read chapter 6 of the text answer the questions and complete the exercise at the end of the chapter pleas put questions with answer after that write complete the exercise ,
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Chapter 6
Give Options and Encouragement
In this chapter I show the importance of giving options and encouraging clients. In the first case I point out what options were given to the client so he could decide which option to take. In the second case I show how all I did was encourage the client and this was enough for her to cure herself.
Anytime someone refers to me as a shrink, I correct them. I tell them I’m an expander. I do not want to shrink people’s options but to expand their options. When a client cannot resolve a problem, usually awareness of viable options is lacking. The more viable options a person has, the more likely it is that the person will resolve the issue. It is your job to assist the client in finding options. In discussing types of suggestions, Short, Erickson & Klein (2005, p. 133) wrote this concerning permissive suggestions: “This is the spirit of permissive suggestion. Therapeutic nourishment is not shoved down people’s throats but is instead spread out as a feast from which patients can select what best suits their needs.” This is a wonderful metaphor. Work to prepare feasts for clients rather than only one dish.
The following is a story of a man who was having panic attacks. By giving him options about how to resolve them, he was able to cure himself in one session.
Giving Options
Jack suffered from panic attacks after almost dying from an accidental drug overdose. He lived with his parents because he could not bring himself to return to his apartment, where the
accidental overdose occurred. Every time he tried to return to his apartment, he would have a panic attack, and he suffered from night terrors regularly.
Given this brief account, what options might you provide for Jack? Before reading further, write down the possible alternatives you might provide Jack.
After Jack had explained his situation, I asked him to take some deep breaths and relax. I suggested that I would count from 10 to 1, and with each number he could go deeper into a state of relaxation. Jack was able to go into a deep state relatively quickly. (See Appendix A for a full transcript of the trance).
When Jack came out of trance, he reported that he felt more relaxed than he had been in a long time, and we agreed to meet again in a week. When he returned the next week, he reported that he had returned to his apartment without any panic attacks, and there had been no night terrors. Amazed at the change that had occurred, Jack felt confident that he would be okay.
While Jack was in trance, I gave him five options that he could use to resolve his panic attacks. He had the skills to perform all of these options. He could choose to dissociate from the Jack who had the panic attacks; he could choose to distort time so that he could speed it up while having an attack and slow it down when he was feeling good; he could choose to forget the sensation of the attacks; he could age regress and remember how to feel calm, confident and relaxed; finally, he could future pace and work backwards.
I don’t know which of these options his unconscious chose. It doesn’t matter. With my giving him options, his unconscious made the choices necessary to resolve the attacks.
Encouragement is so powerful. We all need it. Clients especially need to know that you believe in them and believe that they can be successful. In this case, encouragement was all that the client needed.
All of us need encouragement, especially clients. Giving sincere and realistic encouragement can speed up progress and perhaps make the difference between success and failure. Presbury, Echterling & McKee (2008, p. 135) discussed what they called The Encouragement Triad. They wrote, “The three points of the triad will serve to remind you of how you can get the most out of your client’s positive focus. First, get excited and do everything you can to communicate your enthusiasm for the client’s content. In other words, display energy. . . Second, pump the client for all the details. Make sure that you get a complete picture of what the client is talking about, every bit of its concrete minutia… have the client give as complete account of the imagery (visual, kinesthetic, and acoustical) as possible…In addition, make every attempt to use presumptive statements that assign agency to the client. In what way is the client responsible for the change or the positive turn of the situation?” The following story relates how a woman cured herself without any assistance from me aside from my encouragement.
Reoccurring Attacks
Catherine had been to see me a year earlier with panic attacks. Through the use of hypnosis, Catherine had cured herself of the attacks. This respite lasted a year and then, after a traumatic experience, attacks began to reoccur which brought her to see me again. Since the renewed attacks, she hardly left her house. As a matter of fact, she said that the thought of going anywhere caused an attack. She was so depressed that she would sometimes spend all day in bed.
How would you proceed with Catherine? What hope could you give her? How would you encourage her? Write down your thoughts before reading further.
I asked Catherine about her hopes and dreams. I asked her if she could do one thing this next week what it would be. She stated that she would like to go out in public with her family, maybe to the mall or to a restaurant. This seemed like an ambitious goal to me, one that she may not successfully complete, but her demeanor as she stated this desire led me to commend her for choosing such a difficult task. We discussed specifically how she would do this and the idea that she would be successful by going, even if she had a panic attack. We also agreed on a course of action if she had an attack: She would not fight it but observe it like a child looking at something with interest.
When Catherine returned for her next session, she reported that she had done something that she was proud to tell me about. She had gone to the Bass Pro Shop with her family and then gone out to eat. After expressing how proud I was of her, I asked her to give me a detailed account of the experience, making certain that she included what she saw, what she heard and how she felt. Then I asked her to describe how she did it. Focused on how happy her children would be if she went out with them, she told herself that the worst that could happen, if she had an attack, was embarrassment. She was amazed that she had completed the outing without having an attack. Praising her, I made certain that she understood that she was the one who had accomplished this.
When Catherine returned the next week, she had several other victories to report. The main accomplishment was that she had gone out to eat with her extended family, a total of about 15 people. She would not have imagined this to be possible a few weeks ago. I asked her for a detailed account of the experience, and I praised her for this courageous act, pointing out again that she deserved the credit for accomplishing this.
By focusing on how happy her children would be if she went out with them and reminding herself that it would not be a catastrophe if she had an attack, she was able to regain her life. I had nothing to do with Catherine realizing these truths. She knew what she needed to do. All she needed was encouragement.
Exercise: Think of something you did recently that was difficult for you to do. As you think about it, become excited that you accomplished it. Remember the details of the event— what you saw, heard and felt. Give yourself credit for this accomplishment. Notice how you feel as you experience this exercise. After you have practiced on yourself, try it with your clients and notice the effect it has on them.