I started working in our local vaccine clinic back in March. I don’t think I’ve ever posted here about that experience; I’ve filled a paper journal though!
Today is my last scheduled shift. I might pick up shifts on weekends to come because while vaccination isn’t the ONLY thing needed to get out of this half life living, it is a NEEDED thing. As a single person who lives alone, I want us to move past this stage of recovery. I need us to.
Part of why I haven’t posted much is we sign that we won’t speak to the press haha and what if the press reads my blog, what if what if, and then they say according to this public blog, here’s what’s happening at clinics (woah, stop those conspiracy thoughts, there’s nothing like that happening at the clinics). Anyway, I overthink things as a hobby.
But as a psychotherapist who’s very interested in humans and how they be, working at a vaccine clinic is actually fascinating. As a psychotherapist with moderate ADHD who is genuinely and affectionately interested in people, there’s a lot of opportunity to observe, think, corelate, theorize, predict, wonder, and marvel. All while doing my job, fear not, fear not. It actually improves job performance. When it’s your job to process people through any point of the system, it’s good to build and refine theories on how they will react. Smooths out their experience.
Anyway, I think I’ll do a series of blog posts about what I’ve thought about while screening for COVID symptoms, searching for people in the COVAX system, and providing people with their vaccine receipts.
I’ll end this one with my reasons for why I started working at the clinics. One reason was I did need a source of income. I also needed a legitimate reason to get out of the house; my walls were closing in too much. I needed to relearn how to be near people, especially strangers and crowds of them. I wanted to be part of the COVID battle. I wanted to experience donning and doffing PPE for work. I wanted my dog Valentine to learn how to be OK with my leaving the house for several hours and learn that I always come home. I wanted to be INSIDE the system to see it from the inside and better understand what was going on. I wanted to be PART of something.
I have done all this. Truly my only reason to continue is I live in the worst region of Ontario for COVID cases, we’re possibly heading into a new wave of our own, and we are at risk of not re-opening until months from now. I know they can always call in the Army to work the clinics. Until then, they need staff to do the work and I am already trained.
One year and six days after the proclamation of the COVID-19 global pandemic, I was immunized against the disease. Most days in that time period felt like an eternity. It is an incredibly short time to develop test and roll out a vaccine against a novel disease though!
But Kate! You’re not THAT old! It’s true. I wouldn’t otherwise qualify, but I have accepted a position as a part time admin clerk at the vaccine clinics and immunization is required prior to starting. I’m guessing that’s so people don’t go catching COVID AT the clinic!
But Kate! Didn’t you just quit a perfectly good job because you’re crazy busy with the end of grad school and everything? True, true. I did. There’s a few reasons I applied to the vaccine clinic job. One is I need to practice leaving the house for longer periods on a regular basis and this seems like the safest way to do that. I also need to get used to being in a room where there are bunches of people all talking or moving around and just doing the things people do. It’s been over a year and being near groups of humans is dizzying. I want to reacclimatize to in-the-flesh humanity before sitting with it in the therapy room.
Valentine also needs some practice. He has no idea that humans normally spend long periods of the day away from the house. He’s never had to try to not pee or to stay entertained for five or six hours on a regular basis. I’m going to be concerned at first and I don’t want to start sitting with clients post-internship, wondering how my dog is doing. I want a more sure footing than that.
And up to now, my experience of the pandemic has been hiding from the pandemic. It’s been the right thing to do because outside of dog walks and groceries, I don’t have a lot of reasons to leave the house. I don’t know what it’s like to wear a mask for more than half an hour or so. I want a more active role in the story. I want to be a part of getting vaccines into willing arms. I want to be sitting up close to watch the coming dawn.
*a friend posted about Year Two of the Pandemic and is sank in hard and real. She goes by the day we were told to go home alone and stay there; I’m going by two days prior when they deemed COVID-19 a pandemic. I found an ugly online clock to count by. Do you know a better clock?
Thanatology Quiz Question: What do you think about rites, rituals, ceremonies and funerals? In my work, I am noticing very few church funerals, more funeral home funerals and even more … no funeral at all. Ever given any thought to what you would like at yours? If you have a funeral, who is your funeral going to be for? Share your thoughts on rites, rituals, ceremonies and funerals in the context of yours ….
My Answer: Barring my having a late-in-life lasting romance, it will be my children choosing what to do with my death and memorial and they know that I believe funerary rituals are to help the living to grieve. The funeral instructions in my mother’s will were simple: if you must have a service, keep it small. Nine months after her death, my children and I hosted an afterparty for our hometown community theatre which we and my mother were all members of; attendees were encouraged to drink red wine and complain about the show (tongue in cheek and lovingly of course) as my mother would have (though she was earnest and not very loving about it). My children know I believe green fields should be for planting and playing and that I want my body (once harvested for any life giving or science learning) to be dealt with in the most environmentally sound way which pleases them. If I ever have sufficient funds just rolling around in my pockets, and if the artist still offers this, I would like to have my ashes turned into a Screaming Head, and my funeral be a folk festival.
The mornings are brighter; the days, longer. Hope steals into my life.
My last entry was dark. I think it is important to note the dark and I think it is worthwhile to sit in the dark when you know you have the strength to stand and turn to the light. Leave some breadcrumbs, both ways.
I do have some resolutions for the new year. Let me speak your name. I have intentions for 2021. Anyone with a past in sales is accustomed to goal setting. Several of my notable goals will be achieved in 2021 because of work I did last year. I have additional goals for this year. I have stretch goals, too. Stretch goals are there for additional challenge and additional reward. You won’t get fired if you don’t hit your stretch goals, but you’ll be rewarded if you do. I have Pandemic stretch goals. I have Holiday stretch goals. With my CRB days gone, rewards might be harder to generate; though actually, the attainment of these goals manifests its own reward.
Resolutions are not stretch goals – they’re straight up targets. Not that I can get fired from the job of living my best life if I don’t hit my targets. It’s important always to recognise that these targets are flexible, editable, subject to change. I do not know where I will be working or living at the end of 2021; this makes visualising harder. I will trust that my family, social, spiritual, financial, and artistic lives will take care of themselves without goals or resolutions.
Lose net 10 pounds, which brings me to a healthy maintenance weight. In 2020 I gained 10 pounds, and I lost 15.
Develop a plan by which to gain the strength needed to prevent injury. I’ve noticed that it’s easier to hurt myself now, and harder to heal. Again, and always, I am so glad I reveled in my youth when I had it.
Open my psychotherapy practice and have one – or more! – client. It sounds like a small goal but there are ten times a kabillion things to learn before opening such a business.
Related; drop the “Qualifying” from the ‘Registered Psychotherapist’ designation I have just applied for.
Have Valentine certified as a therapy dog. We both need training.
Develop an Obsidian practice that incorporates books read, lectures intended, process journal, research notes, and more.
Can we tell where our journeys begin? Did this journey begin on my first day of Grad school, excited, nervous, and unsure of where to park? Was it during the application process, with me attempting to generate a sample of academic writing after being out of school for over two decades? When I quit the bank, when I graduated with a BSc in Psychology, or when I asked my childhood therapist “So is this what you do all day, just talk to people?”
No beginning and no end… ah now where is that from? Yes, yes – it’s a Hawksley Workman song – lalala “don’t dive shallow, in deep dark waters…”
No end because they need to accept my application and that takes months. No end because I have one more term of school, because I need 225 more client hours to drop the “Qualifying” from the title I’ve just applied for. No end because I want to grow in this career until I die. Are we going to get literal here; are we going to get metaphysical? There is never an end when your work lives on as hope and happiness that will radiate, radiate, spread and grow. There is no end, there is no beginning. No shallow diving here.
It’s a significant trail marker. I made it this far. I’ve got the next bit of the trail mapped out, waiting for Christmas to come and go, a breather in the expanse of middle ground. Time for some metaphysical GORP and holiday cheer.
I wonder sometimes if Valentine thinks he’s a ghost puppy. It’s like maybe people see him, but he’s obviously adorable and yet nobody pets him. Squirrels see him though, and they’re scared of him and this pleases him 🙂
On our walk today we passed a house with loads of decorations and statues in the front yard. One statue near the middle of them all was a really realistic one of a duck. There was a real squirrel, sitting on the fence, and as Valentine stepped toward it, the duck statue quacked and flew away. Startled us both!
On CBC they talked today about profs who used to bring their dogs to school so students could get dog therapy back in the Beforetimes when people were near to each other. Then we all went to our houses and didn’t come out again and the students missed their dog friends. So the profs set up dog office hours online so the students could watch their friends sleep or dig holes or do whatever the dogs chose to do on camera.
It got me thinking, maybe that’s how I can help. I can’t nurse or doctor, and I’m only very recently recovered from COVID symptoms myself. I haven’t quite been granted the right to practice psychotherapy. BUT! I do have an adorable puppy.
Thinking I’ll try to do a daily live stream of him being a puppy. It’s hard because he’s not too fond of my being on my phone and I don’t think I’ll get him to understand that he is the focus of the screen time! But my friends who don’t have puppies can get puppy time, right? And once I’m certain it’s OK within guidelines, I’ll start offering puppy play time to friends where they can play with Valentine in the backyard. I’ll be present, a safe 2-3 meters away until I get confirmation that I’m immune and not contagious. So no children until then, because I wouldn’t want to have to intervene – Valentine doesn’t know any children yet.
What do you think? Would you enjoy a puppy live stream? He IS adorable 🙂
The target client is Lindsay Bluth Funke. She has had one session of therapy which she sought due to feeling anxious and as if life holds no meaning. She feels that her family only values her for her appearance; in fact, she feels that appearances are the most important thing to her family.
Lindsay is married to Tobias Funke who is a non-practicing psychoanalyst and is currently pursuing an unsuccessful acting career. It seems apparent to everyone but Tobias that he is likely gay. The couple has one child, Mae Funke, who goes by the nickname Maeby. Maeby is on her third attempt of her final year in high school.
Lindsay discovered in her adulthood that she was adopted. She had previously believed herself to be the twin of her brother Michael, who currently runs the family business. The news of her adoption was startling for her, but encouraging to Michael’s son George Michael, as he is in love with Maeby. Michael and Lindsay have an older brother George Oscar Bluth (GOB) who is an unemployed magician and who is unmarried but recently discovered he has a son. Despite having never done anything constructive, GOB often appears to have his father’s favour. They have a younger brother, Byron “Buster” Bluth who is the youngest in their family of origin and is extremely fused with their mother.
Lindsay’s adopted father is George Bluth, who created the family company and accrued a great deal of wealth for the family, meaning the adult children do not need to work. The exception to this is Michael who has taken over running the business and whose job it is to keep the family ‘together’. George often speaks cryptically. For example, all throughout their childhoods, the Bluth children have heard him say “There’s always money in the banana stand.” The banana stand is a beach front kiosk that sells frozen bananas. Michael takes this to mean that there is value and reward for working hard and serving the clients face to face, and it motivates him to work harder. George actually meant that there was literally money stashed in the banana stand, a fact Michael learns regrettably after accidentally burning down the banana stand. Buster has recently learned that George is not his father, but rather Oscar is. Oscar is the identical twin of George and he has had an intermittent affair with George’s wife, Lucille Bluth. While George attempts to mold his children by selectively withholding approval, Lucille’s method is selectively withholding affection. It is from Lucille that Lindsay, and on occasion her daughter Maeby most often receive the messaging that their values are held in their appearance.
Due to their wealth and their notoriety in the community, the Bluths are very much in the public eye. Lindsay is not concerned about her husband’s lack of income as they can draw funds from the family business. She feels that her freedom from employment prevents her from having any value in the world and deprives her from having a sense of purpose. When asked, “What about Maeby?” she replied, “OK, maybe I have no purpose. But if I have one, I don’t know what it is!”
When Lindsay told Tobias she was going to therapy, he was supportive of the idea and told her the problems he could see in her. She mentioned that they might go together, and he laughingly said that wouldn’t be needed because as a psychoanalyst himself, he has no problems. She asked her extended family if they would come because she felt their dynamic would be too difficult to describe in their absence, and they said she should try it out and if she didn’t lose interest, they would consider it. The intricacies of this family have been detailed by Modern Roots (n.d.) as shown in the following diagram.
Sessions One and Two – Lindsay
Solution Focused Therapy is selected to begin with Lindsay as she has some immediate feelings that are problems looking for solutions. As her family members do not see themselves to be in need of therapy, this model is not appropriate for them as clients need to want to change for this model to be effective (Gladding, 2019). Lindsay’s concerns are with her family, and how they view her, and the anxiety caused from wanting to see herself as worthy and valuable in other ways. The goal will be to help Lindsay create enough change to give her the “confidence and optimism” (Gladding, 2019, p.334) required to bring family members into future sessions.
In particular we will work with exceptions and assertiveness training. In session Lindsay will think of occasions her family has praised or valued her for something other than her physical appearance and will begin a list of ‘other things my family likes about me.’ Her homework in these early sessions is to notice and record any instance of her family praising her for anything other than her looks.
With assertiveness training under her belt, Lindsay’s other challenge at home will be to thank her family for noticing her other positive aspects thereby encouraging them to do more of what is working. Additionally, and more challenging, she will use ‘I statements’ (this is borrowed from feminist theory, which will flavour all sessions) to explain to her family how it affects her when they see her looks only. She has previously quietly accepted their appraisals, here she will “do something different.” (Gladding, 2019, p.333)
Sessions Three and Four – Lindsay, and then Lindsay with Tobias and Maeby
Feminist Family Therapy will inform the breadth of Lindsay’s treatment, but will be the focus of the middle sessions so that she, her husband, and their daughter gain insight into feminist thought and move together to a more egalitarian household. Some aspects of their family make Feminist Family Therapy appropriate: Lindsay is feeling powerless to resist the expectations and shallow thinking of her extended family; Lindsay has very little relationship with either her mother or her daughter; Tobias has crippling body image concerns that prevent him from ever being unclothed and refuses to look at his likely homosexuality in the context of his wife’s family where there is a wide gender divide and men make the money and the decisions. For each member of this family, the goal of Feminist Family Therapy as written by Bitter (2014) should be held up: to “seek to empower clients to take control of their lives and free them from rigid expectations and structures.” (p.355)
Care will be taken to establish an egalitarian therapeutic relationship with Lindsay from the outset. Despite her wealth and relative fame, there can still be a power difference in the counseling relationship and this needs to be leveled out so Lindsay experiences equality and a relationship where her words, thoughts, and feelings are valued and important. Once she is comfortable with this, and as her family members are brought in, they will see this consistently modeled. Maeby and Lucille will be able to experience Lindsay being treated with respect and can start to imagine this for themselves in other relationships.
Sessions Five and Six – Full Extended Family
While this family would benefit from a systems-based approach for therapy, it is unlikely they would commit to the work and time that this would entail. With the target client being Lindsay, we will work to create small changes in the family members and family as a whole to give Lindsay room to achieve her own goals and to maintain her change within her family setting. The success of this method will hinge on the family members accepting that the problem is actually a problem. The problem that Lindsay voiced and that is shared by the whole family in different ways is ‘caring only about appearance.’ The family business was established on appearances in that the homes they built look good but have no structural integrity. JOB’s career in magic is premised on appearances. Lucille is more concerned with the attractiveness and reputation of the family than with anyone’s well-being. For each family member it can be shown that there is a stark over-emphasis on appearance equaling worth. If the family can accept that this is a problem, the sessions will proceed to externalizing this problem. The benefit of this is the family can separate themselves as family members from the problem itself and cooperate in tackling the problem as they have banded together to fight external pressures such as keeping George and Lucille out of jail. As the family has many display models of their real estate development, one such model house can be used as a focal point to represent the problem in session, although gently perhaps as even the models are poorly constructed. In these sessions then, the Bluths will not be focused on ‘helping Lindsay’ but rather on building awareness of and solutions to their shared problem.
Inherent in this process will be asking questions around how the problem has affected each person” (p.348) according to Gladding (2019). Rather than address each other, which could start a pattern of blaming each other, the family members will address the model home as the problem of being over focused on appearances in statements formed in a semblance of “You have had this effect on my life and because of that I have done these things.” The family can learn more about each other, build awareness of how each has been affected by this family rule, and learn compassion for each other.
Another technique that will be used with the whole family, that comes from Narrative Therapy but is common to Solution Focused Therapy as well, is to look for exceptions. The family will be given the homework to look for exceptions in their appreciation of each other and take note of when these appreciations are for non-appearance traits. They will be further challenged to voice these compliments to each other and to note how it feels to be the giver or recipient of these compliments.
Reconvening after the first week of engaging in this homework, the family will be encouraged to discuss the compliments that were exchanged and thereby begin compiling an aggregate of family strengths. These strengths will be written down in a manner familiar to the family, perhaps on a flip chart if that is what is used in the business. The conversation will be opened up to brainstorming other strengths that are not immediately apparent, so the family learns to take pride in assets that are not tied to public image or physical appearance.
While the family will be moving into a new technique to bring some focus back onto Lindsay, we will not fully drop Narrative Therapy. Their homework will continue and as sessions draw to a close, the therapy team will give letters to the family members to “serve as a medium for continuation of the dialogue between the therapist and family members and as a reminder of what occurred in the therapy session” (p.350). Following the Narrative Therapy model, there will be a celebration complete with certificates to mark the last session of therapy as a group.
Sessions Seven and Eight – Full Extended Family
Leaning into the Bluth family’s love of entertaining, the next few sessions will culminate in a Parts Party taken from the Satir model (Satir, Banmen, Gerber, & Gomori, 1991). Lindsay will take the role of the host as our target client, and the family members will be cast as her varied parts. One reason this family might be so focused on external appearance could be that they carry shame for aspects of themselves; that they see some of their parts as ‘bad’. In a Parts Party, according to the authors, a participant “looks closely at the many parts we human beings have, how we handle them, and how we can transform them into resources for being whole and congruent” (p.175).
There are some expected outcomes from the Parts Party. Firstly, Lindsay can acknowledge, accept, and transform her parts and inner rules. There are bound to be hidden resources she will discover as well as parts of herself previously labeled as ‘bad’ that can be transformed into resources. By participating in this process for Lindsay, her family members will learn to see her as a complex and multi-layered whole instead of their current two-dimensional view of her.
Her family members, by virtue of interacting with and as Lindsay’s parts, will recognize and discover their own forgotten or hidden parts. They may find themselves surprised by how well they can portray one of Lindsay’s ‘bad’ parts and realize it is because they mirror the part within themselves. Recognizing this can build empathy within the family as well as build self-awareness and personal growth in the family members which is a goal of the sessions in order to give Lindsay a more fertile ground within which to plant the seeds of her personal change.
Another expected outcome will be as Lindsay uncovers and voices the unspoken rules she lives by; the family members can reflect on the extent to which they either also follow these rules or had a role in creating said rules. Done cooperatively, this uncovering of implied family rules can allow the family to transform them to more helpful messages together.
Session Nine and Beyond – Individual and Dyadic Sessions with Family Members
While each member of the Bluth family would benefit from Psychodynamic Therapy, many may not be willing to commit to the longer, more in-depth process. As therapy with the whole group will therefore be coming to a close, we will orient them to this upcoming ending and summarize the changes and discoveries that have been made. The final session with the group as a whole will include a ceremony and certificates in line with Narrative Therapy, and with a playful tone fitting to the Satir Model.
My hope is that Lindsay and Tobias will continue for a longer term delve into Psychodynamic Therapy. Up until this point, sessions have mostly focused on the present and on the future; on identifying problems and solving them, but not on how those problems arose. After doing so much personal work and building up her self-worth through saturation in the feminist model, my hope is that Lindsay will be willing to examine and heal the past that brought her to this point. Tobias, who is the most obviously conflicted of the group, may need to do the same in order to keep their marriage intact. Having uncovered and worked with aspects of her Self in the Satir model, and externalized and reauthored her problem with Narrative Therapy, Lindsay will have ample material to work with in a Psychodynamic model. With the confidence and sense of worth achieved through the influence of Solution Focused Therapy and Feminist Therapy, and through a strong therapeutic alliance, Lindsay will have the strength and resources required to take this next step in differentiation and personal freedom.
Bitter, J.R. (2014) Theory and practice of family therapy and counseling. 2nd ed. Belmont, CA:
Brooks/Cole, Cengage Learning.
Gladding, S.T. (2019). Family therapy: History, theory, and practice (7th ed.). New York, NY:
Modern Roots. (n.d.). The expanded family tree of the Bluths. Retrieved from
Grand River Unitarian Universalist Congregation Sanctuary, Christmas Eve
This is where I work but tonight I was not working. I got to sing carols, light candles, and listen to stories. Look how whimsical and warm this space was. I needed some of that. The thought we left with was how each character in the story of the birth of Jesus lives in the world today, and a small version of each lives within us. Tiny, jealous Herods writhing within us, desperate to control everything to retain power. Angels, singing joy and praising the good. Magi, our inner wisdom skating the line between science and magic to discover truth. How does your Tax Collector show up? What is your Innkeeper like? Can you sense the simple gifts your inner Shepherd offers? The sermon didn’t get psychodynamic but that doesn’t mean I can’t. Maybe Christmas is as good a time as any to remember the Child within you and somehow feel again the miracle of their birth. Know that inside you is a Mother and a Father that is yours to be in relationship with. You can tell the story of that relationship the way you want, in your own words, and by whatever new rules you choose. I think I better stop there before I start looking for my inner Donkey and Cow. Merry Christmas to everyone who believes that, rejoice the return of the light if you’re on the hemisphere experiencing that, and Happy New Year to all who mark time in this way. Conjure your blessings as you best fathom, and welcome to them.
A friend’s dog had puppies. Oh! I said. Puppies! I want a puppy! OK, he said. You can have a puppy. Now for weeks every day I debate getting a puppy.
I tried thinking logically about it but getting a puppy or owning another creature isn’t really a logical choice in my mind. Likewise, I think having children is not a logical choice, unless your income is derived in such a way that creating your own work force makes sense. Most of the reasons to not get a dog are very logical: you need to change your schedule to accommodate a dog, they cost money in vet bills and food, you need to pick up their excrement, you can no longer go away or stay away unexpectedly, they’re an incredible amount of work as puppies and still actually a fair bit of work as dogs.
On the plus side, puppies. Dogs.
I can’t assign a weight to “puppies, dogs” so I can’t choose logically. I do live alone and the company would be amazing. And having an alert dog would make me feel much safer. Of course, I’d have to work out some kind of puppy-sitting arrangement with family and friends for when I’m in class or on placement. I don’t know where I’m going to be living in 18 months. I don’t know where I’ll be working or how much I’ll be making.
OTOH life is so damned short and I miss having a dog.
And, wait, logically here now, I could train this dog to be a therapy dog, and when I have my practice, I would have a dog at the office that is trained as a therapy dog. And we would visit hospitals and care homes and universities! Yes, yes, this makes sense. By the time I’m done being trained as a therapist, the dog would be trained in therapy too!
Does that actually make sense? Am I inventing an impossible dream to rationalize doing something I’m almost certainly going to do even though it’s not sensible?
Yesterday at work at the Unitarian congregation, a congregant arrived with a fluffy, white puppy that was wearing a service-dog-in-training harness. After receiving permission, I commenced petting said puppy. It’s like joy in a harness! I exclaimed. The Puppy Owner agreed. I’d love to have a dog as a therapy dog for when I’m done school and open a practice, I said. She nodded.
Yeah, she says. That’s what this little guy is being trained for. I’m part of a private practice and we’re setting up a mindfulness group for trauma victims. This guy is going to be part of the group. He’ll be working in the practice once his training is complete, kind of an office dog.
I’ve been engaged in a learning program through the Satir Global Network, which is a body dedicated to “to furthering the creation of healthy and just relationships with self and others based on the teachings of Virginia Satir.” Virginia Satir was an American psychotherapist. At the end of the program I will be certified as a trainer and coach in Satir method, which will give me an extra boost of confidence going into my Masters in psychotherapy.
Part of my current assignment is to develop a three word mission statement. These are increasingly popular and are meant to be immediately impactful. Consider “Just do it” or “Do no harm”.
I’ve been listing words and reading blogs (apart from on Pinterest, I just can’t handle that site). I’ve been overthinking this as is my wont, and taking it seriously due to my frustratingly earnest nature.
I started at “Kindness centred growth” but ack, I hate it. I’m bored halfway through it- which I guess would be at cent–, snore. The lesson plan has a list of words attached. I found another cool list in this helpful blog post.
I wanted it to capture the feeling of facilitating growth – my own, that of other individuals, and that of organisations or communities. I wanted it to capture my taste for adventure and my insatiable curiosity. But I also value the strength and autonomy that can arise from integrity. All of this in three words.
All the blog posts encourage the readers to try their personal mission statement out for a while and to change it as needed. So I’m not marrying myself to these three words. They might change. For now though, and I hope I don’t fall asleep halfway through reading them, what I’ve got is: