Healthcare Training Institute - Quality Education since 1979
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In the last section, we discussed obstacles to change manifested as habit and reflex. The accompanying technique is called The Howitzer Mantras.
In this section, we will continue our three part discussion on obstacles to change by examining the second category of obstacle. This second category of obstacles to change is feelings of powerlessness, which, as you know, is a usual by product of abuse resulting in low self esteem.
Joan stated, "It’s like that critic you were talking about has a life of its own, with its own opinions. To me, that voice just doesn’t seem like it’s subject to my decisions." I find that when the destructive self criticism that leads to low self esteem is long standing, the sense of powerlessness is deepened. As Joan stated, "I have been doing this since the abuse. It’s so ingrained, so habitual. How can I ever stop?"
Step # 1 - Recognize your Emotions
Step # 2 - Be Consistent and Organized
Step # 3 - Not Forgetting the Rest of your Life
Step # 4 - Accentuate the Positives
I stated, "You just displayed one positive aspect. You are learning how powerful you are. You are gaining a new level of assertiveness that you didn’t know you had before. Another positive aspect is your identity. One of the reasons for your low self esteem is that you have been feeding into self criticisms that deep down you know aren’t true. Now you have the opportunity to not only discover, but embrace who you truly are as a person." Think of your Joan. Could your client benefit from an adaptation of this overcoming powerlessness technique?
In this section, we have discussed obstacles to change by examining the second category of obstacle. This second category of obstacles to change is feelings of powerlessness. The accompanying CBT technique focused on overcoming feelings of powerlessness. The four steps I used in implementing this technique with Joan were recognizing emotions, being consistent and organized, not forgetting the rest of your life, and accentuating the positives.
In the next section, we will discuss obstacles to change by examining investments in maintenance. As you will see, this obstacle to change may be one of the most difficult to overcome and may require extensive therapy. Our technique focus for the obstacle of investments in maintenance will be asking the price.
Peer-Reviewed Journal Article References:
IJntema, R. C., Burger, Y. D., & Schaufeli, W. B. (2019) .Reviewing the labyrinth of psychological resilience: Establishing criteria for resilience-building programs. Consulting Psychology Journal: Practice and Research, Vol 71(4), 288-30.
Jacob, J., Canchola, J. A., & Preston, P. (2019). Young adult children of parents with disabilities: Self-esteem, stigma, and overall experience. Stigma and Health, 4(3), 310–319.
Orth, U., Robins, R. W., Meier, L. L., & Conger, R. D. (2016). Refining the vulnerability model of low self-esteem and depression: Disentangling the effects of genuine self-esteem and narcissism. Journal of Personality and Social Psychology, 110(1), 133–149.
Reynolds, K. J., Oakes, P. J., Haslam, S. A., Nolan, M. A., & Dolnik, L. (2000). Responses to powerlessness: Stereotyping as an instrument of social conflict. Group Dynamics: Theory, Research, and Practice, 4(4), 275–290.
Williams Kapten, S. (2020). Power, powerlessness, and the parallel process. Journal of Psychotherapy Integration, 30(1), 147–154.