Hep Overview For DMK
Hep Overview For DMK
History
The Living Institute Existential-Integrative Psychotherapy Diploma (LIEIPD) is a
training in the Holistic Experiential Process Method (HEP). HEP has been
developing as a specific tradition since the 1970’s, but draws on psychological
traditions going back to the early part of the century, philosophical traditions from
the last 200 years and spiritual traditions from the last two millennia in both
Western and Eastern culture. HEP draws on humanistic, existential,
phenomenological, transpersonal, psychodynamic, archetypal and somatic depth
psychologies, as well as the new sciences of holism, chaos theory and self-
organizing systems theory. HEP is a twenty-first century, embodied,
psychodynamic psychology that locates itself in a cultural, ecological and
cosmological context. With its roots in the nineteenth century romantic existential
tradition and twentieth century humanistic depth psychologies, HEP is also
participating in the current re-emergence of spiritual models that draw on ancient
cosmologies, from both eastern and western mystical traditions, where nature is
seen to embody patterns of integration that link the part with the whole, so that
everything is understood to be interconnected. This includes a complex
understanding of the ‘norm of nature’ and the ‘healing power of nature’ as
expressed in Naturphilosophie, homeopathy and naturopathy. It also includes a
focus on Thomas Berry’s geocentric theology, with its implicit ecopsychological
and ecospiritual approach to the study of earth stewardship, and its account of
the interrelationship of spirituality, ecology and health. HEP also draws on the
19th century Romantic and late 20th century postmodern traditions in philosophy
and culture, 20th century modernist art and literature, and also on continental
philosophy as a way of understanding human relationship and the place of
individuality in culture and cosmos.
Through the ‘30’s to the ‘50’s, in both Europe and America, a number of
philosopher-psychiatrists and psychologists attempted to incorporate ideas from
existential and phenomenological philosophy into their work. The philosophical
works of Kierkegaard (1813-1855), Husserl (1859-1938) and Heidegger (1884-
1976) are considered fundamental in this philosophical background.
Kierkegaard’s questions, “What is the point of a person’s life?” and “What is the
purpose of human events?” are basic to the Humanistic-Existential-
Phenomenological tradition, although his Christian orientation in attempting to
answer them has been rejected. Husserl is responsible for establishing the
‘phenomenological method’ of conducting enquiries into the human condition by
enquiring in terms that are defined by, and arise out of, being human, with
particular focus on the unique individuality of each person. Heidegger brings a
transpersonal theme into his quest for authentic existence (Ek-sistenz) in the
context of simply “being here” (Dasein) through caring for the “things-that-are.”
Hegel’s (1770-1831) dialectic model of complex holism in human experience and
history also contributed to the existential idea of individual and cultural evolution
as being mediated by the active dynamic between conflictual yet complementary
polarities.
Throughout the ‘40’s and ‘50’s, in both America and Europe, the existential-
phenomenological theme took root in the fertile soil of a burgeoning field of
reaction against the fascistic right wing political agenda that culminated in the
horrors of World War II. The ground for this in America had been prepared by
William James (and others) from around the turn of the century, through his
psychology modelled on empirical observation of individual experience, oriented
toward action in the world.
existential and phenomenological principles. These models included for the first
time in the history of psychotherapy, a complexly elaborated operative focus on
bodily experience and emerging self awareness as defining themes in
therapeutic technique, extending in fundamental ways the already existing focus
on these themes in the psychoanalytic tradition.
The transpersonal tradition branched out from the humanistic tradition starting
in the 1970’s through figures such as Vich, Suttich, Grof, Wilber, Almaas,
Welwood, Washburn, Vaughan, Walsh. Academic institutions founded in the
1970’s include the accredited Institute of Transpersonal Psychology, California
Institute of Integral studies, and Naropa (a Buddhist university founded by Ven.
Chogyam Trungpa, Rinpoche). The International Transpersonal Association,
founded by Grof in the 70’s (?date), includes the work of Tarnas, Ferrer, Metzner,
McDermott and Kelly (all located at the California Institute of Integral Studies),
Mack (until recently located at Harvard), Laszlo (through his evolutionary
paradigm and systems theory promoting foundation, The Club of Budapest/
Worldshift Network), Groblin (and his Multidisciplinary Association for
Psychedelic Studies, which sponsors research into the clinical use of agents
such as peyote, ahayuasca, LSD, marihuana). They hold conferences every few
years and publish a general interest journal. The tradition’s peer reviewed,
professional journals are the Journal of Transpersonal Psychology and the
journal of Division 32 (Humanistic Psychology) of the APA which carries
transpersonal, as well as humanistic and existential, themes. The AHP and ATP
have recently recombined to form a joint organization. The Living Institute is
sponsoring a Canadian chapter to be formed at its Human Dimension of
Psychotherapy conference, July 18-20, 2008.
HEP also draws on the spiritual emergence model. The inclusion in the DSM IV
of a new diagnostic category “Religious or Spiritual Problem” marked a significant
breakthrough. For the first time, there was an acknowledgment of distressing
religious and spiritual experiences, including spiritual emergencies, as non-
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The advent of systems theory in the latter half of the 20th century revolutionized
the way in which professionals approached therapy. Instead of working only with
the individuals, systemic thinking allowed psychotherapists to begin to work with
entire family systems. The family, once seen as the problem, became the unit of
analysis and entire schools grew up devoted to treating not just the so-called
‘identified patient’ or symptom bearer in the family, but the family as a whole.
Systems theory can also be applied to the individual psyche, both in its dynamic
function of integrating competing psychic demands, including how this can
manifest psychopathology, and in the more long term process of individuation,
the integrating of these competing, disparate elements over time into a whole
person. The HEP tradition specifically draws on: Stamps’ holonomy, which relates
existentialism and systems theory in a model of consciousness that is holistic
and evolutionary; the self-organizing systems tradition, which highlights the
naturally emergent nature of consciousness in any sentient system, using
scientific language; dynamical systems theory, a scientific paradigm that
highlights subtle order in apparently disordered, chaotically random systems, and
how dynamic, stable identity is maintained, despite, and even through,
(sometimes) catastrophic change in complex, sentient, self regulating systems;
systems theory and chaos and self-organization theory as it relates to models of
therapy such as family and couples therapy.
HEP also critically explores the usefulness and limitations of the traditional
'medical model' of psychiatry, which views so much unusual human behaviour
and experience as 'signs' and 'symptoms' of 'mental illness'. Here we look at the
work of R. D. Laing, a controversial existential psychiatrist, who challenged the
conceptual foundations of psychiatry, seeking alternative approaches to the
‘diagnosis’ and 'treatment' of severe 'mental disorder', that are, nevertheless,
clinically responsible.
behaviour and is in conflict with our everyday conscious sense of self. The
original essence of this model is the idea that the human being mentally
experiences life, and functions in life, based on the interaction of competing
conscious goal directed and unconscious instinctual tendencies, called the
topographic model. More recently this model suggests that mental phenomena
(such as thoughts and images), body phenomena (such as sensation) and
intermediate phenomena (such as feeling and emotion) are created by the
conflictual interplay of conscious and unconscious factors with environmental and
interpersonal stimuli on a basis of physiology. The model for the management of
competing, conflictual drives, demands or tendencies is dialectic i.e. the
evocation of the conflict, the holding of the dualistic tension rather than striving to
collapse the tension into a single dominant polarity, dialogue or negotiation
between the warring opposites, and the eventual compromise that gives rise to
an integrating dialectic third which highlights the comlementary, rather than just
conflictual, nature of the opposites. This requires the acceptance of paradox and
ambivalence as basic to mature adult functioning. This draws on the Romantic
tradition, particularly Hegel, and is a part of the psychodynamic tradition that is
shared by many of the diverse examples. It has also become a prominent part of
various cultural criticism traditions, such as Critical Theory and postmodernism,
as these are incorporated into HEP.
life possibilities are limited. The various personality or character types have been
defined based on stages of developmental arrest (e.g. oral, anal) and typicality of
psychodynamic style (e.g. histrionic, schizoid) or relational style (e.g. borderline,
narcissistic). Body oriented psychotherapies, such as bioenergetics, also include
somatic characteristics in this typicality. Some transpersonal psychodynamic
therapies employ a psychospiritual typology based on, for example, mythological
correlations, such as in Jungian and archetypal psychotherapies. The
Psychodynamic Diagnostic Manual is the basis of HEP typological and symptom
picture formulations.
than cure pathology. In this way, experiences of weakness and mortification are
seen as modes by which soul relativizes conscious intentionality and draws us
into a deeper relationship with our being and destiny.
The Living Institute recognizes the importance of spiritual and human values in
institutional and organizational functions that serve society and culture, based on
the interdependence of humans with each other and the natural world, so that
our future is not compromised for the sake of short term consumer satisfaction,
greed and a desire for power.
Assessment
Practitioners in HEP are taught an intake and assessment system that enables
them to make a psychodynamic, psychosomatic, psychospiritual and experiential
formulation of client’s presenting problems. This enables them to create a
provisional treatment/management plan, highlighting salient features such as
psychological mindedness, commitment and transference issues, potential
somatization problems, social support network, functionality/dysfunctionality,
acting out tendency, suicidality risk and a prognosis. This plan highlights client’s
strengths as well as potential problems and risk factors, including a review of
their personal and family history, health concerns, addiction potential, relationship
issues, career and finance issues, lifestyle issues and social functioning.
Theory of change
HEP is a model for understanding systemic management and growth that is both
social and personal, providing a method for facilitating the evolutionary
emergence of self-organizing complexity from apparently chaotic disorder. It
provides a container for transformational growth based on dialectic integration of
emergent dualities. The HEP view of evolution as existential self organization is
applicable to group, business and cultural life, as well as individual development.
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HEP is a model for the facilitation of the evolution of complex, holistic identity.
This theme is based in the drive for personal freedom via the intense,
unmediated desire to know one’s self and to be known by the other,
beyond the boundaries of the socially sanctioned and personally validated
self. This gives rise to an awareness of unlimited possibilities for evolution,
but also of finitude, limitation, adversity, and death. This is the
transpersonal basis of deep, complex individual identity, and the evolution
of that identity in Western culture, the defining archetypal theme of
individuality in HEP.
It is holistic in its focus on the body, mind and soul of the individual in the context
of culture, nature and cosmos. Clients learn how to access authentic experience
and process it emotionally, cognitively and spiritually. Clients also learn how to
reflect on what their experience means, and how their actions stem from it in the
world. HEP psychotherapy opens up a new way of thinking about oneself and
about life. It not only changes people’s lives but also facilitates them making a
difference in the world around them that is socially and spiritually satisfying. This
is not just talk therapy, but a lively, emotionally evocative process of self
discovery, leading to living a full life that is an expression of one’s true nature.
The HEP psychotherapy relationship is not distant and coldly clinical, but a vital
relationship with connection, compassion and challenge that provides a model for
relationship in the world.
Many people have created a public self to adapt, but this can get in the way of
genuine intimacy and self understanding, preventing people from realizing their
full potential in life. HEP psychotherapy helps people get in touch with what’s
really going on inside, and then to take that out into the world. The beginning
focus might be an issue from everyday life or a feeling in the moment. This is
then deepened into an experience of origin, reflection, insight and action. From a
felt sense of meaning created through this experiential spiral, a felt sense of
purpose emerges. HEP psychotherapy provides a structure of accountability and
support to help people generate the life they want in the context of their own
evolving nature and the culture of the times. This may bring about a change in
how they treat themselves, a lifestyle change or a change in relationship or
career, all toward the goal of living a life that is fully one’s own and of service.
HEP psychotherapy helps clients to change dysfunctional patterns and heal the
wounds that block them from achieving their full potential in life. The work
focuses through issues in personal growth, stress management, relationship,
sexuality, career, finances, health and creativity. People become stronger by
embracing the full intensity of their authentic being. Through experience,
meaning and action, people come to understand how they create their life
through self-conception in every moment. The life they live then becomes the life
they want because they begin from wanting the life they have. This profound self
acceptance is true healing.
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the body the psyche is affected in a unique way, not available via verbal and
interpersonal techniques.
HEP draws on the symbolic and metaphoric powers of the human imagination in
addressing individual, cultural and planetary evolutionary challenges. HEP
recognizes the co-creative evolutionary relationship of nature and psyche,
locating the psychological within the natural as an expression of the
differentiating tendency of the living cosmos, where creativity and
interdependence are the foundation, the process and the goal. In this, individual
human nature is seen to be also in a co-creative relationship with the existential
divine as manifest in the natural world and in the community of subjects that is
human relationships. There is no concept of ‘sin’ or ‘evil’ in the HEP tradition.
Rather, there is a concern for holism and reconciliation to otherness, and an
appreciation of the evolutionary function of adversity and alterity. The model is
one of education and healing – providing complex care for restoring the
wholeness of the subject, both individually and communally
Instead of trying to just control the emotions of painful life events, HEP
psychotherapy helps people face them by moving from an anxious holding
against to an alive, spirited dancing with these experiences. This opens up the
capacity to feel more of everything and to think clearly. There can also be
spiritual bliss in accepting all aspects of who one really is. Problems and
symptoms become doorways to self knowledge. They can be indicators as to
what a person’s real identity is asking them to envision and act upon, in the
service of life. The satisfaction of living an authentic life is priceless. When we
connect to our true self, we find powerful guidance and the energy to manifest full
potential in our life. Client’s capacity for clear thinking opens up and blocks to
planning and follow through are addressed. People discover inspiration,
direction, meaning and purpose.
The ongoing committed weekly group is the most intense and rewarding crucible
for depth work in this approach. It provides the opportunity for healing and
transformation of the deepest life issues that are central to a person's
evolutionary soul journey. The HEP core group builds an environment of
connection, compassion and challenge, in which it is possible to confront both
deep shadow material and our most positive potential. The core group may be a
place where incomplete family issues and dynamics can constellate and be
worked through in the context of interpersonal relationships. Because of the
containment and depth experience in this context, existential, archetypal and
transpersonal material also arises. The group can also work as a 'buddy system'
to support individuals with personal habit and lifestyle changes, and help people
who are going through a difficult time.
Working with our authentic, embodied self opens up the erotic dimension of
identity. With proper respect for boundaries in place, this can be a powerful,
enlivening experience that is not just about sex, but about the radiant openness
of being. This includes awareness of the archetypal dimension of eros and the
tantric divine-human encounter that is possible.
Record keeping
Record keeping should involve the use of an appointment book, financial records
and a patient/client chart. In addition to maintaining basic factual records for the
practitioner’s own use and for tax purposes, record keeping involves providing
sufficient information that another practitioner would be able to continue a
therapy with any client in the event of the therapist’s absence for an extended
period of time. It also should support the practitioner’s own therapeutic plans, and
chart the progress of the therapy in a way that provides for review of assessment
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