Posts Tagged ‘psychiatrist’

by Hideo Tsugawa Estimated reading time: 7 minutes, 34 seconds.

Editor’s Note: The following is a summary and English translation of an award-winning article published in Japan: Tsuawa. (2000). Play as therapeutic metaphors: Ericksonian play therapy. The Japanese Journal of Brief Psychotherapy, 9, 18-38.

 “Why are children born? They might be born to play. They might be born to romp,” these words are found in Ryojinhisho, an old Japanese songbook. Throughout history and across varying cultures, childhood and play have been closely associated. During play, children naturally strive to develop solutions to problems. Play facilitates the expression of emotion and the focusing of attention. Even more importantly, play is a metaphorical device producing rich experiences that add to the life and skill of children. → Read more

by Danie Beaulieu, Ph.D. Estimated reading time: 3 minutes, 33 seconds.

Impact Therapy is an approach that is growing in popularity both in the United States and Canada. The founder, Ed Jacobs, Ph.D., professor at West Virginia University, has already written three books on the sub­ject (Jacobs, 1988, 1992, 1995). The creativity and dynamism emerging from this model of therapy were large­ly inspired by Milton Erickson’s meth­ods.

People learn, grow, and change mainly with what they hear, what they see, or through the kinesthetic system which processes all information com­ing from the body. Neurophysiologists agree that the kinesthetic system is more important than the visual system which is more important than the auditory system. When we limit therapy to the audio system, simply talking to the clients, we restrict our interventions to a small part of the brain. Dr. Jacobs recog­nized that the more systems involved, the greater the therapeutic impact. → Read more

By Robert W. Firestone, Ph.D. Estimated reading time: 7 minutes, 9 seconds.

The Fantasy Bond in Childhood and Intimate Relationships

The human experience can be conceptualized as a series of separation experiences ending with death, the ultimate separation. Each successive separation or movement through life — separating from the mother’s body at birth and later from her breast, beginning to walk, talk, and develop a sense of self, going to school, dating, marrying, and becoming a parent and grandparent—predisposes an individual to anxiety. The basic tenet of my theoretical system is the concept of the fantasy bond: the core defense against separation, and later, death anxiety. The fantasy bond refers to the forming of a fantasy of connection or fusion, originally with the mother or primary caretaker, and later with other family members and romantic partners, in order to compensate for emotional pain and separation anxiety. The illusion offers the child some relief from primal pain, but at the same time, the fantasy processes contribute to various degrees of maladaptation. How people cope with trauma and existential fear, and form defenses, will ultimately determine the course of their emotional lives. Hellmuth Kaiser’s germinal idea that the delusion of fusion represents “universal psychopathology” is analogous to the conceptualization of the fantasy bond as the primary defense mechanism in neurosis (Fierman, 1965). → Read more

By Cari Jean Williams, Ph.D., L.P.C. Estimated reading time: 4 minutes, 57 seconds.

Selena is a precocious five-year­ old girl who could not stop sucking her fingers. Her teeth were beginning to protrude. Because she still believes in Santa Claus and the Tooth Fairy, I was positive that she would be very susceptible to hypnosis.

I asked Selena to “move to the magic chair where kids stop sucking their fingers .” Then, at my request, she named each finger. She respond­ed with, “Bunny  Rabbit,”  “Robin” and other similar titles. I directed her to ask each finger if it liked being sucked. She said, “No.” Then, I asked her to find out what her fingers would rather do instead. After some conver­sation with her fingers, she told me they would rather play dolls, jump rope, and do puzzles. → Read more

By Robert W. Firestone, Ph.D. Estimated reading time: 6 minutes, 41 seconds.

Our life is what our thoughts make it. ~ Marcus Aurelius, Meditations

The critical inner voice is made up of a series of negative thoughts and attitudes toward self and others, which is at the core of a person’s maladaptive behavior. It can be conceptualized as the language of a defensive process that is both hostile and cynical. The voice is not limited to cognition, attitudes, and beliefs; it is also closely associated with varying degrees of anger, sadness, shame, and other primary emotions. It can be thought of as an overlay on the personality that is not natural or harmonious but rather learned or externally imposed.

The voice is a form of internal communication – usually critical, yet sometimes self-nurturing and self-aggrandizing, but in either case opposed to one’s self-interest. It is experienced as though one were being spoken to. It includes attacks such as, “You’re so stupid!” “You’re a failure!” “No one could ever love you.” “You can’t trust anyone.” “They don’t appreciate you.” → Read more

By R. Reid Wilson, Ph.D. Estimated reading time: 4 minutes, 19 seconds.

People who are hit with panic attacks have a common response. They feel compelled to fight the symptoms with all their available resources. They brace for the fight as they approach any feared situation. And if they predict this on-guard approach will fail, they avoid entering the scene as the only way they can guarantee their safety. But this resistance and avoidance come with a price: a restricted lifestyle, anxious hypervigilance, and often depression.

Over the past three decades, specialists in the treatment of panic disorder have helped their clients move from a commitment to resist their symptoms to one of acceptance. By allowing the racing heart and spinning head and wobbly legs to continue in a permissive mental environment, clients discover that they don’t actually have a heart attack, go crazy, or faint. As they adopt this new permissive attitude – “It’s OK to be anxious here.” “I can handle these symptoms.” “I’m willing for people to notice my nervousness.” – then each panic attack runs a more limited course with far less intensity. → Read more

By Tom Kennedy, Estimated reading time: 3 minutes, 45 seconds.

When asked about James Braid, Ernest Rossi said, “Braid is the true father of hypnosis (personal communication, Dec. 7, 2001). His work forms the basis of what I’m doing today.” This praise becomes understandable after a quick look at Braid’s contributions. He not only popularized the terms hypnosis and hypnotist; he first explained trance states as the interplay of physiology and psychology.

Historians credit Braid (1795-1860) as both the first researcher of psychosomatic medicine and the father of modern theories of hypnotherapy. → Read more

Sep 25

Tom

By Dennis L. Doke M.S. Estimated reading time: 6 minutes, 45 seconds.

Tom, a young adult, has had a bipolar mental illness with episodes involving complex paranoid delusions. He had been hospitalized four times during the eight-year interval since his diagnosis and the time I saw him. Tom’s latest admission followed a trip, with his parents, in December 1991. Tom’s delusions intensified, on that trip, and he believed the name of a town where they had stopped (Winslow, Arizona) held a special message for him. He walked the streets through the nights, “circling around a U-turn exit and ending back at the hotel.” Tom said he could “…WIN the battle if he went SLOW.” → Read more

Sep 18

The Boxer

By Dan Short, Ph.D. Dallas, TX Estimated reading time: 4 minutes, 30 seconds. 

The 21-year-old client did not want to be in therapy. Charged with assault on his girlfriend, he had been ordered to counseling as a condition of probation. The intake, conducted by another therapist, noted, “Client is reluctant to focus on violence-related issues.” The client, muscular and sullen, entered the first session in silence and sat slouched in his chair with a cap concealing most of his face. He had described himself as “a boxer” and had explained that counseling should not interfere with his “career,” which consisted solely of daily sparring at a local gym.

After preliminaries, I began giving the client an explanation of the negative effects of emotional stress. I told him how “industrial psychologists are paid high wages to ensure workers have their lives in order at home.” The role of sports psychologists was also described in detail with some impressive statistics about successful results. The client was then offered psychological training in order to benefit his boxing career. He responded with increased enthusiasm toward treatment. → Read more

Sep 11

Think Fast

By John M. Dyckman, PhD

Estimated reading time: 3 minutes, 46 seconds.

An athletically built young man in his mid-20s, neatly attired in a business suit, consulted me to deal with “rage issues,” “depression,” and a desire to get to the “root” of his relationship with his mother. He told me that he had been raised by a single mother who was alternately extremely dependent upon him, and then physically and emotionally absent. They had suffered poverty when he was a child, and he was determined to continue to rise financially in the world as an adult.

Recently, his last two therapists, both women, had dismissed him because he had refused to enter a drug rehabilitation program as a condition of therapy. He thought that he might be a “borderline alcoholic” because of his daily use of alcohol, marijuana, and opioid pills, which left him “faded,” but still able to work in a high-pressure, high-stakes business environment. → Read more