Norma
  • Home
  • Projects
  • Blog

Mind. Body. Brain. 
Resources and Reflections on being an LPC-Intern in a BHC world.
This blog is dedicated to reviewing books and providing helpful tips on how to implement them into your behavioral health practice contained within primary care settings. 


Categories

All

Listen like a Rabbit...

9/8/2019

4 Comments

 
I’d like to start this blog off by discussing a medium that is very close to my heart: children’s picture books! The first picture book I’ve chosen to analyze is The Rabbit Listened (TRL) by Cori Doerrfeld (https://www.coridoerrfeld.com). 

It’s one of my favorite picture books for both kids AND parents because it helps families identify, in a simple way, how they are approaching an issue (e.g., sibling squabbles, divorce, breakdowns in communication, etc.). 

The story begins with a young child named Taylor (fun fact: Taylor is never given a sex, so she/he/they is open to all genders.). Taylor is playing with some building blocks and after Taylor completes the construction, Taylor steps back to admire the work but then, out of nowhere, a flock of black crows swoops in and destroys the masterpiece. Taylor feels devastated. Next, a parade of animals enters the story and each suggests how Taylor can overcome the problem. However,  it isn’t until a small Rabbit comes on the scene and simply listens does Taylor feel comfortable enough to open up and decide to build again.

How can we as mental health professionals help our patients learn to listen like a Rabbit? And what does listening like a Rabbit entail? Using silence and a comforting presence, we can allow a person to feel safe enough to open up and take the first steps toward their own healing.

How to use this book:
I’ve created a list of questions to help any mental health practitioner facilitate the use of this book in either a traditional counseling session and/or a shorter BHC visit. I break down each animal's approach to helping Taylor and explain how these animals can stand as symbols for different human reactions to a problem.

Using TRL in a traditional therapy session:
If time allows, read the story with the child or family in session (I’ll talk about what to do if you are a BHC and have only 15-30 minutes with the family). After reading the book together, ask them the following questions: 

  1. What are your “blocks?” What have you been trying to build together as a family? (e.g. blending two families together, better communication, more quality time). Or if you’re just working with the child, ask questions along the lines of, “What were you trying to make or create?” (e.g. a new friend, get attention from the teacher, help your parent).
 
  1. What “black crows” knock you down? Where are you struggling as a family? (e.g. cancer diagnosis, substance use, divorce, etc.)
 
  1. When there is a problem, who do you act like? The Chicken, Bear, Elephant, Hyena, Ostrich, Kangaroo, Snake, or the Rabbit?

Let’s take a closer look at these animals and the specifics of each of their communication styles:

Chicken-The Chicken is first on the scene and notices the negatives of the situation and wants to talk out all the details. Is your impulse to focus on the negative when there is a problem? Do you feel compelled to immediately talk out an issue? Do apologize excessively even if what happened isn’t your fault? How would you like to be comforted if the roles were reversed?

Bear-The Bear arrives second and is very angry about what has occurred. Is your impulse to lash out when there is a problem? Do you scream and hit? Kick and bite? In what other ways is anger affecting your life? What comments do your loved ones make about your anger?

Elephant- The Elephant is third and immediately wants to remember how the blocks were arranged and fix the situation. Is your impulse to immediately want to jump to a solution and make things the way they were? Do you ruminate over the issue and are unable to let go and move forward? 

Hyena- The Hyena arrives fourth and tells Taylor to laugh about what happened. Is your impulse to make light of a situation and hide in humor and jokes? Are you aware of your inappropriate affect in situations that call for a more serious reaction?

Ostrich-The Ostrich is fifth on the scene and immediately hides. Is your impulse to avoid and refrain from thinking or talking about a situation altogether? What is your avoidance doing for you?

Kangaroo-The Kangaroo offers another avoidant suggestion, which is simply to throw all the blocks away. Is your impulse to give up completely when situations become uncomfortable and require commitment and follow through? (e.g. giving up on a diet) What would give you hope to rebuild again?

Snake- The Snake is the last to arrive and suggests that Taylor go and knock someone else’s blocks down. Do you often punish others for the hurt you feel yourself? 

Finally, we meet the Rabbit, who simply stays near Taylor and listens to the child go through the gamut of emotions presented by the parade of animals until Taylor comes back full circle and is ready to build again.

So, what is our goal with this exercise? Our goal is to embrace all these animal parts of ourselves that get angry and want to hurt others, hide etc., but then move past them to be able to listen compassionately to ourselves and others. 

The goal: Listen like a rabbit. We’re all (myself included) working on “listening like the Rabbit” which means to listen to someone else’s pain and practice listening with empathy and understanding; offering no solution unless the patient is ready for it and ready to make change. I.e. Motivational Interviewing

Using TRL in a BHC visit:
How can a BHC use bibliotherapy in their short time frame? The simple answer: Homework, Motivational Interviewing, and SMART goal-setting. I’ve provided the list of TRL questions on a downloadable worksheet on my homepage that you can hand to the family to take home with them. Answer the first three questions together in the visit to help the family identify their blocks, crows, and animals. Then, give them an “I statement” exercise to practice at home, using a SMART goal to set up a concrete number of times a day, week, etc. that they will practice the exercise. (I really like the “I statement” worksheet from Therapist Aid.) (https://www.therapistaid.com/worksheets/i-statements.pdf) 

Examples: 

I feel like the Bear when I come home and see that the house is a mess. I would really appreciate it if you could do the dishes before I get home.

I feel like the Ostrich when I hear you and mom fighting. I want to hide and pretend nothing is happening.

In a follow-up visit, give an additional  homework assignment where the patient practices “listening like a Rabbit” to a friend, sibling, parent, co-worker, or fellow family member, etc.. And when the patient comes in for a follow-up visit, the BHC checks in with them and ask how practice is going, identify barriers, and work with the patient to additional solutions, gauging willingness to follow through with MI scaling questions. It would also be beneficial for parents to utilize TRL and accompanying blog questions to raise emotional awareness and teach parents how to model listening to their child. When the parent models the behavior the child is much more willing to put these behavioral changes into practice. 

Example: 

On a scale of 1 to 10, how often are you willing to practice listening like a Rabbit with your partner when they are venting about their day? 

Barriers to care:

  1. Access to the book. I understand that not all parents will be able to afford the book or be willing to go out and buy a copy. Ideally, your workplace could gather some funds for a clinic library or a local business could sponsor a bibliotherapy program and provide some books. This will take some leg work and networking on the part of the mental health practitioner, but I think it would be worth the effort.
 
  1. Internet access. If your patients have access to the internet on their phones or at home, they can watch the following video of TRL being read by youth services librarian, Jennifer Smith from Dorchester County Library. It’s only 5 minutes long, totally doable in a BHC follow-up visit as well: https://www.youtube.com/watch?v=PzyThHYtcyE 

Summing up:

The Rabbit Listened is a great tool to add to any therapist’s bibliotherapy toolbox. Not only is it a beautifully written and illustrated tale, but it provides a simple and clear, concrete language for parents and children to use to navigate conflict. The book also shows us that it is ok to feel all of these emotions and wonderfully models how to hold space for someone who is feeling vulnerable enough to share. 

​
4 Comments
Robert Vargas link
10/12/2022 09:40:42 am

Clearly executive scene government race.
Heavy sister daughter us development information. Remain if authority area according sometimes. Series bring relate western follow forward.

Reply
Jeffrey Golden link
10/13/2022 01:16:42 pm

Leader wish seven threat myself wait national. Before office answer face address away good fly.

Reply
John Brown link
10/17/2022 03:30:50 am

Toward without space apply begin character and trip.
Together two better pull certainly. By open later.
Direction difficult reason. Poor about show. Win either difficult movement.

Reply
David Russell link
11/11/2022 05:23:20 pm

Call moment left least white floor. Instead free trouble stay throw nature five. Measure black out cold hotel responsibility.
Model police hard tonight. Company perform receive bar.

Reply



Leave a Reply.

    Author

    Norma recently graduated with an M.S. in Clinical Mental Health Counseling from UTSA. She was part of the PITCH program's second cohort which was designed to train LPCs to work as BHCs in Primary Care. This blog is for LPCs and BHCs alike and hopes to add to the conversation about mid-levels joining the PCBH ranks and promoting IBH.

    Disclaimer: I do not receive any monetary compensation for any posts on my blog. Random pieces are selected with the intent to improve mental health professionals knowledge and skills within the realm of integrated care.

    Archives

    September 2019

    Categories

    All

    RSS Feed

Powered by Create your own unique website with customizable templates.
  • Home
  • Projects
  • Blog