Treating Trauma and Borderline Issues Effectively Using Inclusive Therapy Bill O’Hanlon Raimy “Psychotherapy is an undefined technique applied to unspecified cases with unpredictable results. For this technique, rigorous training is required.” Dissolving Resistance and Ambivalence Discovering Inclusive Therapy Including obsessions Inclusion Level 1 Permission #1 To • You can • It’s okay • You’re okay if Inclusion Level 1 Permission #2 Not to have to • You don’t have to • It’s okay if you don’t • You’re okay if you don’t Discovering Inclusive Therapy Handily escaping a bind Protected vulnerability Inclusion Level 2 Inclusion of seeming opposites You can and not • Opposite polarities • Previously incompatible experiences/traits Inclusion “Do I contradict myself? Very well, then I contradict myself. I am large, I contain multitudes.” –Walt Whitman Inclusion “Consistency is the last refuge of the unimaginative.” –Oscar Wilde Inclusion “The only completely consistent people are the dead.” –Aldous Huxley Inclusion Level 3 Exceptions That’s the way it is, except when it’s not • Moments of exception • Including the opposite possibility • Recognizing complexity Inclusion/Exceptions “Nothing is as dangerous as an idea when it is the only one you have.” – Emile Chartier When to Apply Inclusion Resistance Inner conflict Numbing Compulsions/obsessions Ambivalence Shame/self-devaluing Dissociation Where to Apply Inclusion Injunctions Binds Shame Polarities/inner conflicts Devaluing/self-criticism Dissociation Dis-identification/non-identification Over-identification Where to Apply Inclusion Injunctions Restraining - Can't, shouldn't, won't Compelling - Have to, should, will, must Be, think, feel, know, notice, do, talk about Undoing Injunctions Determine the injunction Sex is bad. It's not okay to get angry. I have to relax or stop obsessing. Use any or all of the inclusive methods to undo injunctions "It's okay to be connected and sexual." "You don't have to relax. If the obsessions are there, you can just let them be there." Practice Undoing Injunctions Determine the injunction I have to . . . I can't . . . . It's not okay to . . . I should . . . People should . . . Use any or all of the inclusive methods to undo injunctions Permission (to and/or not to have to) Normalizing Valuing of devalued aspects Inclusion of opposites Where to Apply Inclusion Binds Two competing or conflicting injunctions operating at the same time May be internal or interpersonal/contextual Practice Undoing Binds Undoing binds "You can perfectly imperfect." "That was terribly accommodating of you." "You can achieve and not be the best." "You can be loved even when you don't achieve." Where to Apply Inclusion Polarities/inner conflicts May not seem like polarities or conflicts to others (i.e., having sexual pleasure and being connected with another person) “Anger and tenderness–my selves. And now I can believe they breathe in me as angels and not as polarities. Anger and tenderness–the spider’s genius. To spin and weave in one moment anywhere. Even from a broken web.” –Adrienne Rich “The test of a first-rate intelligence is the ability to hold two opposed ideas in the mind at the same time and still retain the ability to function.” –F. Scott Fitzgerald OXYMORONS Awfully nice Exact estimate Found missing Same difference Almost exactly Sweet sorrow “Now, then ...” Working vacation Terribly pleased Tight slacks Definite maybe Pretty ugly Apposition of Opposites Tag Questions Apposition of opposites "You can remember to forget those things that are important to forget and remember to remember those things that are important to remember. Oxymorons Elaborately casual; vicious pleasure; unconcerned vigilance Tag questions and comments "That's the way it is, isn't it?" Practice Inclusion of Opposites Determine the conflict or polarity I am this (and not that) This but that Swinging between this and that Numbing/compulsive areas Use inclusion of opposites Use "and" Simultaneous experience of two things Oxymoron Apposition of opposites Harvard Law Under the most rigorously controlled conditions of pressures, temperature, volume, humidity, and other variables, the organism will do as it damn well pleases. Permission to use This Powerpoint presentation was created by Bill O’Hanlon ©2010. You have my permission to use it for non-commercial purposes (like sharing it with your colleagues or studying it yourself). If you want to use it in any commercial (money-making) activities, please contact me for permission and discussion. Bill O’Hanlon’s info Websites: http://www.billohanlon.com http://www.getyourbookpublished.com http://www.yourlifeoffreedom.com http://www.paidpublicspeaker.com Email: Bill@billohanlon.com Contact information Bill O’Hanlon, M.S., LMFT Possibilities 223 N. Guadalupe #278 Santa Fe, NM 87501 USA Bill@billohanlon.com 505.983.2843 www.billohanlon.com