Rubin Battino, MS Some New and Some Old Tools for Doing Very Brief Therapy With Hypnosis December 11, 2015. 3:15-5:15 PM The 12th International Congress on Ericksonian Approaches to Psychotherapy December 10-13, 2015. Phoenix, Arizona rubin.battino@wright.edu www.rubinbattino.com 937-767-1854 1 Educational Objectives 1. To understand the role of expectation in doing effective therapy. 2. To understand the power of AS-IF behavior (and the Miracle Question) as examples of reframing. 2 Outline Part I: Some Old Tools for Doing Very Brief Therapy with Hypnosis The Importance of Expectation AS-IF and the Miracle Question (deShazer & Berg) Gestalt Therapy Two-Chair as Hypnosis (Perls) Narrative Therapy and Externalization (White & Epston) Psychodrama (Morenos) Provocative Therapy ( Frank Farrelly) 3 Outline – continued Part II: Some New Tools for Doing Very Brief Therapy with Hypnosis Inclusivity – Either/Or vs. Both/And (Bill O’Hanlon) The Three Gifts – Cognitive Hypnotherapy (Trevor Silvester) NLP – Neurolinguistic Programming (Bandler & Grinder & Pacelik) Transforming Negative Self-Talk (Steve Andreas) NOTE: Most approaches will involve audience participation. 4 Importance of Expectation Research done at the Brief Family Therapy Center of Milwaukee. When the client and the therapist expect that change will occur and rapidly, it does! My clients all know that I expect to help them with whatever they present in one session. My sessions are open-ended. Clients are told that the decision to return is theirs. Hypnosis is generally a part of these sessions to consolidate and reinforce. “What are you willing to change today?” Mary Goulding’s opening remark. 5 6 AS-IF Acting “As-IF is magical. No physiological differences between real and acted emotions. On coin-toss have spouse act next day as-if relationship is improving (or normally). Act as-if chemotherapy were a gift from God (rather than a poison). Act as-if you were happy, etc. 7 Miracle Question “Suppose that tonight while you are asleep that a miracle occurs, and the miracle is that what prompted you to come talk with me today is realistically solved and resolved. When you wake up tomorrow morning, what will have changed in your life? What will be different? How will you and others know that the miracle has occurred?” Group Exercise. Developed at Brief Family Center of Milwaukee by Insoo Kim Berg. 8 Gestalt Therapy Two-Chair Exercise as Hypnosis It is suggested to the client that it would be useful in resolving a current or old conflict within themselves or with others by having a conversation with the participating components which may be real or imaginary, and also can be objects. Examples are: Unfinished business with a living or dead person of significance. Finding a way to continue the relationship with the person who has died, instead of attaining closure. Polarities within the person: feeling up or feeling down; calm/anxious/panicked; right/wrong; love/hate; sad/happy; good/bad, etc. Possible group exercise within self. 9 Brief Family Therapy Center’s Three Rules 1. If it is not broken, don’t fix it. 2. If it worked once, do it again. 3. If it doesn’t work, don’t do it again. Do something different. 10 11 Narrative Therapy and Externalization Developed by Michael White and David Epston. Externalization is best-known method. Belief: The person is not the problem – the problem is the problem. Suggest that the person is being controlled and tricked by some internal “demon” or “evil spirit.” Have the client come up with a mutually acceptable name for the externalized problem. Are they being controlled by “Big D” (for depression, e.g.)? How long has this been going on? Have they been able to resist it or put it in its place or ignore it? How did they do that? Discuss finding a way to “exorcise” or get rid of Big D. Use hypnosis to reify the client’s way to overcome Big D and banish it forever. 12 Psychodrama – Developed by Jacob and Zerka Moreno Psychodrama is always done with an audience. A person volunteers to be the protagonist, tells something about her life, and the director then sets the scene with her help. The scene is then acted out with volunteer actors. Immediacy is given to the client’s situation by acting out what she thinks is going on in her life. Inanimate objects can be given roles. The drama continues until a resolution develops. The acting out frequently involves trance states. Can be a rapidly and effectively powerful agent of change. (There are training institutes.) 13 NLP – Neurolinguistic Programming – Developed by Bander, Grinder, and Pucelik Meta Model: The study of linguistics provides many ways to linguistically answer the question, “When the client says something, how do you know what to say or ask next?” Some useful NLP approaches are: Changing Personal History Time-Line Therapy Fast Allergy Cure V-K Dissociation for Phobias Grief Therapy Seven-Step Reframing Steve and Connirae Andreas web resources are: nlpco.com; realpeoplepress.com/blog/; and steveandreas.com 14 15 Part II: Some New Tools for Doing Very Brief Therapy with Hypnosis Note: any time that a client goes “inside” they are in some level of trance. Bill O’Hanlon’s Inclusivity Approach Clients (and many therapists) believe that they are either depressed or active, calm or anxious, sad or happy. That is, they are either this or that. Inclusivity gets into the confusion of the oxymoronic BOTH/AND realm as in the following: “I wonder how it would feel to be …” happily depressed depressingly happy compulsively spontaneous spontaneously compulsive sadly delighted delightedly sad calmly panicked panicked calmly anxiously peaceful peacefully anxious (etc.) 16 Cognitive Hypnotherapy and the Three Gifts (& 3 more) Developed by Trevor Silvester Gifts -- Each evening for one week look back over your day and select three positive things that have happened and write them down. Also, please write down how you were responsible for those “gifts” occurring. Gratitude – Find three opportunities in any given day to thank somebody for something beyond the run of everyday pleasantries. Savoring – Set aside a period of time every day for savoring. Choose two or three things each day. Immerse yourself fully in the pleasure of it. Kindness – Do an act of random kindness every day. Do this without any thought or personal gain, and also do it at some cost or inconvenience to you if possible. Note: How are these activities connected to AS-IF behavior?17 Transforming Negative Self-Talk – Steve Andreas Many people get stuck with negative self-talk that repeats endlessly and controls their lives. A few examples are: You’ll never succeed. Who would marry you? How can you be so unfeeling? You just never learn, do you? Why are you such a negative ornery child? In Andreas’s two books* he gives 23 ways to carry out these transformations. They are things like changing location of the voice or its tempo and locality or talking to yourself positively. Two ways are illustrated below and the next slide. Talking to Yourself Positively – “What else can I enjoy / learn / appreciate / love / see more clearly / understand/ try right now?” [The word “else” is critical.] “Look around and say to yourself, ‘I am sitting on this happy chair. There is this happy table. And there are those happy windows with curtains.’” Do this for ten minutes now, and every day for ten or fifteen minutes. *Andreas, S. (2012). Transforming negative self-talk. New York: W.W. Norton & Co. Andreas, S. (2014). More transforming negative self-talk. New York; W.W. Norton &18Co. Transforming Negative Self-Talk – continued Transforming a Message (developed by Melanie Davis) – Presuppose that what a client has been saying to himself is positive and useful, but has been badly misunderstood. Divide the sentence into two or more parts as in the following examples: CL: I’m no good. TH: Say “I am.” CL: Yes, you are. Say “I know good.” CL: “I know good.” TH: Yes, you do. So, what good do you know? CL: I’m useless. TH: Keep saying, “I am.” CL: I am. TH: Yes, you are. (Then strongly, Use less! Use less!) CL: I’ll never be able to sleep. TH: Say, “I’ll never! Be able to sleep.” CL: Something’s wrong with me. TH: Say, “Something is … row with me.” or “Some think strong with me.” NOTE: Phrasing and emphases need to be appropriate. 19 Closing Group Healing Meditation 20 WHENAll ALL ELSE FAILS When Else Fails Trephining or Trepanation THANK YOU 21