SHAPIRO SERIES PART 8

SHAPIRO SERIES #8

SLIDE #8
E-EVALUATE EVERY EXPERIENTIAL CONTRIBUTOR
- EVERY EXPERIENTIAL CONTRIBUTOR SHOULD BE EVALUATED, ACCESSED AND
PROCESSED
- EXPERIENTIAL CONTRIBUTORS ARE POSITIVE AND NEGATIVE
- EVALUATE DIFFERENCE BETWEEN SYMPTOMS
- EVALUATE INDIVIDUALLY AND SYSTEMICALLY

While Preparation is important, everybody doesn't need a lot of preparation. AND remember, preparation isn't the processing. As part of your clinical assessment of the client your task is to identify how much preparation is needed? Because our client needs to have to a certain stance (stable, intact) in order to handle reprocessing the experiential contributors
(target memories)

The experiential contributors to health as well as dysfunction. So, yeah, there's genetics, no question. Yes, there's "I didn't sleep very much last PM and I'm tired and that's effecting me." Absolutely. But we're looking at experiential contributors that are stored in the brain that need to be evaluated, accessed and processed. Does every single one need to be processed? No, because we have the generalization effect. But they need to be evaluated. Experiential contributors, positive and negative. What good things have happened to them, what positive people have been in their lives that are going to assist
in "what do I use to help prepare them?" What might I use for a cognitive interweave? What relationship do they have with their children? Will I need to bring that in with, "what if your child...." during a cognitive interweave? Positive ones that let us see what they have and what they are going to need. You have to evaluate the difference between symptom reduction and comprehensive treatment. Let's say someone comes in with a driving phobia. If I just concentrate on the driving phobia and send her back to a life of quiet desperation I wouldn't personally consider that good work unless that's all she's willing to do. But as a clinician, if I'm taking a history and seeing the larger clinical picture, at least let me make the person aware of the possibilities and the potentials to see if there are other issues they would be willing to address that would improve their quality of life. In part, because the symptoms of the phobia or PTSD
may be masking other dysfunctional material and symptoms. It's like taking the quilt off the mattress. Once the quilt is removed, you may see of lumps and bumps on the mattress that you need to deal with. So if I take a good clinical history, I'm able to identify what might need to be processed to help get this person to an actualized state. Not just actualization for some of their issues; actualization for all of their issue. EMDR is a positive, self-actualizing approach, not just a trauma desensitization model where we just address the obvious issue and then let them continue to limp along with other inhibiting issues. We want them to be dancing with emotional health, don't we?!

Evaluate individually how they are with you (the clinician) and systemically how are they when they are with their family, social settings, and larger settings. To do this, we need the client/clinician feedback loop. When we say in research "you should be able to process a single-event trauma in 3 sessions" that doesn't mean that's all the therapy you should do. It's giving you a rule of thumb in terms of processing but what you are hopefully looking for is how do I bring this client to a level that perhaps they never even knew was possible. And is it OK with you if they go even further than
you think they can or further than you may am able. In the clinical
tapestry, we're looking for positive and negative experiences and we want to use every possible orientation (clinical tool) in order to bring in these possibilities and targets.

Replies:

There are no replies to this message.

| Behavior OnLine Home Page | Disclaimer |

Copyright © 1996-2004 Behavior OnLine, Inc. All rights reserved.