The brief dialogue “Thank You” shows how a surprise can stop aggression in its tracks. A similar use of non-sequiturs in conversation with people who habitually ignore the contributions of other participants (which is true for many patients suffering from schizophrenia or personality disorders) can make it possible to hold a coherent conversation. The therapist takes the side of the symptom in order to allow the client to perform a behaviour which matches that of the therapist. In therapeutic terms, this equates to use to the symptom or to the delegation of patterns of behaviour and the assumption of one side of an ambivalence by the therapist
“A woman just bawled me out because I turned my car
around in her driveway.” “What did you say to her?” “I said, ‘Thank you – you’ve
made me sad, and I’m very happy about that. Then I drove away.”
“Life as a Game” outlines a basic model for infinitely variable stories which can be developed spontaneously. The method of integrating the desired suggestions into a fictitious computer game is used here in the context of shyness and teasing at school.
Imagine that your life is a computer game. While you’re
practising karate or playing football, or doing any other activities which you’re
good at and which you enjoy, you collect health and skill points –brightly
coloured little spheres which help you to level up in the game.
While you’re walking around
at school, there’s an invisible glass shield in front of you which protects you
against attacks by other pupils, who are trying to shoot at you with brightly
coloured little spheres just like yours. Sometimes you open your glass shield very
briefly at exactly the right moment in order to defend yourself and attack the
other players, by shooting at them with the brightly coloured little spheres which
you collected while playing football and practising karate. As you get better at
the game, the attacks reduce in frequency. When they disappear altogether and you’re
completely calm, you’ve won the game
The story “Finding Treasure” prompts the listener to use aggressive and auto-aggressive impulses as a springboard for progress towards a genuinely rewarding goal. Unpleasant feelings such as anxiety, aggression or loneliness can only be put to good use if they are dealt with from a resourced-focused perspective.
This is something I was taught by Fedor the Magician.
Many have tried to find the treasure by attempting to kill the dragon who guards
it. They were fools who sacrificed their lives to a plan which was doomed to
failure. If you tame a dragon by meeting him without fear, he will use all his
powers to help you – and it’s a lot easier to find gold with a dragon by your
side than to steal it from him!
“Dinner for One” illustrates how memories, momentary experiences and future expectations influence each other, and how concentrating on negative memories can have a particularly negative effect on future expectations and the very nature of the future. It encourages the listener to distinguish between memories which should continue to be used as a basis for expectations, and those which should be ignored when developing a personal vision of the future.
Last Sunday, while sitting in my consultation room, I
thought to myself, “I need to see a therapist.” “But you are a therapist,” said
my inner voice, “and this is your consultation room.” “Well, if you say so…” Three glasses were standing next to a half-full
bottle of apple juice. I filled up the glasses, and invited everyone to attend
a family therapy session; the I of memory, the I of momentary experience and
the I of expectation. All three took their seats, and I asked for their
permission to drink from each of the glasses in turn on their behalf. I led the
conversation. To begin with the three almost got into an argument, because Expectation
I believed that no one was taking any notice of him and that Memory I – who had
nothing positive to say – was getting all the attention. I asked Expectation I
how the situation could be improved, and I asked Momentary Experience I to give
his opinion on the relationship between Expectation I and Memory I. I also
asked Memory I for his opinion on what had been said, remaining neutral and acting
like a good family therapist should. Each of the three had some good ideas.
They suggested that a distinction should be made between pleasant and
unpleasant memories, and that only the pleasant memories should be used as a basis
for developing new and more heartfelt expectations. When everyone was happy and
the bottle of apple juice was empty, I thanked them, dismissed them and ended
the session. This therapy session had a long-lasting effect on me, and put me
in a very optimistic mood…
A life is described as happy or otherwise not primarily because of the actual events which occur during it, but because of the way they are arranged in the individual’s memory. Many life stories stop at an unhappy ending rather than continuing to the subsequent happy ending. In order to achieve a “happy” biography, the stories told by a person about his or her life must end with events which were experienced as positive, and also start with such events if possible. Like the following stories, “Life as a Sinus Curve” encourages the listener to structure biographical stories in such a way that they end with positive experiences of this kind.
If we imagine that life’s ups and downs resemble a
sinus curve, we can draw this curve in two different ways. We can start the
curve at its highest point, trace it down through its lowest point and then
return to its highest point – or we can do the opposite, and draw the curve from
its lowest point, through its highest point and back to its lowest point. In
mathematical terms, it is exactly the same curve.
Like the previous story, the metaphorical story “The People of Lensland” can be used for patients suffering from body dysmorphia, in particular anorexia. It can however also be used in relation to hypochondria and the exaggeration (or downplaying) of illness in order to help the unconscious set a more realistic benchmark for the assessment of symptoms.
The people of Lensland are born with binoculars in
front of their eyes. Most of them are born with binoculars which are the wrong
way round, and everything they see looks very small. Whenever they meet someone,
they might think, “Aren’t they a long way away!” “Aren’t they small!” or “Aren’t
they thin!” However a few people are born with binoculars which are the right
way round. Whenever they look down at themselves, they might think, “Aren’t I
long and wide!” The people of Lensland find it very hard to agree amongst
themselves. Yet once upon a time a woman living there made an incredible discovery…
The story “The Fat Woman and the Thin Woman” was developed while working with anorexic patients, and takes as its starting point the idea that even patients suffering from anorexia have a part of their personality which knows that they are underweight and which can engage in a conversation with the other part of their personality. The story is also based on the idea that the therapist should avoid representing the viewpoint “you are too thin”, and should instead represent the ambivalence between the outer world, which assumes that the patient is “too thin”, and the client’s inner world, which assumes that she is “too fat”. The task pursued in therapy is to initiate an inner dialogue between both viewpoints and parts of the personality, with the ultimate aim of negotiating a middle road and a “third way”.
There is not just one world, but two different worlds.
This must be the case, because we are not talking about the same world. We are
talking about different worlds.
The fat woman lives in the inner world. The fat woman
is not very popular. Everyone in the inner world despises her, and everyone in
the outer world refuses to believe that she exists. The thin woman lives in the
outer world. The thin woman is also not very popular, because everyone in the outer
world worries about her, and no one in the inner world believes in her. The fat
woman from the inner world does not believe in the thin woman from the outer world.
She can’t work out why the people she meets claim to meet the thin woman every
day. The thin woman from the outer world does not believe in the fat woman from
the inner world either, and she can’t work out why the person most affected by
all of this claims to see the fat woman every day. Who is right? Those who
believe in the fat woman, or those who believe in the thin woman?
Both the thin woman and the fat woman live in people’s
heads – but in different worlds. They live on different planets. Now that we
have entered the age of technology, visiting other planets is simply a question
of deciding on a means of transport. I can imagine boarding a special capsule
which would take me out of the inner world and over to the outer world for a
limited period of time. That might be quite pleasant, since I’d get rid of the
fat woman on the way there, and I’ve needed a break from her for a long time.
The price I’d have to pay when visiting the outer world is that I might meet
the thin woman, even though I don’t believe in her and perhaps don’t want to
believe in her. And apparently she doesn’t look too great, but who knows. I can
also imagine that at the same time as me, in exchange so to speak, a second spaceship
would launch off from the outer world and fly to the inner world for a holiday
in the fat women’s world. Then they’d know what it was like living with her day
after day, and would no longer deny her existence.
I wouldn’t go on this
journey very often – why bother? Later I will send the fat woman herself on a
journey to the thin woman, so that they can exchange experiences and learn from
each other. I want the fat woman to learn from the thin woman, and the others
want the thin woman to learn from the fat woman. I’ll stay at home and take a break
from the fat woman.
The case study “How to Handle Sexual Assault…” discusses the possibility of protecting oneself against sexual harassment.
A colleague recently called me for some advice. A female
friend of hers was being sexually harassed on a regular basis by a neighbour
who engaged in exhibitionistic behaviours towards her while he was in his
garden, and sometimes also made lewd comments on her figure and her clothes.
We discussed possible solutions together, and decided
that the police would probably not be much help in a case like this. In my
colleague’s opinion, the next time it happened her friend should look over and
comment wearily, “Not exactly well endowed, are you?” I for my part thought that
the woman should keep a pile of water bombs made from balloons filled with
tomato juice ready in her garden. Alternatively, a blowpipe filled with cherry
pits should also do the trick – simply aim at his manhood, and one hard puff! A
friend who was listening in on the conversation suggested that the woman should
carry a digital camera around with her and take a photo the next time it
happened. Even if the photo didn’t show much, the neighbour would be in a very
awkward position as soon as the flash had gone off – not only because it might
be shown to the police, but also because he would have to live in permanent
fear from that moment onwards that the offending image might be posted on the
Internet, “liked” by friends and neighbours and go viral. “You’d be better off
with a video,” suggested someone else. “Then you’d have sound too!”
My only fear is that these brilliant ideas were never
used; once the woman had these tricks up her sleeve, her behaviour would have
altered and the neighbour would probably have intuitively stopped the
The story “Snail Race” can be used with patients suffering from various sexual dysfunctions, although it is recommended that the text be adapted to the relevant situation. The accumulation of suggestions through semantic field associations and ambiguity is unmistakable.
The snails are having a race. A group of birds who are
watching are open-mouthed – or rather open-beaked – at the length of time taken
by these moist creatures to make progress, and how slowly they expel slime as
they moisten the ground over which they glide. They make steady progress, but
it takes them a very long time to reach their goal. Yet a snail race is enormous
fun for those who know how to take their time. There’s a lot to see; how the
snails strain forward to make progress! How they straighten their smooth, solid
feelers, and stretch them out towards their goal! How the sides of their body move
with a wave-like motion in order to push them onwards! Someone once said that
if only we could learn to experience slowness, we would see how snails really
lean into the corners. And it’s true; anyone who wants the snails to go faster
can simply experience everything more slowly. Then a snail race will be just
the right place for him, and he will see how fast they are. When the snails race
each other, they are full of movement. From their feelers to their slime glands
and from their mouth to their tail, everything moves forward. They are experts
at rationing their strength. And when the time comes, they accelerate for one
final spurt on the home stretch until they finally cross the finishing line,
panting with exertion.
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