Friday, October 3, 2014

Individually based theory and therapy models

Gestalt Therapy

Techniques

■ The experiment in Gestalt therapy
o To assist clients self awareness of what they are doing and how they are doing it
o Expanding awareness of client
o Opportunity to “Try on” new behavior
o Experiments bring struggles to life, inviting client to enact them in the present
o Major emphasis on preparing clients for experiments though trusting relationship

Confrontation
o Imposing stance
● Therapist meets own agenda for the client
● Acts as expert, power and control in therapist
o Competing stance
● Therapist promotes rugged individualism with lots of negotiation compromise and confidence
o Confirming stance
● Acknowledging the whole being of client
● Client’s needs and experience center of relationship
● Ideal type of confrontation
● Invites client to look at incongruities in verbal and nonverbal language, in words
versus action.

■ Internal Dialogue o Identifies the struggle for control in a person, fragmented between controller and controlled, through Introjection of aspects of others
o Between top dog and underdog
o Between critical parent should and oughts and passive recipient without responsibility and with excuses
o Empty chair
● Shift client into two chairs for dialogue role lay.
● Experiences conflict

■ Reversal technique o Role play the opposite of symptoms and behaviors client suffers
o Client tries the very thing fraught with anxiety, therefore submerged and denied
o Help clients to accept personal attributes that they have tried to deny

■ Rehearsal exercise o Behavioral rehearsal: role play a planned for new behavior with a person or people in client’s environment.
o Reduce stage fright, anxiety or fear
o Encourages spontaneity and willingness to experiment with new behaviors

■ Exaggeration Technique o Exaggerate movement or gesture repeatedly to intensify feelings attached by behavior to make inner meaning clear
o Trembling hands or feet, slouched posture, bent shoulders, clenched fists, tight frowning etc.

■ Staying with Feelings o Keep client from escaping fearful stimuli and avoiding unpleasant feelings
o Encourage to go deeper into feeling or behavior they wish to avoid
o Facing, confronting, and experiencing feeling makes them able to unblock and make way for new levels of growth
● Takes courage and pain.