Showing posts with label therapy. Show all posts
Showing posts with label therapy. Show all posts

Thursday, April 1, 2010

Back to Blogging

It has been over two months since my last post. The situation of my life made it a little difficult to comfortably sit down and write about what has been going on. There is something about using a computer that isn't one's own that just leaves one feeling not quite right about writing. (I realize it's kind of silly, especially since this gets openly published for the world to see.)

Over the past two months my general situation has notably improved. I feel very good about the level of care I am receiving and the competence of those administering it. Perhaps that is the other reason I haven't been blogging much: I feel more like writing when I'm down and negative. I got with a new nurse practitioner with Weber Human Services to monitor and manage my medications. We have things at a level that I feel is the best I've been in the last 2-3 years.

I am still unemployed. I have been looking, but with the market and economy as it is the cards seem stacked against me. I have started with a new Voc Rehab counselor here in Weber county. She admitted that it will be difficult for me as I have a rather choppy work history (the longest I've held a job over the past decade was a couple months short of two years). In the mean time I am still working on trying to get either SSI or SSDI coverage so I can take care of living expenses. However, I was told it would take around six months for a decision to be made about qualifying.

Probably the biggest piece of news in my life over the past few months is the small business I'm trying to get started selling my crochet work. I named it Joe d'Arc Crochet after my online alias (I also think Joe d'Arc is a little bit more marketable than Ryan Hollist).



I opened a store front on Etsy.com back in December and have listed the items I could from what materials I have available. So far it has been very slow, but some have shown interest. Just a couple weeks ago I decided to make as serious an effort as I can with this business. I made a basic flyer showing some of the work I've done and even made a Facebook fan page. I also contacted some local stores to see if they would be willing to sell some of my work on consignment. Last week the store manager of Cahoots (an LGBT themed novelty store in Salt Lake) said she would like to see my work and talk about selling some of my work. Other than that, it has been difficult trying to get things started. I've used what material I have and turned around the money I got from the couples sales I've had to replenish supplies. However, it is difficult trying to get any kind of business going when one has almost no capital to invest.

I have much more to write about, but I will put it in a separate post.

Sunday, January 10, 2010

Body Image

As a preface, I want to say this entry is perhaps one of the most difficult entries I will ever write. I am a very open person, in general. I usually find myself holding back on what I feel comfortable talking. This, however, is a topic I feel much shame about, and it is because of that shame I feel I need to start addressing it more directly.

I've never been a skinny person; I've always been at least "chunky." Even in my teenage years, when I slimmed up a bit due to growth spurts and the exercise I got in marching band, I was overweight. I still remember being measured for my colorguard costume at the beginning of my senior year and my waist being thirty-nine inches. I still consider the photograph of me in my costume to be the best picture ever taken of me. When I performed my senior-year Winterguard solo for a school assembly a friend told me how someone next to him said, "He's the fat, gay guy." In elementary school kids called me "sumo" on the playground. (Although, breaking with the stereotype, I actually enjoyed dodge ball and did fairly well at it.) I also felt very self-conscious around my step-mother, who was always trying to lose those ten or twenty pounds most middle-age women have.

It is my birth mother I keep coming back to as the root of the damage that has been reinforced through almost every stage of my life. I remember her being very blunt about my weight and size. One incident that sticks out very clearly in my mind is when I was about six or seven, after my parents' divorce and she was allowed visitation under the supervision of a social worker. I don't remember exactly what my mother said. I know it was something about my size, or how I needed to lose weight. I was so upset with her I got out of my chair and kicked her in the shin. Looking back, I think this was a major incident in the social worker telling the courts it wasn't healthy for us children to be visiting our mother. Even after I was no longer keeping direct contact with her she would send me herbal diet supplements--usually nasty, bitter herbal teas.

As I've discussed this history with therapists, it seems there is no wonder why I have such a deeply shamed-in negative body image. It haunts me where ever I go, coloring almost everything I do. I almost always seem to have the thought in the back of my mind wondering how many people are looking at me in judgement and/or disgust because of my weight. Intellectually, I can reason that the number is probably not that high, but emotionally it is difficult to feel people don't look at me the same way I look at myself. Our general culture is bad enough with how it enforces unrealistic body images. Just the other day I was with a friend at the grocery store and we stopped at the magazine rack. We took a moment and really looked at some of the covers and how unrealistic the models looked with all the air brushing and Photoshop work. I particularly took notice of the cover of the latest Men's Health Magazine. I was horrified at the level of computer work they did on the photo. I wonder if they even bothered with a model, or if they just generated the whole thing electronically.

It's even worse as a gay man. The culture is deeply youth obsessed and steeped in body worship. Porn stars are held up as idols and the yard stick by which to be judged. I know this is an over generalization, but it is difficult to see past it when the entrance to the dating scene is covered by signs saying "NO Fatties!"--and other qualifiers I will leave out to keep this blog reasonably family friendly. Perhaps the most shaming thing about all of this is the hypocrisy I feel with myself. While I so deeply resent being treated the way I am because of my weight, I realize my judgements and desires are much the same. I may not be at the level of some--refusing to even consider someone with a waist size of 30 or more, or requiring a large genitals to body fat ratio--but I still find myself looking at the magazine covers and not wanting to settle for less (or more, as the case may be).

I've tried to go on diets, only to be so crazed with cravings I felt like I was going through the DT's. I had times when I wished so desperately to lose weight by any means I wished I could bring myself to be bulimic. (Part of me feels weak and even more shameful for not being able to even do that.) Exercise is difficult as I really don't enjoy it for the most part. The exercise classes I have taken I usually find to be run at an energy level I just simply can't maintain.

I did find something of a release from all this shame for a time. In the fall of 2004, I read Coming Out: An Act of Love by Rob Eichberg, Ph.D. In the second chapter, Dr. Eichberg has a questionnaire asking the reader to respond to questions about how they feel about such things as being worthwhile, lovable, telling the truth, etc. Each question is to be considered in the context of the reader's childhood, adolescence, and present feelings. I took the time and care to actually sit down and write out my responses. I did it without editing what came out. In some cases I didn't realize what I wrote until after it was on the page. One response came out in a very shocking way, and I have felt so much shame for even thinking this that I have never shared it before with anyone outside of therapy.

Q: How do you feel about being lovable? Do you feel that there is anything you have to do, be, or say in order to be worthy of love?

A: I keep seeing in my mind that if I had a better body things would be different. If I wasn't so fat, if I was more muscular, if my penis was larger things would be better. Basically if I was porn star worthy my life would be good. I'd be able to find a boyfriend who really loved me. I would have a far better social life. I wouldn't be so depressed, alone, and hating myself every time I see or feel the huge stores of fat on my body. I would be able to like myself.


I remember how surprised I was at my response. I physically felt a jolt of electricity pass through my brain as I finally pulled all these issues to the surface of my consciousness. After this things began to change. It wasn't all at once. Over the next year I let go of the sense of being judged by others and much of the shame I held for myself. I stopped worrying so much about what I ate and realized I started eating better. I got into an exercise routine that worked well for me and I was able to reasonably enjoy. I even pulled together the confidence to start asking guys out on dates. By the end of 2005 I had lost forty pounds, going from 280 to 240 pounds, and went down to a size 40 waist from 48.

But it didn't last. Over the past few years I've gained the weight back and now weigh around 290 pounds and my waist size is back to 48. I get basically no exercise these days, and I can easily say I am in the worst shape of my life. Just walking a few blocks can leave me with aching legs and short of breath. I keep wondering what happened to stop and reverse the progress I made. Maybe I can blame my depression, hypothyroid, or some other things. Mostly, however, I think it was the changes in environment as I moved from place to place. When I had my epiphany and made good changes I was in places where I had the space and convenience to choose what I was going to do and how I would do it. I was also surrounded, mainly, by people I didn't feel any negative judgement from. Things began to change when I moved to a place where I felt the judgement and didn't have the space and convenience to do quite as I chose. Perhaps this is why the issue has become something that demands to be faced now. Over the past few months, and especially the past couple weeks, my situation has changed to be an environment where I feel even more restricted and judged.

Friday, December 18, 2009

The Better of Equal Options

Wednesday at my group counseling session, I told the group about how I had met with my bishop and how I planned on attending church meetings so I could network with the ward for job leads. The conversation from there went easily to dealing with our LDS backgrounds and how to deal with LDS authorities, especially bishops. I talked about how I found the encounter easy to deal with as I went in with a very specific goal and topic. I wasn't there out of a sense of duty to "confess" or "repent." One member, who is active in his ward, talked about how he believes the bishop is not necessary for salvation/exaltation. I really liked how he talked about how one should only go to the bishop with problems and issues when one is inspired to do so (not shamed or guilted). The bishop, he said, is there to be a person of guidance and teaching. He is not the one who absolves our guilt or cleanses our sins.

At the end of the session we do something called "check outs." This is an opportunity for every member to articulate what they are taking away from the session and mention anything they would like to keep discussing the next time we meet. At this session, as people took their turns, I had a profound Spiritual epiphany. I don't know why it came then. Perhaps it was the discussions about dealing with going to church meetings, the position and powers of church leaders, or perhaps me talking about how I planned to attend church to network with the ward. What came to me was an answer to a question I've carried with me for over four years.

As I've written about before, back in 2005 I came to an understanding of what general path is best for me to take with my sexuality. It came from a process of prayer, fasting, and totally surrendering myself in being willing to accept whatever answer came to me. Although the answer came out clear, one thing that I have always wondered was why out of the options none of them were considered bad or wrong for me. The only difference was that one was "best" for my spiritual growth for this life and into the next. Even then, I understood the "best" was only something ever so slightly better than the others. Ever since then I've wondered why this particular option, to embrace my sexuality and even seek out a male partner, is "best." Wednesday, it just came down on me. It was one of those moments of understanding, when knowledge and understanding just comes. This option is "best" not because it will put me, per se, in some position of better spirituality or better attitude for salvation. All in all, when it comes to only me, all options were equal in what their path would do for me spiritually. The difference, where the "best" came from, was what this path will allow me to give to others. As I have felt for some time, there is a need for the gad-fly. I am not talking about being disruptive, contentious, or a nucence. What is needed is a voice of reason and moderation both in the LDS community and LGBT culture.

Saturday, November 7, 2009

Empathy Rediscoverd and Group Therapy Frustration

I have been avoiding writing as I have not wanted to think about a number of things that have gone on the past week. Some of it is emotionally difficult; some of it requires me to be careful about respecting the privacy of certain people.

As I wrote in my previous entry, I have rediscovered a spiritual calm that has been missing from my life for some time. As this calm has returned another aspect I have missed for many years has returned as well. It is something difficult to explain properly without it seeming too bizarre. The best I can say is it is like an empathic ability, verging on psychic at times with people I am close to, that I realized and developed back in high school. A different way of saying it is what might be called the spiritual gift of the discerning of spirits (D&C 46:23). Perhaps it is simply feeling a connection of trust with people. Whatever it may be, it has been missing from my life since my mission. It is a profoundly wonderful feeling to have rediscovered this gift. It is also a bit disturbing.

The past few sessions with my therapy group have been more difficult than usual for me. Some of the people involved have left me feeling frustrated and uncomfortable in dealing with them. I have struggled to figure out exactly why it is I feel this way. This past session I got a glimpse of understanding as to why. As I let myself open up to the group empathicly I realized the people I'm having difficulty with are just at a very shallow, undeveloped level. I am fighting and struggling to move forward while feeling like I'm getting pulled back to some remedial level. It makes me think of a Simpsons episode when Bart is put in a remedial class, "We're behind and trying to catch up by going slower?" (to paraphrase). The therapist for the group suggested to Voc Rehab, since they are currently covering my group sessions, I could probably benefit from individual counseling as well. My Voc Rehab counselor seems like she can get me covered for that as well. I feel I could really use it as I am leaving the group sessions usually more frustrated, angry, and/or depressed than before.

Wednesday, October 7, 2009

Open Letter In Thanks to Keith Olbermann for His Special Comment on Health Care

Dear Keith Olbermann,

I feel deeply impressed to write to you and let you know how grateful I am for your program long special comment on health care. I have cried all evening thinking of your personal experiences of dealing with your father's illness and the pain of those left to suffer because of the failings of the current medical system. Being one of the latter, I am particularly moved by the passion of your care and concern for others and your willingness to put your resources to affecting real reform for the better.

I have lived my entire life with chronic clinical depression. Although I have been able to receive good care with medications and counseling I often am still left in a debilitated condition by it as neither my family or myself have been able to afford the time and money to monitor and treat my condition to the extent it sometimes requires. It has even been difficult when I was able to have medical coverage from my employer. The past two years have been especially difficult as my depression was severely exacerbated by the development of a hypothyroid condition. I was rendered so unable to function I had to withdraw from school, have been unable to work, and even ended up in the Emergency Room due to suicidal feelings. To add another mark against the current system, I waited in the ER for over four hours to speak to a Crisis Worker only to be turned away with no assistance as I was not yet actively engaged in harming myself or others and still being billed over five hundred dollars. Despite the severity of my condition I tried, unsuccessfully and with what felt like Herculean effort, to find work so I could take care of my needs. Having gone from full-time student to simply unemployed has left me only financially able to barely cover the most basic needs of my condition--or I should say left me dependent on the meager financial assistance my family has been able to provide me. Even the hypothyroid condition went undetected for over a year and a half. I have been lucky, somewhat, to receive assistance from some charitable and community programs. I am trying to receive Medicaid, but being a man with no dependents leaves me in a difficult position where I have spent nearly three months of paperwork trying to prove my condition is serious enough to warrant receiving any care.

Over the past months I have watch the coverage of the protests by "deathers" and other people who have abandoned reason and moral sensibility over the issue of health care reform. I have been dismayed at the lengths and levels the insurance industry lobbyists have gone over this issue. I am disturbed by the way many members of Congress have gone about opposing reform holding capitalism and corporate profits over the well being of American citizens. It may go without saying, the levels of deception, hysteria, and incivility in recent political rhetoric has left me despairing that I will have an opportunity for full proper care of my condition and realize my full potential as a contributing member of society, instead of just settling for basic treatment that only leaves me just on this side of the divide between sanity and self-destruction.

Again, thank you, Keith, for your work. Although what you often report on your show upsets me, your passion to see the world a better place for everyone, publicly call out the charlatans influencing our social systems, and speak truth to insanity gives me hope for the future.

Sincerely,
Ryan Hollist

Tuesday, September 22, 2009

Response to Elder Bruce C. Hafen at Evergreen Conference Sep. 2009 (Part 1: Science and Therapy)

The recent talk by LDS General Authority, Elder Bruce C. Hafen, at the Evergreen International conference has created a good amount of attention. Most only have read the articles in the Salt Lake Tribune and Deseret News. I took the extra step to read the entire talk, which is posted at the LDS Church's online newsroom. I could write a great deal in response to Elder Hafen's comments. I will try to keep myself to a few key points for this entry.

Elder Hafen begins with addressing ideas about the cause of homosexuality ("same-gender attraction" as he chooses to put it). Like many other talks and articles by LDS church leaders and therapists, Hafen does quite the job working towards trying to debunk the idea that sexual orientation--or more specifically homosexuality--is something innate to the individual. "Having same-gender attraction is NOT in your DNA," he says. This argument has been central to the constant position of the LDS church and Evergreen International that homosexuality can be "overcome," "changed," and otherwise altered to bring the person who "suffers" from it to "properly functioning" heterosexuality.

While it is true there is currently no direct proof or evidence of a "gay gene" or many of the other biological theories about the cause of homosexuality, this does not mean there is not compelling indirect evidence to it. I will not go into the variety of leads being pursued by the scientific community at this time. What is agreed on, by both scientist and Elder Hafen, is "So much individual variation exists with so many possible explanations that there is simply no scientific consensus about what causes homosexual tendencies," and "no universal expalation exits." As he quotes the American Psychological Association, "[N]o findings have emerged that permit scientists to conclude that sexual orientation is determined by any factor or set of factors… [N]ature and nurture both play complex roles." The mistake Elder Hafen makes at this point is a classic issue, confusing the absence of proof for the proof of absence. This is why research continues based on the indirect evidence being found and theories being put out. What has failed far more consistantly is the very theory Elder Hafen, and many others I have researched, insist this somehow proves to be right: homosexuality can be changed to heterosexuality through therapy.

The "proof" behind the efficacy of "change" or "reparative" therapy is often the testimonies of those who claim to have changed from a homosexual to heterosexual orientation. This is a hotly debated issue that is all too often used as a political, social, relious, etc. football. Although Elder Hafen cites a number of sources to support the idea, all but one of them is steeped in a deep refusal to do any proper studies regarding their treatments that they cannot be treated as anything close to reliable. The only study he cites that I would consider likely to be reliable is the study by Dr. Spitzer. I have not read the study myself, and would very much like to. (If anyone can get me a copy or link to it, it would be greatly appreciated.) I have read, or at least tried to read, the other sources he cites. All of them, without exception, are so repulsive in how they go about their theories, argue their cases, treat their "supporting" evidence, and refusal to adhere to any professional process I feel physically ill whenever I read them. Some, like the work of Dean Byrd, Jason Park, and Joseph Nicolosi (not cited by Elder Hafen), are so bad I have never been able to bring myself to complete any of their works no matter how much I tried.

Now, this is not to say I completely dismiss the idea of some homosexuals being able to live a satisfying heterosexual style life. I know some men who have done it. It's not easy for them, but in as much as it is my place to say either way, I believe they are choosing to live their lives in ways that seem to be the best for them. What I have seen in all my personal experience and research is that what actually helps people develop and deal with their sexuality in a healthy and mature way is not what Evergreen International or even the LDS church all too often endorses and encourages. It is not good for these people to constantly feel like they are somehow "afflicted," "flawed," or otherwise must "suffer" their orientation. I am happy to see Elder Hafen actually saying it isn't something people should be feeling like they must suffer for or consider themselves flawed by having. He still categorizes it under the label of being an affliction. This is a subtle trend I have noticed in the general LDS rhetoric on the issue over the past few years that I find very encouraging to improving the lives of LDS homosexuals. What also needs to be handled carefully is the matter of guilt. Again, I am glad to see Elder Hafen working in a good direction with it. At the same time I cannot tell you how many people I have talked to who tried going to Evergreen International, or similar groups, only to be fed a steady diet of shame and guilt because they hadn't "changed" yet, and therefore must not be doing what they should. (This guilt based shaming and accusations of sin based on not achieving predetermined results is something I have personally experienced in the LDS culture even beyond the issues of sexuality.)

What I do see that needs to happen more is helping the people accept, at a basic level, that they are homosexual. I have never seen a homosexual person I would say is emotionally healthy who has not addressed their sexual orientation maturely and accepted it as an aspect of them-self, regardless of whether they live a homosexual or heterosexual life. And notice, I said "aspect" of them-self, not their entire make up. I found Elder Hafen's use of the parable of the dogs rather interesting. While I understand the point he is trying to make, it is a poor parable for what is being discussed. Aspects of one's self do very poorly when ignored. Starving a part of the psyche only makes it lash out, demanding attention, almost always in unhealthy ways. Each part of one's psyche needs to be addressed and nourished appropriately. What also needs to be faced by the individual, therapists, religions, and society in general is the very complexity of the issue of sexuality. As much as the discussion revolves around the dichotomy of heterosexual or homosexual, the reality is there is a great amount of variety in the way sexual orientation goes. The most basic step is to consider how much a person may be bisexual. Often I have seen people who are actually very evenly bisexual get too focused on the homosexual side of their attractions. This can even block the heterosexual aspects of their attraction.

Elder Hafen is right that the APA recently adopted a resolution stating that there is insufficient evidence to conclude whether or not sexual orientation can be changed. I currently am being treated by a therapist, A. Lee Beckstead, Ph.D., who was part of the task force to review the APA's stance on the appropriate therapeutic responses to sexual orientation, including therapy to change sexual orientation. He also did one of what I consider one of the best studies regarding people who go through groups like Evergreen International. Again, the task force, through its research and interviews, found a number of things, some of which I have already covered.

People seeking to work with a therapist must make sure the therapist is ethical in how they treat the patient and how they go about the work. Some points that are very important, and issues I see Elder Hafen falling very short on in his talk, is to make sure the person is clear about goals, methods, and purpose of the therapy. For example, the therapist and client must be clear about what they mean by trying to "change" orientation. If it is simply working out how to live a heterosexual life, while still being attracted to the same sex, then the therapist may be able to tell the client that result is possible. However, if the client wants to completely change their orientation, no longer experiencing attraction to the same sex while experiencing strong attraction to the opposite sex, that result probably will not occur. I personally find Evergreen International and LDS approaches very unethical in that they are so predetermined in goals, methods, and purpose in the treatment they provide and information they share/dispense to those seeking help.

Another very important issue for the therapist to help the client with is views regarding what it means to be gay or lesbian. Many who seek change have a very skewed view about what it is to live as an out homosexual. Speaking from personal experience and people I know, the usual "media popular" version of being gay is not appealing or is downright disgusting to many. Most men I know don't have a desire to go around in assless chaps and have anonymous sex in public restrooms (as an example). The sad reality is many who seek reparative therapy and go to groups like Evergreen International think this is the only option they really have if they accept their sexual orientation. This is perhaps one of the greatest issues with Elder Hafen's talk and much that I hear coming from LDS church leaders and groups like Evergreen International. There is a subtlety to their rhetoric about "giving in or give up" and "succumbing" to the "gay lifestyle" (I am glad to see Elder Hafen at least put it in plural, "lifestyles"). Every time I hear it said there is a sense that there is only the option of giving in to a life of debauchery. This is not to say it isn't out there. I have seen the edge of it, but I hope as the great variety of gay men and lesbian women become more noticed in society people will realize that just because they are homosexual doesn't mean they must live their lives according to a stereotype.