© Jane Katz, J & Z Consulting Ltd.. Resistance or Reluctance? ERA Conference 2004 (and the story of our trip to Japan) Jane Katz, M.A., R.C.C

© Jane Katz, J & Z Consulting Ltd.


Resistance or Reluctance?

ERA Conference 2004(and the story of our trip to Japan)

Jane Katz, M.A., R.C.C.


We’ve done much to address risk and need, but there is so much more to do to address responsivity.

Our annual Show and Tell Sessions are about this.


SHOW AND TELL


Growth is always possible….

As long as you’re breathing there’s more right than there’s wrong.

Jon Kabat-Zinn


How does it change our work with our clients if we:

See Reluctance,

Not Resistance.


Resistance or Reluctance

Clinical Resistance ReluctanceCommon Usage

Resistance

DefinitionUnconscious opposition

to cooperation with therapeutic process

Emotion based disinclination to change or desire to

maintain the status quo

Conscious opposition or striving against therapeutic

process

InterventionInterpretation of

transference or the unconscious dynamic

Empathy for underlying emotion, attempts to remove barriers and exploration of

benefits of change

Confrontation and boundary setting


The J & Z Rules of Living

In all things, in all our relationships.Be Nice – to self and others

Be Curious – with self and othersBe Committed – to self and others

What doesn’t fit in there?


Successful Completion

Studies suggest of the following three groups number 3 has the lowest recidivism rate and number 2 has the highest recidivism rate.

1. Those who never take a program.

2. Those who drop out of a program.

3. Those who complete a program.

Keep them in the room.


ANXIETY ANXIETY

Frequently defensive behaviour about attending programs has to do with anxiety.

• Public speaking• Public embarrassment• Literacy• The unknown.


PrivilegeWhat makes it possible for some people to make

relationships work well?

To live pro-social lives?


Unearned Privilege – an invisible package of unearned assets which I can cash in on each day, but about which I remain oblivious. These include tools, maps, guides, passports, codebooks, emergency gear.

-MacIntosh


Many of our clients grew up without these things….

“ It is like going to a country where you can only learn to speak part of the language and everything else is always kept away from you.”


I can be pretty sure I know all the rules of play, and any I don’t know I can learn.


Equality means we all have the same barriers.


Relationship

One of the best risk predictors and one of the strongest risk factors for men in the community is disruptions in their relationships. What that means is they value them highly and feel a great deal of stress when there is a disruption in the relationship.


Why is a focus on relationship stability and health such a Low Priority for Programs for

Men who are incarcerated?


It Must Be About Creating Relationship Stability

…not just ending the abuse.


Emotional Intelligence A wonderful framework for competency development.

• Self- awareness

• Self-regulation

• Motivation

• Empathy

• Compassion

• Social skills


Help clients to rebuild a foundation of personal safety, trust, social skills and self-

work.


Dialectical Behaviour Therapy

The process of doing teaching cognitive skills to difficult clients.


• Validation of a truth.• Merge opposites.• It makes sense.• Acceptance and Change. Empathy and Helpful

Action.• What do you need to do “right now” that would

be helpful?• Coach in the practice of skills.• Learn to cope with the world as it is.• Seek commitment regularly – both client and

therapist – to avoid “therapy-interfering behaviours” on the part of client and therapist.


Deep Change….What is required?

We must work at the bottom of the foundation – at the level of emotional

safety to stop what happens at the top.

The maintenance of dignity in all interactions.


Hierarchy of Abuse

Spousal homicide

Assault

Verbal and Emotional Abuse


Canada

• 1999 equal rates of self- reported assault for men and women, however…

• 34,000 charges of spousal violence in 2000. 85% were assaults on women.

• Estimated only 37% of cases were reported.• 84 spousal homicides in 2002 (67 women

killed by husbands or boyfriends)• 75% killed by current partners.• 20% were sexually assaulted.


2003 - Japan

• 197 homicides (120 out of 197 was by husband)

• 1250 injuries (1197 out of 1250 committed by husband)

• 1666 assaults (1528 out of 1666 committed by husband)


Japan (2002)

• 15.5% of women have suffered physical assault from spouse or boyfriend.

• 1 in 20 indicated experiencing life threatening violence.

• 5.6% of women have suffered frightening threats from spouse or boyfriend.

• 9% have suffered sexual coercion.• 1 in 5 have experienced some form of abuse.


Canada• Women 3 times more likely to experience injury

and 5 times more likely to require medical attention.

• 38% of women victims feared for their lives. 6% of male victims feared for their lives.


Same work different language


Traditional Japanese Coffee

House

Documents

© Jane Katz, J & Z Consulting Ltd.. Resistance or Reluctance? ERA Conference 2004 (and the story of our trip to Japan) Jane Katz, M.A., R.C.C