Wise Therapy - and Coaching too

Can Positive Psychology bring anything to the show?

2010-10-24T23:52:00.000+01:00

Positive Psychology can be criticised for being too reductionist, lacking a strong philosophical base, and for being - well, too positive. Whilst these criticisms have some merit, there is a lot of good research and discussion happening in the positive psychology world, and the task is to harvest this rather than debunk it.

I'll post some more ideas on this in due course, but here are some thoughts.

If positive psychology can show that interventions increase subjective well-being, can it also show what interventions increase the richer notion of eudaimonia (or flourishing, or the good life)?
Will the same interventions that increase subjective well-being increase eudaimonia?
Will other interventions, for example those aimed at enhancing meaning or wisdom, have more effect on eudaimonia than subjective well-being?
Can the work on flow and strengths increase eudaimonia?
Here's one way that they might ... By knowing and focussing on our strengths, we have more chance of achieving our life goals.
Here's another ... By turning the activities that will help us achieve our life goals into flow activities, we will be more motivated to carry them out

So I believe a dialogue between positive psychology and those interested in enhancing eudaimonia is important - and yes, positive psychology can bring something to the show

Flow - how to help your clients lead a more absorbing and fulfilled life

2010-10-24T12:24:00.005+01:00

It's sometimes argued, and with some validity, that psychology, especially positive psychology, ends up advocating interventions that are "just common sense". For example, one of the most frequently cited interventions is to count your blessings - hardly a new idea. Proponents of positive psychology like Martin Seligman have pointed out that there are in fact a number of findings uncovered by Positive Psychology, some of which which are well described in this article

One of the concepts I find most intriguing that comes from Positive Psychology is that of Flow, as researched by Mihaly Csikszentmihalyi. Flow is a state of optimal experience.

It’s being in the zone, it's losing yourself in a task. I've written a more academic style post on the criteria for finding flow, so I won't repeat that here.

Here I want to consider just two ideas that may be helpful when working with coaching or even therapy clients.

The first makes use of the absorbing and enjoyable nature of flow activities. When you lose yourself on the ski slopes, or on the tennis court, or in a game of chess, a film, a conversation or a video game, you want to do the activity again. So if you can find flow in an activity, you will be more motivated to do that activity. A key -and perhaps under-used - life coaching exercise is to ask the client to list their major life goals. The problem many people find though, is that, paradoxically, although the items they have just listed are at one level very important to them, they just don't feel motivated to do them - at least not now! For example, suppose you've written down "write a novel" or "get really fit" or "be a successful parent" as a life goal. Seeing it down can just make people feel guilty that they aren't doing it already and not at all motivated to start doing the task. One of the tricks here, as all life coaches know, is to break it big goals down into smaller steps, make the goals SMART and so on. So you might aim not to write a novel (because that goal is too daunting) but to research the subject of your novel, and to do that by next Sunday. That's better -but what if you still don't feel motivated to do it. Then your coach may suggest you visualize success. imagine seeing your book in Waterstones and imagine how proud and pleased you feel. Whilst this can sometimes be helpful in giving more motivation , I'd like to suggest another approach.

If you can find flow in everyday activities connected with your life goals, then you'll be motivated to do them and you'll take a step towards a life goal and find flow - two good things.

The trick here is partly to match the criteria for finding flow - for example, make sure you set realistic but also challenging goals, aren't distracted and that you get feedback. So the would-be novel-writer finds a quiet space to start their novel, having set the challenging but realistic goal of writing the first paragraph of the novel today. The challenged parent takes their kids somewhere they are all likely to enjoy, plays an absorbing game with them, or puts on a video of the family holiday when the children were toddlers (these all work for me!). For sure, not all life goals necessarily have the potential to produce flow - the anxiety may be just too high, or the tasks too mundane - but if you can combine the two its a great win-win.

However, by no means all flow activities are good ones. Recently, I've found myself spending far too much time playing chess on the internet. Flow theory helps me understand why. Chess is absorbing, you lose yourself in the game (even if you lose the game ...), there's feedback, there are specific goals ... it's no surprise I experience flow when I play chess. Yet I don't really want to spend that much time playing chess - my work and family are much more important and playing chess distracts me from my important life The lesson I - and clients - may benefit from is that flow activities may be potentially addictive andso one needs to be wary of over-engaging in them. To do this, you might need to take quite strong preventative measures e.g. asking other people to stop you doing these activities or in my case taking the link to the chess game off my browser so it's that much harder for me to get started. Whilst chess might seem a relatively harmless addiction, I am sure that being in flow is part of the attraction of more damaging activities, for instance those concerned with alcohol and drugs. The useful insight here is that whilst flow may be part of the good life it certainly isn't the only thing that matters - and that activities are addictive partly because they lead to flow.

These two points are really two sides of the same coin. Flow is addictive, and if you experience it in activities that are part of your good life, then that's a double win - flow and your life goal. But if you attain it in neutral or even harmful activities, then whilst it's perfectly understandable that you keep doing that activity, it's something to be wary of.

Searching for Meaning with Viktor Frankl

2010-06-23T10:23:00.002+01:00

Last night fifteen of us braved the heat to spend 3 hours exploring how the great Austrian existential psychiatrist Viktor Frankl could help us find more meaning in life.

I thought it would be worthwhile (meaningful even) to jot down a few conclusions.

The meaningless life might be one of depression (many depressives speak of lack of meaning) but it also be one of mundaneness. Both Tolstoy's Death of Ivan Ilyich and Abba's The Day Before you Came are examples of comforting to "the herd" and living an automaton-like existence more than being actively depressed.
Sometimes we need a jolt to awaken us from this meaningless state. It can be a brush with one's mortality or reading a book like Frankl's Man Search for Meaning
The YOU in the Abba song could refer to any number of possible sources of meaning, including

a lover
a union with someone or something
the divine
finding one's true vocation
awareness of one's mortality
winning the lottery

Frankl doesn't think there is any one meaning in life to be found any more than any one right move in the game of chess. There may be a best move in a particular position in chess and in life it's a case of detecting where meaning can be found in your life.
There is a responsibility for us to make our lives meaningful -just as we would feel a responsibility to save a drowning man.
Frankl can help us broaden our awareness of where this meaning may lie with a series of thought experiments
The "Rocking Chair" thought experiment helps us get more in touch with how our life may be meaningful in our future.
Frankl identified three areas of meaning - attitude, creations and experiences.The acronym ACE (not Frankl's! )can be used to remember these three areas.
The Andy Dufresne character in the Shawshank Redemption illustrates. For example in the scene where Andy gets stock for the prison library and then defies the warders by playing Mozart loudly to the whole prison shows

Attitudes of defiance, courage, perseverance, optimism, hope and love
Makes a difference to his fellow prisoner's day - both as a role model and changing their mundane grind into a special moment.
Gives Andy and his fellow inmates the aesthetic experience of Mozart - both at the time and when Andy recalls it when "in the whole" and also the experience of commune with each other

We can usefully think about what similar attitudes, creations and experiences will give our lives meaning.
It is important to look at this in concrete as well as abstract terms. One can do this by thinking about how one's life can be more meaningful in the next week. What attitudes, creations and experiences we can have in the next week.
We then need to think about what specifically we need to do and what obstacles we need to overcome
Some tips the group came up with to help included

writing down advantages and putting this list in a place we can see it
making a start however we feel
getting help from others (and avoiding those who will hinder)
asking what is the worst that can happen
recording our fears and comparing with what actually happens
breaking down large tasks into small manageable steps

We meet again next week, hopefully having got a step closer to living a life of meaning.

Yalom's criticism of CBT

2009-03-26T16:31:00.001Z

Someone's got to do some more research, but I would really like to know:
when a CBT therapist really gets distressed, who does he go see? I just
have a strong sense it's not another CBT therapist. I think he wants to
go out and search for somebody who's wise and can help him explore
deeper levels.
Irvin Yalom
http://blogs.psychologytoday.com/blog/in-therapy/200903/seven-questions-irvin-yalom

Wise Therapy recommended by Guardian/Observer guide to Understanding People

2009-03-07T20:50:00.001Z

**Wise Therapy was one of only 25 books recommended by The Guardian on
therapy and personal development
**

**This is what they said**

*Wise Therapy*: Tim LeBon(Sage, £18.99)

A practical guide to using philosophy as therapy. LeBon encourages
counsellors and psychotherapy practitioners to use philosophy with their
patients to help them make better decisions.

How to create effective collaboration with clients (for CBT and philosophical counselling)

2009-03-07T07:42:00.001Z

In both CBT (cognitive behaviour therapy) and philosophical counselling,
effective collaboration with clients
in considered to be a crucial element of wise therapy.
In their highly recommended /Introduction to CBT/, Westbrook et al list
4 ways of building a positive collaborative relationship (p.29)
1) Careful listening
2) Creating a shared agenda at the beginning of each session
3) Welcoming feedback
4) Establishing client's goals
These are all very important - I'd like to suggest 4 other ways of
ensuring there is good collaboration
5) Use Socratic questioning -also known as guided discovery (as opposed
to lecturing)
6) Write down key points and ensure the client gets a copy as well as you
7) Be transparent - explain your rationale
8) Use frequent summaries

A less-heralded benefit of therapy

2009-02-13T10:24:00.008Z

One of the less heralded-yet very real - benefits of wise therapy is
to help clients get out of their everyday mindset on to a different plane.
For an hour a week, they are thinking about life from a broader
perspective, from a wiser perspective. They look at what matters in
life, they brainstorm options creatively, they look at their old
strategies in living and explore new, better ways. Therapy clients
learn about ideas from the great thinkers and from psychologists,
and can experiment with them to see if they help.

Inevitably, when they go back into the everyday world, some of will get lost -
but some will remain, too. Therapy is a sanctuary away from the herd, a
place to reinvigorate the thinking process, a precious time for self-renewal.

But I'm not exactly sure how anyone would capture all these benefits
in an outcome study ...

Mood logs plus

2007-07-19T09:46:00.000+01:00

Mood logs (Burns, Padesky) are an extremely usefuly tool for therapist and client alike.

I do recommend you try them if you havent already.

I believe they can be tweaked to be made better.

One enhancement is to include an "existential message" and "action plan"

Emotions don't always involve distortions, and even if they do they still may have a message and require a plan

Another is to separate out factual and evaluative rational responses.

When the rational response is about whether something is the case or not,

then treat this like a detective or scientist. Put in qualifiers like "perhaps" and "probably" or better still give a probability estimate. Make an action plan for finding out more evidence.

When the rational response is about your evaluation of it, then first

- remember that you dont know if the factual stuff is true. Remember Socrates "I know nothing". This calms down the evaluaitons

- Try a thought experiment "If this hypothesis is true", what is the wise response.

The problem is you might not really feel this to start with. Then have a dialogue between your automatic thought evaluation and your rational response evaluation.

This is rather like a dialogue between Plato's charioteer and white horse.

You might also identify core beliefs ("bottom lines") to work on further - put this in the action plan.

Describe yourself in the third person

2007-07-09T09:21:00.001+01:00

After a twenty hour training in practical philosophy, most students are well able to apply philosophical methods to case vignettes - such as

1)My sister (who is five years older than I am) is a high-flying lawyer, and my parents want me to go to law school after I finish my law degree. But the part of the law degree I've enjoyed most is ethics. I'd like to do a post-graduate degree in philosophy instead! But my parents won't want to lend me more money, and I already feel somewhat envious of my sister's lifestyle. What should I do? (Ulya)

The trick is to then apply the same methods to their own situation.

So, first teach people the methods, then ask them the following question

"Describe your situation from a third-person standpoint, stating your dilemma as clearly as you can. Then treat it as a case vignette. What would you recommend."

Best regards
Tim
Personal Development Through Philosophy and Psychology
http://www.timlebon.com

Use bibliotherapy

2006-01-14T16:30:00.001Z

You only have 50 minutes or so a week with the client, and are also limited by your own ability and memory.
Why not encourage clients to learn from books that they might find are helpfu

Suitable texts for bibliotherapy include

Bertrand Russell – The Conquest of Happiness
Viktor Frankl – Man’s Search for Meaning
Alan de Botton – Consolations of Philosophy
Covey 7 Habits of Highly Effective People
Carlson Dont sweat the small stuff

I suggest all of these to clients, and have also written “readers companions” to each of these 5 texts to make them more accessible, foreground the more practical elements of each book and also raise critical questions. I