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CBT Techniques for Building Client Self-Esteem and Resilience
On the last track we discussed obstacles to change by examining the second category of obstacle. This second category of obstacles to change is feelings of powerlessness. The accompanying 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.
On this track we will finish our discussion on 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, especially for a client with a history of abuse and may require extensive therapy, as you are well aware. Our Exercise focus for the obstacle of investments in maintenance will be asking the price of self criticism. As you will see Ben, needed to evaluate his self criticism in order to stop believing it was beneficial. As you listen to this track, consider your client.
Ben was one of these clients. The basic point is that with this third obstacle, the client’s destructive self critical acts are purposive. Ben engaged in them to accomplish important purposes in his life, and he was not ready to give them up as long as he believed that doing so would mean relinquishing the accomplishment of these purposes. Think of your Ben. What does your client think he or she gains from self criticism?
Step # 1 - Write Down Costs
Step # 2 - Evaluate Costs
Step # 3 - Formulate a Summary Statement
On this track we have finished our discussion on obstacles to change by examining investments in maintenance. Would you agree that this obstacle to change may be one of the most difficult to overcome? Our Exercise focus for the obstacle of investments in maintenance was asking the price.
On the next track we will discuss affirming self worth. Our case study on this track involves Jacqueline. Over several sessions with Jacqueline, I found it productive to put self worth into different perspectives using four methods. These four methods for affirming self worth are eliminating the idea, unrestricting the idea, acknowledging personal worth, and the compassionate perspective.
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