Tuesday, September 18, 2012

The Dependent Pleaser Pattern's Interior

Therapists encounter the dependent pattern frequently because people suffering from it are accustomed to seeking support and advice from others. The upper quadrants of the Self Compass are deactivated to such a degree that counselees possess little self-esteem (Strength Compass) or courage (Assertion compass point). An overly exaggerated Love compass point leads them to submissively seek approval by pleasing and placating, while an inflated Weakness compass point creates an undercurrent of anxiety.


The Pattern’s Interior

As in all personality patterns, the actualizing quality of a compass point is lost when taken to an extreme and left unbalanced by the opposite compass point. Therefore, even though dependent counselees want to give and receive love more than anything else in the world, genuine love—which requires the integration of Strength and Assertion with Love and Weakness—eludes them. The overblown Love compass point skews behavior toward self-sacrifice without self-preservation, submissiveness without assertion, and giving without receiving. Beneath their warmth and niceness lies a desperate search for acceptance and approval.

Rejection is feared more than aloneness, so the dependent person takes no risks toward individuality or independent thought or action that might lead to alienation from sources of nurturance.

Unconscious forces are set in motion by these dynamics. A dependent-patterned person can be seen as cooperative and gracious by others, yet has actually undergone identity foreclosure, meaning that self-development is arrested with a childlike focus on safety and gratification, much like a fetus needs the mother to feed it and provide oxygen through the umbilical cord. Not knowing they can cut the psychological umbilical cord by developing the healthy expressions of Strength and Assertion, they fear independence instead of acquiring it. Nor do they comprehend that healthy people would find them more lovable for replacing clinging vine dependency with authentic selfhood.


The over-exaggeration of the Love compass point alone strands a counselee in a sea of masochism. It’s not that dependent Pleasers like pain, because they don’t. It’s just that they don’t realize how this subservient pattern creates the fundamental reason for this distress: the pain of feeling constantly on edge about keeping people happy and the pain of needing other’s approval for whatever they do.

The dependent pattern exists as a pure prototype of fixation on the Love compass point, but can occur in combination with the adjacent compass points of either Strength or Weakness. When combined with the Strength compass point, counselees develop compulsive controlling features; combined with the Weakness compass point, the dependent develops avoidant depressive features. In all cases, however, the Assertion compass point is decommissioned.

For more on the Dependent Pleaser pattern see:

Saturday, September 8, 2012

Fuller Seminary Professor Commends Compass Therapy Book

In the decades it required to develop Compass Therapy, I kept two principles in focus:

  • most people want to know how to transform personality disorders and negative behavioral patterns into  health
  • many people seek to integrate reason with faith, so they can actualize the divine endowment of human spirituality with psychological wholeness

Further, I sought to connect psychotherapy with Christianity, a religion that encompasses about one quarter of all human beings living today. Does this show a preset bias toward Christians? Does it mean that the principles of Compass Therapy won't work in clinical practice where faith in God plays no role?

I do acknowledge that I am a Christian, and I choose to view the world through the lens of the Bible and Christian orthodoxy.

I respectfully leave to other colleagues the integration of counseling with Buddhism, Islam, New Ageism, Hinduism, agnosticism, or scientific atheism.

Yet I've learned from years of training graduates students in counseling that Compass Therapy theory and techniques can enrich the skill-sets of therapists using psychoanalysis, transactional analysis, gestalt therapy, family systems therapy, humanistic therapy, behavior therapy, or cognitive therapy.

Beyond clinical work in counseling centers and private practice, Compass Therapy opens new horizons to pastors, pastoral counselors, chaplains, and spiritual directors, for it unites Christian personality theory with practical counseling tools for healing human brokenness, whether in individuals, families, or churches.

These psychological and spiritual horizons can help any person successfully solve the three most universal human needs: identity, intimacy, and community.

In 2008 I emailed the final draft of the new Compass Therapy book to the senior professor of theology and ministry at Fuller Theological Seminary, to see if what I had said resonated with his lifelong mastery of theology. When he responded overnight with the commendation cited below, I exploded with joy!

From that moment Dr. Ray S. Anderson become a theological mentor and dear colleague. Through innumerable phone conversations we covered vast amounts of territory: historical theology, progressive theology, evangelical theology, feminist theology, liberation theology, and post-modernism. I found Ray quick in wit, strong in humor, and vibrant in faith. 

I dedicate this post to the memory of Ray Anderson. 

His words encourage me even now. "Dan, you've got to bring out your unique brand of compass knowledge to pastors, to Christians, and to the world..." 

And he kept providing creative ideas for doing so, right through his last months of painful fatigue from daily kidney dialysis, before he joined Jesus Christ in heaven.

Now I say this to Ray, as he stands among the cloud of witnesses who have faithfully served the Lord throughout time: "Thank you so much! I could not do this without your help."


Ray S. Anderson, Ph.D.


Ray S. Anderson, Ph.D.
Senior Professor of Theology and Ministry
Fuller Theological Seminary, writes:


"At the core of Compass Therapy is the divine endowment of human spirituality in each person that comes to expression through the mental, emotional and physical spheres of the self. Through diagrams and dialogue this book takes the reader directly into the counseling experience where a therapeutic alliance between the therapist and the counselee is created, releasing the innate spiritual capacity of the self to overcome negative and counter-productive personality patterns of behavior. 

"Dan Montgomery rightly views emotional and mental health as more than merely removing pathology; rather it is the movement of the self in relation to others where identity, intimacy and community are actualized as an achievement of the holistic self.
 
     "I am not aware of any other book that succeeds as well as this one in providing both professional therapists as well as Christian counselors with a theoretical and practical model that combines psychology and theology in an integrated way. It has a profound simplicity that covers a wide range of personality disorders. Readers will say, ‘Now I see why typical patterns of dysfunctional and disruptive behavior have a common root but also a specific cause.' Put this book on top of your reading list!

To learn more about Compass Therapy, read: 

 

Sunday, September 2, 2012

Using The Self Compass In A Therapy Session

Incorporating the Self Compass diagram in a session is simple.   

The therapist can show a graphic of the Self Compass and say something like, “One of the building blocks of your therapy is this compass diagram. Notice that it’s divided into four compass points that are essential to every person. The Love compass point stands for all the love and caring you’ve ever received or given, but its opposite, the Assertion compass point, is just as important. Loving helps you care for others; Assertion lets you express yourself and stand up for your feelings and values. Now I wonder if you might explore how the Love/Assertion polarity relates to you.”


By asking counselees to locate and elaborate on their own experiences within the Self Compass, you involve them in assessing and describing their own behavior. Two things happen. First, they begin to develop an observing self that will help them reflect on their behavior throughout the therapy. Second, they enjoy talking about themselves in compass terms by sharing significant life experiences that relate to a given compass point. This prepares for continued exploration of the relationship between their current functioning and their actualizing growth toward holistic health.

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Once you have explored the terrain of a counselee’s reflections on love and assertion, you launch the next expedition. You might say, “This second polarity represents times in life when you’ve felt especially weak or particularly strong. Weakness equals anxiety, vulnerability, and uncertainty. Strength describes your experiences of confidence and adequacy. How would you say these two compass points relate to you?

As vital information from your counselee’s life history comes forth, you discern how he or she has typically handled the Weakness/Strength polarity. Is he stuck overly exaggerating weakness at the expense of strength? Has she developed a superior attitude to compensate for her fear of showing weakness?

 The rapport you build and the insights you gain help form a diagnostic impression of the counselee’s personality configuration. You may find out that the man who is a confident physics professor at work is a dependent depressive at home. Or the woman who has mastered yoga for relaxation goes to pieces when stressed by her hyperactive three-year-old son.


You and the counselee are working together like Sherlock Holmes and Watson, searching for relevant clues and deducing growth goals that will help to solve the mystery of self-growth that has eluded the counselee. The spirit of mutual curiosity and discovery generated by exploring the Self Compass adds momentum to motivation, self-reflection, and personality integration—key ingredients for awakening counselees to full engagement in their own change process.

Here’s a glimpse of how such dialogue can work. Let’s say you’ve just heard Nancy’s disclosure about how she sees herself and her significant relationships in terms of the Self Compass. You begin to formulate a treatment strategy with her.

Therapist: “So Nancy, it sounds like you could benefit from more assertion in order to hold your own with your husband. Is that right?”

Nancy: “Yes, he just makes so many choices about furniture, vacations, and where we eat out without getting my input. I don’t think he’s trying to be bossy. But I do need to let him know what I’d like more often.”

Therapist:One of our goals can be strengthening your use of the Assertion compass point. Working on how to diplomatically express yourself instead of not saying anything. Now what about strength and weakness?”

Nancy: “Well, in my nursing work I feel very confident. Everyone treats me with respect. So that’s okay. But where I get shaky inside is with my teenage daughter. She wants so many things! I give in too easily. I think I feel intimidated by her.”

Therapist: “It’s like you feel strong at work but weak in the presence of your daughter, especially when she puts pressure on you to buy her something.”

Nancy: “Exactly. I’ve tried to set boundaries but she just keeps on until I give in.”

Therapist: “Well, we can build your staying power through some role-playing and help you develop more self-confidence in her presence.”

Nancy: “That would be great.”

The Self Compass is a user-friendly tool that helps a therapist:
  • develop a diagnosis-to-treatment strategy. 
  • form an estimate of how many sessions may be needed. 
  • generate action techniques for intervention and growth-enhancement.
  • monitor a counselee’s progress.
  • determine when therapy is ready for termination. 

Sharing the Self Compass demystifies therapy and engages counselees as dialogue partners in the therapeutic enterprise. Counselees get excited when they know they can directly influence their own functioning.

Friday, August 24, 2012

The Self Compass in Counseling and Therapy

Incorporating the Self Compass diagram in a session is simple and intriguing. 

Show a graphic of the Self Compass to your client and say something like: 

“One of the building blocks of your therapy is this compass diagram. Notice that it’s divided into four compass points that are essential to every person. 

“The Love compass point stands for all the love and caring you’ve ever received or given, but its opposite, the Assertion compass point, is just as important. Loving helps you care for others; Assertion lets you express yourself and stand up for your feelings and values. Now I wonder if you might explore how the Love/Assertion polarity relates to you.”


By asking clients to locate and elaborate on their own experiences within the Self Compass, you involve them in assessing and describing their own behavior. Two things happen. 

First, they begin to develop an observing self that will help them reflect on their behavior throughout the therapy. 

Second, they enjoy talking about themselves in compass terms by sharing significant life experiences that relate to a given compass point. This prepares for continued exploration of the relationship between their current functioning and their actualizing growth toward holistic health.

Personality researchers have frequently found that this process of developing "psychological mindedness" is associated with successful treatment outcomes.

By introducing the Self Compass early in therapy, you invite the person to become a motivated collaborator in the therapeutic alliance. Substantial evidence links proactive client participation with beneficial outcomes in therapy. 

Once you have explored the terrain of a client’s reflections on Love and Assertion, you launch the next expedition by saying: 

“The other polarity represents times in life when you’ve felt especially weak or particularly strong. The Weakness compass point equals anxiety, vulnerability, and uncertainty. The Strength compass point describes your experiences of confidence and adequacy. How would you say these two compass points relate to you?”

As vital information from your client’s life history comes forth, you discern how he or she has typically handled the Weakness/Strength polarity. Is he stuck overly exaggerating weakness at the expense of strength? Has she developed a superior attitude to compensate for her fear of showing weakness?

The rapport you build and the insights you gain help form a diagnostic impression of the client’s personality configuration. You may find out that the man who is a confident physics professor at work is a dependent depressive at home. Or the woman who has mastered yoga for relaxation goes to pieces when stressed by her hyperactive three-year-old son.

You and the client are working together like Sherlock Holmes and Watson, searching for relevant clues and deducing growth goals that will help to solve the mystery of why self-help that has eluded them. 

The spirit of mutual curiosity and discovery generated by exploring the Self Compass adds momentum to motivation, self-reflection, and personality integration. These are key ingredients for awakening clients to full engagement in their change process. 


Here’s a glimpse of how such dialogue can work. Let’s say you’ve just heard Nancy’s disclosure about how she sees herself and her significant relationships in terms of the Self Compass. You begin to formulate a treatment strategy with her.

Therapist: “So Nancy, it sounds like you could benefit from more assertion in order to hold your own with your husband. Is that right?”

Nancy: “Yes, he just makes so many choices about furniture, vacations, and where we eat out without getting my input. I don’t think he’s trying to be bossy. But I do need to let him know what I’d like more often.”

Therapist: “One of our goals can be strengthening your use of the assertion compass point. Working on how to diplomatically express yourself instead of not saying anything. Now what about strength and weakness?

Nancy: “Well, in my nursing work I feel very confident. Everyone treats me with respect. So that’s okay. But where I get shaky inside is with my teenage daughter. She wants so many things! I give in too easily. I think I feel intimidated by her.”


Therapist: “It’s like you feel strong at work but weak in the presence of your daughter, especially when she puts pressure on you to buy her something.”

Nancy: “Exactly. I’ve tried to set boundaries but she just keeps on until I give in.”

Therapist: “Well, we can strengthen your staying power through some role-playing and help you develop more self confidence in her presence.”

Nancy: “That would be great.”

The Self Compass is a user-friendly tool that helps a therapist: 

  • develop a diagnosis-to-treatment strategy
  • form an estimate of how many sessions may be needed
  • generate action techniques for intervention and growth-enhancement
  • monitor a counselee’s progress
  • determine when therapy is ready for termination

Sharing the Self Compass demystifies therapy and engages clients as dialogue partners in the therapeutic enterprise. People feel excited and empowered when they know they can directly influence their own functioning.

By adding the knowledge coming in future posts to the central model of the Self Compass, you'll become able comprehend a vast amount of clinically sophisticated material in a way that feels intuitive and easy to recall.

Most of all, you will grasp the link different personality rigidities and effective specific treatment strategies needed for guiding your clients toward health and happiness.

Thursday, August 16, 2012

Compass Therapy Explains Borderline Personality Disorder

From a Compass Therapy perspective, the borderline is a flip-flop pattern. That is, the pattern favors one half of the Self Compass at the expense of the other, yet unpredictably flip-flops to its polar opposite.


Borderline-patterned persons primarily exaggerate the Strength and Assertion compass points as “top dogs,” yet make regular swings into the lower compass points of Love and Weakness. They feel boldly entitled in social situations, sweet-talking people to fill the emptiness inside. When others fail to fill this void, they shift into blame and attack mode without warning, aggressively challenging others to meet their insatiable dependency needs.

The borderline pattern’s self-system fluctuates drastically as emotional explosions alternate with the desperate need for reassurance. When caught in the grip of anxiety (Weakness compass point) or longing for nurturance (Love compass point), the person seeks assurance in the manner of the avoidant Worrier or dependent Pleaser patterns. This sends others an SOS signal that elicits a desire to rescue the borderline-patterned person from depression or loneliness. But since the borderline demands assurance that is absolute and comforting that is perfect, these demands are quickly frustrated.


Then self-righteous judgment erupts. Furiously accusing others of neglect and disregard, the behavior then more closely resembles that of the paranoid Arguer and narcissistic Boaster patterns.

Extreme emotional volatility, erratic shifts between aggression and neediness, and a lack of trust in self or others render the borderline’s Self Compass unstable; hence the Compass Therapy term, “borderline Challenger.”

Such shakiness is accentuated by ever-present and contradictory feelings toward others: dependent anger and anxiety-driven superiority. In other words, individuals with a borderline personality pattern experience life as a harrowing roller coaster ride.

For a clinical case study and successful treatment plan for treating the Borderline Personality Disorder, read



Thursday, August 9, 2012

Compass Therapy on Personality Disorders

The term "personality disorder" -- described in DSM-IV and DSM-V (Diagnostic and Statistical Manual of Mental Disorders) -- captures the chronic and rigid inflexibility of a personality pattern. Unfortunately, this term can also have a side effect of diminishing a person's self-esteem and creating futility about the future. Even therapists can feel pessimistic about treating personality disorders.

Compass Therapy changes this by using the term "personality patterns," thus emphasizing that rigid patterns are merely growth deficiencies that can be replaced with healthy personality growth. People are familiar with the concept of laying aside old patterns, such as eating too much or driving too fast. They quickly grasp that growth stretches into unused compass points makes their behavior more resourceful and their life happier.

Therapists can remember nine major personality patterns by their location around the Self Compass. Each pattern is stuck on one or two compass points to the neglect of the others. Compass Therapy guides the expansion of personality into rhythmic use of all four complimentary points.

Personality Patterns Self Compass

*The dependent and histrionic patterns are located on the Love compass point, where the dependent trend intensifies into chronic pleasing and placating (dependent) or the melodramatic craving for attention (histrionic). Both patterns share intense needs for approval and affection, as well as a fixated focus on others that blocks access to the spiritual core.

*The paranoid and antisocial patterns are stuck on the Assertion compass point, where the aggressive trend develops into edgy suspicion (paranoid) or impenitent exploitation (antisocial). These two patterns frequently co-vary as personality mixtures, and share an undercurrent of hostility. They consider others as adversaries over whom they must triumph.

* The avoidant and schizoid patterns are located on the Weakness compass point, where the withdrawn trend intensifies into fearful loneliness (avoidant) or isolated detachment (schizoid). Both patterns create flat affect, a lack of motivation in personal development, and massive deficiencies in interpersonal skills.

* The narcissistic and compulsive patterns are lodged on the Strength compass point, where striving for superiority pushes the controlling trend into either the grandiose entitlement of the narcissist or the judgmental perfectionism of the compulsive. These two patterns share a common preoccupation with issues of adequacy, power, and prestige. Both patterns are quite comfortable taking control and dictating. Both patterns share the demand for perfection, the narcissist seeking the glory of ambition and the compulsive enforcing the status quo.

*The borderline pattern blends elements of the top and bottom halves of the Self Compass, flip-flopping in rapid swings from one extreme to its opposite. A built-in ambiguity within the pattern makes unpredictable whether the person will come across as a “top dog” (Strength and Assertion compass points) or an “underdog” (Love and Weakness compass points). This oscillating fluctuation forms the “rigid fluidity” of the borderline pattern.

I've taught students at several universities how to understand and treat these personality disorders. When I first used the material found in the Diagostic and Statistical Manual of Mental Disorders, my students remained puzzled, because they could never remember what distinguished one disorder from another, let alone how to construct an effective treatment plan based on each pattern's unique needs.

However, when I started using the Compass Therapy model, based on the user-friendly model of the Self Compass, students and veteran therapists alike said they could finally locate each disorder relative to the others, and understand the rationale regarding the facilitation of therapeutic growth toward a healthy and balanced personalty.

Here's what Lallene Rector, Professor of Psychology of Religion and Pastoral Psychotherapy, Garrett-Evangelical Seminary, Northwestern University, writes about the Compass Therapy perspective on Personality Disorders: 

"One of the real gems in the Montgomerys’ work is a systematic analysis of 'personality patterns' following DSM descriptions of the personality disorders. Attention is paid to the pattern’s interior, its origins, cognitive self-talk, emotional dynamics, and impact on others, as well as its way of relating to God."

To connect the diagnosis of a personality pattern
with a successful compass treatment, read




Saturday, August 4, 2012

Compass Therapy Provides Hope Over the Lifespan


Compass Therapy offers hope for transformative growth  throughout the lifespan.

The Bible affirms this hope by assuring that God has a positive plan for each person’s life, “For I know the plans I have for you,” says the LORD. “They are plans for good and not for disaster, to give you a future and a hope” (Jer 29:11).

Neuropsychology supports this hope by showing clearly that human personality is malleable. The brain can respond to new learning even into old age.

In the therapeutic alliance the counselor and client are not just working to solve presenting problems, but growing together as persons along life’s way. Through the counselor’s behavioral modeling of caring and courage, humility and esteem, the client comes to experience the interpersonal dimension of hope for fulfilling relationships, giving and receiving love, and if the client chooses, loving and trusting God.

This brings us to a diagram that helps inspire counselees with an overview for their lifetime growth in Christ: “The Actualizing Ascent.” Upon showing the diagram to a counselee, you might say, “This represents the human lifespan.”


You explain that the first half of the curve slopes upward, which represents human development the morning of life, from birth to midlife. The tasks of this phase of life include the acquisition of language and culture, education, experimentation with social roles, identity formation, employment, and marriage and
child-rearing if so chosen.

As shown by the curve’s peak, the middle vertical line designates the high noon of midlife, and sometimes precipitates an identity crisis as people shift from the morning to the afternoon of life. While ambition and ego satisfaction characterize the morning of human development, the afternoon of life requires a more interior search for meaning, wholeness, and interpersonal fulfillment.

Carl Jung reported that virtually all of his patients in the second half of life were grappling with religious concerns. Though an individual may get by the first half of life without cultivating actualizing virtues, the lack of development in the second half of life can lead to confusion, frustration and despair.

It’s almost as if God imbues aging with the power to arrest everyone’s attention -- to finally say, “Look. You really are finite and temporal! You’d better grow in me while there is still time, for without me, you will be nothing.” The down-sloped side of the lifespan curve shows the inexorable decline of bodily health and stamina. Wear and tear in the body shows up in wrinkling skin, slowed metabolism, sagging muscles, stiffened joints, vulnerability to disease, and eventually, diminished mental capacities.

For those who refuse to challenge their rigid personality trends during this time, these trends intensify and take a tragic toll. 

Aggressive persons become crankier and more belligerent, ever more paranoid and chronically suspicious. Dependent persons feel more anxiety-ridden and scattered. Withdrawn people shrivel up like leather left out in the sun too long, adapting to marginal levels of subsistence, barely getting by, and isolating from human contact. Controlling people grow obsessively worried about the things they can’t control, raising their blood pressure and shortening their tempers.

The goods news, though, is that people can grow increasingly wise, patient, and mature in the second half of life. This is represented by the upward-sloped dotted curve, you explain, which shows a person’s potential for actualizing psychological and spiritual growth. 

Indeed, Christians are blessed to know that Christ will help them become more whole through anything they face, and will personally welcome them to everlasting life at the moment of death.


Compass Therapy encourages continued growth and development throughout life. You explain to counselees that individuals who begin growing psychologically and spiritually in their thirties, forties, or fifties tend to keep growing in their sixties, seventies, and beyond.

Since the human personality is malleable, exercising the LAWS of personality (Love and Assertion; Weakness and Strength) and the compass virtues (caring and courage; humility and esteem) promote health and fulfillment even into old age.

Perhaps the single most important attitude that Compass Therapy seeks to impart is that change is normal and the need for growth common to all people. Equipped with an actualizing perspective, stagnation is forsaken in favor of the ongoing transformation of one’s personality and relationships, conjoined with a deepening trust in the Holy Spirit’s help and guidance.


When counselees internalize this health model for hope, grace, and transformation, they learn to face the coming years with increased flexibility and resourcefulness.

The Actualizing Ascent Diagram helps counselees see the importance of exchanging rigidity for rhythm, egocentricity for actualizing development, manipulation for authenticity, and personality   idiosyncrasies for compass virtues.

In this way, the invitation of Christ, the witness of the counselor, and the vision of the counselee converge in the pursuit of a life lived gracefully, accruing in wholeness and purpose. Though there are quintessential tough times and challenging adversities, the overall direction is toward an actualizing ascent in Jesus Christ.