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Interesting "Goings On" in the Wide World of Therapy

Hipnotherapy - July 2007

Once you’ve become aware of the signs and symptoms of suppressed anger, what can you do to better deal with these feelings? The following guidelines may be helpful:
























1. Be willing to let go of the standard of always having to be nice or pleasing in all situations. Expand your self-concept so that you can allow yourself to express irritation or anger in situations where to do so might be appropriate. Examples would include occasions where someone keeps responding to you with snide remarks or subtle putdowns—or a situation where someone breaks an important agreement they made with you. Remember that expressing your anger does not mean dumping it on someone else, but rather sharing with someone (preferably not the person you feel angry at) that you’re feeling angry. You need to do this with feeling, rather than merely talking in a detached manner about your anger. Expressing your anger might alternatively mean to write out or physically “exercise out” your angry feelings. When you’re ready to tell someone you’re angry with them or their behavior, there are specific skills you can learn to communicate your feelings without hurting or belittling the other person.


2. Work on overcoming what-ifs about what might happen if you let your anger out. Usually these what-ifs are exaggerated and unreasonable, for example, “What if I go berserk or crazy?” or “What if I do something terrible?” Remember that anger withheld for a long time may seem ominous at first. Its intensity may startle you during the first few moments you give it vent, but it is not going to cause you to “fall apart,” “go crazy,” or “do something destructive.” The intensity of your angry feelings will diminish quickly as soon as you allow yourself to experience them. This is especially so if you express your anger in a benign way. If your anger is intense, try discharging it onto inanimate objects or on paper in the ways previously described, instead of “dumping” it onto someone you’d like to blame for your feelings.


3. Work on overcoming fears about alienating people you care about when you allow your anger to show. Being able to appropriately communicate angry feelings to significant others is, in fact, an indication that you do care about them. If you didn’t care, you would be more likely to withdraw from them and withhold your true feelings. While overexpression of anger can be destructive to others or yourself, not ever communicating angry feelings to someone you love may convey either indifference or a kind of phony, “holier-than-thou” equanimity.

4. Learn to communicate angry feelings assertively rather than aggressively. It is quite possible to convey your anger or frustration toward other people in a way that respects their dignity—in a way that doesn’t blame or put them down. One way is to begin what you say with I rather than you—in other words, “I feel angry when you break your agreements,” instead of “You make me so mad when you break your agreements.” I-statements maintain respect for the other person; you-statements put people on the defensive and assign them the blame for your feelings.

5. Believe it or not, other people don’t make you angry. You react angrily to your own interpretation of the significance of another person’s behavior. Something they say or do goes against your standards of what is acceptable or just, and so you feel angry. You can learn to convey your angry feelings without hurting, judging, or blaming others by using the communication skills discussed in the next section.

5. Learn to discriminate different modes of expressing anger, depending on the intensity of your feelings. If your anger is very intense, you’re probably not ready to talk to someone yet. Instead, you need a direct and physical mode of expression such as engaging in a vigorous physical workout. After your anger has lessened as a result of direct physical expression—or if it was moderate in the first place—talk it out with someone.
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Break Your Relationship Rut

July 24th 2007 03:52
There are any number of patterns a relationship can fall into that leave you feeling stuck like a broken record. And it’s best to address them soon, as certain ruts can ultimately spell the end of the relationship. Here are three of the most common patterns we fall into, and how to break them before they break you.


Rut No. 1: They don’t want to talk about it. Ever.
There’s nothing more frustrating than when someone quietly stops participating in conversation. “Nothing’s wrong,” the person replies. Or: “Don’t worry about it,” in a tone that says, “You’re simply a vile human being for reasons I can’t be bothered to go into.”
Passive aggressive? You bet. And if you like to air grievances immediately and work things through, dealing with someone who needs more space in a conflict can be infuriating. “If you’re upset, just tell me!” you want to yell, or “Why are you so damned sensitive?” If, like me, you’ve tried these tacks, you know how unsuccessful they are. The more you try to force your passive friends to deal with you, the more they clam up.
What helps? Give space and permission.

Keep in mind that passive aggression often occurs when someone is trying to express feelings he thinks he isn’t supposed to show directly. Maybe he isn’t showing them because in the past they’ve been met with hostility or defensiveness. Maybe he thinks that “good people” don’t have bad feelings, or that good relationships don’t have conflict. Or maybe he just needs a little more space to work through his feelings before he’s ready to talk about them.

So try to hear the real feelings behind the gruffness or silence. When he says, “Don’t worry about it – I’m fine,” you can say, “It sounds like this was really frustrating.” Or give him permission to be angry: “Hey, I’d be mad at me if I were you!” Or negotiate when you will talk: “It’s OK if you don’t want to talk now, but it’s important to me that we do work through it when you’re ready.”

Rut No. 2: You give; they take.
Sure, healthy relationships are all about give and take. But I suspect you’ve been in situations where these roles get stuck, and you end up the long-suffering listener to your friend’s endless boss troubles or the rescuer to your brother’s financial difficulties. You listen; you nod; you resent. Rarely does your friend ask how you’re feeling or what’s happening in your life. You’re both so accustomed to her crying and your shoulder getting wet that it’s impossible to switch roles.

Roles that get stuck spell the end of the relationship sooner or later. When it’s all give and no take, the giver will eventually move on to more generous pastures. What helps? Risk sharing the responsibility. Let’s be honest: Being the ever-present giver has an emotional upside. Bailing out little bro and listening to another romantic disaster leaves you feeling generous, responsible, grateful that your life is more together, and secure in the idea that they now “owe you one.” Demanding support yourself can feel greedy or demanding. No wonder you’ve played the giver so long.

But how generous are you, really? Taking the giver role means nobody else gets the benefits, and nobody gets to know the real you – the one with needs of her own. If demanding more feels hard, start small – by changing what you give. If the taker is a ne’er-do-well younger brother who constantly relies on you to bail him out (figuratively so far, though you wouldn’t be surprised to get a call from the jailhouse), challenge yourself to help him in another way – by being supportive without opening your wallet.

Next, make the leap to asking for something for yourself. Before your friend starts her litany of complaints, let her know that you need her advice about a problem or are having a rough day or could just use someone who will listen. She may feel flattered that you’re coming to her, and then listen intently and perhaps offer up some surprisingly heartfelt feedback. You’ll have been more authentic with her and can walk away without feeling used.

Rut No. 3: You have the same fights over and over again.
Jack Benny is often been quoted as saying, “My wife and I have been married for 47 years, and not once have we had an argument serious enough to consider divorce. Murder, yes. But divorce, never.”

I don’t know about you, but it’s no the seriousness of the argument that gets to me; it’s the tedium. The same frustrations, the same reactions, and I think to myself, I can’t believe we’re having the same argument again. Why can’t we solve this thing? What helps? Get perspective and cultivate acceptance.

The fact that you and your sister, best friend, or spouse argue doesn’t mean the relationship is doomed. John Gottman, a professor of psychology at the University of Washington who researches marriage and the author of The Seven Principles for Making Marriage Work, notes that more than two-thirds of marital arguments are “unresolvable,” meaning they are inherent to the couple and their individual issues. When Gottman checked in with couples four year after first observing them, many of them were still arguing about the same issue. Like my husband’s and my need to be in charge, these unresolvable idiosyncrasies are what we each bring to the relationship and what we will always have to work through. The fact that you are dealing with them is a healthy sign. Couples who don’t talk about their frustrations with each other are less likely to report satisfaction in the relationship three years after the first analysis.


Also, consider the things you don’t fight about. When I think about the fact that my husband and I mostly agree on money, religion, and how to raise our kids, then the fact that he’s bent on building those bookshelves all wrong doesn’t seem like such a big deal. I’m better off letting him have his way and reminding myself that I don’t need to be in charge of everything (of course, I do have to leave the room to control myself sometimes). Assume the other person won’t change, and see if there are things you can do to mitigate your frustration.

Relationship ruts are danger zones. If things don’t change, the relationship is likely to wither away. (To gauge your own relationships, see Are You in a Relationship Rut?) So if a relationship is important to you – not necessarily because you like the person, but perhaps because you can’t escape him or her (sibling, a boss, an in-law) – then start getting out of the rut now. It can’t get better on its own, given the pattern you’re stuck in. Change depends on your willingness to be more honest, and in some cases even more needy, and to stick with this plan even through the hard parts.
Are You in a Relationship Rut?

Are you a friend, a colleague, or a love one stuck in a rut? Here are some indicators that change may be needed.

1. When I pick up the phone and hear her voice, my heart sinks.
2. I often feel lonely in the relationship.
3. I don’t feel like she really knows me.
4. When we fight, I don’t tell him how I’m really feeling.
5. I sometimes resent her and what the relationship costs me.
6. I find myself rolling my eyes – or catch him rolling his.
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Decision Making

July 22nd 2007 23:03
Decision making is hard work. On any given day, we make thousands, if not tens of thousands, of choices – from what to wear, to what to make for dinner, to where to take a vacation. Some of these come easily, but others drive us to distraction or, worse, drive us to bad decisions. Why? Because we all fall prey to a variety of subconscious habits that interfere with our thinking. Luckily, research into the psychology of choice suggests that you can avoid many of those pitfalls. “Understanding where your particular problems arise is a necessary first step to overcoming them,” says Princeton University psychology professor Daniel Kahneman, who won the 2002 Nobel Prize in Economic Sciences for his study of how consumers make decisions. “It can be difficult, but by paying attention to your tendencies and following some rules, you can give yourself a chance.”

















Problem: We have too many choices to sift through.
Blame the Internet. With limitless information on so many subjects just a Google search away, we’ve become a nation of junior detectives, know-it-all shoppers, and overeducated patients. So why is choosing still so hard? A century ago, the average consumer had little in the way of real selection. From cornflakes to college, the options available to most people were limited. Today we have so many choices that we are often overwhelmed by too much of a good thing.

Worse, we tend to gravitate toward a big selection. Consider an experiment conducted a few years ago at a gourmet grocery store in Northern California. Sheena S. Iyengar, an associate professor of leadership and ethics at the Columbia University School of Business, and Mark Lepper, chairman of the department of psychology at Stanford University, gave away free samples of jam to anyone who visited their tasting table. At certain times, shoppers were offered six different flavors. At other times, the number of varieties was increased to 24. Anyone who came to the table at any time received a coupon good for $1 off one of the jams.

About 40 percent more shoppers visited the table when there were 24 jams, but those who stopped by when there were just six jars on the table were almost 10 times more likely to actually buy jam. Experts call this “choice under conflict.” We think we want lots of options in life, but when faced with too many, we freeze. “

Choice under conflict helps explain why people feel anxious when considering a dozen or more investment options in their work retirement plans. The phenomenon also accounts for why certain discount retailers, like Costco, are so successful at getting us to buy: They limit the number of washing machines from which shoppers can select. “People think unlimited choice is a good thing,” says Swarthmore College psychology professor Barry Schwartz, whose book The Paradox of Choice: Why More Is Less (HarperCollins, $24) came out earlier this year. “They don’t realize that you can become paralyzed by too many choices and that increased options mean increased confusion.

Solution: Limit your options.
It goes without saying that you should see what’s available when making major purchases or other decisions. But whenever possible, let others do the early winnowing for you. If you’re having a hard time selecting a new air-conditioner, for instance, limit your options to the top two or three choices in Consumer Reports. Likewise, when looking for a college for your son or daughter, better to visit just four or five campuses than eight or nine (what applies to you also applies to your young scholar). “The mind can organize and prioritize only so much information,” says Cornell University psychology professor Thomas Gilovich, who specializes in behavioral economics. “You can know so much that your knowledge becomes useless.”

Problem: We try to justify past behavior.
Here’s a story that may sound familiar. After paying more than $3,000 in car repairs over the previous two years, Helen, a stay-at-home mom in her 40s, was faced with a tough decision: Her transmission had conked out, and she had to decided between spending $1,200 to fix it or buying a new car. What did she do? “I fixed the car,” she says. “I didn’t want to waste the $3,000 I’d already spent.”

If Helen’s reasoning sounds sensible, you’re falling for the “sunk cost” fallacy, or the common tendency to justify past decisions with current ones. Ohio University psychologists Hal R. Arkes and Catherine Blumer, who have studied the sunk-cost fallacy, blame it on our desire not to appear wasteful. But whatever the cause, it’s the reason people have a hard time leaving a bad movie, breaking up with someone, or switching jobs. Ask an unhappy lawyer why she doesn’t change careers, for example, and she’ll probably answer with two numbers: how much she spent on law school and how many years she’s been working. But, like Helen, our lawyer misses the point: She won’t get her money or time back by being miserable for another 10 years. The sunk-cost fallacy is so powerful, and complicates so many decisions, because we’re trained from our earliest days to pay too much attention to what we’ve already spent in time, money, or emotion.

Solution: Rewrite history.
Crying over spilled milk is useful if it makes you more careful with milk in the future. But when making serious life choices, ask yourself the following question: If I had that decision to make over again, would I still decide to spend the $1,200? If Helen had asked, “Would I have put that original $3,000 into this car the first time it needed it needed work if I had known then what I know now?” her answer would almost certainly have been no. And that would have told her something about the wisdom of spending $1,200 more on repairs. “How we frame decisions can have a profound effect on how we decide them,” says psychologist J. Edward Russo, coauthor of Winning Decisions: Getting It Right the First Time (Doubleday, $27.50). “Sometimes you have to look at a choice from a different angle or point in time.” In other words, by recognized bad money for what it is, you can avoid throwing good money after it.

Problem: We fear regret too much.
On Saturday night, Ms. A goes to the movies. When she gets to the theater, she’s told that she has won $100 for being the theater’s 100,000th customer. That same night, Ms. B goes to the movies at a different theater. She’s told that the woman in front of her won $1,000 for being the millionth customer. Ms. B wins $150.

Who would you rather be, Ms. A or Ms. B? When presented with similar puzzlers, most people will choose Ms. B. But some people will actually choose Ms. A, says University of Chicago behavioral economist Richard Thaler. They will choose the $100 because they imagine they would feel so bad about just missing out on the $1,000 that they would give up $50 to avoid it. At play here is what Thaler and his peers call “regret aversion.”

But the principle – that people make or put off certain choices because they fear feeling regret – affects all types of decisions, even romantic ones. Among all the reasons given for why women and men today marry later, regret aversion is rarely mentioned. But the hope that an ideal mate without flaws is just one blind date away can certainly play a part in the decision to avoid forming a lasting relationship. “Baby boomers in particular struggle with regret,” says Hamilton Beazley, author of No Regrets: A Ten-Step Program for Living in the Present and Leaving the Past Behind (Wiley, $15). “Their expectations in life are so idealized – because they’ve lived in such a prosperous time – that they are virtually impossible to achieve.”

Solution: Try it, you’ll like it (or at least you won’t regret it).
You can afford to take more risks in your decision making, and there’s hard science to prove it. “Research shows that in the long run, people regret inactions,” says Gilovich, who studies regret. Ask yourself what you most regret about the past year. You’ll probably list things you did. But apply the same question to the past 10 years and you may find yourself listing things you didn’t do: the job you turned down because it wasn’t perfect, the class you didn’t take because you didn’t have the time, the trip you passed up because you didn’t have the money. More likely than not, few if any of your reasons for not having acted seem nearly as convincing 10 years later. Perhaps more than any single piece of advice, says Gilovich, this realization can free up your decision-making process. Unless a particular decision will kill, imprison, or bankrupt you, there’s every reason to think that down the road you won’t regret what you did, even if it didn’t work out.

Problem: We overthink too many decisions.
Retailers will tell you that shoppers often buy the first item they look at seriously after coming into a store. Why, then, do people spend so much time inspecting other items? Because while we know what we want, we need to convince ourselves. Unfortunately, comparison shopping often ends up doing precisely the opposite. “When it comes to choosing people are either ‘maximizers’ or ‘satisficers,’” Schwartz says. “Maximizers spend a great deal of effort on the search. Satisficers try for results that are good enough. They’re the ones who are usually happiest with their decisions.” In other words, go with your gut: Research shows that a gut response is generally more likely to leave you satisfied with a choice than careful analysis is.

In a psychological study done in 1993 at the University of Virginia, for example, college students were asked to choose one from a selection of posters, which they would eventually hang in their dorm rooms. Some of the students were told they could pick the one they instinctively liked, while others were asked to first analyze all the posters by various criteria before choosing. Guess what? The ones who were allowed to go with their initial instinct ended up liking the poster they got a lot more than those who were given strict criteria.

Solution: Trust your instincts.
Give yourself permission to relax. Caution and research are useful, but there’s a difference between smart decisions and good decisions. Smart decisions are logical and reasoned and make sense. Good decisions make you feel good, both because the issue is settled and because you’re free from waves of second guessing. In some situations, that’s what matters most – especially those in which there’s no right or wrong, when it’s simply a matter of what works for you. The clothes you should wear, the books you should read, the couch you should buy, are not as likely to give you satisfaction as what you want to wear, read, or sit on. (Within reason. You still need to be properly informed about your decisions.) “People want to be perfect deciders,” says Gilovich. “But you can only hope to be a happy decider.”

Trusting your instincts is often appropriate, even with decisions of serious consequence. Choosing a doctor, for example, is as much about how you feel in her office as about the diplomas that hang on her walls (of course, she also needs to be qualified to treat you). When you find yourself doubting your gut instincts, use this trick: Rather than search for better alternatives, start taking a critical look at your first instinct. If you can’t come up with a good reason not to trust it, you probably should.

Problem: We can’t identify some preferences.
Sometimes even the most decisive people can’t figure out their true preference. Consider Lindsay, a doctor in her 30s. Her two best friends were going on vacation – Beth to Cancun, Anna to Costa Rica – and each had invited Lindsay to come along. She gave serious thought to both trips, but after several days was still unable to decide. “I even tried listing each trip’s pros and cons, but it didn’t work,” she says. “I’m normally a decisive person, but I wasn’t getting anywhere.”

It’s unavoidable that you will periodically find yourself stuck between two apparently equal choices. When that happens, there’s a surprisingly simple trick to learning what you really want.

Solution: Whrn in doubt, flip for the answer.
Yes, flipping a coin can help you read your true feelings. Here’s how it works: When you’re facing a decision with two distinct possibilities, assign option A to heads and option B to tails, then flip. If the coin lands and you’re happy, fine. If it lands and you feel a pang of regret, or if you find yourself hoping it lands one way or the other while it’s in the air, you know you weren’t really facing two equal options. In fact, many people find the coin flip useful because even before it lands, they realize they were hoping for one result or the other.
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The decision to divorce or separate is a serious decision and should be considered with the upmost care. Here are some guidelines for telling your children you have made the decision to separate or divorce:


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Parents, you are on the front line of fire daily dealing with children's aggressive behavior. Your job is a tough one and you deserve all the help that you can get. Here are some ideas of helping children process their behavior that has hurt others. These ideas are based on the growing evidence that children with chronic antisocial behavior are slow to learn through punishment and aversive conditioning. How you correct a child after he misbehaves will affect whether he will increase or decrease the undesired behavior in the future!
Have you ever felt frustrated because a child repeated his inappropriate behavior shortly after you scolded him? The research shows what we all know. The old way of treating aggressive children with reprimands and punishment does not work.

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Labeling: First of all, it is disrespectful of your adult child’s rights. This is the quickest way to teaching your child to be “parent deaf


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These tips may help when you recognize a child who is withdrawing or exploding over everyday frustrations:
• Listen to what the child is saying about his or her feelings and be willing to talk about any subject. Teens today are dealing with adult problems such as love, sex, relationships, failure and rejection. Unfortunately, their minds and bodies simply are not ready for these stresses.


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Communication Cues


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Bullying Prevention

July 14th 2007 04:07
Students:
1. If bullied, tell your parents. Telling is not tattling.
2. Tell a trusted teacher, counselor, principal, or have your parents talk to the school


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Basics of Discipline for Parents

July 13th 2007 04:04
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It takes two to create a power struggle. I have never seen a power-drunk child without a power-drunk adult real close by. Power struggles create distance and hostility instead of closeness and trust. Distance and hostility create resentment, resistance, rebellion (or compliance with lowered self-esteem). Closeness and trust create a safe learning environment. You have a positive influence only in an atmosphere of closeness and trust where there is no fear of blame, shame or pain. Adults need to remove themselves from the power struggle without winning or giving in. HOW? The following suggestions teach children important life skills including self-discipline, responsibility, cooperation and problem-solving skills—instead of “approval junkie” compliance or rebellion. They create a win/win environment.


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Self Mutilation: PT 4

July 9th 2007 03:44
What to Do Instead of Injuring


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Self Mutilation: Pt 3

July 7th 2007 03:36
Therapeutic Considerations: The biggest hurdle and the biggest benefit to psychotherapy with cutters is the development of a safe and trusting relationship between doctor and client. The ultimate goal is for clients to learn to soothe and care for themselves in a healthy manner by internalizing their therapist’s care and concern. The client will test the therapist’s commitment at every juncture, sometimes by cutting, to provoke the hatred, revulsion, and abandonment they believe to be inevitable.


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Self Mutilative Behavior: Pt 2

July 5th 2007 01:28
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Self Mutilative Behaviors Pt. 1

July 3rd 2007 17:23
Everything You Ever Wanted to Know about Self Harm and were Afraid to Ask


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Not long ago, neuroscientists thought that the human brain finished developing at five or six years of age: By age 6, a child’s brain has already achieved 95 percent of its adult structure. And research, much of it based on brain scans of infants, shows that neural connections form at a dizzying speed during the period from birth to age 3. But brand-new research has uncovered a second period of rapid brain development, stretching from preadolescence through the early 20s (peaking around 11 for girls and 12 ˝ for boys).

Actual photo of Einstein's brain

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