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White Paper on HOPE Groups and HOPE Group Guiding

Purpose: To introduce the concepts behind HOPE Group Guiding practices.

The first HOPE Group came into being in the author's surgical practice on February 12, 1987, for five of his patients who were facing cancer’s challenge. At that meeting, they chose to call themselves a HOPE Group with the proviso that they find four meaningful words to fit the acronym if we wanted to continue to use it. At the next meeting, the nurse who started this work with the author proposed “Healing of Persons Exceptional” and all those present agreed, perceiving that: “Healing” meant to become whole... to integrate body, mind, soul, and spirit into one Being; “Persons” reflected our shared human-ness; and “Exceptional” reflected the fact that no two of us are alike.
 
This group came into being after the author had spent twelve years studying and applying the success-oriented work of Earl Nightingale of the Nightingale-Conant Corporation of Niles, Illinois. For Nightingale, success was the "progressive realization of a worthy ideal" and every human being is born with such an ideal. For Brian Tracy, who worked for the Nightingale-Conant Corporation, and who was a student of Nightingale, this worthy ideal was a "core passion" or a "heart's desire". Hamilton saw that this was a spiritual concept, and it implied that we come into this life with a “knowing” that can become a service to self, others, and nature. He encouraged his patients to get involved in the pursuit of that ideal in the face of the challenges of life, of which cancer was but one of many possible challenges.
 
This encouragement, which involved careful listening and diplomatic experience-sharing, had beneficial therapeutic effects. Early in his practice, his teaching approach to his patients, which he had carefully learned in medical school, was challenged by these same patients who were not so much interested in listening to his advice as they were interested in having him listen to their stories. He considers himself fortunate to have had patients who were not afraid to tell him what they wanted of him. After ten years of being a student to his patients, without any prior training in counseling or psychotherapy, he felt a strong call to learn more about these two practices. A social-worker friend suggested that he find a psychiatrist who would tutor him in them. He agreed, and she introduced him to a gifted psychiatrist who was ever so much a Renaissance man. Over the next two years his tutor introduced him to the practice of support groups, planting the seed for that first HOPE Group. Over the next twenty-odd years, more than 6,000 HOPE Group meetings followed an evolutionary path along the lines of Hamilton’s original studies.
 
Today’s HOPE Groups are gatherings of people who come together to find wellness by replacing fear with hope, the key to deepening the meaning, value and purpose of their lives. They are catalysts of change where the attitude is hope--the attitude of meaning and possibility--and their context is love, the context of true relationships. Certified HOPE Guides provide this supportive community service for people who want to move forward, either by getting through a crisis or by progressing to the next level in their lives. People who choose to participate in HOPE Groups are commonly seeking emotional and/or physical healing and/or relief from physical and/or psychological pain. HOPE Groups evoke strengths that increase the source of possibilities within each one of us for living a creative life, and they focus on bringing that life into its creativity. In addition to HOPE Groups, HOPE, Inc. responds to the needs of others with SoulCircling workshops and retreats, and one-on-one work with HOPE Guides.
 
HOPE Groups differ from traditional therapeutic groups in that they do not seek to diagnose or prescribe specific treatments for what is “wrong.” They do not seek to decrease symptoms of mental and physical health problems; though such results are common benefits of HOPE Group participation. They do not teach except through the unconditional sharing of experience. They set a context of safety and compassion to hold the agenda that walks in through the door in the form of the day's participants. The responsibility of the HOPE Guide is to hold herself or himself in safety and compassion that makes it possible to listen to every story without judgment or trying to change it. HOPE Guiding eschews judging, criticizing, or even trying to understand anyone in the group. Rather, it supports genuine interest and patience that can only come by being in an open, transparent relationship to everyone in the room including the Guide, herself or himself.
 
HOPE Groups differ from traditional “support” groups in that they do not support a problem, e.g. cancer, alcoholism, anxiety, depression, chronic pain; for it follows the psychological observation that “what we focus on expands.” Rather, HOPE groups acknowledge the value of having good support in appreciating the existence of problem as a lesson to be learned about life, and guiding a person to focus on the meaning and possibilities that every life contains and which lie beyond the problem… according to the ability of that person to create that focus. HOPE Groups are resources of experiences in living life through all of its challenges and rewards. They help people to share these experiences as gentle offerings to be used to any degree by another… or not, according to the discretion of the other. Thus, an important function of the group is to share experience rather than to give advice.
 
Participating in a HOPE Group is an opportunity for an individual to discover their “worthy ideal” and choose how they  are going to achieve it, what they will do with it when they have it, and accomplish that on their own timetable on their own unique path. HOPE Groups use the HOPE Golden Book , a laminated, folded, letter-sheet document  of four panels that sets the intention for the meeting with the prime directive stated on the “HOPE Group Opening”: “We are a HOPE Group who have come together to find the wellness that comes with the discovery of peace of mind.” It sets the context for the meeting with the twelve “Principles of Attitudinal Healing,” the purpose of which is to free the participants from the chains of fear and conflict by helping them to see life in the safety of attitudes of peace and love. Finally, it sets that safety with ten “HOPE Group Guidelines” that are verbal agreements as to how the participants get along together for the duration of the meeting. In this way, group participants create the agenda for each meeting. HOPE Group guides’ primary responsibilities to the group are to model active listening, reflect back to the speaker what they hear, affirm the presence of movement and direction aligned to an intention, trust the sought-after answers that lie within the person with the question or concern, and use the Golden Book to keep the group focused on its intention, its context, and its safety. At the end of the meeting, all gather in a circle to repeat the serenity prayer as intentions for life that last into the time they come back together..
 
HOPE groups are places where people explore who they are, not what they have, what they have done, or what others think of them, which includes their labels—their diagnoses and prognoses.They learn to see life as a call from Life, itself... a blessing. They learn to see that Life has met them with a set of circumstances that may well have contained a heartbreak. How they see that breaking determines the quality of the gift that they have to give Life in return for that life. They do so by asking those questions implied in the HOPE Group Opening that evoke meaning: “Who are you?” “Why are you here?” “How are you going to get what you came for?” “What are you going to do with it when you have it?” Some people who run volunteer-facilitated groups have suggested to me that these questions are “therapy” that belongs in licensed, certified, “degreed” practices, to which I reply that these questions come out of the public (read “non-therapeutic”) experience with developing successful lives  and not from any texts of psychology or psychotherapy. Thirty years of human development work has all grown out of this domain that belongs to the general public and is focused on Nightingale’s experience with a lifetime study of the nature of success. Instead, HOPE would offer these evocative skills to the facilitators of any of this nation’s thousands of self-help groups.
 
The need to participate in a HOPE Group exists in almost every one of us at some time or another. Most of us seek the support of a group when a serious disease such as cancer, AIDS, depression, or alcoholism confronts us. Some come with non-life-threatening but no less serious conditions such as chronic fatigue syndrome, emphysema, arthritis, or lupus. Some come with depression, manic depression, or anxiety disorders. For some, life just isn’t going the way they want. For some, it is essential that their fellow group participants have conditions similar to theirs. For others, open, eclectic groups are appropriate. HOPE does not argue these points; it merely seeks to respond to the wishes of each group. HOPE’s belief and experience is that there is a way for each of us through the difficulties of disease to the discovery of health.
 
The meaning of life and its discovery lies at the core of HOPE’s psychology; “movement towards a meaningful future is not possible without viewing the past as a series of vital lessons”. HOPE’s psychology avoids analysis that pathologizes the past in order to create a meaningful present. Instead, it asks each of us to view the past as an integrated, molding, and shaping experience that challenges us to find meaning, value, and purpose in our present lives. This psychology functions on the wisdom of Albert Einstein who said, “We can not solve the problem at the level at which the problem was created.” HOPE perceives that the problem invariably arose in childhood during the tender time of ego-development, so the solution lies in discovering one’s “higher self,” the name of which is Psyche--the soul. Indeed, the word, psychology, literally means “the meaningful relationships of the soul.” And the work of discovering one’s “higher self” is spiritual work.
 
As Cheri Huber put it a decade ago,
 
“Yes, I am me, but what animates me is what animates Uncle Bob, the cat, the tree, the rock and all that is. We are packaged differently, but we share the same essence. There are many of us and we are not the same but we are all one.”
 
And HOPE does its work by acknowledging and validating the one and the many.
 
Therefore, the function of a HOPE Guide is to look at each life as a rich, though sometimes painful, always challenging experience and to see how that rich experience can direct a life towards the discovery of its own meaning. Their purpose is not to analyze a life or to help people find specific goals in their life, but to follow the leadings of this psychology. HOPE Guides bridge the past and the future by focusing on living in the present moment--the “now” moment of Krishnamurti.
 
Loving kindness--compassion--is the motor of this psychology; forgiveness leading to inner peace and, ultimately, to happiness, is the consequence. HOPE Guides know that we must remember the past in order to forgive judgments about it that paralyze both our present and future growth. They appreciate the value of the popular perception about anger… it is like taking poison and expecting the object of the anger to die. They understand that forgiveness is possible only where love and compassion prevail. HOPE Guides provide people with a compassionate, soft-eyed approach to their lives. They encourage people to see themselves as beings called to life by Life itself, which has provided them with a set of personal resources with which to meet the unique circumstances that Life gives them. HOPE Guides encourage people to believe in themselves as spiritual beings with the power to use their resources and circumstances to transform their lives into meaningful blessing-gifts to themselves, to their fellow human beings, and to Life itself.
 
We in HOPE have discovered how wonderfully uplifting it is to know that each of us is a once-told tale, a once-painted portrait, a once-read poem, a once-danced dance promised this life since the beginning of time. When we tell others our tale, show them our portrait, read them our poem, and dance them our dance, we have shown them who we really, really are. Being thus informed, HOPE has learned to say, “You honor me with your Self. Thank you.”
 
HOPE Guides ensure confidentiality because (with the exception of HOPE Groups as clinical services) they do not keep written notes or goals set jointly or separately by the guide or by the individual with whom they are working. Guides work with clarity of intent and purpose and follow the context of the Golden Book that acknowledges past experiences, validates present life, builds agreements that treat each other with mutual care consideration and respect, and helps their fellow human beings to recognize and describe their potential, encouraging them all the while to reach out for it. HOPE Guides focus on attitudinal shifts that transform an individual’s guilty and/or shameful response(s) from a traumatic set of circumstances into a transformative set of experiences. They help these individuals focus on setting and clarifying their intentions, and developing and implementing initiatives. The process moves people forward toward appreciating the ego’s disappointment with a situation that the spiritual element of the human--the soul--knows is a blessed gift.
 
HOPE Guides recognize that emotions and attitudes are intimately connected and have profound subconscious effects that govern the life of every individual. In this way, HOPE Guides work with people to create attitudinal shifts that transform harmful responses based on the dark triad of guilt, fear, and anger into the beneficial responses of hope, love, and peace. In this way participants come to identify with the order that created our Universe. HOPE Guides also recognize the power of the dark triad to overwhelm people and are readily prepared to advise them to seek professional help in such situations to augment their recovery program.
 
HOPE Guides help people construct and reconstruct their lives by focusing on that which makes them feel whole, integrated, and healthy--an attitudinal belief that things can make sense (Vaclav Havel) and gives life meaning (Victor Frankl). This process helps people recognize old labels with which they identified themselves and create new, honest, and realistic descriptions that help them shift their state of mind from illness toward wellness. It encourages them to live in the present moment, free of projections and attachments and to focus on the whole of life rather than its fragments. It also encourages them to see that they are the sum total of all the choices they have made in their lives and that they can choose again and rewrite their story in any way that they wish. It encourages them to use the two attitudes that Victor Frankl found common to all concentration camp survivors--hope and love--and to use them to focus on developing a life story that contains a worthy ideal--the very essence of success.
 
HOPE groups in general are powerful forms of cognitive restructuring that follow centuries-old principles of creating and living successful lives.

HOPE groups as volunteer, non-therapeutic services are not expected to practice any form of therapy. The group is not there to treat members’ diseases. They encourage anyone needing conventional therapy to find it outside the group.

HOPE Groups as professional, therapeutic clinical services provide a safe environment in which the participants can explore the qualities of their relationships with their healthcare professionals. They provide a healthy, safe forum for discussing the effects of the individual participant’s therapies. Guided by HOPE-trained professionals (nurses, physician assistants, and physicians), they provide valuable information about their individual therapies that help their healthcare professionals make beneficial therapeutic decisions. HOPE Groups provide a safe venue for the (re-) implementation of the placebo effect on all therapies.
 
The process of HOPE Guiding comprises five simple elements that define the operating system: Listening with open heart and mind; asking open, honest questions for clarification and deeper understanding; avoiding criticizing or advice-giving; affirming people for their experience of the way in which they have met life’s circumstances; and encouraging them to create benefit for self and others from that experience. HOPE Guiding avoids the use of the pathological assumption and questions: “Something’s broke; what is it?” “What caused it?” and “What can we do to fix it?” Instead, it prefers questions that ask for the story of the individuals’ experiences of life, how they have met it in the past, how they would like to meet it in both the present and the future, and how they will feel when they know they have succeeded. Thus, HOPE’s evocative psychology and related HOPE Guide work complement virtually all forms of counseling, psychotherapy, coaching, and self-help groups.
 

Requirements to be a HOPE Guide:

 
General:
 
HOPE Guiding requires mature-for-age, caring, healthy people who have no active, debilitating disease and who have the ability and desire to listen to others with discernment and compassion, reflect on what they have heard, encourage others to use their personal resources to meet the circumstances of their lives, and affirm them through every step in the process. HOPE guides do not seek to change people, but delight in seeing them evolve. HOPE Guides are not there for the purpose of controlling anyone in the meeting; rather they nurture responsibility. HOPE guides follow the precept: “If you have come here to help me, you are wasting your time. But if you have come because your liberation is tied up with mine, then let us work together.” (Lilla Watson, Aboriginal activist). HOPE guides come from all occupations--including psychotherapists, counselors, and coaches who leave their licenses and certificates at the door when they come to do HOPE work--working to ease the human travail by sharing their liberation in a safe place.
 
Specific: Every HOPE guide has:
  • participated in a SoulCircling exercise and HOPE group meetings.
  • submitted to HOPE an application consisting of a HOPE resume (“a description of those personal resources with which they met life, the circumstances that life met them with, the experiences they have created out of the interaction including education and work, and their intention for becoming a HOPE group guide”), and writing a review of Viktor Frankl’s book, Man’s Search for Meaning.
  • read and become familiar with SoulCircling: The Journey to the Who, and the HOPE Guide’s  Manual.
  • participated in Level 1 HOPE group guide training.
  • made a conscious decision to replace the conventional “medical model” questions with the “HOPE model”. They have agreed to ask instead for the story of the individual’s experience of life, how they met it in the past, and how they want to meet it in the future… in short, life-affirming questions, rich in potential.
  • agreed to validate the uniqueness of an individual’s experience as a way through the pathless land of truth to the essence of Life--love.

 

Specific for HOPE Groups in clinical services:
 
The HOPE Guide of a HOPE Group in a clinical service must be a licensed professional who is employed by and familiar with the exact nature of the therapies offered by that service. This person is qualified by the service to be familiar with the patients’ clinical records and able to make additions to those records with the full knowledge and consent of the participating patients. Such a professional would be a licensed nurse, nurse practitioner, physician assistant, or physician subject to the laws and ethics of licensure in the particular state in which the practice is located.

 

Precepts of HOPE’s function and service:

  • The Universe is conscious, subjective, and experiential.
  • “We are not human beings in search of a spiritual experience. We are spiritual beings immersed in a human condition (Père Teilhard de Chardin).”
  • We are here because Life has created us. It has given us resources with which to meet It. It has met us with a set of circumstances. We have created unique individual experiences out of that meeting. We always share that experience with others--and our attitude toward it--24/7. We have chosen that attitude, which the world constantly and accurately mirrors back at us. As that attitude was a choice, we have the power to make another choice.
  • Love defines the all-inclusive relationships that describe the Universe. It is also the attitude of relationship. It brings us inner peace, and inner peace is the way of love, and the way to happiness.
  •  All experience uniquely reflects the vital, changing nature of the Universe.
  • Dialogue, per David Bohm (www.infed.org/archives/e-texts/bohm_dialogue.htm), is an excellent, subjective means for sharing experience, for it reveals the order of wholeness enfolded in chaos.
  • Everyone seeks their inner, spiritual essence that gives meaning to their lives. They reveal its presence in their questions and concerns about that which they see around them, not knowing that it is a reflection of that which lies within. HOPE Guides listen and reflect what they hear and feel in the presence of these seekers.
  • Subjective (offering) “I” statements always take preference over objective (instructing, advising) “you” statements.
  • Advice-giving is self-serving; experience-offering is other-serving. HOPE Guides compassionately share experiences of self and others.
  • HOPE Guiding seeks clarity.
  • HOPE Guiding holds integrity.

In summary:

“HOPE is spiritual. HOPE Groups and SoulCircling are sacred processes. It cuts through all that is superficial. Engaging in HOPE eliminates all pretenses. This is what you call an ‘open heart’. Nowhere else does this happen with such regularity.” – Colleen R.


Quote references in support of HOPE’s views of the past.

“All of us, whether guilty or not, whether old or young, must accept the past. It is not a case of coming to terms with the past. That is not possible. It cannot be subsequently modified or undone.”
                        -Richard von Weizsäcker

“Those who cannot remember the past are condemned to repeat it.”
                        -George Santayana

“The present contains nothing more than the past, and what is found in the effect was already in the cause.”
                        -Henri Bergson

“To look back to antiquity is one thing, to go back to it is another.”
                        -Charles Caleb Colton

“Some are so very studious of learning what was done by the ancients that they know not how to live with the moderns.”
                        -William Penn

“So that we may move on in life, it is not that we should forgive and forget; rather it is that we must forgive and remember. Thus we free ourselves from our past conditioning. “
                        -Ken Hamilton