Showing posts with label counseling tools. Show all posts
Showing posts with label counseling tools. Show all posts

Saturday, February 23, 2013

The Pastoral Counselor And The Aggressive Personality


In Compass Therapy, aggressive counselees fall into two categories, both of which are located on the Assertion compass point of the Self Compass. These are the Paranoid Arguer, who is characterized by chronic suspicion, spitefulness, and a need to blame and attack others rather than face one’s own deficiencies, and the Antisocial Rule-breaker, who is able to lie convincingly, exploit others without guilt, and use every situation for self-gain.

These labels are derived by combining a clinical personality disorder from DSM, like paranoid and antisocial, with a practical common sense descriptor that anyone can understand, like arguer and rule-breaker.

Paranoid and Antisocial Personality Disorders

As shown in the diagram, these patterns don’t simply dwell in the Assertion compass point; they overly exaggerate it with chronic anger and hostility. The way they do this is by nullifying the Love compass point; that is, wiping out expressions of forgiveness, nurturance, understanding, kindness, affection, or compassion from their personalities. In other words, they are like barrels of hydrochloric acid. If you tip them slightly, they spill over and splatter you like a caustic chemical.

So it is perfectly fair for you to wear a hazardous chemical suit when meeting these patterns in a session. It is not a question of whether they will ventilate on you or find your weakest point and exploit it to their advantage. Of course they will. 

Therapist Self-Protection


Personality patterns rob people of a fuller life that could include love and diplomatic assertion, and humility and esteem, and replace this potential with self-perpetuated mechanisms held rigidly in place by the mind, heart, body, and spirit, all serving the aim of the pattern. In the case of Paranoid Arguers and Antisocial Rule-breakers, these patterns dictate that the counselees will act abusively and disrespectfully, with an uncanny knack for extracting a pound of flesh despite and even because of your efforts to help them.

1. You protect yourself, and become a more effective therapist, by giving up your need to help them. If you carry into the session a need to be caring, compassionate, and helpful, they will detect this and use it to frustrate and torment you. You might say that as long as they are unwilling to really participate in therapy by learning about themselves and taking active risks for growth and change, they will have a vested interest in showing how much you don’t know about life and how incompetent you are because you don’t magically make them happy.
2. Another way the aggressive patterns can torpedo therapy and wound your self-esteem comes if you need to get chummy with them in order to win them over with kindness and understanding. They’ll try to recruit you into aligning with them in anger against a laundry list of people who they believe have wronged them. 

3. If at any point you back off, their charm will instantly turn into caustic ventilation, and you’ll learn quickly what masters they are at emotional blackmail as they throw you into the boiling pot like all the other plucked chickens they’ve cooked.

4. Now that you know to wear a chemical suit, resist recruitment, and watch out for emotional blackmail, I want to add a last suggestion. Breathe deeply through your abdomen and regularly melt your muscles during sessions with aggressive individuals. Relaxing your body promotes emotional resiliency, mental flexibility, and spiritual equanimity.

Relaxed Body

As you employ these suggestions, not only do aggressive counselees sense that you cannot be rattled, and that they cannot force you to go into orbit around their gravitational pull, they actually begin to respect you as a professional who doesn’t walk on eggshells:

“Who is this therapist, that my usual power doesn’t make afraid?” “Who is this professional that doesn’t flinch at my verbal attacks?” “Who is this human being who remains humbly strong and caringly assertive in my presence?” “Maybe I can actually learn something here.”

That’s if they stay in therapy long enough to realize their profound needs for personal and interpersonal development. This comes by learning to access their Weakness and Love compass points, expanding the capability to experience both humility about their deficiencies and caring versus hostility toward others. A full exposition of how to help aggressive counselees own and outgrow their rigid patterns is found in my book Compass Therapy: ChristianPsychology In Action.

And if the aggressive counselee doesn’t want to grow more whole, don’t fret about it and don’t try to convince them to stay in therapy against their will. Simply relax and honor their choice to remain as they are, investing your energies in counselees who do want to benefit from what you have to offer.


Monday, January 21, 2013

The Pastoral Counselor and the Avoidant Worrier


I can identify with the avoidant Worrier pattern because in my seminary years I was haunted by it. I cared a great deal about Christ, and had even left medical school in response to God’s call on my life. I read through the entire Bible several times, attended church weekly, and went to Campus Missions Fellowship on Friday nights. Yet I was still aware of a distance between me and other people. 

Why did I feel so alone? The depression felt like a gunnysack of concrete on my chest, the hopelessness like a fist gripping my stomach. I finally resolved to see a pastoral counselor at a nearby church, a very human man who seemed warm enough to entrust with my heart-wrenching worries.

He responded empathetically and astutely. After asking a number of open-ended questions, he said, “Dan, I really feel for your pain. It seems to me that somewhere along your development you found human emotions too painful to handle, and that you created a rift between your mind and your heart. So your mind kept developing, and that’s why you’re so academically gifted, but your heart got left behind, and that’s why you feel so excluded from human community.”

I felt my whole body relax. At last someone had found words for my deep dilemma, and that meant there might be a way out. It wasn’t easy but I did outgrow the trap of my former Weakness-stuck life. 

Yet I didn’t leave the Weakness compass point behind, because in the course of building Compass theory, I came to discover that it houses the root source of humility, a quality that Jesus ascribed to himself when he said, “Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls” (Mt 11:29).

Jesus: Gentle and Humble of Heart
 
When you are counseling someone who manifests worry, you can discern rather quickly whether this worry is transitory, which usually responds well to brief situational coaching, or chronic and pervasive worry, which calls for insight and support through short-term counseling, or personality reconstruction in long-term pastoral psychotherapy. 

When you encounter a chronic Worrier pattern, here are some insights you might offer:
  1. Worry is a choice, not a necessity, although it often feels necessary to worry.
  2. Worry actively distrusts God’s involvement in life (most people never think of worry this way, but rather “sanctify” their worry as though it is a virtue).
  3. Worry translated into action steps has redemptive value, but worry for worry’s sake creates meaningless misery.
  4. Counselees can transfer the energy it takes to worry into prayer for guidance and positive steps for change.
At a physiological level, chronic worry may reflect the biochemical condition of major depression, a genetic disorder arising from the body’s inability to produce enough catecholamine molecules in neuronal synapses. So it is a good idea to meet with a psychiatrist or family doctor who is acquainted with major depression, and who can act as a medical referral for counselees whose symptoms seem unabated by psychological and spiritual counseling strategies.

In this case, you can say to your counselee: “I have a hunch that a portion of your pattern of worry and withdrawal is biological. I suggest that you see Dr. _________ and explain your symptoms, because taking an appropriate antidepressant is like receiving a prescription for eyeglasses: it helps the world come into better focus so that you can feel more confident in facing life.”

If the counselee follows through and receives a prescription, you continue right along with the pastoral counseling and coaching, helping them integrate the effects of the meds with their personality and relationship development.

By way of an overall counseling strategy, keep before you the Compass Model, so that at times you can guide the counselee’s attention to growth steps in Assertion, and other times developing Strength or Love. By the same token, you don’t push too hard, because you respect the secret security these counselees draw from the Weakness compass point, since as long as they stay there they don’t have to take risks or assume responsibility. 

Worrier Self Compass
So you relax, even when they express uncertainty, self-doubt, and fear, and in so doing, you create an interpersonal atmosphere that de-catastrophizes their worry, offering your calmness to counter their anxiety (Strength), your practical suggestions to counter their learned helplessness (Assertion), and your faithful caring to counter their depersonalization (Love).

You don’t take on the unrealistic project of turning them into industrious and confident persons, but rather assist them through either an extended course of counseling, or occasional meetings, to construct a developmental bridge that helps them move from fear-filled existence to a more abundant life


In a pastoral context, you can pray that they receive the spiritual empowerment of fortitude. At the end of a session, will courage to them by affirming their gradual progress and conveying warm encouragement.