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.
Category Archives: Philosophy & Theory
‘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?
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.
Ineffective Solution Strategies – without a simplified problem, a solution is unlikely
Quick- In this post I will be talking about deconstructing (specifying and simplifying) a problem to more manageable variables. Often times the problem is either to big to be adequately addressed by one simple solution (ex. – to solve pollution lets outlaw gasoline) or the proposed solution neglects to address other related problems (often the proposed solution is to remove someone else’s solution without offering a replacement solution for the more fundamental problem). Successful solution acquisition strategies are something that I have worked very hard on (I have developed a solution engine) – I will start by simply explaining how to identify what I will call the “foundational problem” – or the problem that is at the source of the issue.
Mindfulness – Why it is helpful and what 'being in the present moment' means
Quick summary – Mindfulness is a state of existence in which 100% of your consciousness is on the present moment (as opposed to the past of the future). It is characterized as being a state which is free from judgment in which you engage your environment with a childlike curiosity and innocents – you see the world as novel. The benefits include a greater awareness of the mind-body-spirit connection, reduction in suffering, reduction of stress and anxiety (which tend to be the result of the mind’s fixation on the future or the past) and an ability to experience the present moment with the full richness of you senses. Many would suggest that a state of perpetual mindfulness is the gift of enlightenment.
Existentialism – meaning, meaninglessness and your life
Quick summary: “It is not about finding the correct answer to questions pertaining to life, death, suffering, bliss, meaning, and meaninglessness… it is about creating a meaning which is most helpful, comforting, and peace provoking to you as an individual.” In this blog I will talk about some of the affects that existentialism (or the innate drive to make meaning) has on peoples lives, and how existential themes contribute to therapy.
The interdependence of dependence and independence
Quick summery – The interdependence of dependence and independence – by allowing yourself to depend on other people for their assistance, you free yourself to be more independent in those aspects of your life in which independence is more suitable and enjoyable.
Argumentative? – substitute the word "but" for "and"
Always use the conjunction “and” instead of the conjunction “but” to dramatically reduce defensiveness, to encourage harmonious conversation, and to increase you dialectic ability (which is basically open-mindedness).