There are six core personality adaptations that form the basic building blocks of personality. These are schizoid, paranoid, antisocial, passive-aggressive, obsessive-compulsive and histrionic. Each of these has a specific way (feeling, thinking, or behavior) of making contact with the world, a target area for growth and change, and a trap area where the person has the greatest defenses. By knowing this information, the therapist can quickly establish rapport, target interventions to the area that will produce the greatest change, and avoid getting trapped in the client's defenses. This workshop will look at these six core adaptations, how they develop, and how to work most effectively with each one.
The anxiety disorders manipulate people by injecting rules into consciousness, then using that set of laws to take over mental territory. The five anxiety disorders (phobias, panic, social anxiety, generalized anxiety and OCD) control people by generating an absolute standard for certainty and comfort. We will look at the common denominators of this game, and isolate its manifestations in each disorder. Then we will explore how the therapist can teach clients to gain ground by engineering their own tactics and strategies, including the second-order change of switching game boards altogether!
Those suffering from obsessive compulsive disorder are convinced that great harm will come if they do not comply with rigidly set rules of safety. The therapist can reframe the nature of the problem and incorporate all interventions within four simple but provocative guidelines. Then, utilization and pattern disruption lead to new experiences that challenge the dysfunctional beliefs of the client.
Obsessions persist despite the application of logic or reason, and compulsions are so successful at briefly relieving anxiety that they take on a life of their own. The therapist can reframe the nature of the problem and incorporate all interventions within four simple but provocative guidelines that challenge the dysfunctional beliefs of the client.
BT12 Workshop 39 – The Art of Persuasion: Changing the Mind on OCD – Reid Wilson, PhD
Persuading OCD clients to adopt a new frame of reference is the therapist’s primary task. Altering perception– not adding technique–helps them change directions, because belief always trumps exposure practice. Participants will learn a persuasive strategy–built out of whole cloth within the first session–that will frame the entire treatment protocol.
Those who succumb to the spell of obsessive-compulsive disorder conjure up a potion of avoidance and resistance as their only means of control. How do you move someone toward anxious uncertainty when their heart, mind and soul are committed to finding certainty and comfort? Participants will learn a persuasive strategy--built out of whole cloth within the first session--that will frame the entire treatment protocol. Participants will see how to collaborate with the client in designing behavioral experiments to test out this strategy.
The rigid beliefs and bizarre behavior of clients with obsessive-compulsive disorder (OCD) can seem intimidating to any therapist. But if you look under the hood, the driving force of this dominant disorder is always the same: something could go terribly wrong and it will be your fault. Treatment can be difficult, but it is not complex. Participants will learn the core strategies of treatment and the primary tactics to confront client resistance.
Dr. Burns will illustrate the ultra-rapid treatment of four cases of incapacitating and intractable anxiety disorders, including a woman with ten years of failed therapy for extreme depression and panic attacks, a woman with twenty years of failed psychoanalysis for the fear of elevators and hallways, a man with more than a decade of incapacitating social anxiety / fear of sweating in public, and a woman with more than twenty years of OCD / germ phobia (the same disorder that haunted the late billionaire, Howard Hughes.)