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Lewis Mehl-Madrona: Defining Coyote Psychotherapy In the recent meetings of the Institute for Psychiatric Services in San Francisco, Barbara Mainguy and I presented material on how we work with psychosis. We are exploring what it is that we do, and we know that it is inspired by indigenous elders, that it is centered on the body, which registers our traumas and stresses, that we are wedded to the idea of story occurring in a social context so that we are embedded with others. 1 1 Comment Count
Lewis Mehl-Madrona: Day 8 of Australia 2013: Bairnsdale On the next to the last day of our Australian cross-cultural journey we visit our friend Wayne, who's now the Koorie Liaison Officer for AdvanceTAFE, an educational concern in Victoria. Our focus for the workshop that Wayne arranged for us was to consider how to better use culture to address problems in the community. The problems were the usual suspects -- drugs, alcohol, violence, gambling. What happens under colonization 1 1 Comment Count
Lewis Mehl-Madrona: Day 7 of Australia 2013: Hearing Voices and Mind Mapping Day 7 found us working with the Prahran Mission's Hearing Voices Victoria about indigenous and narrative approaches to voices. We demonstrated the use of what I call mind mapping with the various voices we hear inside our minds. This technique works for everyone, voice hearers or not, for we all hear talk inside our heads, the question being where we think it's coming from. In mind mapping we identify the talk and talkers. 1 1 Comment Count
Lewis Mehl-Madrona: Day 1 of Australia 2013: The Autobiographical Narrative Each year we make a cross-cultural tour to Australia, though one of our Coyote colleagues comes twice a year to make an impact on incorporating culture in health care for aboriginal people. This year we began with a lecture in a writing conference on the topic of the autobiography in which I describe my experience of writing Coyote Medicine. I finish with a description of what has been accomplished in five years of coming. 1 1 Comment Count
Lewis Mehl-Madrona: Pain, Part 2 I continue to reflect upon chronic pain, beginning with some comments from my colleague, Peter Blum, who is a hypnotherapist and all around healer-guy in Woodstock, NY, and then leading into some brain science that shows that our brains are changed by the experience of pain and begin to link all kinds of unrelated experiences to that pain so that pain becomes multiply determined by more than just the sensations.
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Lewis Mehl-Madrona: Healing Camp Day 1: Introduction to the Concept In this article, I write about our invention -- Healing Camp. For the next seven days, I am going to describe what we do and how we do it so that others can (hopefully) replicate it. The concept is simple, that people from all levels of training and walks of life can come together and be healing for each other. We will be doing a similar but shorter event in Hartford, CT, the weekend of August 17th. Check Sukhasala website.
Lewis Mehl-Madrona: Health Care Costs and Schizophrenia I reflect on the cost of care for people who are diagnosed with schizophrenia. I muse about a moving lecture by Eleanor Longdon, PhD, who was once a schizophrenic and now is a clinical psychologist. She spoke about her own process at the Hearing Voices Conference in Melbourne, Australia. Eleanor echoed my observations, that the way we manage people who hear voices and suffer this kind of distress is costly and ineffective. 1 1 Comment Count
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Deena Metzger: Imagining a ReVisioned Medicine in 2012 ReVisioning Medicine brings medical doctors and health practitioners together with healers and medicine people as peers to create a new medicine that does no harm to patients, the community or the earth. ReVisioning Medicine is based in relationships and so is an antidote to our alienated culture always at war. Based on the best of medical knowledge in alliance with the wisdom and healing traditions of indigenous people...
Lewis Mehl-Madrona: Day 14 of the Australian Journey 2012 Today is the end of the Australian cross cultural adventure. I fly back to the U.S. today and resume ordinary life. I write about the people I met whom I appreciate and what I learned and where we might go next.
Lewis Mehl-Madrona: Day 12 of the Australian Journey Day 12 of the Australian cross cultural exchange journey consisted in our leading an inipi ceremony (sweat lodge) for people associated with Mission Australia. We also learned much about some very exciting projects being conducted by Mission Australia, including the Michael Project, which is an intensive effort to assist homeless people in Sydney, and the Catalyst-Clemente Project, which provides education for disadvantaged.
Lewis Mehl-Madrona: Day 8 of the Australian Journey 2012 This is Day 8 of the Australian cross cultural adventure. Today we went to the heart of the community where the elders from the Northern Territories demonstrated some of their ceremonies and procedures to the community. That included the burning ceremony for healing pain, the smoking ceremony for purification, and spear throwing. On the way back to the island, I interviewed a patient advocate from Western Australia.
Lewis Mehl-Madrona: Day 7 of the Australian Journey 2012 Today is Day 7 of the Australian journey 2012. We are on Boole Poole in the Lake District of Gippsland. Our sweat lodge ceremony had been rained out the day before, so we prepared to do the ceremony as soon as the rain stopped which happened around 8am. I've written about sweat lodge before, as have others, most notably Bucko, author of The Lakota Sweat Lodge. It was a wonderful experience and then we hear crocodile tales.
Lewis Mehl-Madrona: Excerpt from Coyote Wisdom Chapter 10 This excerpt tells the story of my work with Tiffany, a young woman with cancer who was from the Christian faith and how we used Meister Eckhart as a way to bridge my Native American philosophies with Christianity to create a healing dialogue throughout the course of her cancer. this seems like an important story to me because it shows how we can create healing (meaning and purpose) even when the patient dies.
Lewis Mehl-Madrona: Reflections upon transitioning to private practice Just over 2 months ago I left the public mental health sector in New York to transition into private practice in Vermont. This article reflects upon those two months of changes and wonders what we can learn from the type of care available in Vermont compared to New York and from New York's apparent discrimination against paying private practitioners in favor of community mental health centers. 1 1 Comment Count
Lewis Mehl-Madrona: Thoughts after Sundance 2011 I reflect upon Sundance 2011 and what I have learned. I realize that Sundance is about love and compassion and following this red road that leads to these directions. Sundance gives us an opportunity to rise to become spiritual warriors, to find all the benefits and none of the detriments of battle, to create a community of fellow warriors within which we can feel strong, and to transcend our natural limits to become more. 1 1 Comment Count
Lewis Mehl-Madrona: Sweat Lodge, Prayer, and Community Prayer and community have been stripped away from contemporary health care. Both are sorely needed. I talk about the sweat lodge ceremony as being a laboratory for exposing mainstream healthcare practitioners to the perspective on health and the world of Native American people and show how it produces the kind of connectedness and sense of belonging that we desperately need and which is associated with greater health.
Lewis Mehl-Madrona: The Power of Community: Day 12 of the Australian Journey Day 12 of our Australian Journey for cross-cultural exchange in mental health was a low-key day of exchanges about healing in community. We explored the concept that healing cannot occur so easily without involvement of the entire community. Those people to whom we are accountable must agree to allow us to change, or we will not change. We must be invited by the important others in our life to perform a different story.
Lewis Mehl-Madrona: Beyond Narrative Therapy: Day 11 of the Australian Journey On Day 11, we engaged in dialogue about the narrative therapy of Michael White, which is what most people in Australia and the United States index, when we say narrative practices, and the narrative practices of indigenous people. While we deeply respect Michael White's contributions to psychology and humanity, we present him as one branch on a tree of narrative in which indigenous people live in the trunk and the roots. 1 1 Comment Count
Lewis Mehl-Madrona: Approaches to Trauma in the Indigenous Community -- Day 10 of the Australian Journey Today is Day 10 of the Australian Cross-Cultural Mental Health Journey. Today we talked about trauma in aboriginal communities and how to address that trauma. We collaboratively arrived at some ideas to propose. We agreed that narrativizing is necessary. We need to hear the stories of woundedness that people have to tell and to celebrate their resistance to abuse and to focus more on the resistance than on being a victim.
Lewis Mehl-Madrona: Implementing Narrative Practices: Day 9 in Australia The highlight of Day 9 in our Australian cross-cultural mental health journey was a workshop for indigenous mental health and human service providers on how to make their services more indigenous friendly. This involves, of course, conscious decolonization of our clinical practices. We talked about the need to become more narrative, to listen longer and more deeply to the stories people tell us and to hear stories of others.
Lewis Mehl-Madrona: Still More Similar Than Different -- Day 7 of the Australian Journey Today finds us in Day 7 of our Australian Cross-Cultural Mental Health Journey. They lessons of these week have been very consistent -- indigenous from anywhere in the world is more similar than different. An elder proposed an answer for this. He said, "When you listen to the spirits and to nature and show respect, you get the same guidance 'cause spirits talk to each other. They know how the world should go!" 1 1 Comment Count
Lewis Mehl-Madrona: Intergenerational and Historical Trauma: Day 4 of the Australia Journey We continue our Australian cross-cultural mental health journey for day 4. Today's topic was intergenerational and historic trauma. In an inter-faith context we talked about the need for the suppressed stories to be told. We talked about epigenetics, which is the way in which the trauma of the ancestors are genetically transmitted across as many as four generations, if not more. We discussed the need to tell these stories. 1 1 Comment Count
Lewis Mehl-Madrona: The Narrative Interview: Day 3 of the Australian Journey Today finds us on Day 3 of our Australian cross-cultural journey. Our focus today is on the narrative interview. How would we interview people if our focus was to elicit their story instead of making a conventional DSM diagnosis. I interview a woman who has been suffering for 12 years and who has finally been offered an antidepressant medication. I show how her suffering can be rendered intelligible through narrative. 1 1 Comment Count
Lewis Mehl-Madrona: Suicide and Mental Health: Australia Journey Day 2 Lewis and Coyote Institute are on Day 2 of an Australian journey which is a cross-cultural exchange about ideas for mind and mental health. Today we focused upon suicide which elders told us was rare in Australia prior to European contact, but now, all to common. We focused upon suicide as a modern non-indigenous template for the communication of suffering which sometimes backfires leading to accidental death. 1 1 Comment Count
Saberi Roy: The Psychology of Family On the need to study family structures and family interactions in the Psychology of Family
Lewis Mehl-Madrona: What we can learn from Tucson and why not to overreact! The recent tragedy in Tucson has led some commentators to demand more inpatient beds, easier commitment laws, and forced treatment with medication. I argue that none of this would have stopped Mr. Loughner, since he had not come to anyone's attention yet. We need to refrain from overreacting and further stigmatizing the mentally ill, who are, by and large, not violent, and we need to think about ways to reach out more. 1 1 Comment Count
Lewis Mehl-Madrona: Ethics for Mental Health The history of the mental health industry involves the management of people who are socially unacceptable, who are defined as excessively different from the rest of us, who live at the extremes of emotions and behaviors. How we treat these people depends upon the stories we carry about how they came to be the way they are. Contemporary stories are impoverished and lead to mistreatment of those who suffer.
Lewis Mehl-Madrona: Why can't the sundance feeling last all year long? I reflect on my experience of coming out of sundance, which is always a powerful, personally transformative experience for me and those others with whom I dance. Because of its deep embodiedness, sundance is simultaneously mental, physical, spiritual and communal. This and the prayers brought to sundance and the examples provided by the dancers of transcending our physical limits, explains in part the amazing healings seen. 1 1 Comment Count
Lewis Mehl-Madrona: Community -- Why is it hard? Belonging to community has huge benefits. It's hard because true community includes annoying and irritating people who don't agree with us. It includes people who sometimes act bizarre or socially inappropriately. It doesn't exclude and it minimizes power imbalances. Having true community takes work, because it's easier to be anonymous and let other people be in charge. But the effort pays off, and it's worth it.
Lewis Mehl-Madrona: More on the Politics of Indian Identity Based upon comment on last weeks, "More Indian than Thou" essay, I continue my musings about the politics of Indian identity. I explore the fundamentalist response which argues that pure bloods are more Indian than mixed bloods and that non-status Indians have no business reading about, participating in, or even being interested in aboriginal culture. I argue that this would, in fact, allow the U.S. government to succeed. 1 1 Comment Count

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