Quick summary: Dr. Fred Hanna did some excellent work on identifying the variables which must be in place in order for a person to experience change. He not only studied these 7 variables he also came out with specific techniques to encourage those variables into existence. according to him the seven precursors of change are A sense of necessity – a willingness or readiness to experience anxiety – awareness – confronting the problem – effort of will towards change – hope for change – and social support for change.
Monthly Archives: April 2010
Attachment – why we say and emote one way when we truly feel and think a different way
Quick summary: I was just re-reading some articles on Emotionally Focused Therapy and on Attachment Theory and I thought I might offer a noteworthy piece of information. Often we say what we don’t mean and we offer an emotional response which is different from how we truly feel in order to protect ourselves from attending to our attachment concerns or fears… ok, so what does that mean? Quite simply it is easier to attack, avoid, defend or distract than it is to allow yourself to be vulnerable and to express your vulnerability concerning an important relationship… it is easier to be mad than it is to be sad… very often anger and emotional withdrawal are very effective means of distracting yourself from your sadness or your fear. Vulnerability arrives when we acknowledge that we hold fear about losing relationships which are important to us… Relational bliss lies within the honesty of allowing yourself to acknowledge your vulnerability in a supportive and empathetic relationship.
The Talking Cure for Trauma – holding freedom – you are the lotus
Quick overview: There are many aspects to the trauma recovery process such as support, empowerment, finding new meaning, and engaging in techniques which help to ‘rewire’ the brain. In this blog I will talk about the benefits of talking to a trusted, supportive and safe person such as a therapist (or to your loved ones or to a group of survivors with the assistance of a therapist). Talking about a traumatic incidence in a safe and supportive setting can free a person to experience repressed emotions (emotions affect us whether we are conscious of their existence or not), to make new meaning of the occurrence, and to become empowered by his/her ability to take control over the subject.
* You dictate your own reality through the stories
‘Empirically based practice’ has been proven irrelevant to therapy outcomes – empirically
Quick summary: check out www.scottmiller.com -With all the political talk about healthcare reform sometimes we can miss the idea of reforming the healthcare which is already in place. The current trend in psychotherapy is and has been (for about a decade) to find a ‘one size fits all’ ‘empirically based or evidence based intervention’ which can be standardized and implemented consistently by all mental health practitioners… sounds somewhat reasonable in theory especially if psychotherapy is to be looked at as a purely medical intervention. So what is the problem? Ironically scientific investigation has proven that the evidence-based trend is unhelpful (the trend will not improve therapeutic outcomes – note: outcomes were already very good before the trend)… and having worked within a mental health center I would suggest that the trend is horribly hurtful as it wastes an unthinkable amount of money, time, and emotional and physical energy. Whoever came up with this trend seemed to overlook all the science related to therapeutic outcomes, which show (and had shown even prior to the evidence based movement) that the technique and the theory used by the therapist is almost irrelevant to successful psychotherapy outcomes (some studies find no relevance others suggest theory and technique accounts for about 8% of outcome).Therapy will not advance if it is continued to be managed as such… fortunately there is exciting research about what does impact outcomes – feedback and adaptability. Would you prefer a therapist who used one way of helping everyone or a therapist who specifically catered their therapy to serve the specific and unique needs of each individual client? Is there one universal answer to the question, “how can I help you,” as it is related to therapy?
Stating your internal feelings – acknowledge for acceptance – resistance is suffering
Quick summary – are you crazy if you intentionally talk to yourself? What about all the unintentional talking (thoughts that your have automatically) in your head that happens all day? I do not remember where I learned the habit of acknowledging my emotions to myself, but I just started the practice up again… and it works great – journaling or writing a dairy has the same positive affects. For this blog post I will skip the science and simply give you some exercises to try. The idea is to say aloud what ever you are experiencing. ex. “I am feeling guilty that the waitress was offended by the way I ordered.” You can also acknowledge these feelings to another person who is available to listen.
Past blame or “whose fault it is” and on to solutions
Quick summary: whose fault is it? This question is a big one from governmental to family politics. How does assigning fault help in the solution? The most common argument is that “if people know that they were wrong than they will not make the same choice again in the future.” the problem with this logic arrives when the ‘fault’ was either an accident or the fault was do to probability not landing in a person’s favor. To be more specific, accidents happen and life is not predictable – random things occur. Though it is important to find fault in select incidences (ex. who was the criminal in this case), the act of assigning fault simply delays the acquisition of a solution in many cases. What is the point? – perhaps solutions are more important than assigning blame, and even in those instances were fault needs to be assigned to support justice we should not loose site of creating solutions.
Externalization – you are with the problem… you are separate from the problem
Quick summary – externalization is a technique from Narrative therapy which uses language to separate a person from their problem so that the person is better able to manage that problem. The basic idea is that it is easier to fix a concern if the concern is not rigidly attached to the person’s identity or personality (you are not stubborn… you use stubborn behavior). In this way the therapist would help a person to see that they are not a depressed person… but rather they are a person living with depression. This process offers perceptual freedom to a person… If they no longer view themselves as innately depressed then they can choose what to do with the depression which is with them (as it never was truly part of them). Narrative theory tends to view diagnosis as counter productive as a diagnosis encourages a person to over identify with the label… this takes away the person’s freedom and hope.
Motivation to Exercise – why it is hard and how to make it easier
Quick summary – Therapist are not allowed to prescribe exercise for liability reasons though many of us have an understanding of neurology and the connection between physical and mental health… the research is both abundant and specific (as with most fields we are required to tell you to consult with a doctor to ensure that you are healthy enough to exercise). Much of what pharmacology (taking medication – such as anti –anxiety pills) does is to reproduce the release of neurotransmitters (think of them like chemical signals in the brain which affect or ‘turn on or off’ your thoughts, emotions, your hormone levels and ultimately your behaviors). Neurotransmitters associated with reducing depression, anxiety and stress are often released naturally during experiences such as exercise. Exercise has been studied to reduce stress, sleep problems, anxiety and depression while increasing euphoria, hope, sexual drive and neurogenesis (basically the creation, maintenance, and enhancement of neurons which are the functioning ‘parts’ of you brain.) The association between exercise and the resulting benefits does not happen naturally for reasons that I will explain – you must create the associations yourself