December 12, 2007

Diabetes and Depression

A study conducted by Mercedes Carnethon of the Northwestern University School of Medicine in Chicago shows that depression alone can trigger Type II Diabetes at a rate 50-60% higher in adults 65 and older than their non-depressed peers. Previous studies have shown similar results for younger adults. Adults 65 and over have the second-highest rate of depression and the highest rate of Type II Diabetes. Excessive weight is still the number one risk factor for developing diabetes. Controlling depression can also mediate complications for those who already have diabetes. Source: Archives of Internal Medicine; April 23, 2007

October 28, 2007

Returning Soldiers Needing Mental Health Services

Another generation armed services trauma survivors is one of the unintended results of the war in Iraq. Researcher Karen Seal of the San Francisco Veterans Administration Medical Center has found that nearly 25% of the troops coming back from Iraqi receive a diagnosis of at least one mental disorder. Her study found that another 7% didn’t qualify for a particular mental disorder but still required treatment. Not surprisingly, 50% of those affected were diagnosed with PTSD, (Posttraumatic Stress Disorder). Those most at- risk were younger soldiers at lower ranks. Source: Archives of Internal Medicine; March 12, 2007

September 25, 2007

Therapy Plus Medication Helps

A recent study led by David Miklowitz of the University of Colorado at Boulder, revealed that 2/3rds of the patients receiving bipolar medications as well as psychotherapy displayed “good emotional health”, while only ½ of those who received medication and general educational information about their condition reported the same. This suggests that psychotherapy enhances emotional stability in people receiving standard medications for bipolar disorder. Source: Archives of General Psychiatry; April 2007

September 12, 2007

The Effectiveness of Equine-Assisted Experiential Therapy: Results of an Open Clinical Trial

Saaby Brad Klontz, Alex Bivens, Deb Leinart, & Ted Klontz

This is a study we completed on Onsite’s equine therapy program, which was recently published in the journal “Society & Animals: The Journal of Human-Animal Studies.”  In the study, participants showed significant improvements in psychological symptoms and psychological well-being following treatment. This is one of only a few studies ever completed on the effectiveness of equine-assisted psychotherapy.  If you would like a copy of the article, contact Brad Klontz at brad@klontzcoaching.com.

August 01, 2007

Vaccines That Prevent Addiction?

Scientists are well on their way towards developing vaccines designed to combat nicotine addiction, drug addiction, and obesity.  The vaccines would make molecules associated with nicotine, cocaine, heroin, PCP, and obesity large enough to be recognized by the immune system, which would then block these molecules from finding their way into the pleasure centers of the brain. 

Source: Science News; February 10, 2007, pg. 90-92.

April 09, 2007

Helping Clients Change: 21st Century Tools from a 19th Century Fable

Jfp

April, 2007

This is an article we recently published in the Journal of Financial Planning:

Helping Clients Change: 21st Century Tools from a 19th Century Fable

by Rick Kahler, CFP, CCIM, ChFC; Ted Klontz, Ph.D., CSAT III, CET II; and Brad Klontz, Psy.D., CSAC

November 29, 2006

Maybe Men are From Mars & Women are From Venus After All?

In her new book, The Female Brain, Dr. Louann Brizedine reports on her meta-analysis of the research literature on the human brain.  Her findings make it clear that men and women's brains are wired differently and thus they respond to their world differently, almost as if they speak different languages.  This difference begins very early in life.  During the child's development in the womb, the male brain is flooded with testosterone restricting cell development in the communication part of the brain, while growing the regions where sexual and aggressive drives predominate.  We see the effect of this very early in the child's life.  Infant girls look at their mothers up to 20 times more than boys to check for emotional cues.  As they grow older, girls are more likely to seek consensus and community, and in their teens, they are more prone to emotional upheaval, depression, and seek the comfort of social connections.

At the same time, adolescent males, whose brains are suddenly flooded with 10 times the amount of testosterone, experience a surge in the competition and sex drive.  Other research demonstrates that women have twice the number of language receptor sites, while men seem to have a larger number of visual sites, and that women speak on average 20,000 words a day, while men only speak 7,000. 

Couples who have been able to build successful intimate relationships have learned how to accept and manage these very real differences in brain structure and function.   

October 03, 2006

Statistics on Financial Infidelity

From Brad

Financial Infidelity may be much more common than you think!

A study commissioned by Money Magazine revealed some startling statistics. In a survey of 1,001 people, over half reported that money was a sensitive topic in their households. Forty percent admitted that they have told their partner that they paid less for a purchase than they actually did. Sixteen percent admitted that they had bought something that they did not want their spouse to know about.

While both men and woman admitted to dishonesty, woman were more likely to tell their husbands that they paid less than they actually did for clothing and gifts, while men minimized their spending on cars, entertainment and sporting events. Almost twice as many men admitted that they had spent over $1,000 without their wife’s knowledge, while women were more likely to say that the most they had spent without telling their husbands was $100.

Forty-five percent of those who admitted being deceitful around spending stated that they were not honest about their spending in order to avoid their partner’s anger, disapproval or lecturing. In the same survey, 44 percent reported that they believe it is okay to keep financial secrets from their spouses.

Source: Medintz, S. (2004). Secrets, lies and money. Money, 34(4), 121-128.

September 28, 2006

What's Money Got to Do With It? The Role of Money in Counseling

Professionalcounselorcover_1 This is an article authored by Ted, Brad and Rick Kahler, which was published in Counselor, The Magazine for Addiction Professionals in 2004.

What’s Money Got to Do with It?: The Role of Money in Counseling

Please take a few moments to write down your responses to the following queries. Doing so will assist you in better understanding the arguments and conclusions in this article. When we ask clients, counselors, colleagues, and friends to respond to the following exercises, they often report surprise and fascination with the information that emerges.

  • Write down the first 8 to 10 words that come to mind when you think of the word “money.”
  • Underline all of the words you have identified which you think have a negative connotation
    regarding money.

$$$

  • Write down three things that you are proud of in terms of your relationship to money.
  • Write down three things that you feel badly about in terms of your relationship to money.
  • Identify which list was easiest for you to complete.

$$$

  • Write down your most joyful experience with money.
  • Write down your most painful experience with money.
  • Identify which memory was easiest for you to recall.

$$$

  • Now take a ten or twenty dollar bill and look at it. Write down the answer to the following question: What has this ever done to hurt you?

$$$

The obvious answer to the last question is that the currency you were holding in your hand has never actually done anything to hurt you (unless you suffered a paper cut pulling it out of your wallet or purse). Rather, the hurt you may have identified related to money resulted from your experiences with people and situations, not the actual money itself.

How is money like sex?
Look back on your answers, or the answers of your client. Now imagine substituting the word “sex” for money in the original questions. If the answers reflected predominately negative judgments and painful experiences related to sex, many counselors would be alerted to the possibility that the respondent had been traumatized in their relationship with sex.

A great number of clients have had significantly negative experiences with money, which have injured or compromised their relationship with money. It is very common to observe a great deal of negativity and pain around money. Just having clients begin to answer these kinds of questions brings up a wealth of material counselors can use in working with clients.
The intriguing thing is that when skillful counselors follow the money trail, they often end up with the client at some basic core-wounding place. They will discover as we have in our work with clients, “it’s never about the money.”

And yet, with all the painful feelings associated with money, in and of itself money is innocent. According to leading financial planner and leading financial futurist Dick Wagner, money was originally developed and is “based on generosity and virtue, not greed, fear, and pain” (Wagner 2004). But, when someone has unresolved feelings related to money, they often act in self-defeating ways and find themselves facing significant financial stressors.
It is ironic that money is seldom, if ever, explored in the therapeutic setting. Many counselors feel very comfortable and justified in helping clients examine relationships with their work, partner, family, sexuality, family of origin, nicotine, alcohol and other drugs, food, spirituality, chronic illness, and so on. Why not money? Think about it. When was the last time you asked a client about the details of the state of their financial affairs? How many of us remember how uncomfortable it first felt when we finished our training and someone paid us for our time? How many of us still feel uncomfortable talking about, or receiving payment from clients? How many of us find it difficult to raise our prices just to cover the costs of inflation?

Even though we may be reticent about bringing it up, working with clients around their money issues does not necessarily involve a counselor learning a new skill set. By using the same techniques counselors have developed to assist clients in resolving trauma associated with physical abuse, sexual abuse, painful families, death and loss, and other life circumstances, the counselor can help clients heal the money wounds also.

However, we propose there are two additional prerequisites required to work effectively with clients who struggle with issues around money. The first prerequisite requires the gathering of information and expertise around the nature of money. The second prerequisite involves the counselor understanding and making peace with his or her own history and current relationship with money. This is no different a standard than that of a counselor who wants to begin working with clients around their sexual abuse. Gathering the appropriate information about the clinical issue, and coming to terms with one’s own sexuality is considered basic, necessary ethical, and prudent.

Our relationships with money
First, let’s examine some of the information a counselor might find helpful in working with clients around their money issues. We’re not talking about the “external” knowledge of money: how to invest or what a good financial plan looks like. We are referring to the counselors developing a body of knowledge about the “internal” side of money. This internal side of money represents discovering some of the common ideas, beliefs, and attitudes that are at the very foundation of client’s behaviors around money and many other issues that at first glance wouldn’t seem to be related.

Everyone has a relationship with money. We deal with money everyday. However, for most of us, our relationship with money, for the most part, remains unexplored and unconscious. To the degree that our relationship with money is unconscious, we will be controlled by it, and be susceptible to “out of control” behaviors around money. Out-of-control money behaviors include overspending, excessive or chronic indebtedness, hoarding, enabling children, sabotaging financial plans, avoidance/obsession with money issues, misrepresenting financial status, money behaviors and values, ideals, and goals not matching, and work compulsion to name but a few.

It has been said that “money is the most powerful and pervasive secular force on the planet” (Wagner, 2004). While it may be a powerful and pervasive force, most people carry significant shame around the topic of money. Primarily the shame manifests itself through people having a sense of having too much or not having enough. At the end of many interviews we are doing with clients for an upcoming book on money relationships, clients report that they had great difficulty being honest when we asked them questions about their annual income and net worth. This sense of shame creates a condition that supports most people carrying secrets in terms of their relationship with money. In the addictions field, it is often quoted “we are sick as the secrets we keep.”

Talking about one’s personal relationship with money is a social and psychological taboo in our culture. (Wagner, 2004). In his book Real Wealth, Robinson (1998) notes that if he asks a client to tell him about their sex life they will do it, but if he asks them questions about their finances they will begin lying (p. 100).

Money is the number one area of contention in primary relationships and the number one cause of divorce within the first seven years of marriage (Ramsey, 2002). According to a press release dated March 31, 2004, a survey commissioned by the American Psychological Association showed that 73 percent of Americans report that money is their number-one stressor, ahead of issues such as work, physical health, and children.

Money Scripts™ drive behavior
It is important to understand that everyone’s money behaviors make sense if we understand the beliefs, or Money Scripts™ that drive their behavior. A Money Script is an unconsciously held belief, which is often only partially true, or a message about money that is so deeply internalized in early life that it is rarely, if ever, questioned. We seldom examine these beliefs, even when acting on them causes repeated painful financial consequences.

An example of a common Money Script is “Rich people got that way by taking advantage of poor people.” This Money Script represents a partial truth. One client’s story represents a typical consequence of following this script. At the tender age of 20, he found himself “worth” $20,000,000. He was a well-known celebrity who hit it big. He was born into and had lived most of his life in abject poverty. His financial advisors referred him to us for assistance because for the last 7 years he was spending at the rate of three times his income. Every strategy they had tried to get him to understand what was happening had failed. He had gone through $13,000,000 of his nest egg within 10 years as well as spending an additional $8,000,000 per year in annual earnings. We were amazed to find upon examination that he did not spend any of the money on himself. He was living in a rented home. He supported 13 families, representing more than 60 people who were members of his entourage. He paid $25,000 a month to take care of stray dogs and cats that he ran across. He reported that he grew up “not wanting to be like those rich people who looked down on him and his family.”

Fred’s Money Script was that being rich made you a “bad” person. His current course of behaviors, if unchecked, would ensure that he and his family would be penniless within the next 10 years. Until our work with this client and his wife, they had no knowledge of the dire state of their financial affairs. Our work with him helped identify his primary Money Script, and helped open his mind to some other potential truths about wealth. We explained that while it is true that some people take advantage of poor people to get rich, it is also true that others were just in the right place at the right time. Still others became wealthy because they were willing to take the risk of following a personal dream or vision and as a result became successful financially. When Fred heard this later possibility, he began gently weeping. That was his truth. He had a dream at the age of 5 and had worked endlessly to make his dream come true. Through the therapeutic process, Fred was able to identify the limitations of his original Money Script, and was able to incorporate new understandings that served to modify his original script to make it more functional and accurate. We call this process “re-scripting,” which is an important part of the healing process.

The changes the client has made in terms of his finances in the months following our work with him have astounded his advisors. He is now doing many of the things that he had been advised to do to provide for his family and future and has reduced his spending by 35 percent.
His experience has been a common occurrence with other clients. Though the dollar amounts differ, they have reported the same kinds of life-changing experiences.

How pervasive are Money Scripts? Everyone carries dozens, if not hundreds, of them. Many of them are contradictory. Since they are mostly unconscious beliefs, the half-truths and conflicting messages can cause incredible havoc. If you did the exercises at the beginning of this article, go back to the “most painful experience” exercise and see if you can discover a Money Script of yours that may have contributed to the painful situation. Most pain around money comes from acting on one or more of these Money Scripts.

The treatment process
The first step in our treatment process involves the identification of the specific Money Scripts underlying a client’s financial dysfunction. Sometimes, the re-scripting process (adding the rest of the truths to a script as described above) is in itself curative. When this is enough, clients report moments of enlightenment when they finally “see” and are able to put these new insights into action. However, we have found that often the Money Scripts are tied to distressing memories and painful emotions related to unfinished business. When these strong emotional bonds are present, they must be dissolved before the client can begin to make changes. We have found that the therapeutic techniques typically employed to assist a client in working through unfinished business related to past relationships and other traumatic events work well in resolving the etiology of money dysfunction. In our work, we have found experiential therapy tools such as psychodrama, role-play, re-enactment, art, guided imagery, and meditation extremely efficient and effective. We also have found it essential to the process of healing that we have a financial professional in the therapy setting at all times.

The treatment model that we employ involves a five-day program that combines didactic lectures by a financial professional with experiential group therapy, situated in a retreat setting. In addition to the program, we also work with individuals, couples, and families who present with challenging financial issues that their financial advisors and counselors have not been able to help them resolve. The success of our program lies in teaming a counselor and financial planner, who are both present during all didactic presentations and group therapy sessions. Our model requires a counselor who has special training in money issues and a financial planner who has special training in the therapeutic process. During the 5-day workshop, the client is exposed to a series of exercises and discovery processes. The therapeutic goal is financial integration, which we define as a client’s sense of being whole around money, where their behaviors and values around money are in alignment. A financially integrated client has the necessary interior (emotional) and exterior (knowledge) money skills that result in sound financial decisions.

Counselors not able to utilize the intensive workshop model described above can use the exercises described at the beginning of this article, and others like them to begin exploring the connection between the client’s relationship with money and unresolved trauma. Tools such as the trauma egg (Carnes, 2001) and psychodrama’s social atom (Dayton, 1994) can be easily adapted to helping a client explore their money issues.

The second prerequisite for a counselor to work effectively with clients around their relationship with money may very well be the most challenging. As you might recall, this prerequisite involves the counselor working to gain an understanding and making peace with their own personal and professional relationship with money.

Olivia Mellon (1994) coined the term “money monk” to refer to an individual who looks to what they perceive as the higher meaning of life, feeling that it is to some degree degrading and debasing to be concerned about something as mundane as money. The counseling profession is over-represented by money monks. Skeptical? Try talking to the average counselor about raising their fees, even to just match the cost of inflation and increased costs of doing business.

We believe that there is also an unspoken professional bias against counselors who might seem interested in the money side of things. It is not uncommon in graduate school for people to get a very clear message that if one is going into the counseling profession looking at a business model, he or she is going into the profession with the wrong idea. According to a colleague who recently graduated from a prominent school of social work, the unspoken message was, “If you came into the counseling profession to make money, you are in the wrong profession!” There is no course work for counselors in any university that we are aware of that teaches prospective counselor how to implement a business plan. There is an expectation that those in the counseling profession take a personal “vow of poverty” and many feel somewhat guilty taking payment for services. Counselors are often willing to negotiate service fees, and often accept clients on a sliding-fee schedule without even working to confirm what a client is able to afford.

Perhaps the counselor’s struggle around money can be traced directly back to Sigmund Freud who, while equating the process of money with the anal stage of development, at the same time said that he felt best about himself when he was making a living. Dr. Richard Trachtman (1999) asserts that money is “perhaps the most ignored subject in the practice, literature, and training of psychotherapy” (p. 276). Money issues may represent one of the last frontiers of psychotherapy. Trachtman also points out that Sigmund Freud, the founding father of psychoanalysis, admitted that in regard to his father’s financial difficulties, he “preferred to suppress rather than explore their impact on him” (p. 284). He notes that when you consider one of the fundamental objectives of psychoanalysis is to explore childhood traumatic memories and one’s suppressed issues, that is an ironic admission by Freud.

The following feedback from clients we have worked with illustrates the richness of using the money portal for healing: “I realized that my money issues are not about money”; “I discovered that my Money Scripts that drive so much of my thinking and emotions are tied to my family of origin”; “I discovered that my inability to maturely handle financial issues has nothing to do with money”; and “I have been able to see how my past affects the way I spend and save.”

Talking with clients about money
So, where does a counselor start, if they want to begin helping clients look at their relationship with money? Perhaps the first step is to give oneself permission to talk about money with clients, another one of our culture’s taboos. To help you move in this direction we would like to share with you what we have learned working with clients around money issues. We would remind you that:

1. Asking about a client’s relationship to money is an acceptable practice.

2. A client’s money experiences can serve as an exceptional treatment portal, touching in a profound way their basic core woundedness issues, and most of those issues are often totally unrelated to money.

3. Client information representing traumatic experiences with money can be treated with the same clinical practices, methods, and skills that are used for other unresolved trauma.

4. A counselor would be advised to learn specific information and the experiences needed to feel comfortable talking with clients about their money relationships.

5. A counselor needs to examine his or her own relationship with money, so that he or she can truly be present for the client attempting to deal with this subject.

Many people believe that money is magic. If there was just enough, everything would come together. We have interviewed a number of people, both professional counselors and clients, around the question of how they feel about having more money than they need. The universal response, whether they had an annual income of $20,000 or $400,000 has been, “I can’t answer that question, because I really don’t have enough.”

Perhaps these answers reflect the seemingly nearly universal belief or as we call it, Money Script, that an unknown and as of yet unachieved amount of money can somehow offer what people are looking for. Jacob Needleman (1991), author of Money and the Meaning of Life says, “We cannot get ultimate meaning out of that which cannot provide ultimate meaning” (p. 42). In other words, there will never be enough, because it can’t provide what we and our clients are really longing for. It’s not about the money.

Ted Klontz, MA, CSATIII, MAC, CETII (ted@onsiteworkshops.com) is co-owner of Onsite Workshops, Inc., which offers intensive 4- to 6-day financial therapy workshops that he designed and facilitates. He is co-author of Family Reconstruction and Financial Awakenings, as well as numerous publications and articles.

Rick Kahler, MA, CFP (rick@kahlerinc.com) is rated as one of the top Financial Planners in the United States. A member of two prestigious financial-planning think tanks,
he has been featured or quoted in numerous publications and is the co-author of
Conscious Finance and Financial Awakenings.

Brad Klontz, PsyD, CSAC (btklontz@aol.com) is a licensed clinical psychologist and certified substance abuse counselor, therapist, consultant and coach. The president of Coastal Clinics, Inc. in Kauai, Hawai’i, he has been published in numerous publications and is the co-author of Financial Awakenings.

References
Carnes, P. (2001). Workshop Training Exercise, Scottsdale, AZ.
Dayton, T. (1994). The drama within. Deerfield Beach, FL: Health Communications, Inc.
Ramsey, D. (2002). Financial peace revisited. New York, NY: Viking Press.
Robinson, J. (1998). Real wealth. Carlsbad, CA: Hay House Inc.
Mellon, O. (1994). Your money style. New York, NY: MJF Books.
Neddleman, J. (1991). Money and the meaning of life. New York, NY: Doubleday.
Trachtman, R. (1999). The money taboo: its effects in everyday life and in the practice of psychotherapy. Clinical Social Work Journal, 27(3), 275-288.
Wagner, D. (2004). Personal conversation, Ft. Lauderdale, Florida.

This article is published in Counselor,The Magazine for Addiction Professionals, August 2004, v.5, n.4, pp. 23-29. http://www.counselormagazine.com/display_article.asp?aid=aug04Money.htm

August 25, 2006

The Miracles of Equine Therapy

This is an article published in Counselor Magazine written by Ted, Margie and Deb Leinart of Onsite Worshops. It describes in detail Onsite's Equine-Assisted Experiential Therapy program.

Professionalcounselorcover_2 The Miracles of Equine Therapy

The intentional use of horses for therapeutic purposes has a long history. Originally, the animals were used to help clients challenged in the physical realm, while their use as psychotherapeutic agents is a more recent development. It can be suggested that equine-assisted therapy, as it exists today, is a natural evolutionary development having its roots in the experiential therapy movement of the '70s, when alternatives to traditional "talk" therapy were being developed. Onsite Workshops first became aware of horses being used intentionally as psychotherapeutic agents in the early '90s, during our association with Sierra Tucson Treatment Center, in Tucson Arizona. Sierra Tucson is generally acknowledged as one of the first, if not the first, addiction treatment centers to develop an equine assisted therapy component to their traditional 28-day treatment program. Since that time, because of the apparent effectiveness of the concept of equine-assisted therapy, the number of programs and practitioners offering this therapeutic technique has literally exploded into a movement of its own.

At Onsite, the programs are based on the belief that individuals who are susceptible to addictions and/or compulsions, have as one of the underlying factors, a baseline of unresolved historic trauma. This unresolved trauma creates a seemingly unbearable level of anxiety that individuals learn to medicate in any number of ways that our field identifies as addictions and/or compulsions.

Over the last decade, we have found the use of equine-assisted therapy to be a highly effective and efficient tool for trauma resolution, as well as for teaching and practicing some of the recovery life skills that newly sober individuals need to have in order to stay sober. As our equine assisted therapy programs have evolved, we are constantly discovering new and exciting ways to use this therapeutic tool to support our clients, their partners, and their family's recoveries.

Breaking with tradition
One quality of equine psychotherapy which contributes to its effectiveness is the unique setting in which the work is done. Outside the traditional four walls of the therapy room - closer to the sun, wind, heat, color, beauty, distractions, and naturalness - the setting tends to provide an atmosphere for openness, the unexpected, and the unusual. Clinical issues may emerge as each person experiences the sensation of the equine site. The client's needs for control or structure, safety and familiarity, physical comfort, as well as past experiences with horses, add an additional layer onto the anxiety experienced upon entering a new therapeutic environment. The unusual setting may also disarm those who are "therapy-wise" and well defended emotionally.

In the equine-therapy setting, a variety of experiential techniques are utilized to further the therapeutic process and promote interaction between people and horses. The participant is asked to accomplish certain tasks involving touch, movement, and other elements that serve to change the normal therapeutic environment. The first task after some group warm-up exercises at the Onsite Equine Workshop is to choose a horse with which to work. The dynamics of this task can be a powerful stimulus to self-discovery, as this statement from a participant shows:

On the first morning at the corral I found it hard to pick a horse to work with and to make a definite commitment. In the end, the horse picked me. I was standing by a pen of three and couldn't decide which one to pick. The third one, which I had not considered, came up to me and reached for me. When I was in the pen with her I started to cry. Memories of the pain of my first marriage and the divorce after my husband had an affair came back to me. As we led the horse out of the pen, the therapist told me the horse was part of a triangle. The other mare kept her away from the male. She was also in season. I was surprised, to say the least, at how much the horse mirrored my own situation and she continued over the next few days to mirror much of the sexual and relationship issues I had in my life...Chris

If more than one person chooses to work with a certain horse, another set of issues emerges around sharing and negotiating:
The program began with selecting our horse. First, choosing a horse we wanted, then resolving any conflict if two of us chose the same horse. This was most revealing in that one of the things mirrored to me is that I place my needs second to the needs of others, thus seldom getting what I really want...Charles

The next task is to groom the horse. The grooming process, again, illustrates personal dynamics and issues such as nurturing, attention, asking for help, isolation, dependence, performance anxiety, connection, and intimacy:
We then spent time getting acquainted with and grooming our horse. At first this felt strange, but as I talked to and groomed my horse, I noticed myself feeling more at peace and somewhat introspective. Here an extraordinary thing happened. I revisited the death of my father and for the first time in my life I lost complete control emotionally. It was only after the therapist had a group member assume the role of my Dad and tell me he loved me that I was able to stop crying. Again a big factor was my feeling for safety. Oddly enough, I had not even thought of my Dad's death until I started crying...Beth

Tasks that promote interaction with the horses are games and exercises. For example, a client is blindfolded and must lead a horse depending upon group members for guidance. Another example is leading the horse through a maze. Goals of these activities range from getting support to facing fear. Lunging is another activity, as is riding the horse in a variety of ways. Horses also are used as role players in psychodramatic vignettes or to play out transferred emotions:

There I was on the ground feeling deep pain and feeling totally alone, when my horse came right over to me and nuzzled me with his nose. When the therapist asked who the horse represented, I knew immediately that he was my Higher Power and had been standing by all along...Margaret

Another factor that adds so much significance to the effectiveness of equine therapy is the nature of the animal itself. At 1,500-plus pounds, 7 feet or more in height and a small brain, the horse has survived by being faithful to its extraordinary senses. The physical reality of the horse elicits emotions and behaviors such as fear, indifference to personal safety, lack of focus, denial, and anxiety in the psychotherapy environment that can be a catalyst for important awareness as participants see the results of following instructions, being aware of self and others, and setting boundaries.

To be safe around horses, one needs to be emotionally in their body and aware of where the physical body is in relationship to the horse. The animals are giving signals to the recovering client about their level of connection through movements such as walking away, ignoring, being distracted by other horses, sleeping, and eating. When horses respond to the emotional and physical state of the client, there is an opportunity to immediately intervene by raising awareness of where in the body they have feeling and to practice congruence with feelings and behaviors. Horses give accurate feedback with no agenda. Time and again, the animal's attention will return to the client or to a relaxed state once there is apparent congruity in the person. In addition, like all animals whose bodily functions include flatulence, defecation, urination, sexual arousal, sneezing, chewing, etc., horses can stir many issues of abuse, body image, sexuality, compulsivity as well as laughter and play.
Very few people have a neutral reaction to horses. While some have an enduring affection for horses, whether based on actual experience or romantic notion, others bring a sense of dread or fear. For some, this opportunity reinforces their historic experience of being able to get closer to and feel safer with animals than with humans. Others come to the therapeutic moment with significant fear. This preset creates a great sense of emotional energy in the therapeutic session from the beginning. Projection and transference begins strongly and immediately with the animals in this setting:

Animals have always been safe for me - safer than most people I have known. So I wasn't afraid of them, as much as I was of what they may ask me to share. Animals - especially horses - are open to listening and at some level, understanding. It's as if they urge me to share my pain with them...Karen

At the heart of equine therapy technique is the use of metaphor. The primary job of the clinician is to promote and elicit the metaphors, note and comment on the serendipity and sometimes truly miraculous moments as the client works with the horse:

Another powerful experience occurred on day two when I was in the field with my horse. A little donkey wandered up and began vying for my attention. Somehow, I instinctively knew he represented my inner child. I told the therapist I wanted to give up my horse and keep the donkey. She asked if I thought I couldn't have both. It never occurred that I could, but I tried it. I found it most interesting to watch them interact. At first they acted like strangers. The horse nipped at the donkey as if jealous, but the donkey hung in there. Soon they were on both sides of me in a protective position...Keith

In accomplishing tasks with the horse, the manner in which the client approaches completion of these tasks immediately becomes an obvious mirror as to how they approach other life challenges. The distortion or defense of talking about a life situation in the traditional therapeutic session disappears. Dysfunctional behaviors or habitual problem-solving patterns often emerge as the client interacts with the horse. With the help of the therapist's interventions, the client can take an opportunity to practice new behaviors and patterns, and through a structured aftercare process, carry these behaviors into action beyond the workshop or session:

Our final day together was a bit of a struggle. We were to groom and prepare to saddle the horses for a ride, but mine would not let me do anything to him. I didn't quite understand it. I called the therapist over, and it turned out I wasn't telling him what I was feeling. Having recently left a relationship that had no closing, I felt incomplete. I began to tell him how I was feeling, and began to cry. I had such a connection with him; I did not want to leave him yet. As soon as I began to cry and talk to the horse, his face was in my chest, as if he wanted to hug and comfort me and express the same feelings I was expressing. He was incredibly compassionate and loving. He rubbed his head against mine, and let me hug him, as long as I needed him. I was able to let go after the ride but knew he had impacted my life in a major way...Pat

The most common metaphors have to do with how the client approaches relationships with self and others:

I initially picked a very attractive but slightly aggressive and even dangerous horse to work with because I did not listen to the horse handler when he pointed out that horse was not available. This mirrored what I often look for in relationships - attractive, dangerous, and of course, unavailable! I was able to grieve this tendency of choosing to put myself out there for others at my own expense as I dealt with not being able to be with this beautiful yet unavailable horse...Christy

In addition to therapeutic interventions, the metaphors may be the basis for celebration and healing:

The most powerful moment for me was when I got up on my horse. I could feel the power of life come up through me. It was exhilarating. And when the therapist said that that power was always within me - I felt awestruck. She clearly believed that, and at some level, I knew it too. As the months have passed, I know it more and more. I am definitely stronger, more powerful, more grounded. I'm more whole. I'm even taking riding lessons, exploring the artist inside me - and having fun...Betsy

Equine Therapy provides a unique experiential environment for the therapeutic process. Currently, a research study is being conducted with participants at Onsite Workshops' Equine Therapy program to measure outcomes and effectiveness of this model. As this method's popularity grows, it will bring together more and more practitioners and clients to promote emotional health.

Marjorie Zugich, MA, CETII, and Ted Klontz, MA, MAC, CSAC, CET II, are co-owners and Executive Directors of Onsite Workshops, Inc., located near Nashville, Tennessee. Marjorie has over 30 years of experience as an educator, administrator, and specialist in the areas of co-dependency, relationship and addictions. Ted has over 30 years of experience as an educator, administrator, lecturer, and therapist and is widely respected throughout the U.S., Canada, and Central America for his diverse professional contributions to individuals, families, and organizations. He co-authored with Sharon Wegscheider-Cruse, a book entitled Family Reconstruction.

Deb Leinart MS, LPC, CET II, CSAT II, is Clinical Director of Onsite Workshops. Trained as a Marriage and Family therapist, she has worked in the field for over 20 years. Her experience is diverse in that she has worked in a number of settings including mental health centers, treatment facilities, schools, and private practice.

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