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Chapter 4 Healing Quickly When Focused on Resolution In this chapter, I discuss two cases where the clients healed themselves quickly by focusing on the resolution rather than wasting time talking about their problems. Problem saturated talk is useless. When you lead the client to talk about what she wants and how to achieve it, powerful things begin to happen. People can cure themselves quickly and effectively of long standing problems. Presbury, Echterling & McKee (2008, p. 260) suggest that the major positive impact of therapy takes place in the first six to eight sessions. They point out that in one study seventy-eight percent of clients stated that their problems were “better” to “much better” after one session. Littrell (1998, p. 174) states that one to two sessions can be quite successful for a number of clients. Most counseling is done in a single session according to Presbury, Echterling and McKee (2002, p
209). Guterman (2006, p. 7) wrote, “If a significant change does not happen in the first or second session, then it is unlikely that I will be of much help to my client.” My experience is that if significant change does not happen in the first four sessions, then it is unlikely that I will be of much help to the client. The following story is an example of a client quickly and effectively curing herself. The One-session Cure Fran was a 20-year-old college student who came to see me because of anxiety and panic attacks. She reported that she had her first panic attack when she was 7 and had experienced three or four a week since her first one 13 years before. She said that she constantly fidgeted, developed red splotches on her chest and arms and picked at her arms to the point of having sores. As we talked, she reported that her anxiety was a 9 on a 10 point scale. As I talked with Fran, I asked her to pay attention to her anxiety and tell me what she was experiencing. One of the phenomena she mentioned was that she was seeing a picture in her mind of an experience that caused her to feel anxious. I asked her to describe the picture. Was it in color or black and white? Was it moving or a still snapshot? What size was it? Where was it located? She described the picture as in color, a moving picture, life-size and only a few inches from her face. Based on this small amount of information, how would you assist Fran in healing herself? Of course, as you work with Fran and gain more information from her, you might alter the direction of the therapy. Always alter the therapy to fit the client rather than attempting to change the client to fit the therapy. After brainstorming as many directions as possible that you might take, write them down before reading further. I asked Fran to create a picture of a situation when she felt calm and to describe the submodalities of the picture. It was in color, a still snapshot, an 8 X 10 and about 10 feet away, down and to her left. Then I asked her to see the anxious picture and gradually move the anxious picture to the location of the calm picture and to change it to a still snapshot, and to shrink it to an 8 X 10. She was able to do this with relative ease. Then I asked her to repeat what she had just done, but to do it five times as fast as she could. After each time, she was to see a white screen, then the anxious picture in its original form and then to move it and change it. After this exercise, she reported that her anxiety had dropped to a 2. Her homework assignment was to practice this exercise daily a minimum of five times. We set an appointment for the next week. When she returned she reported that she had no panic attacks since we had seen each other the week before; her red splotches were gone, and the sores on her arms had healed. This experience shows the possibility for healing oneself quickly of even a long-standing problem; of course, not everyone with panic attacks can heal so easily, nor would this technique work effectively in every case. Every person is unique and the treatment must be tailored to the person. In Fran’s case, though, the cure was quick and easy. My training in NLP taught me the power of altering the sub-modalities of our five senses. I used a modification of the Swish Technique (Bandler, 1985) in this example. (To learn other NLP techniques, refer to Andreas & Andreas, 1987 & 1989). Perhaps you have not been trained in NLP. If so, the approaches you thought of earlier might have worked as effectively. The point to remember is that healing can occur quickly. This next case shows that the resolution rarely relates directly to the problem. This is why problem talk is unnecessary. Usually the resolution to the problem has no direct relation to the problem. “Starting counseling with a solution-focused approach does not mean that problems should not or are not discussed. It does mean that we do not assume that the answers to clients’ problems lie in their
aproblems. The last place answers may lie are in problems” (Littrell, 1998, p. 65). Presbury, Echterling and McKee (2008, p. 266) wrote, “You don’t need to probe where it hurts. Clients will tell you all you need to know. Instead of focusing on your client’s painful recollections, you can move the dialogue to a discussion of goals and emphasize past successes that will be helpful in working toward change.” In essence, it is far more effective and efficient to focus on resolutions than to focus on the problem, and its cause, because most problems are too complex to have a single cause. Chevalier claimed, “The complexity of human relationships makes it extremely difficult to say with certainty that one event caused another or that one set of events produced another set. The search for causes can become an endless chase, and the client’s goal may be lost in the process” (Chevalier, 1995, p. 17). You could spend hours looking for the cause and not discover it; furthermore, a revelation of the cause might not make a difference in finding a resolution. The following story illustrates this point. The Little Girl Inside Jane was depressed. She reported that she was consistently a 7 or 8 on a 10 point SUDS (subjective units of discomfort) scale. Though not suicidal, she was always miserable. Jane told me that her parents divorced when she was young, and her father never indicated that he loved her or that she had any value to him. She indicated that she did not enjoy being alone because bad memories from her childhood would flood her mind. When I asked her how old she felt most of the time, she said that she felt like a girl of 7 or 8. What approach would you have taken with Jane? Would you have focused on her depression, her childhood, her negative memories, her lack of love from her father, or some other aspect? Write down what your focus would have been and which alternatives you might have used to address this focus. I did two things with Jane. First I used the Gestalt empty chair technique (Hatcher & Himelstein, 1976; Perls, 1969). I asked her to put the little girl in an empty chair, and I initiated a conversation between the adult Jane and the little girl Jane. Moving back and forth from chair to chair, Jane had this conversation between the two parties. From this conversation, the adult Jane promised the little girl that she would love her, take care of her and always be there for her. Secondly, I asked Jane to describe the sub-modalities of the most horrible picture from her childhood. She described the picture as being in color, moving, life-sized and about six inches from her face. I asked her to change it from color to black & white, a still snapshot, 8X10 and about 10 feet from her. When she made the changes, the picture lost its power and no longer caused her pain. Intrigued by this activity, Jane was amazed that she could control how the picture made her feel by changing its characteristics. After I gave her the homework of talking to the little girl for at least 10 minutes each day and of practicing this ability to change the negative pictures, we set an appointment for two weeks later. When Jane returned in two weeks, she was obviously happier. She had a smile on her face; her posture was more erect and she made good eye contact. After reporting that she had been happy over the past two weeks, Jane added that she had spent time alone without having the negative memories. This situation shows that focusing on the resolution is more effective than focusing on the problem. We did not spend much time discussing the problem. Instead, we quickly moved to finding a resolution. By learning to love herself (the little girl inside of her) and learning how to change the pictures in her mind, she could be happy regardless of her unhappy childhood.
Many times when people feel pain caused by the past, they feel the age that they were when the event occurred. By setting up a situation where the present-aged person can love and support the younger-aged person, healing can take place. Exercise: Think of a situation that causes you to feel anxious. Create a picture of this experience in your mind. Notice the sub-modalities of the picture. Experiment with changing them until you find the combination that takes the power away from the picture. Think of situations where this technique might be useful with your clients.