November 2024: Therapy Mash-Up

Posted on Nov 25, 2024

November has been an interesting month: nothing new and noteworthy, but challenging in its blandness. I have struggled a little bit with a persistent low mood – not a full-on depressive episode, but a sense of blah-ness likely triggered by the prolonged grey weather. It has also been challenging as I continue to process old journal entries of 20+ years ago: more ways that I have come full circle and yet such drastic differences from my old self and way of life. So, this month’s blog entry isn’t reflective of this month in particular, but has been ‘in the works’ since September when I personally embraced a therapeutic technique that I have been using with clients for some time now.

Rather than explain each contributing therapy and then how I mash them up, I will simply acknowledge that I have combined Narrative Therapy and Internal Family Systems therapy concepts to form what I could rename as Narrative Internal Family Systems (my apologies and gratitude to the originators). The purpose of my approach is to help access deep internal woundings and how to heal them – or at least live with them more effectively – by acknowledging that we are the protagonist (main character) of our own life stories as well as the narrator (guiding the story along). However, our story and our sense of self is comprised of more than a protagonist and a narrator. Enter: the internal family.

This internal family is not a conventional one but rather a collection of characters that represent aspects of our self. While Internal Family Systems limits the cast to four specific, well-defined roles, I prefer using the narrative-inspired approach of assigning characters based upon a book or movie. Of my clients, they use characters from Marvel Comics, DC Comics, Harry Potter, and Disney’s Cinderella. My cast of characters is based upon Winnie-the-Pooh. Interestingly, it is not a love of those books that prompted my personal choice; but rather an affinity to Eeyore representing my dysthymia (particular variety of depression disorder). So while a couple of my clients have a head start on me using this approach, I will use my personal experience to expand on it.

My personal application of this mash-up approach began with recognizing Eeyore as representing my chronic battle with depression. One day I was also struggling with OCD; and out of nowhere, I found myself telling it to go sit in the corner with Eeyore. While not the best start to using this approach, it was the impetus to develop my own cast of characters and apply the principles I was teaching to clients. After watching the movie Christopher Robin, I appealed to my sister (an avid Winnie-the-Pooh fan) to help identify the rest of the members of my Internal Family System. Some took longer to sort out than others, as it will for anyone else choosing to use my version. Be patient.

My cast of characters include: Eeyore as dysthymia, Piglet as anxiety, Rabbit as OCD, the Hefalumps as cPTSD symptoms, Roo as my inner child, Kanga as the nurturing mother figure, Owl as my inner critic/over-thinker as well as represents my father/the father wound/generational trauma, Christopher as the rescuer and problem solver, and Winnie the Pooh as the main version of myself who practices mindfulness, lives in the moment, and is a quirky philosophizer. The narrator is my True Self who moves the story along as best as the characters allow. The narrator role is an interesting combination of going with the flow and guiding the story.

I also apply an intuitive component where I allow my mind to visualize the family in action – such as imagining little Roo standing in front of a charging herd of hefalumps who could either stampede around him, trample him, or stop. To my surprise, they stopped. And with the help of a hefalump’s trunk, Roo jumped aboard the leader and led them in a celebratory parade instead of whatever trauma-memory triggered the stampede. I have also visualized Owl (holding his face in my hands and kissing his beak) needing reassurance that he won’t be kicked out of the internal family as I heal the father wound. Owl will always be a part of my internal family, even if his role changes.

The tricky part of identifying characters is that they can appear to represent members of our real-life families – which they sort of do – but more the impact our family members have had on our developing sense of self. Therefore, the characters represent aspects of our Self and not real people – only their influence or family dynamics that have contributed to our messy internal world. We need help organizing this messy internal world to manage everyday symptoms and triggers. The tenet from Internal Family Systems that is important to apply to this mash-up is that of “no bad parts” and “all parts welcome.” At first, we get to know our cast like I did – by telling them to shut up or leave us alone – give us a break from their incessant nattering. As we get to know them, we can meet them where they are and provide what they need (usually reassurance of some kind).

An aspect I have incorporated is that of calling a family meeting to get to know the characters and how they interact as well as address issues. Some are bullies – like the inner critic – and others are timid (maybe the inner child) hiding in the shadowed corners. Part of being the narrator (one in charge) is to tell the loud ones to be quiet and invite the shy ones to speak up (or at least take a seat closer to the table to start). We have to teach our internal families to take turns and allow everyone a voice. When someone is particularly noisy, we need to slow the conversation down and find out what is needed – which usually involves more visualization like giving the inner child a hug, or the inner critic reassurance that perfection is not required, or anxiety that worrying will not prevent bad things from happening and that we are capable of handling whatever comes our way.

I realize this approach is difficult to apply without coaching. As a therapist, I can help guide the visualization or the conversation at the team/family meeting. I use both my intuitive gifts and my analytic mind to determine where ‘to go’ from what a client says in session. But I find clients make amazing discoveries on their own just trusting the process and their own True Self. The point is to make life more manageable, our symptoms less overwhelming, and evolve as the protagonists and narrators of our own lived stories. This approach has helped me and my clients identify root issues often buried under unruly symptoms. Seeing our selves as a collection of characters also aids integrating our fragmented selves – to become a unified whole or team rather than disparate, conflicting parts. It might sound counter-intuitive, but it works.

It also helps us to accept rejected aspects of ourselves. Everyone is welcome at the family table, but not all learned behaviours and toxic coping mechanisms are. Sometimes we have to holster the gun or hang the hat before we sit down together. And as we try new ways of being together, we find that we no longer need the gun or a certain hat anymore. We learn how to accept our self ‘as is’ and work towards a more integrated version. All parts welcome. No bad parts. What is in the shadows is welcomed into the light and that which is overbearing is asked to settle down. Collaboration. Adapting to change. This is what life is all about it – not getting it right all the time or going it alone.

I welcome any and all comments about this unique approach. Feel free to join the discussion on December 1st – just let me know, if you are not already part of the group. If you would like to try out this particular therapy approach, feel free to contact me at barb@thewindingpath.ca to discuss options.