintain regular contact with clients on the waiting list to retain engagement and motivation.
  • Undertake clinical assessments of potential participants identifying and acting on any risk or safeguarding matters.
  • Attend bi-monthly clinical supervision group and weekly team meeting.
  • Gather and input outcome assessment data into spreadsheets and CORENet.
  • Use outcome information with clients as part of the working relationship.
  • Collect and record client donations and client attendance
  • Maintain digital database of client information and paper files.
  • Participate in research and contribute to service development as required.
  • Pursue continuous professional development (some internal training is provided).
  • Comply with the policies, procedures and service standards of the charity.
  • Use G Suite, Trello, Miro, COREnet, BrightHR, Zoom and other digital systems as needed.
  • Undertake other reasonable duties which uphold and maintain standards of service delivery.

Person Specification (E = Essential, D = desirable)

  1. Qualification in Counselling or Psychotherapy at Diploma level or above through a recognised BACP training (E)
  2. Minimum of 5 years’ post-qualifying counselling practice (E)
  3. Experience running therapeutic or process groups (E)
  4. Experience of delivering psycho-educational training to groups (E)
  5. Experience of delivering group work online (D)
  6. Experience of managing clinical risk (E)
  7. Experience of delivering therapy within the sexual violence sector and using the 3 stage trauma model (Herman, 1992) (E)
  8. Training specific to working with sexual abuse trauma (E)
  9. Experience of adhering to GDPR guidelines (E)
  10. Ability to remotely manage own caseload (E)
  11. Experience of using G Suite, databases and client management applications (E)
  12. Experience of learning to use new digital technologies (E)
  13. Experience of monitoring and evaluation. Working with CORE (Clinical Outcomes in Routine Evaluation) alongside the Impact of Events Scale – Revised (IES-R) or in-house feedback evaluation forms (E)
  14. Understanding of and commitment to equality, diversity and anti-discriminatory practice (E)
  15. Knowledge of issues specific to male survivors, including those who identify as transgender or transsexual (D)

Please address all aspects of the person specification in your application form.

If you would like to know more about the role please email the co-CEO
melanie.barnard@mkcharity.org

Job Documents are available at: https://mkcharity.org/recruitment/

Application deadline: 9am Mon 28 Mar 11

Interviews: Tues 12 Apr 22

Categories
Blog

Talking to children and young people about the invasion of Ukraine

The following links may help CYP, parents and practitioners. We acknowledge that for families who had have to flee other war torn areas, these events may be triggering for them and their children.  We also want to acknowledge that this may feel like another disaster after the last two years of isolation and loss with Covid-19.  

It is important though that if children and young people are asking questions, we answer them as openly and honestly as we can – with a response appropriate to their age. We also recognise the sense of not knowing may impact the overriding feelings of anxiety for both adults and young people.

We therefore feel that finding ways to ground children, young people and ourselves will help to process the emerging information about the invasion of Ukraine.

We hope that you find these resources useful.

Anxiety reduction and calming/grounding strategies

Talking to Teenagers about the invasion in the Ukraine

  • Anna Freud also complied some useful suggestions with BBC Bitesize for parents and carers.

The UK Trauma Council, founded by the Anna Freud Centre has a range of information for families and professionals.  A resource page on how to support refugee and asylum-seeking children from all parts of the world who have experienced trauma. Reports are emerging on lone children crossing borders from Ukraine, this information may be of particularly beneficial for professionals. Here is a list of their support resources to help professionals get started. They also have training available.

Categories
Blog

NHS goals to improve equality within the NHS

ACTO Inclusion & Diversity director Olivia Djouadi gives her views on the NHS’ equality objectives

NHS England and NHS Improvement has six objectives (see in the table below) which seek to improve equality and specifically to ensure that there is a better overall experience for patients and staff alike within the NHS.

In this article, I will explain what each of the goals are – and why they are relevant.

The equality objectives for NHS England and NHS Improvement for 2020/21 addressed our role as an NHS system leader, commissioner and our own role as an employer. The seven overall objectives are:

1. To improve the capability of NHS England’s commissioners, policy staff and others to understand and address the legal obligations under the PSED and duties to reduce health inequalities set out in the Health and Social Care Act 2012.
 
2. To improve disabled staff representation, treatment and experience in the NHS and their employment opportunities within the NHS.
 
3. To improve the experience of Lesbian, Gay, Bisexual and Transgender People (LGBT+) patients and improve LGBT+ staff representation.
 
4. To reduce language barriers experienced by individuals and specific groups of people who engage with the NHS, with specific reference to identifying how to address issues in relation to health inequalities and patient safety.
 
5. To improve the mapping, quality and extent of equality information in order to better facilitate compliance with the PSED in relation to patients, service-users and service delivery.
 
6. To improve the recruitment, retention, progression, development and experience of the people employed by NHS England to enable the organisation to become an inclusive employer of choice.
 
7. To ensure that the equality and health inequality impacts of COVID-19 are fully considered and that clear strategies are developed and implemented for the NHS workforce and patients. To ensure that the proposed NHS People Plan and patient focused strategies reflect this and make an effective contribution to advancing equality for all protected characteristics and to reducing associated health inequalities.
From https://www.england.nhs.uk/about/equality/equality-objectives-for-20-21-and-21-22/

The Public Sector Equality Duty (PSED)

The PSED requires all public authorities including the NHS to consider whether they should take action to meet these needs or reduce the inequalities.

In its assessment, the PSED observed that there were inequalities evident – especially during the pandemic. During this time, most staff in the NHS were overwhelmed by the impact of the health crisis and therefore were focused on trying to provide the best care that they could in the circumstances. Patient care had also shifted in unexpected ways with waiting lists growing exponentially. So, objectives and goals were agreed to attempt to ease some of the discrimination that had been identified.

Review of the Objectives

Objective 1: This aims to help the NHS to gain a better view of the current situation and areas that need improvement. This would enable staff to reduce inequalities and understand their legal duties.

Objective 2: The second goal concerns staff with disabilities and how advancements were possible.  This would mean better treatment and not being passed over when those with disabilities get an equal opportunity to other staff.

Objective 3: This aims to help staff feel more supported at work and improve the LGBTQI+ patient experience. This can also assist to lower the additional barriers that may cause some to shy away from healthcare in the UK and go abroad.

Objective 4: The fourth objective relates to the language barriers that impact on patient safety and health inequality. Interpreters are not always immediately available and family members may not always be able to translate medical or psychological information.

Objective 5: This goal explains the importance of making information about the legal duty for inequality available for everyone. It also needs to be understandable to staff and patients alike, with copies available for those that do not have internet access.

Objective 6: This final objective seeks to improve staff morale and reduce the numbers of people leaving the NHS. Many staff members have left due to exhaustion. Despite the pandemic, the NHS continues through to provide a full schedule of appointments, arguably helped by the high numbers of people vaccinated against COVID-19.

To help to understand what it has been like for staff during the pandemic I recommend reading Life, Death and Biscuits by Anthea Allen published 17 February 2022. Please feel free to get in touch with me with your views on this crucial area.

Olivia Djouadi

Inclusion & Diversity director, ACTO.


Categories
How I became an online therapist

Elizabeth Longshaw

I began working online in March 2020, because of the COVID-19 pandemic. The enforced lockdown gave me an opportunity to reappraise the way I work and enabled me to learn a new skill. Counsellors are expected to regularly undertake training, assess abilities, and develop new ways of working but I see this as integral to my practice. Therefore, lockdown gave me the opportunity to re-evaluate the way I work. Consequently, I am now qualified to work online in addition to working face-to-face and am looking to offer a blended approach, where I incorporate both ways of working. This serves as a means where I can reach out to a greater number of people in need which, in turn, is even more enriching for me.

Email Elizabeth Longshaw

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How I became an online therapist

Christine Laennec

As well as being a counsellor, I care for a disabled family member.  This person benefitted from counselling, but accessibility was always an issue.  Appointments would have to be cancelled because someone had parked in front of the wheelchair entrance, for example.  When I began my counselling training in 2017, my longterm goal was to become an online counsellor.  The pandemic accelerated this process.  I completed the last part of my training online, and have never looked back.  Many able-bodied clients have enjoyed the creative possibilities of working from their own space.  My eyes have been opened to the therapeutic benefits of working online, for everyone.

Christine Laennec

Cedartrees Counselling Glasgow

https://www.cedartreescounsellingglasgow.com

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