Two Approaches To Adlerian Brief Therapy - Buncombe County ...

Two Approaches To Adlerian Brief Therapy - Buncombe County ... Two Approaches To Adlerian Brief Therapy - Buncombe County ...

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Client: Yes. I don’t want to hear myself like that. Therapist: What do you want to do? Adlerian Brief Therapy 8 Client: (gesturing as if to wrap her child in her arms) I just want to hold him. Therapist: So when you feel calm in the face of his tantrum, you would Client: Yes. go to him, wrap him in your arms, say nothing, and just hold him until he is calm with you. One way to think about the therapeutic relationship in Adlerian Brief Therapy is through the use of the acronym, PACE. This acronym also speaks to the rhythms and flow of therapy. P stands for purpose, a concept that is central to the Adlerian model. It includes a focus on what purpose(s) the client has for therapy; the motivations for behaviors, emotions, convictions, and beliefs maintained in daily living; and even what goals may be involved in interactions between the client and therapist (Mosak, 1977). A stands for awareness and is related to the level of attention that both the therapist and the client bring to their work. Awareness is both the alpha and omega of experience (Polster & Polster, 1996): It focuses attention so that experience is no longer non-conscious, and it brings experience into a resolution or a reflection—and sometimes, even a celebration. In this sense, insight is simply one form of awareness. C stands for contact and includes the quality of contact between the therapist and the client as

Adlerian Brief Therapy 9 well as the quality of the contact the client has with self, with others, and with the environments in which he or she lives. The constructs of awareness and contact are well defined within the work of the Gestalt therapists, Erv and Miriam Polster (1973, 1999). E stands for experience, which both flows from relationship and provides the interventions and transitions for therapeutic change. It is not uncommon for a focus on purpose, awareness, or contact to evolve into therapeutic interventions, strategies for change, experiments, enactments, or even homework, any of which may lead to the integration of new experiences in the client’s life. The question of what makes a new experience useful or even therapeutic can be addressed through another acronym, BURP, which has been described in greater detail by Nicoll et al. (2000). B stands for strategies related to behavioral descriptions. From an optimistic interest in presenting issues [“What would you like to see going better in your life?”] to recurrent patterns, Adlerians focus on what people do, how they feel, and the results of these processes in interactive experiences. Such questions as “when was the last time this occurred?” or “what happens when you feel . . . ?” or “who is most affected when you feel . . . ?” focus the client on movement and process rather than helplessness. Individual purposes are often revealed in the responses that others have to what the client does. “I was depressed all the time at the university. When I went home, my parents took care of me, and I slowly got better. I don’t feel

Client: Yes. I don’t want to hear myself like that.<br />

Therapist: What do you want to do?<br />

<strong>Adlerian</strong> <strong>Brief</strong> <strong>Therapy</strong> 8<br />

Client: (gesturing as if to wrap her child in her arms) I just want to<br />

hold him.<br />

Therapist: So when you feel calm in the face of his tantrum, you would<br />

Client: Yes.<br />

go to him, wrap him in your arms, say nothing, and just hold<br />

him until he is calm with you.<br />

One way to think about the therapeutic relationship in <strong>Adlerian</strong> <strong>Brief</strong><br />

<strong>Therapy</strong> is through the use of the acronym, PACE. This acronym also speaks to<br />

the rhythms and flow of therapy. P stands for purpose, a concept that is central to<br />

the <strong>Adlerian</strong> model. It includes a focus on what purpose(s) the client has for<br />

therapy; the motivations for behaviors, emotions, convictions, and beliefs<br />

maintained in daily living; and even what goals may be involved in interactions<br />

between the client and therapist (Mosak, 1977). A stands for awareness and is<br />

related to the level of attention that both the therapist and the client bring to their<br />

work. Awareness is both the alpha and omega of experience (Polster & Polster,<br />

1996): It focuses attention so that experience is no longer non-conscious, and it<br />

brings experience into a resolution or a reflection—and sometimes, even a<br />

celebration. In this sense, insight is simply one form of awareness. C stands for<br />

contact and includes the quality of contact between the therapist and the client as

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