Sunday, October 27, 2013

FROM SELF HARMING TO SELF HEALING


A felted heart
 
Yesterday I had one of the most profound experiences as an art therapist.   

Let me introduce my client to you.  He is around ten years of age and attends Primary School.   He is a fairly serious child with a worried and sometimes withdrawn expression.  Occasionally I see an infectious smile that lights up his face.  His sense of humour is sophisticated.  He is smart. His eyes are soft and brown.  He appears awkward in his body.

He has experienced terrifying episodes of family violence by his father and step father – having been physically assaulted and witnessing his mother being injured by his father, step father and his brother.  It would be fair to say that he has experienced terror a number of times and feared for his mother’s life and his own many times.  He has been subjected to repeated experiences of terror and powerlessness.

His relationship with his father has been a source of pain for him.  A year ago he rang to say hello to his Dad on Father's Day.  His father responded by saying he did not know anyone by his name and hung up. My client responded by hitting his head against the wall and drawing an image in grey lead pencil.  The image was set in a graveyard with his father as the grim reaper.  He was kneeling before his father who had stabbed him through the heart with a knife.  This image described the impact from his father’s rejection and cruelty. 

Unfortunately due to the family violence they have had to move home many times to ensure their safety.  He has changed school a number of times.  He started at the current school at the beginning of the year.  He has generally been a popular child and at previous schools he made friends easily.  He has struggled to fit in at his current school which is in an area of disadvantage. He explained that he had to wait to be invited by children to participate in their games.  He often feels alone. He is struggling to survive in the playground at lunchtimes and recess with repeated episodes of bullying, exclusion and loneliness.

When I first met him he appeared sad and withdrawn.  He struggled with eye contact and would occasionally look at me from under his long fringe.  Despite this, when I addressed him directly his responses displayed a sense of warmth and openness. He displayed an avid interest in the world and showed an intelligence well beyond his years. He is a talented musician and artist.

His mother is a supportive and strong parent. She has experienced childhood sexual abuse and trauma from familv violence.  Addiction has been an issue since she was in her teens.  Despite her own trauma she has maintained strong relationships with her children and is a protective, warm and creative parent.  She has made big changes over the last few years that have improved her mental health and safety.  She verbalizes her own personal growth and states that she loves ‘the feeling of healing’.  She describes healing as similar to putting together the pieces of a jigsaw.  Each time she finds a piece of the puzzle she symbolically adds it to her story and feels a deep sense of relief and healing.

I have had 5 sessions with this young man focusing on developing a trusting therapeutic relationship and exploration of different art materials.  He is a very competent drawer and at the beginning said he preferred working in pencil.  Due to his level of competence and confidence with art I have offered him a range of materials.  In his second session he requested clay and enjoyed using the therapeutic space to explore the material.  He often invites me to create my own art alongside him. 

At the beginning of the session he often looks sad and withdrawn.  He gradually relaxes and emotionally opens up after playing with the art materials.    When we were using clay he struggled with the material.  I was also having a particularly difficult time with the clay and made an oval object that he named the ‘holy potato.’  It was such a dull piece of work that I pretended to be an art critic and acclaimed the miraculous nature of this art piece.  He joined in the play and extended the silliness of the drama until we both were laughing heartily about the ‘holy potato’ artwork.  He seems to enjoy laughing with me and after this session, he uses humour in most sessions.

He has the ability to intuitively know what materials he needs to use.  I encourage him to request the  materials and art activities that feel right for him at the beginning of each session .  I introduced him to felt in the third session.  When I have attempted other interventions with paint he has refused and asked me to get the wool so that he can make felt. 

I have enjoyed watching him make his felt pieces.  He has learnt to manage the resistance of the wool fibres when he lays out the wool.  He articulated that the harder we pulled the more the wool resisted.  He has learnt to gently pull the wool from the fleece tops with minimal force.  We were able to talk about letting go of the desperate longing for connection and to accept that often in relationships people can feel consumed and pull away from this type of connection. He states that he likes the gentle nature of the wool and how it responds to his gentleness.  I imagine it is very different to a lot of his relationships that have been based on violence and coercion.  He is always gentle, considered and calm as he lays out the wool.  He chooses colours carefully and wets the wool and invites me to help him massage the fibres. 

He particularly enjoys the fulling of the wool which locks the fibres together.  I take him outside and encourage him to express his anger by throwing the felt at a wall.  He likes to take a run up and throw the wet felt as hard as he can. He has stated that the sound of the wool hitting the wall is particularly satisfying.  It makes a loud ‘thwop’ sound. I use my voice to encourage this expression of anger.  I say things like ‘Let it out’ in a directive but playful way. He takes this process very seriously. We continue till he or I say something funny and he feels relaxed.  I voice the importance of releasing anger and that we all experience this emotion.  We talk openly about the main ways that people express anger.  Following  family violence children seem to do this one of three ways.  The first is by bullying others, the second is by being the victim of bullies and the third is by self harming. He acknowledges that he usually chooses to hurt himself.

In the most recent session, he told me about an event that had occurred at school earlier in the week.  He had made a new friend and they were making some sculptures in the school yard.  Three children came over and wrecked their creations.  He felt so angry that he picked up a hard plastic stake and whacked it really hard on the ground.  When this did not fully release his anger he began to hit himself across the face with this stick.  He showed me the substantial bruising on his face that was self inflicted.

 I asked him about the materials he wanted to use and he gently requested wool.  He reminded me about a previous interest he had expressed in making a three dimensional shape like a felted ball.  I had forgotten to bring in the stuffing to go in the centre so we made do with wrapping bubble wrap into a ball that we then covered in tape to hold it together. 

(I have previously made these balls myself and know that they require a different technique than our usual process. It is far more challenging than the technique he is used too. However his measured response made me think he could manage this process.   I had imagined this process was possibly well suited to expressing pain, grief and loss.  The felted object is often about the size of a human heart. When the ‘heart’ is first covered in felt it requires very gentle massaging of the wool to join the cracks and crevice resulting from folding a flat piece of felt around the object. It is a slower process that involves repair and the heart is held in the palm of the hand and massaged very slowly, gently and carefully.)

I sensed he was wanting to express some of his internal pain – possibly sadness, loss and grief that lay beneath his anger.  I also sensed shame from his traumatic past and self harming behaviours. He slowly laid out the wool, choosing three tones of green and wrapped it around the bubble wrap parcel.  I took the opportunity to describe this as his heart.  I explained that he was holding his heart in his hands and that he needed to be gentle and loving with it.  I explained that the secret of this process was to immediately repair the holes or cracks that appeared by massaging gently.

He took the felt heart in his hands and diligently looked for every crack.  He used one finger in a circular motion to slowly and respectfully massage these wounds till they were healed and the wool fibres were meshed together and the surface smooth .  The room was quiet with only the sounds of our breath. He was absorbed in the process.  His gaze was completely focused on his heart.  His breathing was at first shallow but gradually became deeper.  He held his heart tenderly in his hands. Once he had repaired the wounds, one hand cupped his heart and the other slowly massaged it.  The soapy wool allowed his hand to glide smoothly over the warm fibres.  As his witness, the intensity of these moments was overwhelming.  I felt his pain and his desperate desire to heal his wounded heart.  I felt emotion wash over me and felt the need to shed some tears for this young boys pain.. I considered if I should acknowledge the moving nature of this by crying but decided that my tears could be a distraction.  I sat in silence holding back tears, feeling deeply connected with him and his pain.  We were seated on the floor and I was at right angles to him.  I occasionally spoke some words trying to name his feelings – the wounds, his desire to heal, his sadness and pain and the way he so tenderly held his own heart in his hands.  I named the sense of smoothness as his hands glided over the wool and soap suds.  I described how it neatly fitted into his hand so he could protect it.  I talked of his courage and how the bubblewrap gave his heart an inner strength.  He said, “it feels heavy to me.” At this moment he seemed to exude both strength and fragility.  I wondered whether this was the first time he was able to lovingly hold his painful feelings and to gently care for his own wounds and grief without hurting himself.

He looked up at me, concerned and said, “Are we going to throw it against the wall?” I said that this was his heart and we were most certainly not going to damage it by throwing it against the wall .  He was visibly relieved. I was pleased that he had made a choice not to harm his heart.  

Towards the end of the session, I told him that I had found this session very moving and an honour to sit with him in this space. I expressed that I had almost cried and he also said that it was very emotional for him.  I asked whether we could talk to his mum about what had occurred.  He agreed.

We were still sitting on the floor when his mother came in and sat on the couch.  I explained that we had made his heart and how he had lovingly massaged the cracks.  The heart held both his pain and his hope.  His mother covered her face and began to cry sensing the deep significance of this session.  As I explained I held his heart showing her how she too could hold his pain by massaging the heart.  When she recovered her composure, she took his heart gently in her hands and massaged it silently as the tears ran down her cheeks.  As her voice quivered with emotion, she looked at him and said she loved him deeply and would do anything to help him with this pain. 

We were able to have a conversation about the deep pain he experiences particularly at school and the ways he expresses this.  He said he wanted to stop hurting himself.  We made plans to meet with his school to discuss ways of keeping him emotionally and physically safer during recess and lunchtimes.

He left the session with his heart still cupped in his hands. As he was leaving, he used his hands as a scale testing its weight with an up and down motion and said ‘my heart feels lighter. ‘  

His mother turned to me and made a silent acknowledgement of this poignant comment by holding her hands in a gesture of prayer and bowing her head in my direction. 

Something profound happened today.

 A mother symbolically held her sons wounded heart in her hands.  She felt his pain and tried to help him to heal.

A young boy managed to feel his deep pain and then chose to self heal rather than self harm.

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