Saturday, February 2, 2013

Compass Therapy Growth Strategy for Dependent Personality Disorder


Compass Therapy partners with other theories of counseling so that therapists are encouraged to draw upon their own approaches and clinical experience, even while applying compass tools. This means that therapist creativity, as well as sensitivity to the unique needs of each counselee, work together to determine the growth strategy that a therapist selects.

Psychotherapy

Here is a sample growth strategy that may prove helpful when working with Dependent counselees.

Therapy with the Dependent Pleaser usually starts well and proceeds rapidly for a few sessions, since the Pleaser wants to feel your approval. This is a good time to build rapport and lay the foundation for Strength and Assertion by commending any insights the person expresses or behavioral qualities they show that reveal the least bit of individuality.

The next step is to integrate psychodynamic insights with the kind of parenting they experienced, how they handled any brothers and sisters, and when they first noticed the onset of marked dependent behavior. Now is the time to let them talk about possible advantages of dependency, submissiveness, and non-competitiveness—what they gained from these behaviors and how the behaviors seemed to work for them at the time. This leads naturally into an exploration of the disadvantages of one-sided dependency: the opportunities they missed, the ways certain people took advantage, the lack of social visibility, the secret loneliness that came with a lack of identity, and the lack of assertion and confidence that they admired in others but lacked in themselves. 

Dependent Personailty Disorder

The novice therapist can get trapped in this phase of exploration and discussion by not shifting into the next phase of active coaching and skill building. In other words, while the Pleaser will comply with superficial talking therapy, sometimes giving the therapist what the therapist seems to want, they will begin to resist active strength-enhancement and assertiveness training steps.

Here lies the difference between therapy that meanders in undifferentiated directions and therapy that moves forward in providing counselees what is needed to outgrow defeating patterns.

To move into the action phase of therapy, you maintain rapport and conversational ease, but add the ingredient of behavioral experiments. Just as a coach training athletes, you teach and encourage counselees to handle current interpersonal relationships in new ways that bring gradual advances in personal presence. “What were you feeling when Judy said that to you…How could you have handled her more assertively…?” “When Ben picked you up thirty minutes late, what did you really want to say to him?” “When you wanted to change banks and the teller frowned at you, how might you have held your ground instead of capitulating?”

To outgrow habitual responses, the counselee needs new perceptions to support this risk-taking. For instance, the counselee says, “My buddy Jason wants to borrow my new car, but he’s wrecked two other cars and I don’t trust him. What can I say?” The therapist suggests, “This is probably one of those instances that everybody faces if they’re going to becoming more of an individual. You just tell him the truth and then relax your body and breathing to help counter your usual anxiety. And you say in your head, ‘There, I’ve stood up for myself and Jason can think what he wants about it. But I feel great that my car won’t get wrecked!’”

By now the counselee is getting acclimated to transferring insights and growth suggestions from therapy sessions into real life. Although there will be occasional relapses, you can show patience when they occur, stop long enough to troubleshoot them, and keep focused on complimenting the counselee for any increments of change in the directions of Assertion and Strength.

Dependent Personality Disorder

 Eventually, when the counselee has become fairly adept at self-preservation and self-expression, the question will arise about how to integrate newfound strengths with the lower quadrants of Love and Weakness. After all, the counselee doesn’t want to change from a clinging vine to a know-it-all arrogant bully.

So you now use cognition, emotion, physiology, and spirituality to cover the new ground of how to apologize or make amends if the counselee shows too much aggression, and how to experience forgiveness and caring for those in the counselee’s life who are making behavioral adjustments to the counselee’s use of the LAWS of the Self Compass.

For example, your counselee’s friend Jason may make a promise that he doesn’t keep. You guide your counselee to form a rhythm between Love and Assertion, first by calling Jason on his misbehavior. If Jason develops a reliable track record, then the counselee can move toward trusting again. But if Jason lies or makes another shallow promise, the counselee firms up the self-boundary by assessing whether further trust is warranted. A mature quality of love with discernment replaces the naïve gullibility of the dependent pattern.

You can tell when you are nearing completion of therapy, because there is less need for the therapist to guide sessions, and more autonomy with less distraction in the counselee’s life. At this time you can move from once a week to every two or three weeks, to help the counselee make a successful separation and get on with life beyond therapy. 

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