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The Addict - Recovery Self Dialogue: An Experiential Intervention Allen Berger, Ph.D. Author: 12 Stupid Things that Mess Up Recovery and 12 Smart Things to do When the Booze and Drugs are Gone Fragmented Selves-Parts Dialogue in Psychotherapy

Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

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Page 1: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

The Addict - Recovery Self Dialogue: An Experiential Intervention

Allen Berger, Ph.D.Author: 12 Stupid Things that Mess Up

Recovery and 12 Smart Things to do When the Booze and Drugs are Gone

Fragmented Selves-Parts Dialogue in Psychotherapy

Page 2: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Gestalt TherapyEmerged as part of the Third Wave in Psychology

Therapeutic Goal: Promote Awareness and Facilitate Integration

Dr. Fritz Perls (1969) defined mental health as

“an appropriate balance of the coordination of all of

what we are.”

Page 3: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Dr. Erving Polster said that the goal of psychotherapy is “...to merge the

disharmonious aspects of the person so that they [can] become joint

contributors to the person’s wholeness.”

Gestalt Therapy Shuttle Technique

Page 4: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

“When there is a psychological disturbance these selves are alienated from each other, leading to

fragmented living.”

E. Polster, Ph.D. (1995).

This means that integrating the different parts of

ourselves into a unified whole is critical to a stable

recovery.

Page 5: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Addiction Voice Dialogue Rational Recovery

Rational Recovery Systems

Addictive Voice Recognition Technique.

“The Addictve Voice is the only reason you drink (J. Trimpey, 1994, p.67).”

Page 6: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Rational Recovery Systems

Addictive Voice = Beast

Beast = Midbrain

Midbrain is Survival Driven

Rational Recovery Systems

“Your Beast is comfortable with your surrender of control to a poorly understood Higher Power, your dependence on others for sobriety, and your “alcoholic” self concept. It delights in your short range plans to stay sober one day at a time and in your sharing your graphic, entertaining stories of past drinking episodes (J. Trimpey, 1994, p.67).”

Page 7: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Rational Recovery Systems

Therapy consists of understanding the Beast and that it is out to get you.

Making a commitment to never now drink - The Big Plan.

Abstinence outcome focus.

Recognition of the Addictive Voice and Facing Down the Beast

Addict Self - Recovery Self Dialogue

Page 8: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Addict Self Recovery Self

Manipulative, Dishonesty, Deception, Calculating, and

Disingenuous

Honesty, Transparency, Genuineness, and Authenticity

Unawareness, Numbness and Deadness

Awareness, Aliveness, Interest, Passion, and Responsiveness

Closed, Deliberate, and Controlling

Openness, Freedom and Spontaneity

No Respect for Self and Others

Respect for Self and Others

Distrust and Cynicism Trust, Faith and Belief

Toxic Nurturing

Characteristics of Addict Self - Recovery Self

Gestalt Shuttle Technique

Create a dialogue between the Addict-Self and Recovery-Self.

Use the immediate to search for what is missing.

Facilitate integration and harmony.

Page 9: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

1. Laying the ground work. 2. Negotiating consensus.

3. Describing the experiment. 4. Enacting the experiment.

5. Locating the client’s energy. 6. Focusing awareness.

7. Identifying what is missing and formulating the working point.

8. Monitoring the working point.

9. Frustrating avoidance, encouraging expression and facilitating

integration.10. Debriefing and closure.

Protocol for Setting Up Psychological Experiments

The Shuttle Technique: In Early Recovery

Page 10: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

The Shuttle Technique: Later in Recovery

Incomplete Sentences

The addict in me is planning to sabotage my treatment by _____________.

The idea about myself that I would have to give up if I really embraced recovery would be ___________.

If I let my doubts about your ability to help me speak, they would say __________________.

The addict in me will_______________.

Page 11: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

“Therapy at its greatest moments provides masterful

examples of a sequential imperative, the sense of the

irresistible sweep into nextness. Experience

appears to be seamlessly and inevitably

interconnected, forming a sequential fit.”

E. Polster, Ph.D. (1995).

“The ideal therapist-client relationship is one which will instill hope, promote awareness, identify what is missing, facilitate integration

of fragmented parts of self, and support an ongoing commitment in

the client to the process of recovery.”

Allen Berger, Ph.D. (2011)

Page 12: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Contact Information

Allen Berger, Ph.D.818 - 584 - 4795

[email protected]

Concepts of Gestalt Therapy

Organismic Self-Regulation - a dynamic process not a mechanism.

“The organism is striving for the maintenance of an equilibrium which is continuously disturbed by its needs and regained through their gratification or elimination (F.S. Perls, 1947).”

Page 13: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

Concepts of Gestalt Therapy

Figure - Background - Gestalt“Integration is a prerequisite for the satisfactory functioning of figure/ground development. To create gestalts that will meet our needs, we must be able to choose from all our possibilities. If we cannot call on all the parts of ourself, our gestalts will be correspondingly weak (J. Latner, 1972, p.50).”

I Sense

I Become Aware

I Arouse, Energize

I Invent What to Do

I Invent What to Do

I Take Action, Make Contact

I Feel Gratified

I Lose Interest

I’m Available Again

Cycle of Experience

Page 14: Fragmented Selves-Parts Dialogue in Psychotherapy...Concepts of Gestalt Therapy Figure - Background - Gestalt “Integration is a prerequisite for the satisfactory functioning of figure/ground

I Invent What to Do

Cycle of Experience

I Sense

I Become Aware

I Arouse, Energize

I Invent What to Do

I Take Action, Make Contact

I Feel Gratified

I Lose Interest

I’m Available Again

Block

Block

Block Block

Block

Block

BlockBlock