Tag: Reversal

Reversal Theory “On The Couch”

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Reversal Theory “On The Couch” 

This one’s not going to make much sense if you haven’t been following the Reversal Theory series, but if you want to check them out, here’s #1, #2, #3, and #4.

Here, as promised, are some RT-based techniques (and tweaks on classic techniques) that I’ve used in really cool and fun ways in therapy, to good effect. 

 

  • Intake Questions: Most clinical interview/intake questions are aimed at determining the client’s presenting issues and background information for diagnostic purposes. Sometimes, questions are included about clients’ expectations for therapy, their goals, and their perceived strengths.
    • RT transformation:
      • How much do you experience yourself as being serious and goal oriented? In which area of your life do you experience the best sense of “achievement”? In which area of your life do you experience that the least?
      • Playful/enjoyment; Being like others/fitting in; Being an individual/freedom; etc.
  • Cognitive Therapy: Thoughts, feelings and behavior are all connected, and that clients can overcoming difficulties and meet their goals by identifying and changing inaccurate, maladaptive thoughts. First steps are identifying maladaptive thoughts, evaluating them for accuracy/utility, and then  developing reasonable counter-thoughts, which clients tend to struggle with.
    • RT transformation:
      • The opposing nature of the RT states gives a quick, easy way to begin identifying potential, but reasonable, counterthoughts. For ex, clients often have anxiety provoking thoughts such as “this  storm is very dangerous” or “I can’t do well at this and that’s awful”. Clients tend to try to create counterthoughts in the same state, and these can be hard to swallow or not very accurate. For ex, “this storm isn’t all that dangerous” or “Maybe I am good enough at this after all”
      • Changing states creates fresh, conceivable options. For ex, “This storm is fascinating and awe-inspiring”  or “I don’t need to do well at everything to be valuable.”
  • Couples Work
    • Couples are taught to identify the RT states they are in during typical conflicts. They re-enact the conflicts in session, with an emphasis on “getting into the partner’s state” (each in turn) to improve empathy, reflection, and problem solving.
    • Techniques to help couples see from their partner’s perspective include overt state-disclosure, switching seats, mimicking partner’s posture/expression/tone, letting the partner “paint the picture,” guessing the partner’s state, and state-mapping
  • Group Work
    • This is a psychodrama-type technique I call “the gauntlet.” Two rows of 4 pairs of players (“auxiliary egos”) line up and each speak from the opposing states on the problem the protagonist has identified. The protagonist (the client who is doing the current work) “walks the gauntlet” and listens, makes comments, moves players (sit down, back up, etc.), turns the volume up and down, etc., in an improvisational way.
  • Guided Imagery
    • In the Eight Rooms technique (specific to Reversal Theory) an individual or group is instructed by a leader in a guided imagery session. The participants envision a hallway with eight rooms, four on each side. Each pair of rooms represents a pair of RT states. The participants are instructed to enter each room and fill it with colors, objects, scents, memories, and anything that helps to define each state for them. For example, a telic room may have paneling on the walls, a large clock, diplomas, and a work desk. A paratelic room may have brightly painted walls, a hammock, a tiki bar, loud music, and a bubble-machine. The participants are instructed to use as many senses as possible and not to limit themselves to ordinary furniture or objects. They are encouraged that, after the guided imagery, they will be able to use their memory of each room in order to induce the state desired at the time.

COmment below: What ways can you imagine using RT in session? 

 

 

 

Psychodiversity

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Psychodiversity 

Welcome to the 4th Reversal Theory blog! In this “episode,” I hope to tie all of these concepts together for you in a way that will show how Reversal Theory can be a great addition to your therapeutic repertoire – in terms of conceptualization and even treatment planning!

Popular in both the professional and lay communities is the idea that mental stability equates to mental health. However, Reversal Theory posits precisely the opposite, that people are healthiest when they exhibit the fluidity to be able to experience satisfaction in all eight states at appropriate times. As Apter (2007) says, “The reversal theory view is that a certain kind of instability is essential for a full and happy life: one should be able to pursue the satisfactions of serious achievement, but also at other times the more frivolous joys of play; one should be able to feel the warm agreeableness of bring a ‘good citizen,’ but also from time to time the keen pleasures of defiance and independence; one should be able to experience the pride of personal strength as well as, on other occasions, the comforts of modest humility” (p.187). This ability to experience all of the states and their attendant satisfactions is known as psychodiversity. Combined with an adequate frustration tolerance, a functioning internal measure of satiation, and the ability to respond effectively to situational factors, including other people, psychodiversity defines what it means to be healthy – to be able to work, love, and play effectively.

Let me give a few examples of how the concept of psychodiversity plays out in therapy…

  • Have you ever used Lazarus’ multi-modal therapy model as a way of identifying different areas of life that need to be treated for a holistic approached? What about the pie chart with physicals health, social health, spiritual health, emotional health, etc?
  • How often do clients come in complaining of being “stuck”? They often need help to get the satisfactions from a state they don’t have much practice in, or in learning how to switch states to fit their situations. 
  • All those different presentations of depression that the DSM5 can’t quite seem to cover? When the main characteristic is low self-worth, consider an autic-mastery kind of depression, where the client isn’t able to acheive the satisfaction of that state, but is in it often. When the main characteristic is boredom consider a paratelic-depression. Lack of motivation? Telic depression. Loneliness? Self-sympathy depression. Alienation? Conforming depression. This gives us a way not only to help clients learn how to derive the satisfaction from a state they’re stuck in, but also to focus more on and gain more value from switching to other states, too. 
  • Anxiety is a classic telic-disorder. The focus on danger, on the importance of success (or of not-failing), the future-orientation… And we often try to manage it in a telic way only (reducing anxiety) rather than also using the tool of switching to the paratelic state. 
  • What are the personality disorders but various combination of autic stuckness? 

I’ll do another blog post in the near future about some specific RT-based techniques and tweaks-to-techniques that I have found really helpful. In the meantime…

 

Comment below: Now that you know plenty about RT to start posing really interesting questions to yourself… how could you see this working in therapy? 

 

 

 

 

Reversing

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Reversing

This is the third blog in the Reversal Theory series – if you haven’t, check out the first one here . And the second one here. 

 

As a reminder, Reversal Theory posits that we each have 4 different sets of states that we are in some combination of all the time – one each from Serious/Playful (also called Telic/Paratelic), Conforming/Rebellious, Mastery/Sympathy, and Self/Other (also called Autic/Alloic). So, at work you might usually be in the Serious-Conforming-Self-Mastery states, and if you are, you’re probably killing it! But, if you’re in the Playful-Rebellious-Self-Mastery states, you’re probably daydreaming about skiing and not getting much done. 

Despite the pervasiveness of the “continuum” in current psychological thinking, the ever-present bell curve, and the call for moderation in all things, the pairs of RT states do not operate this way. The bank of light switches above not chosen arbitrarily! At any given time, the light switch is positioned up or down. If pushed, it will flip to its opposite position. If not pushed hard enough, it will flip back to its original position. It does not rest in the center position. Likewise, a person is in one state of each pair or the other (this is called bistability). Bistability refers to a system which has two preferred ranges rather than one. 

A Necker cube (above) is a good example of reversing. It can be viewed sensibly in two equal but opposite ways, but there is no intermediate position and one cannot focus on the transition between the two states because it happens too quickly. Similarly, each pair of RT states functions as a “bistable” system; one is either in the serious state or the playful state, there is no stable position in between. 

So, how do we switch (or REVERSE!) our states? Three ways. 

 

Contingent reversals are the most common. A contingent reversal occurs based on an event, setting, or other environmental influence. For example, an event that is seen as threatening is likely to produce a reversal into the serious state (e.g., when one is joy-riding and then sees a police officer behind them). An event that is perceived as unfair will likely produce a reversal into the rebellious state (e.g., when a teenager is planning to go out and then is told she has been grounded). Note that it is the perception of the event which is of consequence, as events will be interpreted by different people or at different times in different ways. Another environmental factor that often produces reversals is the setting. A sports stadium may induce the playful state; a nursery may induce the sympathy state; your boss’ office may induce the serious state. Any situational event (e.g., seeing your partner smile, feeling nauseous, music playing in the background) can prompt a state reversal.

Often, the combination of many situational factors in balance determines the state one is in. For example, I may be drinking cocktails and watching football with friends (all paratelic-inducing/playful for me) and see a spider (typically a telic-inducing/serious event for me), but I might not be moved from the playful state due to the influence of the aforementioned factors. In essence, the perceived situational factors may be viewed as if on a scale, or a see-saw. Situational factors may “add up” enough to tip the internal see-saw to the opposite state, or the opposing factors may not be weighty enough, in which case I remain in the state I was in.

 

Another way that reversals are induced is through frustration. If you remember from the second blog, each state has certain kinds of satisfaction embedded within it. 

Telic -> Achievement

Paratelic -> Enjoyment

Conforming -> Fitting in

Rebellious -> Freedom

Mastery -> Power/control

Sympathy -> Care/nurturance

Self -> individualism

Other -> collectivism

 

When this satisfaction is not achieved over a period of time (which varies across times and individuals), the frustration will lead to a reversal. An example of this type of reversing is when, in the telic state, one does not feel they are making progress, cannot bring down their level of arousal, or comes to feel that what they are working toward is not worthwhile. A reversal to the paratelic state may take the form of abandoning the project in favor of something fun or distracting oneself with humor. Frustration-induced reversals may occur in the alloic sympathy state when one has heard quite enough of another’s complaining, in the negativistic state when one realizes that his/her efforts to change the system are not fruitful, or in the mastery state when one becomes exhausted with running on the treadmill.

 

The final factor in inducing reversals is known as satiation. This is hypothesized to be an internal mechanism in which a reversal is induced after a certain amount of time even when one is receiving the satisfactions of the state and in the absence of situational changes. Consider the student or retiree who, after a few hours, days, or weeks of leisure, longs for work. After a time, a loving caregiver who is content to nurture those in her household spontaneously craves some time for herself. In studies wherein participants can choose a telic-task or paratelic task for as much time as they like, will switch tasks without any seeming provocation. The process of reversing through satiation is often compared to the sleep-wake cycle, wherein the body simply recognizes that it has had enough of a certain natural and satisfying state, for reasons that are not entirely clear.

 

Those are the ways that reversals occur, and that’s plenty for this installment! Be on the lookout for #4, because it’s going to tie all of this into a very cool way of thinking about psychological wellness and therapy!

 

Eight Competing Values

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Eight Competing Values

This is the second installment of the Reversal Theory series. If you haven’t read the first one, check it out here. Enjoy!

OK, so we left off with the 4 pairs of states – serious/playful (also called telic/paratelic), conforming/rebellious, mastery/sympathy, and self/other (also called autic/alloic). 

Each state has a core motivational value, a range of emotions, and certain actions typically associated with it. The core value in the serious (or telic) state is achievement. When one is in the telic state and this value is being satisfied by reaching or making progress towards one’s goals, positive emotions emerge such as relief that a goal has been met or a sense of accomplishment. When this value is frustrated by a lack of progress, more negative feelings like anxiety or a sense of being overwhelmed are often present. Actions that are common to the telic state are planning, assessing risks, thinking strategically, and working diligently. Some common examples of being in the telic state might be working feverishly on a project to make a deadline, studying for an upcoming exam, or decorating the house to make it presentable for the imminent arrival of one’s in-laws.

The core value in the paratelic state is enjoyment. When one is in the paratelic state and taking pleasure in his/her current activity, excitement, fascination, and interest are common feelings. When pleasure in the current activity is thwarted, however, feelings of boredom or restlessness often emerge. Common contributions made in the paratelic state are enthusiasm, openness to new experiences, spontaneity, and creativity. Examples of being in the paratelic state include walking leisurely enjoying a sunset, working on an interesting puzzle in one’s free time, or luxuriating in the evening meal. It is important to note that it is not the activity that determines one’s state, however. One can be walking “leisurely” at sunset in order to attain the goal of pleasing their partner, or be frustrated at the leisurely pace because he/she is focused on getting home to work on a project. Likewise, in the previous example, decorating the house may be so enjoyable that the arrival of one’s in-laws may slip into the back of one’s mind.

The core motivational value of the conformist state is fitting in. This can also be expressed as the desire to do the right thing at the right time, or to do what is typically done. In the conformist state, it is a pleasant experience when one conforms and an unpleasant experience when one is not conforming. Pleasant emotions that may be experienced in the conformist state are a sense of belonging and comfort that one is doing right; unpleasant emotions may include embarrassment from not conforming or guilt from not meeting expectations. Further, actions consistent with the conforming state might be following procedures, adhering to ethics, and acting predictably. Examples of being in the conformist state may be taking pleasure in a game precisely because the rules are being followed, feeling satisfied that you “belong” in a group of coworkers, or enjoying the ceremony that marks a traditional wedding, graduation, or spiritual ritual.

In contrast, the core value of the negativistic or rebellious state is freedom. In the rebellious state, pleasure is derived by acting in way that one perceives is in opposition to external pressures or rules. Pleasant emotions experienced in the rebellious state can include independence and personal freedom, whereas unpleasant emotions may include frustration or anger at our restrictions or perceived unfairness. Actions consistent with the negativistic state may be challenging authority, behaving critically, or showing a desire for change. The rebellious state may be manifested as defiance or (despite its name) mischievousness or simply unconventionality. Enthusiastically protesting against current legislation, purposefully acting out in a residential group home, or even “thinking outside the box” at a business meeting could be examples of being in the negativistic state. Note that the same behavior may be performed in different states, based on different motivations; smoking with school friends could be enjoyed because it is not allowed, or it could be enjoyed because it allows one to fit in with the crowd.

The primary values in the mastery state are control and power. In a social interaction, this might mean desiring to have the upper hand; in a competition, this might mean being focused on winning. One could be in the mastery state with a pet, when training it; one could be in the mastery state with a piece of machinery or sports equipment, when learning to operate it. Positive emotions felt in the mastery state include pride and accomplishment and negative emotions typically center on humiliation or disappointment. In the mastery state, positive qualities that may be displayed are confidence, determination, and leadership.

The primary values in the sympathy state are caring and affection. Most often, the sympathy state has to do with people or living things. One could be in the sympathy state with a colleague when listening to their troubles or with a partner while sharing a casual Saturday afternoon picnic. One could certainly be sympathetic with a pet, lavishing it with attention. In the sympathy state, positive feelings typically include loving and feeling loved; bad feelings are those that go along with feeling unloved, such as rejection. In the sympathy state, positive attributes that one may display center around cooperation, emotional support, sensitivity, and relationship.

In the autic state, one’s primary concern is for oneself, including taking responsibility for one’s actions as well as taking care to get one’s needs and desires met. Working out at the gym to see to one’s health (self-mastery) or asking a loved one to run an errand on one’s behalf (self-sympathy) are examples of being in the autic state.  The core motivational value in the autic state is individualism, or doing the best one can for oneself. Satisfaction at doing something well or appreciation of self may be good feelings experienced in the autic state; negative feelings such as resentment or loneliness may result if one remains in the autic state too long and thus becomes isolated from others. Common actions in the autic state include attention seeking, performing to the best of one’s ability, setting and meeting personal goals, and keeping a balance between work and personal life.

In the alloic state, one’s concern is for meeting the needs or desires of others. When one tidies up the house because their partner prefers it that way, this is an example of the alloic state (other-sympathy). So is helping or coaching someone else for their growth or improvement (other-mastery). The “other” in the alloic state may be an actual other, such as a friend or child. However, the “other” may also be a group or team to which one belongs, in which case it is referred to as the extended self. The other may also be someone or a group that one identifies with, such as a hero in a movie or a favorite sports team; in this case, the other is known as the surrogate self. The basic motive in the alloic state is collectivism, caring for others or for a group more than the self as an individual. Good feelings that come from helping others or seeing others succeed are a part of the alloic state, as are the bad feelings that come from letting others down or seeing others hurting. Frequently, being a good teammate, helping, encouraging, mentoring, and giving are behaviors the alloic state might produce.

 

 

OK, good! In the next “episode,” we’ll discuss how we shift between these different states!