| STRUCTURED
TECHNIQUES
A STRUCTURED
INTERACTIVE TACTIC USING IMAGERY
Landis (1991)
uses a highly prescriptive technique of guided imagery based on his learning
from Milton Erickson. Landis freely confesses that he is highly selective
about who he is willing to take as a client.
I am not.
In my hands,
the technique works well and I quickly discover the patient whose imagination
is inaccessible to such a playful technique.
First and
foremost, you must steep yourself in the fundamentals and lore of good
hypnotherapist artistry. Be confident, expect the result you describe.
Prescribe results in permissive terms, e.g. "I wonder if you might
be able to learn from seeing yourself as a young girl, or perhaps from
remembering
when you were in kindergarten, or perhaps you will learn more from sensing
a time when everything around you was very large."
Exhaustively
comment on physiological changes as they become visible. Create a "yes
set" by exhaustively listing all the possible responses. "I wonder if
you notice that one hand is heavier than the other hand, perhaps it is
the left hand that is the right hand to think about, and it might be
that
the right hand feels heavier, perhaps both hands might feel equally comfortably
heavy and relaxed, although, of course, the feeling might be one of lightness."
Speak slowly,
emphasizing phrases embedded to create comfort and movement "The tomato
seed, Joe, CANNOT SEE, CANNOT FEEL, and yet I wonder if it does not FEEL
A SENSE OF COMFORT."
Above all,
accept the client, where she is and respond to her responses.
Landis recommends
that the image of the client as a child be fixed by introducing the idea
that the child she was might have enjoyed being able to go to a meadow
where she could have anyone she wanted there and anything, and no one
and no thing could be there that she didn't want.
It seems
to be more productive to refer to the child in the third person as if
a separate personality actually exists. Spend some time indirectly enriching
the imagined field (I wonder what the birds are eating?). Eventually suggest
that the the adult approaches the remembered child and introduces herself,
praising and cherishing the child.
It is particularly
important to create in the client an awareness that the child did very
well given her situation, size, age, skills, knowledge and the people
she had to cope with.
The therapist
checks to see that the child has accepted the adult as who she is. In
other words, introduce yourself to the child as herself all grown up.
After praising and cherishing the child, check, through the child's eyes
to see if she really accepts the adult as herself grown up.
Continually
build the sense of comfort, interest and play, and cherishing and praising
the child.
Ask if the
child has a special place she likes to hide or snuggle up safely. Create
a place if necessary, then teach the child that she can go there anytime
that she likes. Reassure the child that you, the client, will be right
here in the garden, and that she can come back by clicking her heels,
instantly.
Practice.
This script
creates the initial situation for work, but closure should always be made
by reassuring the child that you, the client, will return and visit her
here, at any time she wishes.
Always let
the child leave the scene first, and always give her a hug.
Once the
image of the child who can happily converse with the adult is established
then systematic work can be done safely, playfully, and powerfully.
I usually
ask for introduction of pets spending time building good feelings.
I also follow
a suggestion of Landis to use "Data" the Android on STAR TREK: THE SECOND
GENERATION. Suggest that the child might enjoy an indestructible twin,
who could substitute for her and play tricks and games.
With all
this scenario and cast the therapist can then use TV screens, remote viewers
(eye in the sky), movie screens, crystal balls or whatever imagery works
with the child to sneak up on traumas. Data Child can be sent to the scene,
and then the scene can be modified to suit the child's needs.
The child
always returns to the primary scene of comfort and safety.
It is not
necessary to go all the way back to childhood, unless the trauma is there.
Revisiting the younger adult, and thanking her for having the experience, "you" don't have to live through it again and "you" can
be grateful that she lived through it. You can visit her and reassure
her.
The desensitization
which needs half a dozen to twenty sessions by RIT can be accomplished
in a single session.
PARTS WORK
Landis suggests
that you emphasize Milton Erickson's wise report that the unconscious
mind may be humorless, and concretely literal minded, but that she is
always benign and has as her job keeping you alive.
Pavlov recited
to patients the fact that your mouth instantly responds with thin watery
saliva or thick mucous or some other product, exactly right for processing
whatever you have put into your mouth. The unconscious processes (mind)
respond even when someone else squirts something that you don't know what
it is into your mouth - the response is made instantly and appropriately.
Changes
in respiration, pupil size, heart rate and so on are all carried out by
unconscious methods. One of the scripts which follows, OCEAN, emphasizes
the enormous data store in the vegetative, unconscious processes. This
cognitive set enhances a therapeutic response.
When doing
Parts Work, it is imperative to maintain a positive set toward the unconscious
mind for inventing the "part" even when the Part is unpleasant and
harmful. The Part was invented to save your life and often does just
what it was
designed to do.
Landis asks
you to identify a feeling or action which seems to get in your way. Recover
the feelings associated with the Part.
Always remembering
to be artistically gifted as a hypnotherapist ask the Part if the Part
will appear to the client (I am deliberately avoiding gender, especially
the neuter).
"I wonder
if you will be comfortable asking this Part of you to give you an image,
if the Part will appear to you?" "It doesn't matter if you see a vivid
image, just a simple change, or the vague awareness that the Part is
willing
to allow you to become conscious of the Part will do."
If the Part
appears then ask the Part how old you were when the Part invented itself.
Will the Part show you what events or sounds or what it is that calls
the Part out? Does the Part have a name for herself (by now you've got
a pronoun).
Often the
answer is not "five years old" but an image of the client at age five
appears to the client.
When I took
Landis' Partwork seminar I brought a response I thought I had only recently
developed to the therapy. I was remarried at age 57 and found myself,
quite contrary to my habits and image of myself, occassionally raging
at my wife. She and I were astonished at the vituperative fervor of the
rages.
When the
therapist asked me to look for the Part I responded, "you know I'm a fairly
rational therapist and this California stuff isn't my ....." Well, staring
at me behind my closed eyelids was a horrible looking Wolverine, streaked
with pus. In response to the age question I saw an image of myself being
carried by my father in a lawyers office whilst he and my mother shrieked
at each other and the lawyer bleated about. So my response to the therapist
was "About 18 months, two years - still being held in arms, at any rate."
I demurred
again when asked to inquire of the Wolverine its name, but instantly
came the name, "Squaller".
"How old
does Squaller think you are now?" Again came an image, this time of my
new mother and my father ferociously thrashing my brother when we were
9-10 years old.
The therapist
determined with me that Squaller was evoked by a tone of voice, and that
clearly his job was to keep me from being overwhelmed by ferocious adults
and their destructive voices.
I had a
very hard time thanking Squaller, I told the therapist "I don't think
you understand how bad the things I say to my wife ...."
She responded
by pointing out how strongly and well Squaller worked at preventing me
from being overwhelmed by adults. She was able to get me to remember
times
when in a more conscious and deliberate way I have used the rage to protect
my family and property. I was able to make a genuine "thank you."
The therapist
then asked me to show Squaller my driver's license, to take him with me
through a day of work, to introduce him to my grown chilren (he has never
been active with my children).
Then the
therapist asked me to ask if my creative self would be willing to appear
and talk with me. Again I demurred "this is really too California for
m...." and I was looking at J himself sitting on a cloud. Since then
I have remember a Guindon cartoon based on Michaelangelo which formed
the
image, but there He was, laughing at me in a kindly manner.
"Ask Jay
if he will take over the job of convincing Squaller that he can hold himself
in reserve for major invasions, and what you need him to learn is to use
something in addition to tones of voices." In fact, she suggested I transform
the triggering tone to Mr. Magoo's voice.
I assure
you my wife has not suffered my rage since that session almost ten years
ago, nor has anyone else. A loving pet name for her has become "Magoo".
Landis also
teaches a method of transacting with the "interface" between the conscious
and unconscious minds. Weave a science fantasy about the interface. Tell
a number of self disclosing and other metaphors about it. Then invite
the client's own interface to show itself.
A number
of my patients have spontaneously called this construct their "higher
self".
I find it
very useful with Christian clients to ask them to remember the hymn "In
The Garden", then to invite them to visualize the walk with him, approaching
Jesus comfortably, and asking him to ask the guardian angel to appear
who serves the same function as the interface.
There is
of course, a great deal of therapeutic lore about these technques and
Landis fills four days of seminar in a manner which feels productive.
I always
remind my students, nobody has proved that doing therapy one way is better
than another. One thing I very much liked about Landis is that he says "there
is no rule about when to use the interaction with the child, and when
to use Parts, and when to use the Interface."
Principle
one, don't get bored.
Principle
two, let the client guide you.
In my hands,
the responses I learned in the four day seminar have been very productive.
Salter insisted
that the best source of good conditioning was the mine of successful experiences
the client already enjoyed. If nothing makes the client smile but talking
about her pussy cat by all means talk about the pussy cat. |