Showing posts with label Arnold Lazarus. Show all posts
Showing posts with label Arnold Lazarus. Show all posts

Wednesday, December 30, 2015

Understanding Dan Montgomery's Compass Therapy

My fifteen years of collaboration with Everett Shostrom, a Stanford research psychologist and psychotherapist who carried out pioneering work in the field of counseling, planted the roots for Compass Therapy in what we at that time called Actualizing Therapy. Our approach combined a health model of personality with an explanatory system of psychopathology. We suggested that actualizing growth fosters maturity, flexibility, and purpose in life, and constitutes a reasonable goal of therapy. Further, that therapeutic gain always involves the integration of polar opposites within the personality and an acceptance of individual differences in relationships.

Historically, Dr. Shostrom had produced the “Gloria” films during which Carl Rogers, Fritz Perls, and Albert Ellis each worked in hour-long sessions with a counselee named Gloria. These films demonstrated the usefulness of showing exactly what happens in counseling sessions so that others can replicate beneficial techniques. Some years later Shostrom and I produced a second film series that featured Arnold Lazarus (Multimodal Therapy), Carl Rogers (Client-Centered Therapy), and Everett Shostrom (Actualizing Therapy) each working with a counselee named Cathy.

In the decades followed I continued this eclectic theory building by developing Compass Therapy, an approach that links together the Self Compass model of personality with operational definitions of psychopathology found in the universal standard for mental health professionals: Diagnostic and Statistical Manual of Mental Disorders. The use of compass-like diagrams made a user-friendly graphical interface that not only highlighted the principles of Compass Therapy, but also allowed counselees to readily understand how to participate more fully in their own transformation.

DSM

Though Compass Therapy has distinctions of its own, I was careful to construct an open-ended conversation with other major counseling theories. This partnering philosophy makes Compass Therapy a co-proponent of some of the most reliable therapeutic principles found in Psychoanalysis, Jungian Therapy, Gestalt Therapy, Transactional Analysis, Family Therapy, Existential Psychotherapy, Behavioral Therapy, Cognitive Therapy, and Positive Psychology. Perhaps this accounts for why Raymond Corsini, considered by many as the dean of American counseling and psychotherapy, has described my Compass Therapy approach as a “supersystem” that represents “the therapeutic system of the future.”

What has differentiated Compass Therapy from other theories is the idea that human nature and personality are comprised of dynamic opposites that need integration around the core self, and that action techniques are often required to move people forward in therapeutic progress. Like the alternating AC/DC current that powers an electric appliance, polar opposites in human beings create aliveness and health. For instance, healthy individuals find rhythms between solitude and sociability, activity and passivity, involvement and detachment, and work and play.

It’s when the dynamic movement between polarities breaks down and you get an extended flat line of stasis that people become sick, depressed, or devitalized. Dynamic movement fueled by the rhythmic swings of polar opposites expresses itself in mental health as well. Healthy individuals are spontaneous and flexible precisely because they are alive with new possibilities and passionate about the pursuit of creativity. If something doesn’t work, they try something else. If they are frustrated in fulfilling a goal, they explore novel options. They resist becoming stuck in a one-dimensional life.

Psychopathology, however, works differently. Rigidity replaces rhythm. Resourcefulness succumbs to sameness. Relationships perpetuate superficial actions and reactions. Life grows dull. Symptoms set in. The personality and human nature become frozen in intractable patterns that resist change and growth. Actually, the whole range of psychopathological alternatives to healthy living have a strangely attractive appeal, for they seem to make life safe, to make life predictable, and make life familiar.

The Compass Model
 
Healthy individuals can be loving or assertive, and weak or strong, as a situation requires. Rigid individuals are stuck in chronic behavior patterns that are too loving, too aggressive, too weak, or too strong. If healthy living lets you play the eighty-eight keys of the piano with both hands, then psychopathology makes you play only “Chopsticks” with two fingers.

Compass Therapy's Self Compass as well as the Human Nature Compass offer crucial dimensions for growth of personality and human nature that give a person all eight-eight keys, and unlimited capacity for composing the creative melodies and harmonies required for successful coping.

Wednesday, July 25, 2012

Carl Rogers and Dan Montgomery: A Dialogue About Therapy

Carl Rogers stands out as the psychotherapist and theory-builder who emphasized the significance of feelings and emotion in therapy.

To place Rogers in historical perspective, we need only realize that he felt disturbed by the psychoanalytic and behavioral approaches to therapy in his day. These, he believed, minimized the importance of human feelings and overstated the role of the therapist as an authority figure who knew more about a person's problems than the person.

The many films that feature Carl Rogers in counseling reveal his transparency and sensitivity. Clients who worked with him often reported feeling deeply accepted and understood.

Rogers was raised on a farm with rural folk who prized sincerity above all else. He acknowledged that this upbringing influenced his formulation of therapist warmth, congruence, and unconditional positive regard as crucial to successful therapy. Indeed, he argued that these very qualities in the therapist would facilitate client healing, self-trust, and self-direction.

During Roger's prime, I collaborated with my psychological mentor and film-maker Everett Shostrom to produce the famous "Kathy" films, in which Carl Rogers, Arnold Lazarus, and Shostrom each spent an hour counseling the same woman. She later described Carl Rogers as the most friendly and supportive of the three, but stated she hadn't learned much from him.

In the years that followed, however, a number of studies indicated that Client-Centered or Rogerian Therapy was too non-directive for many clients. It seemed to work best for educated and self-motivated clients who could benefit by the therapist reflecting their feelings, apart from any other techniques or directives.

By contrast, in formulating the principles of Compass Therapy, I came to emphasize that therapists need to come across as experts in the field of therapeutic psychology. This does not mean acting in an authoritarian style, but rather taking charge of the course of therapy by  stimulating a client's healing and personality development through action techniques. This might include relevant teaching about lifespan psychology, human sexuality, healthy versus dysfunctional ways to handle emotions, the challenging of irrational ideas, or role-playing problematic situations or behavioral solutions.

I had the opportunity to discuss these ideas with Dr. Rogers. Here is the heart of that conversation.

Dan: "I have long admired the warmth and support you offer clients, how you are with-and-for them no matter what they share."


Carl: "Thank you for saying so. I believe clinical science has shown that this is an essential ingredient to successful therapy. What is your perspective?"


Dan: "I agree on the whole, but wonder whether in light of your lifetime work you still believe that reflection of emotions is the key element of therapy. And specifically, I wonder if there might be a place for a therapist to use diplomatic confrontation, such as teaching a person about personality patterns that are hurting them, or role-playing methods of coping that can carry over into daily life."

Carl: "This is a sensitive subject, because I've always been cautious about a therapist interfering with a client's inner-direction. But I have to say that if I had it all to do again, this time I would grant a place for more active engagement and methods on the therapist's part, while continuing to express empathy and emotional rapport."

Dan: "I like how you put that, and in the model I'm developing this would amount to the therapist using caring and empathy to maintain client rapport, and action techniques to teach new behaviors and stimulate creative coping."

Carl: "I'm a little suspicious of techniques, unless they are well integrated with the therapist's spontaneity and authenticity. I do like the concept, and wish you well in putting together reflection and action in your methodology."

Compass Therapy continues to integrate action methods with rapport-building principles, so that clients remain emotionally secure, as well as occasionally challenged by the therapist to take needed growth-stretches that actualize their goals.