The science of integrative psychotherapy
Transcript of The science of integrative psychotherapy
1stOnlineCongress of Humanistic Psychology andPsychotherapies.
Thescienceofintegrativepsychotherapy
Neuroscience,psychotherapyandresourcesforpersonalgrowth
COMPLEX THINKING IN COUPLE PSYCHOTHERAPY:Vertical Integration
Luís Casado Esquius ([email protected])
CENTRAL ISSUES FOR DISCUSSION AT THIS CONFERENCE:
ü Vertical integration: why and how?
ü Complex thinking
ü TA and complex thinking
ü Application to couple psychotherapy
POST-MODERNTIMES
THE PERFECT STORM
CONSTANT CHANGE
CONSTRUCTION OF REALITY:
HYPER-SUBJECTIVITY
POSTMODERNITY NEW SOCIALS MODELS
AUMENTO DELA COMPLEJIDAD
CULTURAL DIVERSITY
AUMENTO DELA COMPLEJIDAD
HYPERCONNECTIVITY
POSTMODERNITY IMPACTTHE ABILITY TO KNOW THE REAL WORLD IS IN DOUBTINDIVIDUALITY / SUBJECTIVITYLAKCED OF SHARED SENSES (CRISIS OF GREAT SOCIAL STORIES)FRAGMENTED IDENTITY
CONSTRUCTION OF REALITYLOSS OF INFORMATION DUE TO THE LIMITATIONS OF THE HUMAN PERCEPTIVE SYSTEMFOCUS CARE TO AVOID OVERSTIMULATIONCOGNITIVE BIASESSTIMULES PASS THE FILTER OF BELIEFS, VALUES AND EMOTIONS
NEW SOCIAL MODELS
NETWORKED SOCIETYNEW FAMILY AND COUPLE MODELSDISTRIBUTED LEADERSHIP vs CENTRAL AUTHORITYCOLLABORATION PLATFORMS WIKI MENTALITY
CONSTANT CHANGE HYPERCONNECTIVITY
CULTURAL DIVERSITY
“A human being is a colorful energy SYSTEM, full of Dynamic striving” A layman’s guide to Psychiatry and Psychoanalysis(1987/1947, p.35)
“This book outlines a unified SYSTEM of individual and social psychiatry” Análisis Transaccional en psicoterapia (1976/1961, p. 9)
“…ego states, which are coherent SYSTEMS of thought and feeling manifested by corresponing patterns of behaviour” What Do You Say After You Say Hello? (1980/1973, p. 25)
“The standars of health for a group, as for an organism, are durability, effectiveness and capacity for full growth” Thestructure and dynamics of organizations and groups. (1988/1963, p.90)
BERNE’S WORLD (60’s)
OUR WOLD (2020)
COMPLEX THINKING
“It is not about taking up theambition of the simple thought of control and dominate the real world.It is about exercising in a thoughtcapable of dealing, of dialoguing, ofnegotiation with the real world”
(Morin, 2011, p.22)
COMPLEX THINKING
CHARACTERISTICS OF COMPLEX SYSTEMS
The unit is the system (the interactions), not the elements
The linear cause - effect relationship does not work, the causality is circular
Order and disorder follow one another
Systems are self-organizing (they seek new forms of adaptation).
Evolutionary self-organization implies the appearance of an emergent phenomenon that cannot be explained at the lower level of complexity.
Systems are self-regulating (a system in a state of order regulates itself autonomously)
Finally, a complex system cannot be static, or it evolves or regresses
BASIC IDEAS ABOUT COMPLEXITY(Morin 2009)
• The natural tendency of closed systems is entropy, but open systems can be negentropic. Human systems can also be intentional
• The basic dynamic is:
Disorder Interactions Order Structure Disorder
in which each new order is of higher complexity (Morin, 209, p.125 y sig.)
• Interactions are communicative processes, order is an agreement on meaning, structure is the result of self-organization to act on meaning
• When the level of complexity exceeds the system must be replaced by another
THE PHYSIS
For the pre-Socratics, the physis is the process of birth and development of the existent, but also the underlying reality of the world that we perceive
Physis, the force of Nature that moves the eternal cycle between order and disorder(Morin, 2009)
Physis, the force of Nature that seeks growth and perfection(Berne, 1987)
TRANSACTIONAL ANALYSIS
THREE REVISIONS REQUIRED
TRANSACTIONAL ANALYSIS AS A THEORY OF HUMAN DEVELOPMENT, not only as a clinical model and method, to avoid convertingpsychopathological imbalances between the model and postmodern reality
THE TRANSACTIONAL ANALYSIS WITH A CONSTRUCTIVE LOOKnon-determining, to focus on the adaptive capacity (evolutionary or involutional) fundamental in a time of permanent change
THE PSYCHOSOCIAL TRANSACTIONAL ANALYSIS,non-reductionist (only individual and relational theory) to include the “we” in the responses to postmodern challenges, in the face of which the transactional humanistic postulate of modernity focused on personal growth is insufficient and dangerous
AUTONOMOUS INDIVIDUALS
COOPERATIVE RELATIONSHIPSSYNERGISIC GROUPS
Casado, (2016, p. 137)
A TRIPLE OBJECTIVE
GROUP LEVEL
RELATIONAL LEVEL
INDIVIDUAL LEVEL
BIOLOGICAL LEVEL
SOCIAL LEVEL
THE INTER-INFLUENCE OFLEVELS OF COMPLEXITY
EGO STATESINTERNAL
DIALOGUES ACTIVE EGO STATE
TRANSACTIONS
LINKS
ROLES
GROUP ORGANIZATION
Casado, (2016, p. 144)
INTEGRATION OF TRANSACTIONAL CONCEPTS FROM THE PERSPECTIVE OF COMPLEXITY
COMPLEXITY LEVEL SELF-ORGANIZATION PROCESS TRANSACTIONAL EMERGING
Biological (brain) La mente (órganos psíquicos)
Individual Interactions of the information received from the interaction with caregivers and, later, with the environment, generation of representations and internal dialogues
Internal dialogues
Construction of the story that gives continuity and meaning to the experience (identity)
Ego states
Active ego state
Life script(existencial position,mini scripts racquets)
Relational Interactions with the environment(transactions)
Relational roles (extortion ofpettings, psychological games, symbiosis and passive behaviours)
Psychosocial Group dynamics interactions(imago)
Groups processes, group script
Most of the programming is negative. All parents fill their children's heads with these restrictions. But they also give them permissions(Berne, 1980, p.143)
P1
A1
N1
decision
needs
Answers fromtheenvironment
EXAMPLE OF THE INTRAPSYCHIC LEVEL: THE FORMATION OF THE CHILD STATE AS A COMPLEX SYSTEM
P
A
N
EXAMPLE OF THE INTRAPSYCHIC LEVEL: INTERNAL DIALOGUES AND THE EGO STATE
EXAMPLE OF RELATIONAL LEVEL: PSYCHOLOGICAL GAMES
Drama Triangle(Karpman)The persecutor The rescuer
The victim
On the psychological level each person has unmet needs that they hope to satisfy through the other. To do this, at the social level it behaves according to certain roles:
Persecutor: needs submission, manipulates by frightening (Pc, NAs)
Rescuer: needs to be needed, manipulates incapacitating (PP)
Victim: needs protection, manipulates by incapacitating (Nas, NAr)
CULTURAL FATHER (Drego) GROUP SCRIPT (Krausz)
PAN
PAN
PA
P
NAN
PAN
“Individuals and systems are interconnected through psychosocial processes…” (Massey, 2007, p.61)
GROUP LEVEL EXAMPLE: THE CONSTRUCTION OF GROUP SCRIPTS
MULTILEVEL INTERVENTION
GROUP – CULTURAL:
Gender roles, family scripts,
Transgenerationalscripts
RELATIONAL:Roles and links psygames.
INDIVIDUAL:Needs, internal
dialogues
A dilemma or problem cannot be solved at a lower level of complexity than the one from which it originated. A group problem, a family one, for example, cannot be successfully approached relationally, and a relational problem, of a couple, for example, cannot be successfully approached individually. This issue leads to the need for multilevel approaches.
The so-called pathologies correspond to three types of systemic situations: the stages of disorder (as in some anxiety disorders), an order of a system that is rigidly self-regulating and loses the ability to adapt to the environment (as in personality disorders) , or to an involutional (regressive) order.
In a complex system problems are not "solved", the system is accompanied towards a new evolutionary order, with which problems are actually "diluted" before the appearance of a new stage of growth.
The health-pathology dynamic is a largely self-organized process that implies the opening or closing of the system, and agreater or lesser capacity for adaptation. A very closed system oriented to control and security is pathological, but a verylax system without elements of roots fragments identity at the individual level, dilutes ties at the relational level, orweakens principles, beliefs and values at the group or social level.
In intervention at the social level, not only is evolution, change and growth sought, but all of this must be accompanied byintervention formats that provide stability to the system.
One can think of dialogue groups to create spaces of order through agreements on the issues that postmodernity hasmade liquid. What in modernity was given by tradition (values, beliefs), now it is necessary to create it throughparticipation and collective intelligence.
SOME CONSECUENCES IN THE INTERVENTION
COUPLES
COMPLEX THINKING AND INTERVENTION: SELF-ORGANIZATION, EMERGING, AND ORGANIZATION
PERSON A PERSON B
The couple relationship is an adaptive process to successive life situations, self-organized, the emergence of each revision is a new organization (link) that can be evolutionary or involutive.
It will be evolutionary if it favors individual fulfillment, in a cooperative relationship that helps to create synergistic groups, that is, if it means growth at all levels of complexity.
In the multilevel approach to couple difficulties, the gateway is the relationship, from the visualization and understanding of the bond that the two people have created in the current moment of their partner. This is so due to the existence of different levels of complementarity (in the heterosexual couple) that will be seen below.
From this understanding they can visualize the evolutionary link they want, the individual difficulties in committing to achieve it and the group / cultural permissions and limits in which their decisions to change will take place.
THE THREE COMPLEMENTARITIES IN THE HETEROSEXUAL COUPLE
Ø MEN AND WOMEN HAVE A HISTORY OF COMPLEMENTARITY AT THREE LEVELS:
BIOLOGICAL - EVOLUTIONARY: REPRODUCTIVE PURPOSE (INDIVIDUAL AND AS A SPECIES)
SOCIAL/CULTURAL : GENDER ROLES ACCORDING TO LABOR DIVISION CRITERIA FOR ADAPTATION TO THE ENVIRONMENT
PSYCHOLOGICAL: COMPLEMENTARITY OF LIFE SCRIPTS WITH AN "ANSIOLYTIC" PURPOSE
Ø COMPLEMENTARITY MAY BE:
SYMBIOTIC: BASED ON DEFICIENCY
FORCED: BASED ON POWER
SYNERGIC: BASED ON STRENGHTS
SYMBIOTIC COMPLEMENTARITY
A symbiosis happens when the behaviors of two or more people form a whole person.
It can be healthy if one of the individuals is lacking in information, skills or petting. Symbiosis becomes pathological if it interferes with the development of spontaneity, awareness and intimacy (Schiff, 1975, p. 5-6)
There are four passive behaviors that we use to establish unhealthy symbiotic relationships: doing nothing, over-adaptation, agitation, and incapacitation or violence (p.10)
TWO TYPES OF SYMBIOSIS
COMPLEMENTARY SYMBIOSIS COMPETITIVE SYMBIOSIS
SECOND ORDER SYMBIOSIS
SYNERGIC COMPLEMENTARITY
• THE MOST INFORMATION OR THE BEST SKILLS OF EACH MEMBER ARE TAKEN FOR THE BENEFIT OF THE PARTNER
• THE CAPACITY OF SPONTANEITY OF EACH MEMBER IS RESPECTED, THAT IS, THE CAPACITY TO CHOOSE THE OPTIONS OF THINKING, FEELING AND BEHAVING
• THE CAPACITY OF CONSCIOUSNESS OF EACH MEMBER IS RESPECTED, THAT IS, THE CONTACT WITH THE INTERNAL SENSATIONS AND THE EXTERNAL STIMULES
• THE RELATIONSHIP IS PRIVATE, THAT IS, THE FEELINGS AND NEEDS ARE SHARED IN AN OPEN WAY, WITHOUT PSYCHOLOGICAL GAMES
• NO PASSIVE BEHAVIORS