Short term therapy

Short term therapy

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Short-term therapy is not possible in principle, since the client has accumulated his problems for years. First of all, it should be said that the chronic nature of difficulties stems from the closed circle that supports them. Difficulties in the present appear and appear, regardless of the reasons that once caused them. For example, fear of the audience is attracted by bodily stiffness, short-term memory impairment. These in turn confirm catastrophic thoughts, causing constrained behavior. Hence - the inattention of the audience and a lack of support, or, on the contrary, an excessively increased interest in the lecturer. The fear increases even more. If you open this circle anywhere, then 5-10 repetitions of therapy will lead to the complete disappearance of fear of the audience. It happens that the vicious circle is much more complicated. For example, treating a successful performance as an accident, and treating failure as a pattern. In such cases, the vicious circle can also be broken, only more sessions will be needed - about 10, as well as 60-100 hours of independent work.

Short-term therapy does not give a reliable result, since it is not able to affect the deep roots. Such therapy implies a clear task of developing adaptive skills. If it is well fixed, then it is never completely forgotten. The simplest example is cycling - even after 30 years, after a little adaptation, a person can easily use a vehicle. There are also not only vicious circles, but also circles of adaptation. A new experience or skill gives rise to new behavior, more successful, adaptive behavior leads to the achievement of a result, a feedback is formed, which, again, changes the worldview. Further motivation arises to acquire new skills. Thus, positive changes diverge in the field of life like circles on water. There may be some improvement in "relational" therapy, but this is often unreliable. The client meets a friendly therapist and is inspired by hope. Only now a quick meeting on the street with a boor or an evil acquaintance will quickly "heal" from winging.

Short-term therapy should be harsh and painful because it is based on emotional intensity. Any theory provides a tool and understanding of where and how to apply it. There is a special term in psychology - the channel factor. It is understood as a seemingly insignificant element of the situation, which leads to large effects in behavior. This small circumstance is a conductive path for a reaction that was previously held back by some kind of force. On campus, few people responded to calls for vaccinations, but the placement of the travel plan on the leaflets increased the number of visits by 30 times! The husband stopped putting money in the bedside table for his wife, and began to give directly to her, while looking into the eyes. This approach solved the problem of recognition of power and gratitude, which has been a source of family conflicts and even sexual dysfunctions for several years. In this story, the bedside table has ceased to be the family member responsible for the budget. A channel was formed for several behavioral responses. Kurt Lewin's theory for short-term and effective solutions was not in vain!

Short term therapy is a form of hypnosis. This is a myth, as short-term work requires maximum concentration on the problem. This state can even be called a trance state. However, the key difference is that this focus is a free choice of the client, and not imposed from the outside. It is not going into unconsciousness to be suggested by a hypnotist. People who demand spectacle need external showiness, not efficiency, that's why give it theatricality: hypnosis, Hellinger's constellations, hot chairs, etc. Effective methods are simple and boring, like a hammer that has served since time immemorial. Boring training in listening and feedback skills nevertheless produces results in marital conflicts, conflicts at work, in communication with children. Is auto-training boring? But it can also help with digestive and sleep disorders, in preparation for sports.

Short-term psychotherapy does not work with the client-therapist relationship and deep transference problems. In reality, there are many models of short-term psychoanalytic therapy, the first of which was proposed by Freud in his work "Analysis is finite and infinite." Later, psychologists created their own models in order to reduce the time, cost and increase the reliability of therapy. Subsequently, in competition with behavioral therapy, psychoanalysis began to develop longevity as a competitive advantage. In this way, blinkered Europeans and single Americans developed deep personal relationships. However, psychoanalysis should not be considered an ideal model of psychotherapy, which should be blindly imitated in everything.

Short-term therapy is akin to miraculous healing. Miracles do not happen, and most of the "miraculous" cases occurred due to a long-term work on a person. People come to specialists in a tense emotional state, with great hope for a result with hundreds of unsuccessful attempts to solve the problem differently. The psychotherapist's talent lies in the intuitive identification of channel factors. Thus, literally clapping his hands, the therapist causes an avalanche of changes in a person's life, which occur later without the participation of a doctor. Application of K. Levin's field theory makes it possible not to act at random, but to calculate these channel factors.

Short-term therapy is available to everyone. It may seem that short-term therapy is a very attractive commodity, as it is very rational, but this is not so. Serious demands are placed on the client and the therapist himself. First of all, you need to clearly and clearly identify the tasks and distribute them according to the degree of importance. Next, you should really limit the time allocated for solving the problem. It is important that the therapist has the right degree of diagnostic skill and that there is a strong contact between him and the patient. It is necessary that the therapist and the client do not lose their thinking - the utmost concentration on one problem is necessary. There is a paradox here. On the one hand, short-term therapy attracts people who want everything, immediately and faster, and on the other hand, it is their greed that prevents them from prioritizing, focusing on one or two truly important tasks.

Short-term therapy interferes with the client's personal development. The goal of therapy is to induce positive change. When this succeeds, positive changes occur one after another, similarly, improvements in a person increase, all human functioning is revised and changed. However, this happens only when a really important developmental task or a symptom that slowed it down is being worked out. This therapy is addictive in clients because it is directive. Short-term therapy should not be considered entirely directive. It is one thing when the therapist acts as an unconditional authority and acts as an expert on all issues (which in principle is impossible), a completely different picture if the therapist agrees with the client to carry out a series of procedures on a partnership basis, while the effectiveness of actions is checked using criteria that are close and clear to everyone. Directiveness does not at all exclude relationships built on equality and respect.

Short-term therapy implies standardization of procedures and a lack of creativity. According to this myth, anyone can engage in such therapy, as long as they have mastered the necessary tool. However, this is not true. One of the main principles of short-term therapy is maximum adaptation to a specific person and his environment. This work is based on non-standard solutions.

Watch the video: Memory Therapy (August 2022).