When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and TherapyBartlett, Steven J.
Science
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy
Bartlett, Steven J.
Consumer education; Counseling; Psychotherapy
Existential psychotherapy is usually individual therapy, with sessions
commonly scheduled a few times a week, as in psychoanalysis.
Existential therapy often shows its psychoanalytic origins: as in
analysis, existential psychotherapy focuses largely on anxiety and the
suppressed issues that anxiety veils. Existential therapists will push
clients to confront anxiety directly; they will try to understand the
clients' anxiety in relation to the lies that clients tell themselves
in order to protect themselves from more anxiety.
As we have already seen, existential therapists very commonly regard
anxiety and depression as _promising_ symptoms because they can shake
clients out of unfulfilling patterns of living. Anxiety and
depression, instead of being viewed as undesirable symptoms to be
eliminated, can motivate people to change and grow. Consequently,
existential therapists tend to disapprove of the use of drugs in
therapy. If clients take pills to reduce anxiety, for example, they
will reduce the awareness of motivating pain that, if faced squarely,
may bring about a more meaningful, satisfying life.
Here is an example of the way an existential therapist forces a client
to face issues head-on. What the therapist is thinking is in brackets.
CLIENT: I don't know why I stay with my job. It just makes me
depressed. All I do is tell you the same things over and over.
I'm not getting anywhere.
THERAPIST: [She is complaining because I'm not curing her. She has
to do this herself.] To be frank, I'm impatient, {148} too. We
talk, but you're not able to act. [She has to see that I can't
take responsibility for her procrastinating].
CLIENT: What do you think I ought to do? I can't keep living like
this.
THERAPIST: [I can't make her decisions for her.] I can't tell you
which way to go. I do know that you've been avoiding a decision.
I believe you're going to take charge of your life but, until then,
we may both feel impatient....
What _do_ you want to do? [She has to be pushed to make up her
mind. She's ready now to decide but is understandably scared.]
CLIENT: I want to stop worrying, stop feeling so anxious and upset.
THERAPIST: [She'd like me to mother her.] Look, Diane, you've been
coming to see me for three months now. You know what I think about
feeling upset: if you're upset, there's something bothering you
that you need to pay attention to. We both know you dislike your
job and that you stay on mainly because you're afraid of a change.
We can talk a long time about your unhappiness at work and about
your fear of change, but eventually it will be time to stop talking
and to try some alternatives. Do you think you're ready? I think
you are.
Public-domain text, read in full here on John Shaqi.
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