||It has been suggested that Process Oriented Coma Work be merged into this article. (Discuss) Proposed since January 2014.|
Process-oriented psychology, also called process work, is a depth psychology theory and set of techniques developed by Arnold Mindell and associated with transpersonal psychology, somatic psychology and post-Jungian psychology.  Process oriented psychology has been applied in a range of contexts including individual therapy and working with groups and organisations. It is known for extending dream analysis to body experiences and for applying psychology to world issues including socioeconomic disparities, diversity issues, social conflict and leadership.
Origins and reception
Process oriented psychology was originated in the 1970s by Arnold Mindell, an American Jungian analyst then living in Switzerland.:107 It began as a development of Jungian psychology with the concept of a ‘dreambody’ that extended dream analysis to include work with people’s body symptoms and bodily experiences. Jungian analyst June Singer commented that Mindell’s work ‘expands the scope of Jung's psychology to include not only the psyche but also the body, relationships and the total environment.':40 Stanislav Grof has described Arnold Mindell as one of the ‘pioneers of transpersonal psychology.’:102
Process Work is recognised within the field of body psychotherapy and somatic psychology:65:61–70 and known for an emphasis on movement and body feeling. Mindell was one of five people honored in 2012 with a Pioneer Award from the US Association of Body Psychotherapy. Following the publication of Mindell’s book Dreambody in 1982, it reportedly gained a ‘worldwide following in the field of holistic healing’ although remaining little known in 'traditional psychological circles.'
Process Work is described as an integrative and holistic approach to understanding a range of human behaviours. It is characterized as creative and improvisational: a ‘fluid, flexible, playful approach, using some basic principles to improvise effective approaches to whatever comes its way, even-handedly weaving together the personal, political, the bodily, the relational and the spiritual aspects of existence.’ It is considered to have similarities with Eugene Gendlin’s Focusing:335 and is identified with a focus on the unknown aspects of experience:
- 'Process Work... seeks to encounter with the unknown and the irrational side of life.... [It] appreciates symptoms and disturbances of any sort, not as pathologies to be healed or transcended or somehow got rid of, but as expressions of the very thing we need for our further growth, happiness, or enlightenment.'
From its original ‘dreambody’ concept, Process Work developed a theory and ways of working with altered states of consciousness including near death and coma and experiences given psychiatric diagnoses. Mindell’s book on coma and palliative care inspired a UK theatre production performed in Edinburgh and London. Process Work and Arnold Mindell are also known for a theory and methods for working with conflict resolution and leadership issues, in groups and organisations.
Process oriented psychology has been associated with alternative spirituality movements. It is considered an example of a modern Western eclectic adaptation of shamanism and has been taught at the Findhorn community in north-east Scotland. Fred Alan Wolf cites Mindell’s ‘dreambody’ concept and the Institute of Noetic Sciences lists Mindell in their directory.
Theory and practices
The theory of process oriented psychology centres around the idea of ‘process’: a meaningful, connected pattern over time that can be observed and tracked through non-intentional signals (e.g. non-verbal communication, body symptoms, dreams, accidents, conflicts).:29–30 It is claimed that becoming consciously aware of the ‘dreaming process’ may help to deal with disturbances including mental and physical distress, relationship troubles and social issues. The theory of a ‘dreaming process’ began with Arnold Mindell’s concept of the ‘dreambody,’ developed from Jungian dream analysis and the observation that dreams and body symptoms were meaningfully connected.:26–9 Mindell asserted that a therapist could work with body experiences to reveal the unconscious just as they could work with dreams.:107–108
Process Work's contention of a link between dreams and body symptoms is a viewpoint similar to shamanism, ‘mankind's oldest medicinal doctrine, where illness reflects one's spiritual condition.’:523 Mindell’s theory has also been compared to another Jungian, Meredith Sabini, who similarly recognises a symbolic relationship between dream images and physical symptoms, and values their role in bringing awareness of a person’s individuation process, the development of the Jungian Self:524 Shafton claims that Mindell, unlike Sabini, comes ‘perilously close’ to psychologising every illness; Shafton cautions that body symptoms are ambiguous and may be a product of stress or denial as much as a message for growth.:524 Shafton praises Mindell however for providing a method for working with body symptoms, using the technique of ‘amplification’ which involves intensifying the experience of a symptom or a dream and following its expression through the various ‘channels’ of perception until the meaning of the ‘dreambody’ is revealed to the client.:524–5
The idea of a ‘dreambody’ was generalised to the concept of a ‘dreaming process’: a potentially meaningful pattern within symptoms, dreams and other irrational or disturbing aspects of our experience.:65 Totton explains that for process oriented psychology, ‘dreaming’ refers to any ‘extra-conscious signals through which our process communicates itself.’:28 The signals of a ‘dreaming process’ go beyond nighttime dreams and body symptoms to include ‘daydreams, imagery and flickers of awareness that come and go.’:313 For Process Work, ‘dreaming’ can be defined as ‘the unconscious activity of the person, both when they are asleep and when they are awake.’:29 Shafton comments that Mindell, along with Walter Bonime, Fritz Perls, Strephon Williams, Jeremy Taylor and Eugene Gendlin, makes the assumption that ‘dreamlike symbolic processes occur in waking’ and accordingly applies dreamwork techniques to aspects of conscious experience.:335
The ‘dreaming process’ is believed to have a meaningful, purposeful direction of change, reflecting the influence of Taoism and Jungian psychology.:27–8 The dreaming process can be understood as the Jungian unconscious ‘seeking integration, and … creating opportunities for the individual to grow in conscious awareness.’:29
An important conceptual distinction for process oriented psychology is between the ‘primary’ (intended) and the ‘secondary’ (unintended) aspects of a given behaviour or experience:
- people at any given moment experienc[e] a ‘primary process’- aspects of our experience with which we identify - and a 'secondary process' - aspects with which we find it hard to identify and which are trying insistently to enter our awareness.:108
For an individual, the primary or intended aspects of communication and behaviour will be shaped by conscious norms and values, while secondary processes will include disturbing, challenging or irrational experiences that are further from awareness and often overtly marginalised.:29 Process Work aims to integrate secondary processes into a person's primary, conscious awareness to reduce the disturbance and access its potential for meaning and growth.:30
Process Work theory includes a framework of experiential ‘channels’ through which the dreaming process is expressed; these channels include the visual, auditory, movement (kinaesthetic) and body feeling (proprioceptive) channels.:108:14 Like Gestalt therapy, Process Work tracks a person's experience as it shifts between different channels.:525 Process Work is particularly known for using the channels of body awareness, movement and physical contact to explore psychological issues.:9 The concept of a purposeful ‘dreaming process’ expressing itself through multiple ‘channels’ of experience is the theoretical basis for Process Work's ‘far-reaching and flexible approach, which uses essentially the same capacious toolbox to work with everything from bodily symptoms to couple relationships to political conflicts.’:108
The theory and contentions of process oriented psychology have been described as an alternative to the mainstream of conventional, allopathic psychology.:1–14 Process Work proposes that disturbing feelings, symptoms and behaviours be interpreted as 'an underlying urge toward health, wholeness, and diversity rather than pathology.':8 The theory suggests understanding the meaning of symptoms and disturbances rather than only focusing on modifying or eliminating them.:8
The application of process oriented psychology to group issues is called ‘worldwork’ and a key concept is ‘deep democracy.’:45–48 Worldwork includes theory and practices for working with conflict, leadership and social issues. Process Work applications for groups have become known through Mindell’s books: The Leader as Martial Artist: An Introduction to Deep Democracy (1992) and Sitting in the Fire: Large Group Transformation Using Conflict and Diversity (1995) Mindell’s ideas of worldwork and deep democracy have been likened to the work of Danaan Parry.:46
For process oriented psychology, the concept of ‘deep democracy’ refers to a ‘belief in the inherent importance of all parts of ourselves and all viewpoints in the world around us.’ As the author John Bradshaw explains:
- Deep democracy, as the psychologist Arnold Mindell points out in his book, The Leader as Martial Artist, is a timeless feeling of shared compassion for all living beings. It is a sense of the value and importance of the whole, including and especially our own personal reality. Deeply democratic people value every organ in their body as well as their inner feelings, needs, desires, thoughts and dreams.
Worldwork includes group techniques for developing awareness of social issues like racism and has been used to deal with post-conflict trauma. Worldwork has been described as the ‘attempt to apply psychotherapy in the sphere of political conflict without privileging the therapeutic over the political,’:48 because it takes on the challenge of supporting all sides of a conflict while dealing with the real politics of inequality. Totton notes that ‘so far worldwork has not resolved this problem--perhaps it cannot be resolved, but only held in continual tension.’:48 Similarly, Worldwork has been described as ‘group therapy in public’: a group work technique aiming to bring awareness to ‘the hidden emotional undercurrents surrounding social issues - like racism - that are rarely addressed publicly.’ Totton comments that worldwork is ‘difficult: experimental, stirring, demanding every ounce of flexibility and awareness from all the participants … but also tremendously hopeful.’:46
An example of ‘worldwork’ with social tensions in large groups was reported by the San Francisco Chronicle. In 1992, a racially diverse group of 200 people gathered in Oakland, CA to explore racial tensions, using Process Work techniques. This reportedly involved the expression of pain, anger and grief in a public forum with a focus on authentic, personal dialogue between individuals from opposing sides of a social issue. The Chronicle comments:
- Using role-playing exercises, body awareness and other techniques, Mindell tries to intensify the conflict under controlled situations - hoping that through some cathartic process, conflict will reconcile itself.
The Chronicle reports that the group moved from angry heated conflict between a black and a white man, to a black man emotionally expressing his grief and pain, and finally the group 'melted into one giant, wailing, hugging mass of black and white humanity.'
The Process Work approach to leadership and conflict facilitation is based on the idea of deep democracy; it tries to build awareness of the bigger picture and develop compassion for all sides in a conflict, an approach that Mindell refers to as ‘eldership.’ Process oriented psychology is known for a positive model of conflict, seeing it as an opportunity for growth and community; Mindell, like the authors Thomas Crum and Danaan Parry, suggests that dealing with personal conflicts better can create global change. The model of conflict resolution involves identifying the sides in the conflict as roles and having the conflicting parties experiment with expressing all roles, swapping sides until greater understanding is achieved. Conflict is understood as a sign that at least one viewpoint or experience within the group is not being adequately represented and Process Work aims to bring these ‘ghosts’ into conscious awareness and dialogue.:46:56,58
There are published studies of the clinical application of Process Work to group therapy with people experiencing mental illness and to the care of elders with dementia. It is one of eleven psychotherapeutic modalities participating in a Swiss longitudinal effectiveness study completed in 2012. A Japanese case study has described the application of process oriented psychology to the treatment of a woman with symptoms including major depression and an eating disorder, concluding that the method can be effective in the resolution of psychosomatic problems. Process Work has been used to extend play therapy techniques and found to enrich therapeutic work with children experiencing parental separation issues.
An Australian case study has considered the use of process oriented psychology for tackling the problems of intercultural communication in higher education; it finds that Process Work has a multidimensional concept of social rank (expanded beyond social status to include ‘psychological’ and ‘spiritual’ aspects) which promotes understanding of interpersonal communication issues and could be used to improve international student experience in Australia.
Controversy and criticism
There has been controversy in the history of process oriented psychology in the US state of Oregon. In 1990, a Eugene newspaper, the Register-Guard, reported that a planning permit application for the coastal town of Yachats by the founder, Arnold Mindell, was met with initial apprehension and fears of ‘another Bhagwan Shree Rajneesh’ although these fears were subsequently allayed. The Register-Guard reported that the head of the Oregon Psychological Association confirmed that Mindell was known internationally, though noting he was 'not familiar with Mindell's work'.:4A
In 2001, a Portland newspaper, the Willamette Week, reported that the local school for process oriented psychology, the Process Work Center of Portland (now known as the Process Work Institute) was being investigated by the Oregon Office of Degree Authorization (ODA) due to a series of complaints alleging 'that the master's in Process Work is a meaningless degree aimed only at satisfying INS regulations, that student confidences shared in the privacy of therapy will be used as fodder for public discussion, and that the shortest route to a degree and diploma may be through a teacher's bedroom.' The investigator found grounds for some of the allegations but no serious misconduct, and recommended changes and further investigation before the degree was reauthorised. The ODA website shows that in 2014 the Process Work Institute is authorised as a degree offering institution; it is one of the unaccredited private colleges approved for students in Oregon.
The controversy raised by the Willamette Week (WW) in 2001 included reports that process oriented psychology was little known in Oregon psychiatric and psychological circles; it was described by one clinical psychologist as ‘a very out-there offshoot.’ The WW commented that process oriented psychology ‘sits squarely outside the academy’ and noted that Arnold Mindell was not licensed by the Oregon Board of Psychologist Examiners.
Criticisms of process oriented psychology include that the ‘dreambody’ concept and techniques are too subjective and overly positive.:56–60:522 Mindell's (1993) book, Leader as Martial Artist, is critiqued as a use of Eastern belief systems to justify capitalist business practice. It has been claimed that Process Work as a therapy is hard to define and has similarities with ‘faith healing,’ raising hopes about the healing of physical illness (though it is reported that Mindell explicitly discourages this idea). Process oriented psychology has been identified as a method having 'a mystical or supernaturalistic application, theory, significance, or pedigree.' In 1997, a Japanese scientist involved in deprogramming members of the Aum Shinrikyo cult mentioned process oriented psychology as an example of recent psychotherapeutic paradigms that draw on Asian philosophy, Gestalt, Jung and transpersonal psychology, and claimed that, while 'these programs are not substantively dangerous,' the methods may be used adversely and have the potential to be a form of 'mind control.'
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