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Colloquia Topics Index [link]Psychotherapy  Main Page [link]




The Emergence of an Aesclepian Psychotherapy 1
THEODOR ITTEN

[CONTINUED]


I shall now make a small detour. In the summer of 1986, a few months after I left this community, I reread Donald Winnicott's account of the psychoanalytic treatment of a little girl. I found the following passage, describing the fifteenth consultation:

Gabrielle: "I'll show you what I can draw, I hardly do ears, it has long hair beautiful hair - (the picture of the dog they were drawing) - look I've spilt over the paper, and on the table. It's like a scribble.. "

I said here that it was as if she were drawing to show me a dream, and some of the dream had spilt over into waking life. It seemed that this was what she wanted, for now she told me a dream, and it felt as if this was perhaps what she had come to tell me.

Gabrielle: "I had a dream about you. I knocked on the door of your house. I saw Dr. Winnicott in the pool in his garden. So I dived in. ("Daddy saw me in the pool hugging and kissing Dr. Winnicott, so he dived in too. Then mummy dived in, then Susan (here she enumerated the others of the family including the four grandparents). There were fishes and everything It was dry wet water. We all came out and walked in the garden. Daddy landed on the beach. It was a good dream.

I felt that she had now brought everything into the transference and had in this way reorganized her entire life in terms of a positive relationship to the subjective figure of the analyst, and his inside.

Me. "The pool is here in this room, where everything has happened and where everything imaginatively can happen. She said something about her hands being wet because she was swimming.7

Here I discovered that both mine and Roger's dreams belonged to a specific therapeutic tradition. Donald Winnicott was Ronald Laing's psychoanalytic supervisor when he was training at The Institute of Psychoanalysis London, in the late 1950s.

In my own dream the pool is in the middle of the group therapy room, inviting us to share in its possibilities. Yet Roger and I had to wait until the pool was filled with water deep enough to swim in, and we had to struggle with his desire to jump in as Gabrielle did. In his own dream, however, Roger was running away from therapy, from the challenge of reorganising his entire life, cleverly using therapy at that point to his own advantage, and thus avoiding being 'caught out'. Roger's dream, as an illustration of how he was in the therapeutic relationship, perhaps shows how the feeling of waiting is common, or the common waiting, can evoke a need of surrendering one-self, through which one becomes aware and attentively 'beware' of one-another.

Thus we jump into the 'water of life', often seen as a symbol for childhood and emotional life and, as the amniotic water reminds us, pre- birth experience as Laing's book The Voice of Experience testifies. We want to be able to jump into the water of life without fear of loss. In my dream, the combination of water running into the pool and the timing of the jump together can be seen as the core of the relationship between Roger, Ester and myself; it is a picture of the struggle during a period of 'negative transference'.

As the neurologist's dream also shows, sometimes it is difficult simply to wait patiently for an authentic meeting of two or more human beings and to recognise how we run away from authentic being - which we, in the final analysis can't, but still try to - in order to please others. Suicide seems to be the only way out in the neurologist's dream. But there is an alternative: we can also wait for another dream, to give us something fresh to talk through. A fresh dream can open up new possibilities as to where our own healing potential is drawing us.

Implied in the question in the dream, "Is this therapy?" is the continuous musing over, and on, the proclamation of a therapeutic method, which does no harm in the often grotesque longing to be secure in a delicious wisdom of life, to wake up being one-Self and not a bad copy of someone else. In contrast, the compulsion of comparing - more often than not in a competitive mood - the variety of talented methods and aims of psychotherapy (and there must be, by now, over 170 Schools in the West alone) can so often be paralyzingly contradictory, for it brings fresh suffering in its wake to the life of patients, their families and friends but also to the therapists engaged in this competitiveness. It obscures our longings for certainty, for a secure base, home - a need of therapists as much as of their patients.

The second dream of the therapist

Ronald Laing and I sat facing each other at opposite ends of a large room. Our colleagues sat along both sides of the other walls. I gave a I long talk about Laing's work and therapeutic methods.

Afterwards he came up to me and said: "You know, we need a new kind of magic to get away and back to ourselves."

What does the term "magic" mean here? What 'magic' is "Laing" talking I about? Perhaps it can be described as 'producing illusions', or spells or charms, which could bless rather than deny the great Unknown, shadow parts of our Self. We are talking about the "art" of being "deluded" (Latin: ludare, to play). I can become aware that I have been deluded, become disillusioned, in a situation which I took for real and true. We are being offered a chance to recognise self-deception together with a distorted perception of what is going on, thus freeing ourselves from illusions (which seem true to normal perception patterns) and hypnotic hallucinations, as shattering as this can be, yet without destroying the hold on the 'true' self.

Laing has described this self-system in his major early work, The Divided Self (1960) and The Self and Others (1961). We find in these studies how we get away from what we are, how we get away from what we are not in an attempt to find our 'true' self, often treasured in our dreams and deep hopeful wishes, floating in the vessel of our soul. For Laing, to discover our 'false' self is also to become aware, at the same time, how it relates to, and depends upon, the 'true' self. The not uncommon dreams of being on bridges while being in therapy might here be allowed to be seen as corroboration of my view that a new magic of therapy might be like a bridge between the 'true' and 'false' self, linking and separating them at the same time in space as illusionary identities. Both are related by what flows - insight, intuition, sensuality - between them. Interpersonal perception is thus guided by "The difference between people, not people who are different" as Laing wrote.8

A dream answer also came, when I had a dream where my cousin Thomas (Aramaic: the twin, the doubter) suggested to me: "Why don't you cultivate sobriety as a magic to clarify what is going on in our relationships, in- and outside of our family. "Why not? Sobrius in Latin means: not being addicted to intoxication of any sort, be that words, silence, ideology, hallucinogenics or methods, models, theories and so on.. It also means, to be unhurried and thoughtfully calm. In fact the concept: sobrius, can gather together all the qualities needed - even for psychotherapists - to deal with the confusion and disturbance of the social, intellectual, emotional, spiritual, somatic and religious aspects of life.

In my native German the word for sobriety is Nuchternheit, holding, within itself, the sense of nightly (Latin: nocturnus) and daybreak, dawn (Old High German: Uohta). It dawns on me, remember, how we, as tenders of the soul, are also in an old monk-like tradition, which includes an early meditation before we sit for breakfast, reviewing our excesses, our fantasies and emotions filled with a prejudice which we have acquired in and during the course of daily life. In therapy we can calm emotional-, intellectual-, somatic- and social-turmoils, we can play, we can circle round our human faculties, examining them and making sense of who, what and what for we are with, as human beings. In this way we practice the art of Satisampajanna, which is an essential Langian skill, "the cultivation of being aware of what is going on, without projecting my own fantasy system upon it". Unconditional attentiveness.

The third dream of the therapist

This dream contained the question: "What sort of Therapy is this?"

Winkler, a garden architect, comes to visit me in my consulting room. As soon as he sits down on the couch he begins to talk and mutter in a strange way about his moods and the problems of living the way he does. After listening to the story he tells, I get up and give him my accordion. I help him to hold it properly, and then we find ourselves in the garden behind the praxis room.

There he begins to play. He jumps up and down, pulling and pushing the accordion in great anger. He runs to and fro over the vegetable and flower beds, dancing to his own music. The scope of his actions is limited by the garden fence. When he runs towards it I stand in his way and offer resistance with which he plays. He is playing with the limitations of this garden (process) of growth. He jumps on me, bounces back, then repeats this again and again. The music and our voices mingle with sweat and tears.

Windows fly open in the neighbouring houses and people look out to see what's going on. I think that they might think: "What sort of therapy is this?" I feel an answer suggesting itself: It is drama and dance. Here is his music, we are becoming attuned to one another. We are together in his element, the garden. It is like a ritual fertility dance. He plays the accordion in accord with how he feels, and we communicate out there in the open air as strongly as we possibly can. I am protecting him and helping him cultivate the ability to respond. Call it drama-therapy or art-of-living-therapy.

Then we are back in the consulting room, panting with exhaustion, breathing deeply. We begin to discuss how we experienced what we have just been through. We speak about our deepest desires, feeling the breath of Psyche flowing through us and giving voice to it; feeling free to experience its limitations and its boundaries in our embodiment, which must be respected. We have been and are still on common ground; we heard the music of his heart's desire which provided the rhythm and pulse for our mutual experience. We were experiencing the innermost desire, spirit and fire of the child within us.

At the beginning of the dream we were two strangers, meeting to explore what it was that brought him to see me. Then, as we became attuned to each other we found ourselves in the place of his professional competence. There he felt safe to let go and experience guided catharsis as a creative act. When he headed for the fence, I provided resistance, protecting and containing him so that the play could continue. Then came the central question about what I thought was going on, for which I projected myself outside, looking as if I were someone else (neighbours) into the garden of therapy, seeing and naming the risk - to hurt and be hurt, to loose and be lost, to disturb and be disturbing - that was involved in being together in this way. Finally when we became exhausted, we returned indoors to my f sphere of competence to reflect on what we had been through: a choreographic movement from interior to exterior - integrating opposites - but also from introversion to extraversion, soul as personal to soul in the world! At the end of the dream, we are back to where we started from, yet somehow changed.

The fourth dream of the therapist

A month after this dream, I had another dream which involved the question: Where is my communal praxis? - which brought the circle (cycle) of questions to a new closure. It concerns my search for a place in the therapeutic community and the place of my own therapeutic practice within it.

I am outside my practice-building at the back door looking up to the second-floor windows, which belong to the practice rooms. Then I am in my consulting room with Elisabeth who came today for her final (session, having been in therapy with me for three years. It's evening, the hour of fair-well. I give her the opportunity of spending the last night sleeping on the couch, while I sleep on the floor in front of it. I suggested that we tell each other our dreams in the morning and then take our leave of each other. She agrees to my proposal and I put out the light. After a while there is a noise in the hallway and the light goes on) again. Some of Elisabeth's friends are standing in the room. I look at them intently. They say that Elisabeth invited them without me knowing, as a surprise. I say that this goes against our agreement and they will have to leave, otherwise we would have to leave. Then my wife and colleague, Heidemarie, comes into the room, complaining about all the noise, saying she can not sleep, so we all leave. In the hallway I come across a printer who is sorting out his prints, he stays in the building while we all leave.

Now I am alone in a neighbourhood with a variety of shops, workshops and restaurants, all assembled in one building complex. The next morning / find myself going into the basement of my practice-building, accompanied by Dimitrij and Anatol, my two sons. We all carry wood and enter a video-clip advertising firm which has rented a room at the front of the basement where the wood fire furnace is located. We put the wood in the fire to heat the practice rooms. We go back outside and I am alone again.

I meet Barbara who now lives in Le Vaud (the Woods). I haven't met her since my return to Switzerland five years ago (1981), after nine years in London. (We met during the first year I was in London.) I invite her to come and see our practice. As we go towards it, she is replaced by Francis Huxley. We enter the building by the southwest door, but once inside I can't orientate myself. So I ask a cleaning woman: "Do you know where the printer's shop is?" She answers: "No, why?" "Well", I say, "Next to it is the Gemeinschaftspraxis." "Ah", she replies, "Try up the stairs in a northerly direction." We climb up the stairs but only find a theological bookshop. Francis picks up a book and browses while / look down another stairway leading to the eastern part of the building. I put my hand on the bronze railing and notice that it is decorated with a dragon's head, and that these are the 'Spanish Steps' in Rome.

At the foot of the Steps, there is a crowd of men, women and children, of all ages. The children are playing, there is a carnival atmosphere. They are watching a dragon dance. At this point I see the entrance of the practice building "Hey Francis," I shout, "I can see the entrance to the practice." Whereupon, I jump down the Steps and join the people assembled there, watching the dragon-dance. It's all very like Chinese New Year. I call Francis again, looking back at him, and see he is still reading a book. "Hey Francis, come down here!" He finishes the book and puts it back, then comes down the Steps with enormous leaps, ending up in front of the dragon's head. He plays with the dragon, coaxes it into a chase and runs, with the dragon at his heels, to the back of the building, where the back door of our practice is. All I can see is the dragon's tail, moving as if it is chewing Francis up. I feel an urge to run after them, but stay where I am for the time being.9 10

This dream brings me full circle - from its beginning (which takes place) outside the practice, to the end (which takes place) inside it. After the opening of the dream there are three main episodes.

The first is in the practice and is a final session with a patient; conducted in a variation of the Aesclepian therapeutic tradition; the second takes place outside again, in the neighbourhood, and going down into the basement (alchemical store), to heat our practice rooms, together with my sons; and finally, finding my way to my communal practice accompanied first by Barbara then by Francis Huxley.

Through my apprenticeship with Ronald Laing, I entered the tradition which grounds itself in what we know as the medicine of Aesclepius, son of Apollo, disciple of Cheiron and friend of dogs and snakes, having underworld connections with Hades and Dionysos. This tradition, from 600 BC until about 200 AD seriously practiced as a healing cult in Epidauros in Greece, believed that there is a power or energeia, which attracts an illness, brings it out into the open, and can also heal it. Therefore, in order to heal, that energeia had to be actualised or cultivated. This was done by a process of incubation. This took place underground, in old snake holes, where the patients, after cleansing and singing rituals, spend a day and night of healing sleep. Some say it was for three days and according to other writers, with psychedelic substance, and/or with snakes in company. On re-emerging the patient would tell their healing dreams and visions to the therapist, who often does nothing but listen attentively with unconditional love. The healing dreams would direct and form the basis of the treatment.

It was this vision of healing which is based on internal knowledge, which in my dream, I had intended to be the finale of the therapeutic relationship with Elisabeth. Some stay with us in therapy for quite a while, as an advent, to get ready for the healing dream or dreams, freeing their minds, physis, emotions and social relations of the habitual contamination and turn in to a releasing experience of being re-born. We shall never know what sort, of lead Elisabeth, of the dream, would have been given, since we were interrupted by her friends whom she invited without me knowing it. Perhaps the preparation for the final incubation included her ambition to surprise me in order that the ritual could not take place. Perhaps she wanted to consummate the process without taking the risk of going down, in and re-emerging afresh. After writing the first draft of this essay, in 1986, I found an essay by Ronald Laing, of which I was hitherto unaware. It was first published in Italian, in a collection of essays by Franca and Franco Basaglia-Ongaro, in 1975, the year I first met Ronald Laing in London. Entitled: 'A Dream of Peace', it exactly addresses the theme of this paper. Laing shows that our tradition can help to mitigate and finally heal our fundamental anxieties about separation. The first and most traumatic is at birth, latter from the breast feeding mother, our dual-unity, in growing up and adult life from .lovers and friends. Again and again we suffer the echo of the shock of cutting the umbilical cord. In the ritual of therapy we can have a chance and an experience, writes Laing, of communion in common to find peace of mind, soul and body, embedded in the socio-cultural environment in which we happen to live.11

Back to the last dream. Wandering around Sankt Gallen I am in the local neighbourhood where I know people and they know me and what I do. When I go into the basement with my two sons to light the furnace which heats our rooms, it indicates to me that my experience as a father now informs my work as a therapist, and as my children warm my heart, so I try to warm the chilled souls of others, one of the original meanings in the word 'psyche-iatros'.

I take Barbara (Gr. barbaros: stranger) back to the practice so that I can show her (who was there from the beginning with me in London, in the strange land and community where I first learned my art of healing), where I am now practising what I preach, and preach what I practice. However, the dream also marks the threshold of our friendship as she gives place to Francis Huxley, my companion in the search for the 'Gemeinschaftspraxis', where, as he once said: "we can garden love with one another".

The last and longest part of the dream is dominated not only by this search, but also by the dragon. Interestingly, 1988 is the Year of the Dragon in the Chinese horoscope, and I was born in 1952, also the year of I the dragon. My grandparents (on my mothers' side) and my parents have all been living in China for many years. My maternal grandfather, Hans Scheurer, wrote a short story on the Dragonking in the province of Guangzhou (Canton).

Francis Huxley has written about the Dragon as "the nature of spirit and the spirit of nature ". This mythic, beautiful beast, as some take it to be, can be see as my totem for therapy, in its feminine, goddess and matriarchal imago. Her true form becomes visible through continued devotions, showing her to be, "the goddess of compassion and the guardian of childbirth", writes Huxley.12

The medicine wheel of the old North American Anazazi has different meanings associated with its different points. The southwesterly point is the place of the sacred dream, and this is the point at which we enter the I building where our practice is located in. Once inside, however, I can't 'orient' myself, and turn to a guide who takes the form of a cleaning woman, someone who cleans up and gives us room to move. Via an indirect question - asking about the printer's shop - she indicated how we might 'find' the practice. To go in a northerly direction we found the theological bookshop. North, on the medicine wheel is the place of the philosophy of life, spirit and airs.

In his book on dragons, Huxley writes the following: "If there is one reason for dragons haunting the imagination, it is surely here: they are the outer aspects of an inner knowledge, both animated by that desire which the Upanishads also call hunger and death. These three aspects of the One form the triple bond of Destiny - a bond the Greeks knew as telos, meaning the toils of fate, the issue of a struggle and the completion of things by ritual initiation, by marriage and by death."13

When I though about the image of the bronze dragon's head on the Spanish Steps in Rome, I was reminded, it was there (here) where Shelley and Keats attempted, through their poetry, to come to terms with time (another meaning for telos). I felt in the dream as if I too was making that attempt, as I touched the Dragon's head. I felt 'oriented', finally, as I noticed the carnival atmosphere which surrounded the people of 'our' community who were taking part in a Dragon dance. It was at that point that I saw the 'entrance' to the practice, and called Francis. All these images - the Dragon dance, the Door of the Practice, the people, old, young, children and middle-aged dancing together in a carnival spirit - came together in a new level of Self-awareness, of sensual enlightenment. I felt that I knew where I was going.

Eventually, taking his time, Francis joins us and jumps in front of the dragon, getting it to chase him, and it ends with what appears to be the dragon eating him up. Perhaps this is saying that now my personal mentors of therapy are being taken in and back to their archetypal source: in the Aesclepian Dragon! Although I felt a tremendous urge to go and see what was happening - my own creativity wanting to be released, to become a witness and take note - I held my ground. I felt strong enough to remain where I am, for the time being, grounded securely within my practice and the local community.

Finally, remember, how Ronnie Laing, may his soul rest in peace, taught us to cultivate the reciprocity of perspectives and innocence of vision by asking us: "Why don't you try to imagine what you would feel like if you were one of them, patient, and treat them in the way you would like them to treat you, if you were m their position.

Feel Free!

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References

7 Winnicott, D.W. (1980). The Piggle. Penguin Books. pp.187-8.
8 Laing, R.D. (1982). The Voice of Experience. Allen Lane, p.38.
9 Huxley, F. (1976). The Raven and the Writing Desk. p.46.
10 Huxley, F. (1979). The Dragon. Thames & Hudson, p.31.
11 Laing, R.D. ( 1980). Ein Traum vom Frieden. In: F.& F. Basaglia-Ongaro, Ed. Befriedungsverbrechen. EVA, pp.179-187.
12 Scheurer, H. (1940). 1m Bann des Drachenkonigs. Basler Missionsverlag.
13 Huxley, F. (1979). The Dragon. p.7.



Theodor Itten
"The Emergence of an Aesclepian Psychotherapy." Journal of the Society for Existential Analysis 12.1 (January 2001), pp 48-64.

An earlier version of this paper, with the title: "I had a dream of Therapy", was originally part of a Festschrift for R.D. Laing's 60th Birthday, in 1987, with the title "R.D. Laing. So What?" Edited by Theodor Itten.

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