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Celebrating 20 years of the human givens approach

We take a wide-ranging look at what has been achieved since two pioneering psychotherapists put a name to this powerful understanding of human nature.


TWENTY years ago Joe Griffin thumped a table in frustration. He and Ivan Tyrrell were at a meeting with a few other therapists, discussing how they could jointly develop training in psychotherapy. Joe and Ivan felt strongly that psychotherapy should draw on the knowledge available from psychology and start from basics, to present a more holistic approach to wellbeing. It was not going down well.

“It can’t be right that there are so many different models of psychotherapy!” Joe expostulated. “You never find hundreds of different models in other fields.” The others looked at him non-plussed. “Look!” he said. “We know that people need to feel secure. It’s a given. They need attention. That’s a given. They need to be connected to the community, another given; they need intimate relationships, meaning in their lives – all givens!”1 Despite his banging on the table to emphasise each ‘given’, the others didn’t get it. But Ivan saw the potential.

As he describes in his memoir, “We left the meeting feeling despondent and disappointed by how unadventurous their thinking was, fixed in the belief that they already had all the answers. As we walked down the street outside, it was grey and drizzling, as if to reflect our disappointment, but Joe’s presentation had fired me up. I suddenly stopped on the pavement, turned to him and said, ‘Why don’t we call what we are Ivan Tyrrellteaching ‘human givens’? No one will have heard of it and curious people will ask us what it means and that will give us the opportunity to explain it.’ I felt sure that, deep inside, most people knew they had innate emotional needs – these ‘givens’ Joe had spoken of – and would quickly get what we were talking about if given the chance.”1

So the human givens started to be talked about on the courses that Ivan and Joe were teaching on depression, anxiety, addictions and anger. Innate needs and resources became the corner-stone for understanding and working with people’s lived experience, and were first fully articulated in an article published in 1998 in The Therapist, the predecessor of this journal.

“We would like to suggest an approach which we believe can bring a new clarity of thought and vision to the field, giving us an essential background to work from and enabling us to see more clearly what is of value in any particular therapy method. We have called it the human givens approach and, in this journal, as regular readers will know, we have been directing attention to the various properties of these ‘givens’ for some time. The posture we have been advocating is that therapy always works best when it comes not from an emotional or theoretical standpoint but from a real understanding of what it is to be a human being. … To be effective as therapists, we contend, we have to be aware not only of basic human needs but of the ‘tools’ [such as memory, imagination, problem-solving abilities, self-awareness, dreaming and a range of complementary thinking styles forJoe Griffin different situations] that human beings have evolved to use for understanding and impacting on their environment. Together these comprise the human givens. When used well, they can provide purpose, achievement and mental health; when used wrongly, they can cause misery and mental illness.”2

These ideas and their off-shoots developed into a series of monographs and then a book Human Givens: a new approach to emotional health and clear thinking,3 then more books. Then, after repeated requests from health, social work and other professionals at trainings, the ideas and understandings were developed into a diploma course, so that talented people could practise officially from the human givens approach.

Sixteen years later, the Human Givens Institute has a register accredited by the Professional Standards Authority (PSA), putting it on equal footing with other better known and much longer established therapy associations, such as the British Association of Counsellors and Psychotherapists, also accredited by the PSA. (For that and for their tireless continuing work to maintain registration, HG therapists Sue Saunders and Ian Thomson especially deserve much gratitude.)

Groups of professionals have come from South America and the Netherlands to train in the approach, along with individuals from as far afield as Canada, South Africa, Australia and many parts of Europe. Human Givens: a new approach to emotional health and clear thinking has even been translated into Chinese.

Later this year, the first part of the HG diploma training will be delivered in North America. Meanwhile, the numbers of qualified HG therapists continue to grow and several have set up human givens centres. Attendance at the biennial Human Givens Conference is always high and the feedback extremely positive for its focus on practical information and stimulating new ideas.

What makes the human givens so different, however, is that it is not just ‘therapy’. It is much bigger than that.

As expressed in the Human Givens Charter, published in 2004, “It is clear that, in all the different ways in which [governments] try to deal with the complex problems of the world, they are missing an essential element: that of the psychology of human nature, which is programmed into us from our genes (hence we call this the human givens).”4

It made the case that, in the light of this new knowledge, there is a duty to help health, educational, economic and social organisations implement concrete plans for creating environments where people can safely go about their lives, with basic physical needs met, in a social climate that allows sufficient autonomy and individual responsibility, emotional connection to families and communities, and where all can find healthy meaning and purpose in life.

Thus the human givens approach established itself as one with relevance in all strata of society, widening out responsibility for wellbeing to include government and corporate bodies, instead of treating mental ill health and misery as the product of individual inadequacy or weak genes.

Wisdom down the ages

The framework of the human givens is what set it apart 20 years ago and still sets it apart today.

While some of the ground-breaking material taught then, such as findings from neuroscience crucial for understanding and working most effectively with human beings, is more widely talked about today, no other therapeutic approach focuses on a fundamental understanding of what makes us human and how that affects our behaviour in all areas of life. Thus it has become influential in fields as diverse as health, social care, parenting, politics, education, work, law, mediation and diplomacy. The Human Givens Foundation, a charity set up when the Human Givens Charter was published, supports a psychological/social regeneration programme that fosters initiatives in all these fields.

What also set the HG approach apart was the fact that it “draws its power from observation, research, experience, the biological and psychological sciences and our heritage of wisdom gathered down the ages”.2 This in turn has led to important insights that have had a major impact upon therapeutic work. Joe Griffin had already developed his expectation fulfilment theory of dreaming – his research showing that dreaming is our means of discharging unexpressed emotional arousal from the previous day5 – and this led to the formulation of the cycle of depression, which dramatically enhanced understanding of why depression occurs, becomes entrenched and how to break the cycle.

A key understanding was the role of metaphor and story in guiding people to take a broader perspective and recognise more empowering narratives to enable them to live in more fulfilling ways. Early on, Griffin and Tyrrell also identified hypnosis as an artificial induction of the REM state, equivalent to the REM dream state, in which powerful unconscious learning can take place, and described a psychobiological explanation for their findings.6 This led in turn to new thinking on the nature of psychosis, which has resonated with many sufferers.7

Also ground breaking was the recognition that the brain works through pattern matching and that emotion precedes thought, expressed in the APET™ model (activating agent leading to a pattern match, leading to an emotion and, sometimes, to certain thoughts). This enabled a range of therapeutic interventions to be considered, according to individual circumstances. New insights into the patterns of trauma have led to refinements in best treatment, and the expectation fulfilment theory of addiction8 has become the standard intervention for HG therapists working with addiction.

Other key contributions include ‘molar memory’ theory, to explain and redress irrational and compulsive behaviours such as sexual fetishes and anorexia and bulimia;9 new thinking on the possible causes of autism;1 an explanation for why nominalisations have such a powerful positive or negative influence on the brain (abstract nouns empty of content, such as ‘depression’ or ‘change’, send listeners or readers off on a pattern match of their own to find meaning);1 and the introduction of caetextia (context blindness) as a term to explain behaviours as diverse as those seen on the autistic spectrum and those characterised by loose associative and over-imaginative thinking, more closely linked to psychosis.11 Even the nature of consciousness itself has been explored in depth, in a highly thought-provoking book.12

Over the years, the ideas that have been taught have found their way into not just health care and social services but into all manner of places, including the police force, fire service, prisons, the military, airlines and the judiciary. So many people have done so much along the way, in taking the teaching forward and promoting key ideas (too numerous to name, they know who they are). Some initiatives have had especially far-reaching impact:

Just what we need

The Just What We Need (JWWN) programme was devised by human givens therapists Linda Hoggan and Carmen Kane, along with Lisa Lloyd and Kevin McDonagh, all of whom had worked professionally with families. JWWN was aimed at parents who were struggling but didn’t want to attend, or failed to benefit from, evidence-based parenting programmes endorsed by the government. It recognised that parents needed to be able to understand their own emotional needs, and the triggers for their own behaviours, before they could learn to be more effective parents to their own children. A 12-session programme took place in Milton Keynes in 2006, where parents experienced, in a safe environment, getting their emotional needs met through participating in the group. Thus they learned to lower their emotional arousal, think more clearly, see possibilities for change, and work towards goals to do so.

JWWN was so successful that not only has it run consistently in Milton Keynes ever since, with hundreds of parents completing it so far, but has led, with support from the Human Givens Foundation, to a highly popular four-day “Train the Trainers” programme. JWWN has since been adapted for a variety of different groups, such as female victims of domestic violence, people with mental health problems, and carers of relatives with chronic conditions, and has been run in schools and in business organisations, as well as in children’s centres. Linda and Carmen said, “We can see a role for it in prisons, in centres treating drug and alcohol abuse, in residential care – indeed, with any group in the community struggling with unrecognised or unmet needs.”13

Human givens in schools

Trevor Bailey and Jenny Moss, then head teachers, respectively, of a comprehensive school and a school for young people with autistic spectrum and other disorders, led the way in introducing a whole-school human givens philosophy. (They were inspired by the HG practitioner Mike Beard, now deputy headteacher of Plymouth School of Creative Arts, who over the years introduced HG principles to staff from more than 750 schools.) As Jenny put it, “When I first came across the human givens approach a long way into a long career in education, I felt pure relief. I had garnered all sorts of useful ideas and methods over the years that I had successfully put into practice but the human givens provided, in effect, a foundation stone for it all. ...To me the human givens approach is like a scaffolding. It is solid and firm and you can hang things on it and add to it and pull down tools from it, as needed.”14 Trevor and Jenny, in ‘retirement’, both do consultancy work with other schools, using HG principles.

Over the years, many more head teachers and staff have taken up the approach and worked creatively with it, and a number of schools now have human givens counsellors working with distressed students and stressed staff.

Human givens in organisations

Joe Griffin first highlighted the crying need for human givens intelligence to be made available to organisations: “It has become clear in recent years that something about the way organisations are run is contributing significantly to the burden of mental illness in our society. By seeing organisations as social organisms, I think we are much more likely to get it right. Indeed, that metaphor would even explain why organisations themselves are so often getting it so wrong; ill health is what develops when even simple living organisms, which lack a brain, do not get their needs met healthily. Organisms that do have a brain have more complex needs and, when these are not met, are more likely to suffer mental as well as physical ill health. Social organisms can be viewed as having a collective brain and, indeed, much of the behaviour of organisations is redolent of symptoms of mental ill health.”15

Numerous HG practitioners have been using their skills within a whole variety of organisations, working with chief executives and/or senior managers as well as with individual employees. Joe Griffin himself, formerly a social psychologist, has made the shift back to concentrate on bringing change to commercial and statutory organisations, working highly successfully in tandem with fellow HG therapist Bart McEnroe, in companies in UK, Ireland and elsewhere in Europe.

Early on, human givens principles started to underpin the work of Hartlepool Mind, under the talented chief executive Iain Caldwell – so successfully, in fact, that statutory mental health services referred their own patients there. Suffolk Mind is also having a significant impact – more details in a forthcoming issue. Human givens principles are incorporated into Sandwell’s mental health strategy, covering primary care, social and mental health services. And recently, Cherry Dale, former chief operating officer for Birmingham South Central Clinical Commissioning Group, has written about how, when Government replaced primary care trusts with clinical commissioning groups, to buy in healthcare for which GPs are responsible, she and her GP colleague set up the new body completely on human givens lines. Not only were services in line with the needs of people in the community, who played a part in deciding what these should be and how they should look, but the clinical commissioning group itself also functioned in the same way, with all staff ‘in the know’, valued and empowered to contribute.16 Some commercial businesses, including a Canadian construction company, have adopted the same approach on a smaller scale.

PTSD Resolution

This very successful charity, set up in 2007 with funding from the Human Givens Foundation, has helped many hundreds of veterans and reservists struggling to reintegrate into civilian life as a result of combat-related stress, distress and especially trauma suffered during service in the armed forces. It also helps family members distressed and helpless in the face of loved ones’ altered behaviour. Therapy (usually up to six sessions) is provided by a network of 200 qualified HG therapists, under the governance of the Human Givens Institute. A recent evaluation by Kings College military mental health unit found PTSD Resolution’s treatment outcomes to be comparable to those of the Improving Access to Psychological Therapies (IAPT) programme, offered through primary care therapy services.

Midwifery

The value of the human givens approach has long been recognised within midwifery. Caroline Brunt, currently associate director of midwifery and women's health at Hampshire Hospitals NHS Foundation Trust, attended the first Human Givens Diploma course in 2000 and could see the need for midwives to understand its important ideas. As she wrote in an article when head of maternity and neonatal services at Salisbury NHS Foundation Trust, “Midwives are seeing more and more women who are in poor physical and mental health during and after pregnancy because of compromised life circumstances. Every area of Britain has its own challenges and our area is certainly no different, having significant pockets of deprivation. While midwives are routinely taught to deal with both normal and out-of-the-ordinary pregnancies and birth and the principles of healthy living, they are not taught how to deal with the emotional and psychological factors that may put women’s health at risk during pregnancy and after.”17

She established in-house workshops for community teams to understand depression, anxiety and addictions, and some senior midwives learned the rewind detraumatisation technique, to undo damage done by previous traumatic births and eliminate their dangerous impact on wellbeing during subsequent pregnancies.

In a separate development, the Royal College of Midwives recently accredited a 12-week certified practitioner programme offered by HG practitioner and hypnobirthing trainer Jenny Mullan, founder of Birth Trauma Resolution.18 The course, open to midwives, doctors, health visitors, doulas, maternity nurses and others who work with women traumatised during birth, teaches the HG refined rewind technique and important therapeutic and language skills. It is the first time the Royal College of Midwives has accredited a course of this nature, also accredited by Human Givens College.

The Conciliators Guild

This recently established international body was originally the brainchild of John Bell, a former Canadian and UN diplomat, serving in Ottawa, Cairo, Beirut, Jerusalem and Gaza, who has long been interested in human givens principles. The guild’s website, from which the following is drawn, sets out its important rationale: “Our political world is reeling … from the rise of ISIS in the Middle East to the triumph of Donald Trump in the United States, to intractable disputes across the world from the Israel–Palestine conflict to the war between Turkey and the Kurds, to larger looming dangers. We have an instinct to resort to the same old answers and habits to address these matters, whether it is exertion of power, paranoia towards outsiders or technological panaceas. But we are likely looking in the wrong direction. Our track record of failures in politics is testament to this.

“Dire problems in the world remain unresolved, and are growing, because we are not directing our attention to the main place from which they arise: the ignorance and mismanagement of basic human needs in society, especially those related to our emotional states. ...

“A guild is the time-honoured name for a group of people dedicated to excellence in their craft. More than ever, we need this sense of excellence in the practice of international relations and politics, and a community that nurtures it. This initiative is about shedding light on these factors in a practical and constructive way, so we can include them in our political understanding and policy development.” Its board of advisers, still being assembled, includes Thomas Pickering, a former US under-secretary of state for political affairs and former representative to the United Nations.19

It is an initiative that provides a fitting end to this round up of what the human givens approach has achieved so far and the widespread territory it has covered since its conception 20 years ago.

Practice-based research evidence

For many years, practitioners of the HG approach have been gathering practice-based evidence about the efficacy of the approach, thanks to the efforts of indefatigable HG therapist Bill Andrews. Several studies have been published in prestigious peer-reviewed journals that show the power of the approach: in a nutshell, in three-quarters of cases, human givens therapy leads to the solution of problems or highly significant improvement.1 This is an impressive statistic, which has held over time, and replication of research. Bill, along with colleague Tony Jordan, has since developed a software programme called Pragmatic Tracker, a now internationally used system, which allows customised investigations to suit different therapy contexts.2

The HG approach had a particularly ringing endorsement from independent researchers at Staffordshire University, who carried out a study of 106 people receiving HG therapy and 70 receiving ‘control’ interventions via mental health services in a local area of significant socio-economic deprivation. They concluded that integrating it into the NHS as a standard treatment would be highly cost effective, reducing both treatment and wait times.3

The same research group also investigated the Emotional Needs Audit, a measure introduced in 2006 to “take the nation’s temperature”, and concluded that it is “a valid instrument for measuring emotional wellbeing, quality of life and emotional distress.”4

References:

  1. See Andrews, B (2013). The human givens approach: from practice to process. Human Givens, 20, 2, 15–18.
  2. See http:// www.pragmatictracker.com
  3. Tsaroucha, A, l Kingston, P, Stewart, T, Walton, I and Corp, N. Assessing the effectiveness of the “human givens” approach in treating depression: a quasi experimental study in primary care. Mental Health Review, 17, 2, 90–103.
  4. Tsaroucha, A, Kingston, P, Corp, N, Stewart, T and Walton, I (2012). The Emotional Needs Audit (ENA): a report on its reliability and validity. Mental Health Review, 17, 2, 81–9.

 


This article first appeared in "Human Givens Journal" Volume 24 - No. 1: 2017

Human Givens JournalSpread the word – each issue of the Journal is jam-packed with thought-provoking articles, interviews, case histories, news, research findings, book reviews and more. The journal takes no advertising at all, in order to maintain its editorial independence. 

To survive, however, it needs new readers and subscribers – if you find the articles, case histories and interviews on this website helpful, and would like to support the human givens approach – please take out a subscription or buy a back issue today.

 

References:

  1. Tyrrell, I (2016). Listening to Idries Shah: a memoir. HG Publishing, East Sussex.
  2. Griffin, J and Tyrrell, I (1998). The ‘human givens’. The Therapist, 5, 1, 24–9.
  3. Griffin, J and Tyrrell, I (2003). Human Givens: a new approach to emotional health and clear thinking. HG Publishing.
  4. See http://humangivenscharter.com
  5. Griffin, J and Tyrrell, I (2014) Why We Dream: the definitive answer. (Originally published in 2004 as Dreaming Reality: how dreaming keeps us sane or can drive us mad.) HG Publishing.
  6. Griffin, J and Tyrrell, I (1998). Hypnosis and Trance States: a new psycho-biological explanation. European Therapy Studies Institute, East Sussex.
  7. Griffin, J and Tyrrell, I (2001). Trapped in the land of illusion. Human Givens, 8, 3, 2–3.
  8. Griffin, J (2004). Great expectations. Human Givens, 11, 1, 12–19.
  9. Griffin, J (2006). Molar memories: how an ancient survival mechanism can ruin lives. Human Givens, 13, 3, 9–18.
  10. Griffin, J (1999). Autism: a sea change. New Therapist, 6, 4, 10–16.
  11. Griffin, J and Tyrrell, I (2008). Parallel processing. Human Givens, 15, 4, 11–17; (2009). ASD and psychosis: is caetextia the link? Human Givens, 16, 3, 19–23.
  12. Griffin, J and Tyrrell, I (2011). Godhead: the brain’s big bang. HG Publishing.
  13. Hoggan, L and Kane, C (2014). “Just what we need”: the update. Human Givens, 21, 2, 17–23.
  14. How schools are using the human givens approach. Human Givens, 2010, 17, 3, 28–33.
  15. Griffin, J (2010). Breathing life into organisations. Human Givens, 17, 3, 11–16.
  16. Dale, C (2016). How to get apples, not cactuses: an organisation fit for purpose. Human Givens, 23, 1, 15–20.
  17. Brunt, C and Gauntlett, B (2009). Expecting the best: midwifery and the human givens. Human Givens, 16, 1, 31–5.
  18. See http://birth traumaresolution.com/practitioner-training-course/birth-trauma-resolution-curriculum/
  19. See https://www.conciliators-guild.org/

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