Behavior Therapy Quotes

I'm so good at beginnings, but in the end I always seem to destroy everything, including myself.

Thirty seconds of pure awareness is a long time, especially after a lifetime of escaping yourself at all costs.

The toxic behaviors were there before you decided to enter into relationships with them. The signs were there. You may have chosen to look the other way, but the signs were there.—

We do not deserve to be trapped in hell. It isnt our fault.

I need them to be aware and present with me in the midst of the storm, not just tell me what to do.

Codes and semiotic conventions are a challenge for human communication, since they seal off people with a privacy protection label and make them accessible only by means of a barcode that might estrange them from their surroundings but, at the same time, procure them a kind of reassurance in their comfort zone. This dialectical situation may keep them struggling during their entire life. ("The unbreakable code " )

Of course, a culture as manically and massively materialistic as ours creates materialistic behavior in its people, especially in those people who've been subjected to nothing but the destruction of imagination that this culture calls education, the destruction of autonomy it calls work, and the destruction of activity it calls entertainment.

All you want is love and belonging, and your very existence depends on it. But when you get it, you have no existence except that love; there’s still no you.

No one really knows why humans do what they do.

A BILL OF ASSERTIVE RIGHTS I: You have the right to judge your own behavior, thoughts, and emotions, and to take the responsibility for their initiation and consequences upon yourself. II: You have the right to offer no reasons or excuses for justifying your behavior. III: You have the right to judge if you are responsible for finding solutions to other people’s problems. IV: You have the right to change your mind. V: You have the right to make mistakes—and be responsible for them. VI: You have the right to say, “I don’t know.” VII: You have the right to be independent of the goodwill of others before coping with them. VIII: You have the right to be illogical in making decisions. IX: You have the right to say, “I don’t understand.” X: You have the right to say, “I don’t care.” YOU HAVE THE RIGHT TO SAY NO, WITHOUT FEELING GUILTY

An inner ease spreads inside me. Such is the power of acceptance and understanding from other people, the power of validation

Connection gives us our life, yet it also threatens to take it from us.

That's the problem with reality, that's the fallacy of therapy: It assumes that you will have a series of revelations, or even just one little one, and that these various truths will come to you and will change your life completely. It assumes that insight alone is a transformative force. But the truth is, it doesn't work that way. In real life, every day you might come to some new conclusion about yourself and about the reasoning behind your behavior, and you can tell yourself that this knowledge will make all the difference. But in all likelihood, you're going to keep on doing the same old things. You'll still be the same person. You'll still cling to your destructive, debilitating habits because you emotional tie to them is so strong that the stupid things you are really the only things you've got that keep you centered and connected. They are the only things about you that you you.

Too many people are unaware that it is not outer events or circumstances that will create happiness; rather, it is our perception of events and of ourselves that will create, or uncreate, positive emotions.

I've grown up with an ethic, call it a part, that insists I hide my pain at all costs. As I talk, I feel this pain leaking out—not just the core symptom of BPD, but all the years of being blamed or ignored for my condition, and all the years I've blamed others for how I am. It's the pain of being told I was too needy even as could never get the help I needed.

We need this help from the outside because we don't know how to to do this for ourselves. We start with a deep deficit—a chasm really—when it comes to understanding and being tolerant of ourselves, and that's even before we go forth to do battle with the rest of the world. As soon as someone judges, criticizes, dismisses, or ignores, the cycle of pain and reactivity ramps up, compounded by shame, remorse, and rejection. The act of validation, simply saying, 'I can see things from your perspective,' can short-circuit that emotional detour.

The Four Noble Truths are pragmatic rather than dogmatic. They suggest a course of action to be followed rather than a set of dogmas to be believed. The four truths are prescriptions for behavior rather than descriptions of reality. The Buddha compares himself to a doctor who offers a course of therapeutic treatment to heal one’s ills. To embark on such a therapy is not designed to bring one any closer to ‘the Truth’ but to enable one’s life to flourish here and now, hopefully leaving a legacy that will continue to have beneficial repercussions after one’s death. (154)

Ironically, the word “borderline” has become the most perfect expression of my experience— the experience of being in two places at once: disordered and perfect.

Someone's got to do some more research, but I would really like to know: when a CBT therapist really gets distressed, who does he go see?

My mama always compared bad thoughts to a bird in a barn. If a bird flies into the barn, you can acknowledge that there’s a bird in the barn, but you don’t have to suddenly make a nest for it. Just let the bird fly in and it’ll eventually fly out.” Which is, in essence, cognitive behavioral therapy

Our thoughts have prepared for us the happiness or unhappiness we experience.

For many years now I have had the quaint idea that all humans-yes, the whole six billion of them on this planet-are out of their fucking minds.

my favourite emotions include 'brief calmness in good weather' and 'i am the only person alive

a kind of emptiness existed in the center of my bagel; really it was just the hole that's in the middle of all bagels; 'i need to go read my blog to find out what my politics are

Accepting a psychiatric diagnosis is like a religious conversion. It's an adjustment in cosmology, with all its accompanying high priests, sacred texts, and stories of religion. And I am, for better or worse, an instant convert.

note the similarities with buddhism a buddhist who has achieved nirvana is not sad primarily because it does not know the concept of sad [...]

From a distance,' he says, 'my car looks just like every other car on the freeway, and Sarah Byrnes looks just like the rest of us. And if she's going to get help, she'll get it from herself or she'll get it from us. Let me tell you why I brought this up. Because the other day when I saw how hard it was for Mobe to go to the hospital to see her, I was embarrassed that I didn't know her better, that I ever laughed at one joke about her. I was embarrassed that I let some kid go to school with me for twelve years and turned my back on pain that must be unbearable. I was embarrassed that I haven't found a way to include her somehow the way Mobe has.' Jesus. I feel tears welling up, and I see them running down Ellerby's cheeks. Lemry better get a handle on this class before it turns into some kind of therapy group. So,' Lemry says quietly, 'your subject will be the juxtaposition of man and God in the universe?' Ellerby shakes his head. 'My subject will be shame.

When a person is in emotional pain, it’s hard to be rational and to think of a good solution. Nevertheless, many of the coping strategies used by people with overwhelming emotions only serve to make their problems worse.

You must first consider that a human life is an ongoing process that involves a constantly changing physical body as well as an enormous number of rapidly changing thoughts, feelings, and behaviors. Your life therefore is an evolving experience, a continual flow. You are not a thing; that's why any label is constricting, highly inaccurate, and global.

Build a life worth living. I stare at this phrase on my ceiling every morning before I decide to get out of bed. I painted it a few years ago after completing a few months of dialectal behavioral therapy. It is a quote by Marsha Linehan, who created DBT. After therapy, I impulsively decided to paint it on my ceiling in black, as some sort of reminder to build a life worth living. I don’t regret painting it up there - well, not yet, at least.

So at family gatherings… I try to stick to the acceptable script. Indeed, I discover that the less I say, the happier everyone seems to be with me. I sometimes wonder if I wouldn’t have been better off as a paraplegic or afflicted by some tragic form of cancer. The invisibility and periodicity of my disorder, along with how often I border on normalcy, allows them to evade my need for their understanding. And because our most enduring family heirloom is avoidance and denial of pain and suffering, I don’t need much prompting to shut myself down in their presence.

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.

Men are not disturbed by things, but by the views which they take of them

I’ve read that, for some borderlines, the flip side of abandonment fear is the fear of engulfment. It’s another one of those “screwed if you do, screwed if you don’t” situations. All you want is love and belonging, and your very existence depends on it. But when you get it, you have no existence except that love; there’s still no you.

I want to thank each person who has the courage to push through and past the set of coping behaviors we’ve come to label as codependency—who learn what it means to take care of themselves. “Nobody taught me how to take care of myself,” a fifty-year-old woman told me recently. “I didn’t have enough money to go to therapy, but I had enough to buy a book.

Self-care is never selfish, but it may feel that way when you live a frenzied life.

I’m not interested in Bob Marley telling me to ‘lively up’ myself. The only music that satisfies me is Nine Inch Nails and Trent Reznor’s voice crying through industrial rhytms. In the August evenings, I lie on my bed with earphones, letting his laments roll through me like unrepentant thunderstorms. I envy the courage that carries his voice into the world. He doesn’t berate himself for pain and anger; he howls. And this delights me, even though I feel ashamed when my own rage comes to the surface. My anger doesn’t signify courage; it’s just more confirmation that I’m bad.

DBT's catchphrase of developing a life worth living means you're not just surviving; rather, you have good reasons for living. I'm also getting better at keeping another dialectic in mind: On the one hand, the disorder decimates all relationships and social functions, so you're basically wandering in the wasteland of your own failure, and yet you have to keep walking through it, gathering the small bits of life that can eventually go into creating a life worth living. To be in the desolate badlands while envisioning the lush tropics without being totally triggered again isn't easy, especially when life seems so effortless for everyone else.

as a teenager i experienced existential despair as an unsexy sensation of repressed orgasm in the chest; today i experience existential despair as a distinct sensation of wanting to lecture you on how i am better than you, without crushing your hopes and dreams

You have considerable power to construct self-helping thoughts, feelings and actions as well as to construct self-defeating behaviors. You have the ability, if you use it, to choose healthy instead of unhealthy thinking, feeling and acting.

My brain has always been my enemy, and I’ve spent much of the past decade warring against it, with therapy and razor blades and bad behavior, with precision-guided prescriptions that targeted specific regions.

Criticizing yourself all the time or being overly judgmental of a situation is like wearing dark sunglasses indoors.

We learn to become more empathic when we slow down, become present, and are fully committed to understanding another person’s uniqueness.

Awareness is the first step in rewriting old stories.

Great. I hate you; don’t leave me. That’s exactly what I feel with Bennet most of the time. Though more precisely it’s “I hate you, why don’t you leave your fucking ex-girlfriend?

Most therapy programs do little more than provide psychopaths with new excuses and rationalizations for their behavior and new insights into human vulnerability. They may learn new and better ways of manipulating other people, but they make little effort to change their own views and attitudes or to understand that other people have needs, feelings, and rights. In particular, attempts to teach psychopaths how to “really feel” remorse or empathy are doomed to failure.

If a child stays quiet in the context of extroverted friends, or even prefers time alone, a parent may worry and even send her to therapy. She might be thrilled— she’ll finally get to talk about the stuff she cares about, and without interruption! But if the therapist concludes that the child has a social phobia, the treatment of choice is to increasingly expose her to the situations she fears. This behavioral treatment is effective for treating phobias — if that is truly the problem. If it’s not the problem, and the child just likes hanging out inside better than chatting, she’ll have a problem soon. Her “illness” now will be an internalized self-reproach: “Why don’t I enjoy this like everyone else?” The otherwise carefree child learns that something is wrong with her. She not only is pulled away from her home, she is supposed to like it. Now she is anxious and unhappy, confirming the suspicion that she has a problem.

When faced with choosing between attributing their pain to “being crazy” and having had abusive parents, clients will choose “crazy” most of the time. Dora, a 38-year-old, was profoundly abused by multiple family perpetrators and has grappled with cutting and eating disordered behaviors for most of her life. She poignantly echoed this dilemma in her therapy: I hate it when we talk about my family as “dysfunctional” or “abusive.” Think about what you are asking me to accept—that my parents didn't love me, care about me, or protect me. If I have to choose between "being abused" or "being sick and crazy," it's less painful to see myself as nuts than to imagine my parents as evil.

The theory of economic shock therapy relies in part on the roleof expectations on feeding an inflationary process. Reining in inflation requires not only changing monetary policy but also changing the behavior of consumers, employers and workers. The role of a sudden, jarring policy shift is that it quickly alters expectations, signaling to the public that the rules of the game have changed dramatically - prices will not keep rising, nor will wages.

In my deepest contacts with individuals in therapy, even those whose troubles are most disturbing, whose behavior has been most anti-social, whose feelings seem most abnormal, I find this to be true. When I can sensitively understand the feelings which they are expressing, when I am able to accept them as separate persons in their own right, then I find that they tend to move in certain directions. And what are these directions in which they tend to move? The words which I believe are most truly descriptive are words such as positive, constructive, moving toward self-actualization, growing toward maturity, growing toward socialization.

psychedelic therapy creates an interval of maximum plasticity in which, with proper guidance, new patterns of thought and behavior can be learned.

Ask yourself if you’re taking the time to see beyond the surface.

I'm constantly searching for confirmation of his love for me, and each of his gestures and words, no matter how trivial, can either prove or disprove it.

A fundamental approach to life transformation is using social media for therapy; it forces you to have an opinion, provides intellectual stimulation, increases awareness, boosts self-confidence, and offers the possibility of hope.

I also think that human behavior is so mysterious and unpredictable that if you are not humble about it you are bound to be insensitive to a lot of the dilemmas and predicaments that people are facing.

he wants to know what will give me hope again. It’s the first time anyone has asked me that. “If I have hope, I’m only going to get crushed again,” I say tearfully. “If you could have anything in the world, what would it be?” he asks. “Love,” I say without a second’s hesitation. “But that’s the biggest setup of all.

Wisdom is achieved very slowly. This is because intellectual knowledge, easily acquired, must be transformed into ‘emotional,’ or subconscious, knowledge. Once transformed, the imprint is permanent. Behavioral practice is the necessary catalyst of this reaction. Without action, the concept will wither and fade. Theoretical knowledge without practical application is not enough.

that was bad; i shouldn't have done that to prevent you from entering a catatonic state i am going to maintain a calm facial expression with crinkly eyes and an overall friendly demeanor i believe in a human being that is not upset i believe if you are working i should not be insane or upset--why am i ever insane or upset and not working? i vacuumed the entire house this morning i cleaned the kitchen and the computer room and i made you a meat helmet with computer paper the opportunity for change exists in each moment, all moments are alone and separate from other moments, and there are a limited number of moments and the idea of change is a delusion of positive or negative thinking your hands are covering your face and your body moves like a statue when i try to manipulate an appendage if i could just get you to cry tears of joy one more time

Therapy that is focused on battling “irrational beliefs,” such as cognitive behavioral therapy (CBT), doesn’t work as well on Autistic people as it does on neurotypicals.[72] One reason for that is many of the fears and inhibitions of Autistic people are often entirely reasonable, and rooted in a lifetime of painful experiences. We tend to be pretty rational people, and many of us are already inclined to analyze our thoughts and feelings very closely (sometimes excessively so). Autistics don’t need cognitive behavioral training to help us not be ruled by our emotions. In fact, most of us have been browbeaten into ignoring our feelings too much.

People with OCD including myself, realize that their seemingly uncontrollable behavior is irrational, but they feel unable to stop it.

Happiness is not dependent on the good or bad opinion of others, but instead upon your actions.   It

If you’re living in the present...you only have to deal with what’s actually going on in that moment.

Doing good induces others to reciprocate.

Remember, sometimes pain can’t be avoided, but many times suffering can. Take,

When we give and receive empathy, transformation occurs.

People who help others on a regular basis are ten times more likely to be healthy than people who do not.

Behavior is basically the goal-directed attempt of the organism to satisfy its needs as experienced, in the field as perceived.

The trick is, don’t give in to the grief. Instead, I let myself feel it, embrace it, learn from it. In bed by 9:30, up at 7:00, breakfast, then off to school where I spend five mind-numbing hours living by the dictates of San Diego County’s Board of Education, the Western version of Mao’s Little Red Book.

If Mike convinces a woman to date him because he is dominant, the resulting relationship will be entirely different than if he had inspired this same woman to date him by convincing her that, through dating him, she could improve herself (though such dynamics might be ameliorated through therapy). One of the core reasons why people either end up in one bad relationship after another—or come to believe that all members of a certain gender have very constrained behavior patterns—is that they do not understand how different lures function (in male communities, this often manifests in the saying “AWALT,” which stands for “all women are like that”). These people do not realize that the lure they are using is creating those relationship dynamics and/or constrained behavior patterns. Talking with individuals who say guys or girls always act like X or Y feels like talking to a fisherman who insists that all fish have whiskers. When you point out that all the lures in his tackle box are designed specifically to only catch catfish, he just turns and gives you a quizzical look saying, “what's your point?

To help people achieve the three basic REBT philosophies of unconditional self-acceptance, unconditional other-acceptance, and unconditional life-acceptance, cognitive, emotional, and behavioral methods, which are described in this monograph, are used.

Even though I’d like to avoid the circumstance or situation, I will not. Avoidance behavior will only increase my anxiety. I will go ahead, experience the unpleasant feelings, and I’ll get through it.

I may have no emotional skin and come undone at the smallest interpersonal upset, but I’d make a great bullfighter or firefighter—anything that gets my adrenaline going and focuses me on a physical target. The motorcycle is all of that and more. When I’m on the bike, it feels like a door opens in my chest and the world rushes in, pure, fresh, and sparkling with clarity. It forces me to approach fear with total awareness and to pull reason mind into the moment of intense reactions.

There’s no reason, on paper at least, why I need these pills to get through life. I had a great childhood, loving parents, the whole package. I wasn’t beaten, abused, or expected to get nothing but As. I had nothing but love and support, but that wasn’t enough somehow. My friend Erin says we all have demons inside us, voices that whisper we’re no good, that if we don’t make this promotion or ace that exam we’ll reveal to the world exactly what kind of worthless sacks of skin and sinew we really are. Maybe that’s true. Maybe mine just have louder voices. But I don’t think it’s as simple as that. The depression I fell into after university wasn’t about exams and self-worth, it was something stranger, more chemical, something that no talking cure was going to fix. Cognitive behavioral therapy, counseling, psychotherapy—none of it really worked in the way that the pills did. Lissie says she finds the notion of chemically rebalancing your mood scary, she says it’s the idea of taking something that could alter how she really is. But I don’t see it that way; for me it’s like wearing makeup—not a disguise, but a way of making myself more how I really am, less raw. The best me I can be.

In my research, I have discovered practical, effective ways to do so. I’ll explain more in chapter 11, but for now let it suffice to say that you can modify your Emotional Style to improve your resilience, social intuition, sensitivity to your own internal emotional and physiological states, coping mechanisms, attention, and sense of well-being. The amazing fact is that through mental activity alone we can intentionally change our own brains. Mental activity, ranging from meditation to cognitive-behavior therapy, can alter brain function in specific circuits,

The cases described in this section (The Fear of Being) may seem extreme, but I have become convinced that they are not as uncommon as one would think. Beneath the seemingly rational exterior of our lives is a fear of insanity. We dare not question the values by which we live or rebel against the roles we play for fear of putting our sanity into doubt. We are like the inmates of a mental institution who must accept its inhumanity and insensitivity as caring and knowledgeableness if they hope to be regarded as sane enough to leave. The question who is sane and who is crazy was the theme of the novel One Flew Over The Cuckoo's Nest. The question, what is sanity? was clearly asked in the play Equus. The idea that much of what we do is insane and that if we want to be sane, we must let ourselves go crazy has been strongly advanced by R.D. Laing. In the preface to the Pelican edition of his book The Divided Self, Laing writes: "In the context of our present pervasive madness that we call normality, sanity, freedom, all of our frames of reference are ambiguous and equivocal." And in the same preface: "Thus I would wish to emphasize that our 'normal' 'adjusted' state is too often the abdication of ecstasy, the betrayal of our true potentialities; that many of us are only too successful in acquiring a false self to adapt to false realities." Wilhelm Reich had a somewhat similar view of present-day human behavior. Thus Reich says, "Homo normalis blocks off entirely the perception of basic orgonotic functioning by means of rigid armoring; in the schizophrenic, on the other hand, the armoring practically breaks down and thus the biosystem is flooded with deep experiences from the biophysical core with which it cannot cope." The "deep experiences" to which Reich refers are the pleasurable streaming sensations associated with intense excitation that is mainly sexual in nature. The schizophrenic cannot cope with these sensations because his body is too contracted to tolerate the charge. Unable to "block" the excitation or reduce it as a neurotic can, and unable to "stand" the charge, the schizophrenic is literally "driven crazy." But the neurotic does not escape so easily either. He avoids insanity by blocking the excitation, that is, by reducing it to a point where there is no danger of explosion, or bursting. In effect the neurotic undergoes a psychological castration. However, the potential for explosive release is still present in his body, although it is rigidly guarded as if it were a bomb. The neurotic is on guard against himself, terrified to let go of his defenses and allow his feelings free expression. Having become, as Reich calls him, "homo normalis," having bartered his freedom and ecstasy for the security of being "well adjusted," he sees the alternative as "crazy." And in a sense he is right. Without going "crazy," without becoming "mad," so mad that he could kill, it is impossible to give up the defenses that protect him in the same way that a mental institution protects its inmates from self-destruction and the destruction of others.

The manipulative behavior prompted by these expectations can also be seen in the general nonclinical population. These childish expectations and their consequent behavior deny us much of our dignity and self-respect as human beings. If we have the same expectations about ourselves as our manipulators do, we surrender to them our dignity and self-respect, the responsibility for governing our own existence, and the control over our own behavior.

Critical race Theory’s hallmark paranoid mind-set, which assumes racism is everywhere, always, just waiting to be found, is extremely unlikely to be helpful or healthy for those who adopt it. Always believing that one will be or is being discriminated against, and trying to find out how, is unlikely to improve the outcome of any situation. It can also be self-defeating. In The Coddling of the American Mind, attorney Greg Lukianoff and social psychologist Jonathan Haidt describe this process as a kind of reverse cognitive behavioral therapy (CBT), which makes its participants less mentally and emotionally healthy than before.60 The main purpose of CBT is to train oneself not to catastrophize and interpret every situation in the most negative light, and the goal is to develop a more positive and resilient attitude towards the world, so that one can engage with it as fully as possible.

Most therapy programs do little more than provide psychopaths with new excuses and rationalizations for their behavior and new insights into human vulnerability. They may learn new and better ways of manipulating other people.

Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.

I listed my triggers (carrot cake, deadlines, weight gain, mice, insomnia), studied relapse prevention, and learned dialectical behavioral therapy (DBT) skills, which I liked because you could apply them to life, not just recovery. My favorite was “Teflon mind,” where you imagine your brain being like nonstick cookware: negative thoughts just slide right off.

However, do not confuse distraction with avoidance. When you avoid a distressing situation, you choose not to deal with it. But when you distract yourself from a distressing situation, you still intend to deal with it in the future, when your emotions have calmed down to a tolerable level. The

Table 3–1. Definitions of Cognitive Distortions 1. ALL-OR-NOTHING THINKING: You see things in black-and-white categories. If your performance falls short of perfect, you see yourself as a total failure. 2. OVERGENERALIZATION: You see a single negative event as a never-ending pattern of defeat. 3. MENTAL FILTER: You pick out a single negative detail and dwell on it exclusively so that your vision of all reality becomes darkened, like the drop of ink that colors the entire beaker of water. 4. DISQUALIFYING THE POSITIVE: You reject positive experiences by insisting they “don’t count” for some reason or other. In this way you can maintain a negative belief that is contradicted by your everyday experiences. 5. JUMPING TO CONCLUSIONS: You make a negative interpretation even though there are no definite facts that convincingly support your conclusion. a. Mind reading. You arbitrarily conclude that someone is reacting negatively to you, and you don’t bother to check this out. b. The Fortune Teller Error. You anticipate that things will turn out badly, and you feel convinced that your prediction is an already-established fact. 6. MAGNIFICATION (CATASTROPHIZING) OR MINIMIZATION: You exaggerate the importance of things (such as your goof-up or someone else’s achievement), or you inappropriately shrink things until they appear tiny (your own desirable qualities or the other fellow’s imperfections). This is also called the “binocular trick.” 7. EMOTIONAL REASONING: You assume that your negative emotions necessarily reflect the way things really are: “I feel it, therefore it must be true.” 8. SHOULD STATEMENTS: You try to motivate yourself with shoulds and shouldn’ts, as if you had to be whipped and punished before you could be expected to do anything. “Musts” and “oughts” are also offenders. The emotional consequence is guilt. When you direct should statements toward others, you feel anger, frustration, and resentment. 9. LABELING AND MISLABELING: This is an extreme form of overgeneralization. Instead of describing your error, you attach a negative label to yourself: “I’m a loser.” When someone else’s behavior rubs you the wrong way, you attach a negative label to him: “He’s a goddam louse.” Mislabeling involves describing an event with language that is highly colored and emotionally loaded. 10. PERSONALIZATION: You see yourself as me cause of some negative external event which in fact you were not primarily responsible for.

Time and again, I have asked myself why therapy works for some people while others remain the prisoners of their symptoms despite years of analysis or therapeutic care. In each and every case I examined, I was able to establish that when people found the kind of therapeutic care and companionship that enabled them to discover their own story and give free expression to their indignation at their parents’ behavior, they were able to liberate themselves from the maltreated child’s destructive attachment. As adults they were able to take their lives into their own hands and did not need to hate their parents. The opposite was the case with people whose therapists enjoined them to forgive and forget, actually believing that such forgiveness could have a salutary, curative effect. They remained trapped in the position of small children who believe they love their parents but in fact allow themselves to be controlled all their lives by the internalized parents and ultimately develop some kind of illness that leads to premature death. Such dependency actively fosters the hatred that, though repressed, remains active, and it drives them to direct their aggression at innocent people. We only hate as long as we feel totally powerless. I

In projecting onto others their own moral sense, therapists sometimes make terrible errors. Child physical abusers are automatically labeled “impulsive," despite extensive evidence that they are not necessarily impulsive but more often make thinking errors that justify the assaults. Sexual and physical offenders who profess to be remorseful after they are caught are automatically assumed to be sincere. After all, the therapist would feel terrible if he or she did such a thing. It makes perfect sense that the offender would regret abusing a child. People routinely listen to their own moral sense and assume that others share it. Thus, those who are malevolent attack others as being malevolent, as engaging in dirty tricks, as being “in it for the money,“ and those who are well meaning assume others are too, and keep arguing logically, keep producing more studies, keep expecting an academic debate, all the time assuming that the issue at hand is the truth of the matter. Confessions of a Whistle-Blower: Lessons Learned Author: Anna C. Salter. Ethics & Behavior, Volume 8, Issue 2 June 1998 p122

To learn theory by experimenting and doing. To learn belonging by participating and self-rule. Permissiveness in all animal behavior and interpersonal expression. Emphasis on individual differences. Unblocking and training feeling by plastic arts, eurythmics and dramatics. Tolerance of races, classes, and cultures. Group therapy as a means of solidarity, in the staff meeting and community meeting. Taking youth seriously as an age in itself. Community of youth and adults, minimizing 'authority.' Educational use of the actual physical plant (buildings and farms) and the culture of the school community. Emphasis in the curriculum on real problems and wider society, its geography and history, with actual participation in the neighboring community (village or city). Trying for functional interrelation of activities.

Because cells are surrounded with a lipid membrane, essential oils are attracted to and able to penetrate the cell membrane to deliver nutrients to the cell nucleus.[103],[104],[105],[106],[107] This suggests that essential oils can affect cell function and behavior, thus influencing overall well-being. At the same time, the aroma of the essential oil that is inhaled travels to the limbic system where a cascade of psychophysiological effects is triggered in response.

In the course of therapy, we often witness clients’ capacities to report abuse stories with intellectualized, detached demeanors. And they are quick to add disclaimers that minimize their experiences such as “It wasn’t so bad,” “I probably deserved it anyway,” “I know my parents did the best they could,” “It didn’t have any negative effect on me,” or “That was a long time ago, and it can’t be relevant to my life now.” Many clients expend tremendous amounts of energy disavowing traumatic or abusive histories, believing that revisiting old feelings and thoughts will keep them stuck or are irrelevant to who they are today.

I’m going to recommend a simple framework for evaluating and changing your behavior based on a combination of cognitive-behavioral therapy and ancient Stoic practices. It consists of the following steps: 1. Evaluate the consequences of your habits or desires in order to select which ones to change. 2. Spot early warning signs so that you can nip problematic desires in the bud. 3. Gain cognitive distance by separating your impressions from external reality. 4. Do something else instead of engaging in the habit.

When clients relinquish symptoms, succeed in achieving a personal goal, or make healthier choices for themselves, subsequently many will feel anxious, guilty, or depressed. That is, when clients make progress in treatment and get better, new therapists understandably are excited. But sometimes they will also be dismayed as they watch the client sabotage her success by gaining back unwanted weight or missing the next session after an important breakthrough and deep sharing with the therapist. Thus, loyalty and allegiance to symptoms—maladaptive behaviors originally developed to manage the “bad” or painfully frustrating aspects of parents—are not maladaptive to insecurely attached children. Such loyalty preserves “object ties,” or the connection to the “good” or loving aspects of the parent. Attachment fears of being left alone, helpless, or unwanted can be activated if clients disengage from the symptoms that represent these internalized “bad” objects (for example, if the client resolves an eating disorder or terminates a problematic relationship with a controlling/jealous partner). The goal of the interpersonal process approach is to help clients modify these early maladaptive schemas or internal working models by providing them with experiential or in vivo re-learning (that is, a “corrective emotional experience”). Through this real-life experience with the therapist, clients learn that, at least sometimes, some relationships can be different and do not have to follow the same familiar but problematic lines they have come to expect.

For people who are depressed, and especially for those who do not receive enough benefit from medication of for whom the side effects of antidepressants are troubling, the fact that placebos can duplicate much of the effects of antidepressants should be taken as good news. It means that there are other ways of alleviating depression. As we have seen, treatments like psychotherapy and physical exercise are at least as effective as antidepressant drugs and more effective than placebos. In particular, CBT has been shown to lower the risk of relapsing into depression for years after treatment has ended, making it particularly cost effective.

For example, in order to identify these schemas or clarify faulty relational expectations, therapists working from an object relations, attachment, or cognitive behavioral framework often ask themselves (and their clients) questions like these: 1. What does the client tend to want from me or others? (For example, clients who repeatedly were ignored, dismissed, or even rejected might wish to be responded to emotionally, reached out to when they have a problem, or to be taken seriously when they express a concern.) 2. What does the client usually expect from others? (Different clients might expect others to diminish or compete with them, to take advantage and try to exploit them, or to admire and idealize them as special.) 3. What is the client’s experience of self in relationship to others? (For example, they might think of themselves as being unimportant or unwanted, burdensome to others, or responsible for handling everything.) 4. What are the emotional reactions that keep recurring? (In relationships, the client may repeatedly find himself feeling insecure or worried, self-conscious or ashamed, or—for those who have enjoyed better developmental experiences—perhaps confident and appreciated.) 5. As a result of these core beliefs, what are the client’s interpersonal strategies for coping with his relational problems? (Common strategies include seeking approval or trying to please others, complying and going along with what others want them to do, emotionally disengaging or physically withdrawing from others, or trying to dominate others through intimidation or control others via criticism and disapproval.) 6. Finally, what kind of reactions do these interpersonal styles tend to elicit from the therapist and others? (For example, when interacting together, others often may feel boredom, disinterest, or irritation; a press to rescue or take care of them in some way; or a helpless feeling that no matter how hard we try, whatever we do to help disappoints them and fails to meet their need.)

Even you, the professional helper, often mistaken for the enlightened Guru or Staretz, can become lost in your thoughts that you must be competent without fault. You may become enthralled with your identity as a professional, even the pressures of the culture of mastery that expects you to heal your clients without fail. Never mind all of the variables over which you have no control, it is up to you, according to the canons of mastery, to control the health and well-being of those for whom you provide professional care. This potentiates a furthering alienation between you and your clients. You are at risk to become, if you have not already, the one who does to your clients; to be the one the active subject acting upon the passive and receptive objects, your clients; to be the one in possession of special knowledge, technique and mastery. All of this conspires to coax or coerce you into treating your client as reduced, a mere case. Unawareness to these influences gives you little chance to consider their influence on your practice in the clinical setting, much less give attentive efforts to resist or change them.

... the silent client may be experienced as withholding, oppositional, and sulking or as holding the therapist "hostage" in ways that elicit resentment and other negative responses. Because it is not unusual that relational and other forms of traumatization began when the client was preverbal, he or she may not have words. The lack of access to emotions or to words to describe them is known as alexithymia and is a common response to trauma. What the client is likely to have instead is somatosensory, behavioral, dissociative, and relational manifestations that therapists must seek to understand and translate into words, a process that involves hard work and intense focus.

our ability to feel our feelings as they move as energy through our body with our ability to talk about what we feel. We can sit in therapy, tell sad stories, and talk about feeling sad without ever having the bodily experience of sadness. Psychology has historically focused too much on cognition and behavior while neglecting the process that underlies them both: emotion. But current neuroscientific research reveals emotion (also called affect in the scientific literature) as the central driver behind why we are the way we are, and how we develop and heal.2 We now know that most psychopathology, or mental illness, is the result of the inability to effectively regulate emotion.

The hamster friend said being able to do front rolls didn't make the hamster as good as Bruce Lee, which was not a true statement and not an untrue statement, because the word 'good' is meaningless until defined within a context and a goal, and hamsters when enjoying the company of other hamsters rarely define or think about contexts and goals, because to do so would make them aware of certain things about the universe that would make them feel a kind of emptiness or 'neutrality of emotion' that is usually desirable only in situations where the hamster wants to stop his or her self-perpetuating cycle of negative thinking, in order to fight severe depression or crippling loneliness. In a situation of severe depression or crippling loneliness caused by a period of time of uncontrollable negative thinking this 'kind of emptiness'--effected by an understanding (of the arbitrary nature of the universe) that is attained by thinking comprehensively about context, goals, and meaning--can be used to neutralize the hamster's automatic and self-perpetuating pattern of negative thoughts, at which point the hamster can form new thoughts, that will cause new behaviors, that will cause new patterns of thought, with which the hamster can better function in life and in relationships with other hamsters.

People with an entertaining rigid structure are brought up in environments in which the parents are uncomfortable with expressing feelings. This is not to say that the parents do not care, but they do not express feelings like affection, warmth, and caring or feel comfortable with expressing such feelings (Keleman). The experience within the family is not one of intimacy and true interchange of feeling. To contend with the situation, the child may learn to draw out the parents by being cute, entertaining, or charming. Although being charming is something most children do naturally to some extent, the difference in the case of people with an entertaining rigid structure is that this becomes the primary mode of relating. Furthermore, the entertaining rigid structure pattern is reinforced as the parents respond primarily to the child's charm, rather than to their own feelings. Therefore, such children effectively learn that they will not get the reaction they crave without using that behavior. At the same time, these children are also developing or have developed a discomfort with intimacy that is similar to that of their parents. As a result, people with an entertaining rigid structure as adults act out this pattern in which they are energized or emotionally fed by being able to cause another person to be attracted to them, but they become anxious if the person becomes too close or expresses "real" feeling. Love is what they are really craving, and they think they are getting it, but are not. In other words, they have mistaken the energy of attraction for love.

If you are reading this book, a clear betrayal has probably happened in your life. Chances are that you have also bonded with the person or persons who have let you down. Now here is the important part: You will never mend the wound without dealing with the betrayal bond. Like gravity, you may defy it for a while, but ultimately it will pull you back. You cannot walk away from it. Time will not heal it. Burying yourself in compulsive and addictive behaviors will bring no relief, just more pain. Being crazy will not make it better. No amount of therapy, long-term or short-term, will help without confronting it. Your ability to have a spiritual experience will be impaired. Any form of conversion or starting over only postpones the inevitable. And there is no credit for feeling sorry for yourself. You must acknowledge, understand and come to terms with the relationship.

Follow your doctor’s orders. For me that means antidepressants and behavioral therapy. Exercise thirty minutes a day, six days a week. Get sunlight, or if you can’t, use light therapy. Do not overuse your light therapy lamp even though you want to. Treat yourself like you would your favorite pet. Plenty of fresh water, lots of rest, snuggles as needed, allow yourself naps. Avoid negativity. That means the news, people, movies. It will all be there when you’re healthy again. The world will get on without your seeing it. Forgive yourself. For being broken. For being you. For thinking those are things that you need forgiveness for. Those terrible things you tell yourself? Can you imagine if the person you love most were telling themselves those things? You’d think they were crazy. And wrong. They think the same about you. Those negative things you are thinking are not rational. Remember that depression lies and that your brain is not always trustworthy. Give yourself permission to recover. I’m lucky that I can work odd hours and take mental health days but I still feel shitty for taking them. Realize that sometimes these slow days are necessary and healthy and utterly responsible. Watch Doctor Who. Love on an animal. Go adopt a rescue, or if you can’t, go to the shelter and just snuggle a kitten. Then realize that that same little kitten that you’re cradling isn’t going to accomplish shit but is still wonderful and lovely and so important. You are that kitten. Get up. Go brush your teeth. Go take a hot shower. If you do nothing else today just change into a new pair of pajamas. It helps. Remember that you are not alone. There are crisis lines filled with people who want to help. There are people who love you more than you know. There are people who can’t wait to meet you because you will teach them how unalone they are. You are so worthy of happiness and it will come.

I immersed myself in my relationship with my husband, in little ways at first. Dutch would come home from his morning workout and I’d bring him coffee as he stepped out of the shower. He’d slip into a crisp white shirt and dark slacks and run a little goop through his hair, and I’d eye him in the mirror with desire and a sultry smile that he couldn’t miss. He’d head to work and I’d put a love note in his bag—just a line about how proud I was of him. How beautiful he was. How happy I was as his wife. He’d come home and cook dinner and instead of camping out in front of the TV while he fussed in the kitchen, I’d keep him company at the kitchen table and we’d talk about our days, about our future, about whatever came to mind. After dinner, he’d clear the table and I’d do the dishes, making sure to compliment him on the meal. On those weekends when he’d head outside to mow the lawn, I’d bring him an ice-cold beer. And, in those times when Dutch was in the mood and maybe I wasn’t, well, I got in the mood and we had fun. As the weeks passed and I kept discovering little ways to open myself up to him, the most amazing thing happened. I found myself falling madly, deeply, passionately, head-over-heels in love with my husband. I’d loved him as much as I thought I could love anybody before I’d married him, but in treating him like my own personal Superman, I discovered how much of a superhero he actually was. How giving he was. How generous. How kind, caring, and considerate. How passionate. How loving. How genuinely good. And whatever wounds had never fully healed from my childhood finally, at long last, formed scar tissue. It was like being able to take a full breath of air for the first time in my life. It was transformative. And it likely would save our marriage, because, at some point, all that withholding would’ve turned a loving man bitter. On some level I think I’d known that and yet I’d needed my sister to point it out to me and help me change. Sometimes it’s good to have people in your life that know you better than you know yourself.

I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk." "Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist. "Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself." Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him. "Bob, I'm afraid our time's up," Smith said in a matter-of-fact style. "Time's up?" I exclaimed. "I just got here." "No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?" "I remember everything. I was just telling you that these sessions don't seem to be working for me." Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?" "No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..." "No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you." "You're kidding?" "No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then." Robert This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood. Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it? To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem." The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.