provocative therapy, frank Farrelly, nick Kemp, provocative therapy training. The Farrelly Factors are 39 behaviors, strategic patterns and mental activities used by Frank Farrelly, the founder of Provocative. Therapy, when he is working. Frank Farrelly Jeff Brandsma Provocative Therapy OCR PDF PDF Format - Ebook download as PDF File .pdf), Text File .txt) or read book online.
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Provocative Therapy involves using warm-hearted humour to bring light to the Nick Kemp – Session with Laura – Annotated venxilinapsee.tk Over the course of his life Frank Farrelly created a radically new model of therapy. Author: Brandsma, Jeffrey M., Farrelly, Frank Provocative Therapy is a system of verbal psychotherapy wherein the therapist engages in a wide range of. At the time this book was written, Frank Farrelly is a practicing psychotherapist in Madison, Wisconsin. He is a Clinical Professor, School of Social Work.
Provocative Therapy by Frank Farrelly and Jeff Brandsma Shock, surprise, and carefully crafted, intuitively guided challenge can — with the right person, at the right time, in the right place, in the right way — provide great therapeutic reframes and breakthroughs.
It can tip people spontaneously into the ultimate learning state: hypnosis. Farrelly originally trained in person-centred counselling. But he found such a passive approach to helping people not only awkward for him but also unpopular with his clients who, he found, wanted some direction, input and even judgment from the therapist.
When he first started out, the prevailing therapeutic dogma was that the therapist must on no account influence the client. Provocative therapy emerged as a reaction to that. This is an entertaining and in parts very funny book, but it also has a lot to say about human motivation.
Sometimes all someone needs is support, but when a kick-start is needed this book can certainly provide ideas, presented in the form of case studies. And his clients always seem to sense that. Weakland and Richard Fisch, with a foreword by Milton H. Erickson This book blew my mind. For the first time, I saw that problems can be fun, and that solving them can be a wonderful triumph of lateral thinking.
The solution is so often inherent in the problem itself. And once you have a strong sense of that, you find you can start to solve all kinds of problems — and help your clients do the same.
It describes how double-binds work to both keep problems in place and to untangle them. After reading this book I really started to play around with paradox as a way of helping people step outside their problems. The first chapter can feel like a bit of a hard slog, but do persevere because beyond that you will be richly rewarded. The way this eye-opening book describes paradox and family therapy will change the way you approach problems forever. Phoenix: Therapeutic Patterns of Milton H.
Another Erickson book. Unlike many others before it, this book delves into his broader psychotherapeutic work. I keep this book handy whenever I need a quick fix of creative energy and insight.
Yapko For too long practitioners mythologised the idea of hypnosis being used to help treat depression, often believing that hypnosis could worsen the symptoms of depression. And they were right… that is, if the type of hypnosis used was aligned to the old therapeutic ideology, which posited that in order to cure a problem the origin of it had to be sought.
This would usually involve having the person dig into the pain of their past. Depression is already a kind of negative trance state in itself, and using hypnosis to magnify that negative rumination can only make things worse. But Yapko shows here how using clinical hypnosis in positive ways can not only help relieve a depressed person of the enormous stress that accompanies depression, but also effectively and comfortably engender a healthy relationship with the past and more realistic and hopeful expectations for the future.
This wonderful book gives you strategies to empower depressed people to step aside from negative distortions, fears and regrets, and enable them to meet their emotional needs and fend off depression in future. As are the discussions on the links between the REM state and learning. And, of course, hypnosis. At a more basic level, the book addresses what it means to be human, the needs we all share and the genetic heritage that helps us meet those needs.
How often do we consider whether the client is on course? How frequently do we check whether what we are doing is working? Eugene Gendlin was the first person we know to shine light on this topic.
In the s Gendlin engaged in research at the University of Chicago to figure out why some therapy sessions more successful than others. He spent a long time trying to discern consistent patterns in therapists' behaviour but he kept drawing a blank. So he made what we consider to be a brilliant methodological shift. He started to study what clients did.
He discovered that clients who got the most from therapy experienced a "felt sense" and, if given the space and time found descriptive words that resonated with the felt sense. Usually there followed a "felt shift", and the person would begin to be able to move beyond their stuck-ness.
Gendlin went on develop, Focusing , a simple methodology that facilitates people to engage in these kinds of inner acts. Why not? For example, with a straightforward phobia success is usually very clear. Often simple remedies are easier to calibrate than desired outcomes. It takes much more skill to know if a water-system is working efficiently and is well-maintained — especially if that is being measured over the life-cycle of the system c. Peter Senge, et. A Necessary Revolution. Top-down or bottom-up approaches will use qualitatively different ways of calibrating; think of sailing when you can see the destination, compared to sailing blind.
There is a sweet and oft told story: One day a man was walking along the beach when he noticed a boy picking something up and gently throwing it into the ocean. The surf is up and the tide is going out.
And valuable for whom? What natural process was he interfering in? What were the consequences for other species and the rest of the environment? How often has humankind, on a global or individual level, thought it was helping only to realise later it had made matters worse? If you are of a mind to undertake a self-exploration, these questions should help: What are you calibrating? Kathleen Cole. I was very excited to get going and couldn't wait to get my first client.
See a Problem?
After orientation my supervisor assigned me a case, and she had a conference with me prior to my very first interview. When I asked her what I should talk about she urged me to "explore the familial constellation". I drew a blank at that so she listed some questions "I might ask. With fear and trembling I entered the first interview with a tough looking, 15 year-old white boy from the slums of Washington, O.
I introduced myself, we sat down, and I told him that I wanted to talk about his "familial constellation".
Nick Chats About…
Sample 1: S. With a blank look on his face : Huh? Very tense, but attempting to appear calm : Well, what that means is that I would like to talk to you about your 3 family. Nodding : Oh, yeah, sure, why didnt you say so?
Glancing surreptitiously at a 3x5 card with notes on it : How do you get along with your father? Abruptly : Okay.
Taken aback : Well, how do you get along with your mother? Sweating profusely : Well, I understand you have an older sister - how do you get along with her? Shrugging his shoulders and glancing out the window : Oh, her and me light, but she's okay. Nodding "professionally" : I see. Pause : How do you get along with your younger brother? Sharply : Good. This interchange took about 60 to 90 seconds; I was in a panic because I'd blown all of my questions.
The client, loudly smacking his gum, stared out the window, and the rest of the hour passed in dead silence. The interview, in short, was a unmitigated disaster as far as I was concerned, but I did learn one thing - I had to learn, and learn a lot about how to talk with clients and how to develop a broad repertoire of responses. I was determined never to let that type of interview occur again.
The Case of Joey Another young boy approximately the same age as that of my first client was named Joey. He was a young black boy from the slums of Washington who had been brought out to the Center because he wouldn't go to school. The trouble I rapidly found out in the interview was that he had come from the deep rural South and had never seen so many neon signs, streetcars, and bustling activity in his life.
He would start to school but then get lost in wonderment of it all and thus was labelled truant. His parents couldn't see what all the fuss was about, since they had only gone to the fourth grade, and Joey had already had twice as much school as they - he already knew how to "read, write, and figger".
In our very first interview Joey talked. And he talked. I was so grateful to him, I got choked up, tears in my eyes, and wanted to hug him - but that would not be professional "Sweet Jesus! I've got me a live one! He was so much fun to work with that I had interviews with him three times a week.
Joey obviously didn't need any help, but I sure as hell did - and he helped me by becoming the "model boy in his cottage". He was so flattered that I took so much interest in him, and I was so flattered that he was helping me feel like I was helping somebody, that he rapidly improved his behavior mainly going to school, not being tardy, and doing his homework and was discharged.
I learned from him that I could help somebody, that I had very real needs that could be met in this kind of work - not at the expense of somebody else - and that there were certain kinds of clients that it was much more easy for me to work with than others. Elizabeth's Hospital in Washington, O. She had had every type of treatment that a well staffed mental hospital could provide: electric shock therapy, insulin coma therapy, recreational therapy, occupational therapy, dance therapy, art therapy, family therapy, discharge planning, etc.
I read her thick record before I initially saw her it came to approximately five pounds of typescript and rapidly came to the conclusion that I had been assigned her because, as another student put it, "They feel we can't do 5 these types any harm, and we just might possibly do them some good. I remember interview after interview as we went on through the fall and the winter months, constantly afraid that this very large, obese, swarthy gal was going to pull a Lily St.
Cyr routine on me. I always interviewed her with her sitting next to the window and my sitting closer to the door so that I could rush out to the nurses' station if she began her strip tease. After seeing her for seven months on a twice-a-week basis and getting absolutely nowhere with her, I was to present her at a staff meeting. Everybody congratulated me on how well organized I was on my presentation, sympathized with me on my lack of progress, offered support and encouragement about "how tough it was to work with the mentally diseased", and suggested that I begin working with the family to accept her "bleak prognosis" while she was being transferred to one of the back wards.
To state that I was depressed about all this would be to put it mildly; my supervisor warned me not to let my "Counter transference feelings get the best of me," and told me to begin terminating "the case. They reported the patients were talking now about much more meaningful things since they began using the client entered approach, that their patients had shown marked increase in their sociability with 'Other patients on the ward, had measurably improved in terms of task performance areas ward work assignments, etc.
As a matter of tact, one of Frank's patients had been elected "patient of the month" by his fellow patients on the ward - a title that was given on each ward to the patient who had shown the most marked improvement for the month.
Mag and Frank didn't let up on me: "Read Rogers, read Rogers" was the constant chant. Finally, to get them off my back, I agreed to read a chapter or two of their new Bible.
I was singularly unimpressed. It seemed terribly superficial and as far removed from the straight Freudian gospel that I had been taught in my training that there seemed little "depth" to it at all.
But then 1ran across some of the verbatim interview samples in the book, and it struck me, "This is the way it really is, with the broken sentence structure, the 'hubs' , the fractured grammar, the misunderstandings and efforts to correct them, and allow" The baak then became alive for me, and when I went in for my "last" interview with Rachel, 1 told Frank and Mag: ''Ill be Garl Rogers himself in this interview.
For the first time in seven months I began to see how things were for her, not just from the hospital staff's standpoint or my standpoint or that of her family and the community at large.
From her perspective it made sense for her to act the way she did. It was a very frightening experience, but exhilarating to go into another person's world, into 7 whatever limbo or "corner or the universe" she inhabited as 1 told Frank and Mag soon after , and to see people, places, things, feelings, ideas, attitudes, etc.
Then her behavior made sense, it all hung together, it was eminently "rational.
Frank, Mag, and I had long, long talks and through these I began to reinterpret a number of other things that I was taught in a completely different light and tried to implement these in a very different way. Client-centered therapy for me was a new way of integrating what I had been taught and a way of interacting with clients.
My interviews with Rachel, instead of being dreaded experiences, were meetings to look forward to now. I remember distinctly keeping my poor wife, June, up until a. I was somewhat hurt, but realized that, try as she might, she could not share fully my excitement at my new "discovery".
Within two weeks and six interviews the nurse on the ward received a message from the art therapist the only activity that Ranchel was now in asking her if anything "new was happening with this patient" - she was drawing markedly different types of pictures in art therapy at this point.
The nurse responded that she did not know but that the patient was acting very different on the ward: she was taking far better care of her personal appearance she had previously only used make-up grotesquely , had spontaneously offered to do ward work, did not need to be dragged out of bed in the morning, but was getting up with the rest of the patients, was attending synagogue on her own, and in general was much less withdrawn and more sociable.
In 8 short, it looked like a "resurrection. I enthusiastically told her about "the new me and the new Rachel. Looking back at it now from the vantage point of almost a decade and a half later, I wonder whether I am deriving the appropriate meanings from the experiences or simply imposing meanings on them, am I reading them accurately or indulging in a type of need oriented perception? But as I reflect on them I think, no, this is the way it really did happen, this is what those experiences meant to me at that time, and the lessons I derived then still hold true for me today.
The first and most clearly overwhelming realization was that well experienced, highly trained, intelligent, socially recognized "experts" could be wrong - and I, an inexperienced, not yet fully trained, and somewhat confused student could be "right.
I also realized that if the patient had not changed, it was not necessarily something residing in the patient such as "unconscious resistance" , but that it very well might be that it was the therapies which were at fault, and lacking in some way. It was also suddenly clear to me that no matter how long the patient had been disturbed and no matter how severely, he could change - and change drastically and in an easily observable and measurable way - if only the effective conditions were present.
I also felt I had been massively rewarded - that I had been given a gift for having experimented and determined in my future work that if the patient did not respond to one type of approach.
Whether or not he intended to do so, the late John Palacios, who was my supervisor at that time, reinforced my idea that even though you had no business being "right" or effective, you could be He recounted an incident involving a young, female, graduate student who had presented a case of an old, chronic, male patient that she had been working with in a staff discussion.
The general consensus of the professional staff was to terminate working with the patient, that he would never get better.
The student was furious and upset at this, and recounted this to the patient, crying openly as she did so. The patient was so thunderstruck at somebody caring this much for him he had never had anybody cry for and with him in this open manner - that he comforted the student and promised that he would get out of the hospital and never come back.
He ran away, got a job, and remained out of the hospital!. It was obviously a weird kind of logic operating here, both in my working with Rachel and this student's work with the old chronic patient: she did everything "wrong" and it had turned out to be effective; and when I went to Rachel's "limbo," she began to come into the real world. It is very difficult to convey on paper the extent of my excitement and sense of discovery at this time.
I felt a tremendous "freeing up" inside of me, an almost scary surge of energy I was able rapidly to complete my dissertation and other papers for my courses , and felt things were "falling into place" for me.
The richness of the experience for me is perhaps best summarized in a line from a letter I wrote to Garl Rogers at the time: "I feel like I am wading knee-deep in diamonds. Previously I had fought hard not to be placed at the mental hospital where I took my second year field work; now I had 10 to work with the "sickest of the sick" as I told Mag and Frank at that time.
Accordingly, I obtained a job at Mendota State Hospital in Madison, Wisconsin for a variety of reasons - to be nearer my family in the Midwest, to work with hospitalized psychotics, and to be in close touch with Garl Rogers and his client-centered group who were engaged in a large research project at Mendota at that time.
Entering this context and group of professional colleagues was probably crucial in many ways. The therapy listening sessions, for example, were particularly helpful.
In these sessions, held once per week from to , we clinicians would present to each other our own taped interviews. These sensitized me to the many different ways clients could feel, the different possible responses albeit within the client-centered framework , but mainly to continual feedback on my professional work. I learned that to demonstrate one's professional work openly was to invite many "slings and arrows" but also to effectively "program in" a never-ending source of professional development.
The Case of the Malingering Nut Not long after I came to Mendota I was working on a male admission ward and began seeing a patient with a history of repeated hospitalizations.
He was receiving veteran's compensation because he had convinced the VA that somehow having been in the Army for six months had "driven him insane". He had not had a job since then, and his life had become a routine pattern of going into mental hospitals, accumulating several thousand dollars in VA benefits, and then going out and spending it on a variety of things, including week-long binges of drinking.
I had been using a client-centered approach with him, although it was becoming increasingly difficult for me to be warmly empathic with him as he chortled about "beating the system. I found out that he was the author, and "throwing therapy out the window" as I put it to myself at the time , I became furiously angry at him, telling him that "if you write one more line to her Like that, I will personally see to it that you are locked up in seclusion and the key thrown away.
I realized that by "blowing up" I had bypassed his censors and inhibitions and had reached a very spontaneous, central assumption of his, i. It also became clear to me that here was a "certified, mentally diseased" patient who supposedly had "lost touch with reality", a patient who had very accurately interpreted the central, core message of my training and virtually that of the entire field - that the emotionally and mentally disturbed "can't help it" and were not to be held responsible for their actions, but instead were immune to the usual social consequences for their behaviors.
In my reply to him, however, I bypassed my training, the general tenor of clinical literature at that time and what largely still obtains in the clinical literature of today , and instead replied: "I can't hold you responsible, huh?
Well, you just try me, buddy, and see how far it gets you. But I did not feel comfortable with these conclusions at the time and so I shelved them for the time being - a reaction that I had with several other of my clinical experiences. Tragedy Revisited In I began consulting out of the hospital one day per week; one of my very first cases that I had transferred to me from another worker was that of the wife of one of our patients. The staff thought that the patient was paranoid regarding his wife's fidelity; the task was to try to get some data on this and to clarify the case.
After an initial transfer interview the worker stated, "I suspect she has been unfaithful to him, but in interviews over the past year she has constantly denied it.
The very first day - it was a Monday - that I was to see her, lover slept. June woke me hurriedly, explaining that she had not pulled the alarm clock button out all the way, and in a flurry I dressed, gulped a cup of coffee near the front door, jumped into my car and drove quickly out to the isolated farm house where she lived.
I remember feeling very anxious, thinking, "This is it. Now I am a consultant.
In the interview the wife sat on a couch across the living room from me. I leaned forward with my elbows on my knees, my legs spread apart, intently trying to get across to her that we really needed to know about this matter: if she had not been engaged in this kind of behavior, then her husband was paranoid; on the other hand, if she had been, then we were holding her husband in the hospital under false pretences. Throughout the interview she avoided eye 13 contact with me and seemed to be staring at my nondescript tie with a vague, preoccupied look on her face.
To my surprise she openly admitted the whole thing and went into great length about whom she had had sexual relations with while her husband was at the hospital and prior to his admission. I also gloated over the fact that my colleague had worked unsuccessfully on precisely this point for a year, whereas I had been able to elicit the information in a single interview. And I thought, "Man, real skill will win out.
I went to the toilet to urinate, found that my fly had been open during the entire interview, became beet red in the face from acute embarrassment, and stayed in the room for five minutes because I was so rattled. Upon returning to the hospital I told the ward staff exactly what happened. They guffawed uproariously at my whole "new approach to treatment": "Open Fly Therapy," was the appellation they gave it.
Psychologist friends stated ponderously that this proved the dictum, "Change the stimulus, and you change the response. There were several lessons to be learned from my chagrin.
I realized that alongside of the pain and tragedy in this field are some of the funniest things I've ever heard, and that the comic as well as the tragic mask seem to embody the main themes in the clinical field.It was obvious that if you. His parents couldn't see what all the fuss was about, since they had only gone to the fourth grade, and Joey had already had twice as much school as they - he already knew how to "read, write, and figger". The general consensus of the professional staff was to terminate working with the patient, that he would never get better.
After I set things up, the patient came into my office and immediately asked, "Are we tape recording this? Conversely, I don't want Him. During the second week they're going to 'continue the observation' but will probably remark to themselves, if you're maintaining an even keel, that 'she seems to be in good control as long as we closely supervise her. I didn't choose my words carefully or try to have any type of warmly empathies tone of voice. Accordingly, I obtained a job at Mendota State Hospital in Madison, Wisconsin for a variety of reasons - to be nearer my family in the Midwest, to work with hospitalized psychotics, and to be in close touch with Garl Rogers and his client-centered group who were engaged in a large research project at Mendota at that time.
Some months later I left on vacation out of state.