Smith, W. H. (2004). Brief hypnotherapy of severe depression linked to
sexual trauma: A case study. International Journal of clinical and Experimental Hypnosis, 53, 203-217.
Smith, W. H. (2000). Commentary on John Watkin's Paper: The pschodynamic treatment of combat neuroses (PTSD) with hypnosis during world war II. International Journal of Clinical and Experimental Hypnosis, 48, 336-341.
Smith, W. H. (1998). /Review of: Ross, Collin (1997) Dissociative Identity Disorder: Diagnosis, Clinical Features, and Treatment of Multiple Personality/. John Wiley: New York.
Smith, W. H. (1996). When all else fails: Hypnotic exploration of childhood trauma. In I. Kirsch & S. Lynn (Eds.), Casebook of Clinical Hypnosis. Washington, DC: American Psychological Association Press. Pp 113-130.
Smith, W. H. (1996). The use of hypnosis in diagnosis and treatment. In J.L. Spira (Ed) Treating Dissociative Identity Disorder. San Francisco: Jossey-Bass. Pp 217-238.
Smith, W. H. (1995). Hypnosis in the treatment of sexual trauma: A master class commentary. International Journal of Clinical and Experimental Hypnosis, 43, 366-368.
Allen, J.G., & Smith, W. H. (Eds.) (1995). Diagnosis and Treatment of
Dissociative Disorders: A Multidisciplinary Approach. Northvale, NJ: Jason
Smith, W. H. (1993). Hypnosis in the Treatment of Sexual Trauma. Menninger Video Productions, Topeka, KS.
Smith, W. H. (1993). Overview of multiple personality disorder.
The Menninger Letter, April 1993, p. 5.
Smith, W. H. (1993). Incorporating hypnosis into the psychotherapy of MPD. Bulletin of the Menninger Clinic, 57 344-354.
Allen, J.G., & Smith, W. H. (1993). Diagnosing dissociative disorders. Bulletin of the Menninger Clinic, 57 328-343.
Smith, W. H. (1993). Hypnotherapy with rape victims. In S. L. Lynn, J. Rhue, & I. Kirsch (Eds.), Handbook of Clinical Hypnosis. American Psychological Association Press.
Titus, M., & Smith, W. H. (1992). Contemporary issues in the psychotherapy of women. Bulletin of the Menninger Clinic 56, 48-61.
Smith, W. H. (1992). /Review of Clinical Self-Hypnosis: The power of Words and Images/. Bulletin of the Menninger Clinic, 56, 48-61.
Allen, J. G., & Smith, W. H. (1991). I am me; who are we? Menninger Perspective, No 3-4, 5-12.
Smith, W. H. (1991). Antecedents of posttraumatic stress disorder: Wasn't being raped enough? A brief communication. International Journal Clinical and Experimental Hypnosis, 39, 129-133.
Smith, W. H. (1990). Hypnosis in the treatment of anxiety. Bulletin of the Menninger Clinic 54, 209-216.
Figley, C. R., Scrignar, C. B., & Smith, W. H. (1988). PTSD:
The aftershocks of trauma. Patient Care, 22(9), 111-127.
Allen, J. G., Davidson, J., & Smith, W. H. (1987). Complexities in the
hospital treatment of multiple personality patients. Bulletin of the Menninger Clinic, 51(6), 561-568.
Smith, W. H. and Allen, J.G. (1984). Identity conflicts and the decline of psychological testing. Professional Psychology: Research and Practice, 15(1), 49-55.
Shectman, F. and Smith, W. H. (1984). Diagnostic Understanding and
Treatment Planning: The Elusive Connection. New York: John Wiley & Sons.
Mortimer, R. and Smith, W. H. (1982). The use of
the psychological test report in setting the focus of psychotherapy. Journal of Personality Assessment, 47, 134-138.
Gabbard, G. and Smith, W. H. (1982). Psychiatry-psychology conflict: Origins in training. Journal of Psychiatric Treatment and Evaluation. 4, 203-208.
Smith, W. H. (1982). Evaluation of the supervisory process. In The Art
of Psychotherapy: Highlights of the Third Annual Vail Psychiatry Conference. Philadelphia, PA: Smith, Kline & French, pp. 9-17.
Smith, W. H. (1981). Psychology, psychiatry: The continuing struggle.
Interview by Shubin, S. in Mind and Medicine, 8, 4-7.
Smith, W. H. and Gabbard, G (1980). Psychological testing and the psychiatric resident. Bulletin of the Menninger Clinic. 44(6), 647-652.
Also reprinted in R. H. Dana and W.T. May (Eds.), Internship Training in
Professional Psychology.Washington, DC: Hemisphere Publishing, 1987. Pp. 411-418.
Smith, W. H. and Harty, M. K. (1981). Issues in the supervision of psychological testing. Bulletin of the Menninger Clinic, 45(1), 55-61.
Smith, W. H. (1980). The Rorschach, the borderline patient and the psychotherapist. In P. Lerner et al. (Eds.), Borderline Phenomena and the Rorschach Test. New York: International Universities Press, pp. 157-165.
De la Torre, J. and Smith, W. H. (1978). Neutrality or negligence: Interpret or act? American Journal of Psychotherapy, 32, 440-449.
Smith, W. H. (1978). Ethical, social, and professional issues in patients' access to psychological test reports. Bulletin of the Menninger Clinic, 42,
Also reprinted in P.W. Pruyser (Ed.), Diagnosis and the Difference It Makes. New York: Jason Aronson, 1977. Pp. 77-94.
De la Torre, J., Appelbaum, A., Smith, W. H., and Chediak, D.J. (1976). Reflections on the diagnostic process by a clinical team. Bulletin of the Menninger Clinic, 40, 479-496.
Smith, W. H. and Obourn, R.L. (1976). Self-evaluation challenge: Schizophrenia. Medical Challenge, 8, 70-81.
Smith, W. H. (1975). An approach to the analysis of activities. The game of chess. Bulletin of the Menninger Clinic, 39, 93-100.
Also reprinted in C.E. Schaefer & D.M. Cangelosi (Eds.), Play Therapy Techniques. New York: Jason Aronson, 1993. Pp. 263-270.
"Chronic Illness: The Constant Companion". Presentation at Lupus Day 2000; Sponsored by The Arthritis Foundation; Birmingham, Alabama; October 5, 2001.
"Stress and Multiple Sclerosis: And Life Goes On".
Presentation at Women and MS: Fulfilling the Possibilities, Sponsored by The Alabama Chapter of the National Multiple Sclerosis Society; Huntsville, Alabama; September 8, 2001.
"Finding our Way in the House of Mirrors: Psychotherapy for Womenwith Eating Disorders". Half-day workshop sponsored by Oasis, Women's Counseling Center; Birmingham, Alabama; September 25, 1998.
"Chronic Illness: Managing the Crisis of Diagnosis, Easing the Pain". Presentation at Journey from Crisis and Trauma: Effective Response
And Treatment, the conference of the Alabama Clinical Social Work Society; Birmingham, Alabama; March 8, 1997.
"The Good Mother Re-evaluated". Presentation at Changing Times, Evolving Issues: New Ideas about Women's Development; Menninger, Topeka, Kansas; November 3, 1995.
"Brief Dynamic Psychotherapy: When, Why and how". Two-day workshop presented with Bede Healey, Ph.D. for the Mo-Kan Institute of the National Association of Social Workers; Kansas City, Missouri; October 12-13, 1995.
"Brief Dynamic Psychotherapy". Daylong workshop for the Alabama Psychological Association; Orange Beach, Alabama; May 18, 1995.
Contemporary Issues in the Psychotherapy of Women. Co-authored with William H. Smith. Bulletin of the Menninger Clinic, 56: 48-61, 1992.
Don't Just Do Something, Stand There: The Role of Action and Will in Psychotherapy. Bulletin of the Menninger Clinic, 46: 465-471, 1982.
Script writer and actor for "Adolescent Suicide Risk Assessment". Produced by Menninger Video Productions; Topeka, Kansas; release date, 1996.
Co-producer, content expert and narrator of "Forging the Doctor-Patient Partnership", produced by Menninger Video Productions; Topeka, Kansas; release date, 1993.
Co-producer and narrator of "Doctor-Patient Partnership: Issues in Clinical Practice", produced by Menninger Video Productions; Topeka, Kansas; release date, 1993.
Narrator and scriptwriter for "Hypnosis in the Treatment of Sexual Trauma," produced by Menninger Video Productions; Topeka, Kansas; release date, 1993.
Co-director, content expert and narrator of "The Constant Companion: Living with Chronic Illness", produced by Menninger Video Productions; Topeka, Kansas; release date, 1990.
Alabama MS Spring Newsletter
--Meredith A. Titus, Ph.D
"And Life Goes On"
"I feel like I've lost my best friend. And the
strange20part is that she was so invisible I didn't know I had her to lose."
Four years ago, as Janet strode confidently through her thirties, she noticed
something a little odd about her balance. Easily dismissed as pushing herself
too hard on the treadmill. Cut back a little - no problem. Then the pins and
needles began and weird numbness. Not so easily dismissed. Trip to the doctor.
He didn't dismiss it either. Trip to the neurologist. Ride through the MRI. And
so it began. Everyone reading this knows what "it" is.
Janet is telling me this story in my office where I practice as a clinical psychologist. Sixteen years ago I might have told a very similar story. I was diagnosed with multiple sclerosis and began the unending challenge of losing my best friend - my taken for granted healthy body. I resonate with what she is saying and how she is feeling. I know she needs to let herself acknowledge a whole host of emotions. Some she will accept, some she will find embarrassing, and some she may be frightened by.
And if Janet is like me and most other people I've met, she will go through this process many times. Because MS and our usually miraculous nervous system have any number of tricks to play.
One gift that MS has offered me is the opportunity to spend time
with many people who feel like they have lost their best friend. Some, like
Janet and me, have MS. Others have diabetes, arthritis, chronic fatigue
syndrome, fibromyalgia, lupus and a range20of other chronic conditions. And each has found ways to cope with changing abilities, restricted mobility, and limited energy. But the accommodations don't stop there. We also find ways to grow psychologically, emotionally and spiritually. What helps along the way?
Informing ourselves about the illness, because knowledge is power. Talking with
friends and family. Sharing with people in the same boat.
"And Life Goes On" will be a forum to discuss these issues. Please send questions, answers and thoughts to me, Dr. Meredith Titus, at email@example.com. It will not be possible to respond personally to the contributions, but know that I will use them to guide me in selecting future topics.
Next time- Can Janet make friends with her changed body? (Have you?) About the author - Meredith A. Titus, Ph.D. is a clinical psychologist in private practice at Beacon Psychological Services in Birmingham, Alabama. She was on the staff of The Menninger Clinic in Topeka, Kansas for twenty years before moving to the South in 1996. She is co-producer and author of two award winning video productions, "Chronic Illness: The Constant Companion" and "Forging the Doctor-Patient Partnership." She has been a board member of the Alabama Chapter of the National Multiple Sclerosis Society since 1997.
Alabama MS Fall Newsletter
--Meredith A. Titus, Ph.D
"And Life Goes On"
We hear the words that compliment, affirm and encourage - and if we're not careful, the emotional roller coaster begins. Naturally we're pleased. We don't want to look sick. Most of us pay attention to our appearance. We make the effort to smile warmly and speak with spirit and animation. We try to look good and when we pull it off we're delighted. What could be wrong about that? Let's look at a few of the possible traps.
Inner dialogue #1 - How come if I look so wonderful I feel so rotten? Am I just being a whiny baby? Think about all the other people who really do have it bad. I wasn't bitten by a shark for heaven's sake. I don't have a visible mark on me. I really should have offered to help more on this committee. Am I just milking my MS? I hate that about myself. I wonder if everyone thinks I'm just lazy. (And the roller coaster takes the first dive.)
Inner dialogue #2 - They really don't get it, do they? If they only knew. I took a shower, got dressed, made arrangements for the kids' supper, got in the car--- and then just wanted to turn around and go back to bed. I can't do things like I used to. Normal activities take superhuman energy. When will the world cut me some slack? Why did I just say, "Thanks, I'm feeling
terrific!" What's wrong with this picture?
Inner dialogue #3 - I must be doing something wrong. I've been dealing with MS for years now. I'm not a stupid person. What am I missing? I should be able to figure out my limitations and stay in the safe zone. I shouldn't get caught by surprise any more. Why can't I get it together? Aren't there any chairs at this stupid party? Oh, no, don't start crying. You're gonna look like a fool. Not only do you have a chronic illness, you're an emotional basket case too. I hate parties. Get me out of here!
And this roller coaster can pick up speed before we fasten our seat belts. Let's back up. Once again we must return to the basics - listening to our bodies, clarifying our false assumptions and misperceptions, and communicating clearly with those who need to know what's really going on.
First of all - how we look and how we feel can be drastically different. How we look is assessed from the outside. How we feel can only be known from the inside and can only be accurately shared through words. Other people may make assumptions that the two match- we have no control over what
other people think. But we have the responsibility to tell the people close to
us what they need to know to interact with us realistically. For example, what if I go to the Galleria with a friend for a shopping extravaganza and get that weak in the knees quivery feeling. I can keep on smiling and say I'm doing "FINE" because I don't want to spoil her outing. Sounds like something a thoughtful, loving friend would do, right? Then later when I am overheated, grumpy and unable to go on, what good will my charade have done for my friend. She may feel terrible that she's participated in my meltdown. She may feel angry that I didn't trust her enough to tell her the truth. She will probably be confused because she was left out of the process that led to the surprising finale. Until someone has experienced the power outages that characterize MS or truly listened when someone described how it happens, there is no way they can be expected to "know" when we are not respecting our bodies.
Or - suppose we return to work after an exacerbation and our boss greets us by saying, "Wow, you look terrific! I knew you'd get this tiger by the tail. I have a new assignment for you. It will be a challenge but=2 0I have every confidence in you." We may be thinking, "oh good, I still have a job.
I won't tell them that I'm not really back up to speed. Hopefully they won't notice, I'll be sure not to be late with any deadlines or miss any meetings." Through our own thoughts we have skyrocketed our stress level, agreed to ignore our body and set ourselves up for another fall. This is a situation where being "a good worker" is being "a lousy friend" to ourselves and ultimately to the people we work with.
And what about all the "I shoulds." "I should be able to manage my symptoms." "I should be able to regulate my energy level." "I should be able to accomplish what everyone else does in a day - we all have the same 24 hours."
We say these things to ourselves yet we know full well that MS is by definition unpredictable. What works one week may be way too much a week later. We can feel fine when we wake up and drained by 4:00 in the
afternoon. Allergy season may put an additional strain on our immune system stirring up symptoms or increasing fatigue. Women may feel differently physically and emotionally across their menstrual cycles. A workout may be invigorating one day and unmanageable the next. The belief that "I should be able to control my disease" is a false assumption and saddles us with expectations we cannot meet.
Why not replace the I shoulds with a different pledge to ourselves:
-I will listen to my body and honor the information I receive. I will communicate clearly to the people close to me so that they can help me respect my body's wisdom.
-I will listen to the feedback of those who care about me and try to determine if they are picking up on signals about my health that I am missing or trying to ignore.
-I will observe myself carefully so that I can learn from experience what I am currently capable of.
-I will accept that some manifestations of my illness are beyond my control.
-I will strive not to be hard on myself when I don't live up to my pre-MS standards.
-I will value all my feelings - both positive and negative -- and know that I am not weak for having them.
And life will go on…
Alabama MS Winter Newsletter
--Meredith A. Titus, Ph.D
"And Life Goes On"
“Support Group!!! Why would I want to sit down with a bunch of strangers
to talk about something I don’t even like to talk about?”
Sound like an extreme reaction? A little harsh, perhaps? Actually it’s fairly common. Maybe people put a more polite face on it- “Oh thanks, it’s good to know that resource is available, umm, I’ll let you know if I’m interested. No, no, don’t call me, I’ll call you! Thanks again!”
Why the hesitation? What are the fears about?
1. Sometimes people think that by attending a support group they have surrendered their right to privacy. As though by entering the room they have agreed to confess their deepest, darkest, secret fears.
Sounds like a scene out of a bad group therapy sitcom starring Bob Newhart at his funniest. So it that’s not accurate, what does it mean to come to a meeting? Support groups exist to provide people with MS, and sometimes their support team, a format for exchanging information and coping strategies as well as the opportunity to share experiences, frustrations, successes and emotional challenges. Groups have the responsibility for choosing a focus that is acceptable to the current membership. Group leaders, endorsed by the MS society, are trained to listen and direct the members toward a satisfactory balance of topics. Attending a meeting means just that. You are there to listen and try it out. Your job is to determine if this will be helpful to you in coping with your disease at this time. It is wise to go to the same support group at least two to three times. Meetings differ in topic and format. How you are feeling can change as well. After the trail period, it the fit isn’t right move on. There are others available and new ones waiting to be started.
2. “But I have enough misery on my own. How could listening to someone else’s be helpful to me? I can hardly take care of myself sometimes. How can I take on anybody else’s problems?” It’s a common misunderstanding that what people need or want when they express themselves is for someone else to step in and make all the bad go away. Folks who attend support groups are adults who know that there are no quick fixes for their life dilemmas. In fact, it might be perceived as insulting to them that you would assume you could figure it all out. If you let yourself listen openly, without expectations, you may find yourself re sonating with the other person’s struggles, remembering when you have faced similar challenges. To respond with the recognition of the pain and frustration, simply by nodding which says that you’ve been there, can be enormously affirming.
3. “I’m the kind of person who takes commitments seriously. Since having MS I’ve had to bail out of everything due to fatigue and symptoms. I already feel like a failure. I don’t want to join a support group and feel like I’ve failed again.” Support groups are for people living with a chronic illness deal with the unpredictablilty of membership constantly. No one can guarantee her health from month to month, much less from day to day. The group supports its’ members respecting their limitations and does not want people continuing their “superwoman” (or “superman”) scripts. In fact, learning to recognize and acknowledge restrictions is an important topic for support groups to address. And then, the group can examine why it is so difficult to ask for help! (Not that any of us have that problem, of course.)
4. “I was in a group a few years after I was first diagnosed. It really did make a difference in the way I looked at what was happening to me. Then things in my life settled down and I stopped going. I began using the energy I have for other activities that nourished me. Should I feel guilty for not being loyal to the cause?” Absolutely not. Support groups are designed to meet particular needs at particular times.
You don’t have to make the MS portion of your daily life any bigger that it
needs to be for healthy functioning. If you should be faced with a new challenge or reach a different life stage you may become curious about what other groups are available and consider joining at that time. Now that newly diagnosed people are routinely prescribed one of the ABC drugs there is that understandable wish for a community and shared information. Another point when people reach out for help is when they are beginning to consider giving up their work and applying for disability. The MS Society tries to be responsive to these needs as they arise and welcomes your input about what is needed.
5. “Are support groups like being on Montel or Oprah? Do people yell at you and tell you you’re in denial or behaving like a jerk? I don’t need to feel worse about myself- I’m confused enough on my own.” Most support groups have a rule against judging or criticizing participants for exactly that reason. The purpose of meeting is to encourage and affirm people by sharing mutual concerns, offering information and brainstorming about resources to solve problems. If there is a tone of judgment of disapproval the group leader or other members are there to point it out and redirect the exchange. Sometimes people are unaware of how they are coming across. If it comes up in the group it may be negatively af fecting other areas of a member’s life and they may benefit from gentle feedback.
These are a few of the reasons that people hesitate before attending a support group. Remember that everyone sitting in the circle was new once too. As we begin a new growing season, it may be time for you to take a risk and reach out to others in the format. The Chapter is busy organizing and re-structuring existing support groups. See the schedule provided in the newsletter. I would love to hear about your experiences (success and disappointments). You can contact me firstname.lastname@example.org or by writing me care of the chapter office.