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Therapist's Guide to Clinical Intervention - Sigmund Freud

Therapist's Guide to Clinical Intervention - Sigmund Freud

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Steps <strong>to</strong> Successful<br />

Refraining<br />

For example:<br />

THINKING DISTORTIONS<br />

if labeled stubborn independent or persistent<br />

greediness ambitious<br />

anger loving concern<br />

When a behavior is labeled negatively ask the following questions:<br />

1. Identify a situation which typically produces uncomfortable or distressing<br />

feelings.<br />

2. Try <strong>to</strong> become aware of what you au<strong>to</strong>matically focus on during the situation.<br />

3. What are you feeling and thinking?<br />

To challenge the long-term negative labeling ask the following questions:<br />

1. Is there a larger or different context in which this behavior has positive value?<br />

2. What else could this behavior mean?<br />

3. How else could this situation be described?<br />

1. To understand and accept an individual's belief that perceptions about a<br />

problem situation can cause emotional distress.<br />

2. To become aware of what is au<strong>to</strong>matically attended <strong>to</strong> or focused on in problem<br />

situations. You can use imagery or role paying <strong>to</strong> reenact situations <strong>to</strong> become<br />

more aware of what thoughts and feelings are present. When you identify your<br />

perceptions and feelings you will be able <strong>to</strong> be prepared for the next step.<br />

3. Identification of alternative perceptions. Generally this means <strong>to</strong> attend <strong>to</strong> other<br />

features of the situation that have a positive or neutral connotation. The<br />

reframe must fit, be acceptable <strong>to</strong> the individual, and at least as valid as the<br />

perception they are reframing.<br />

4. Modifying the perceptions in a problem situation are designed <strong>to</strong> break the old<br />

patterns by creating new and more effective reframes. This requires<br />

commitment and practice.<br />

5. Homework using real-life situations and recording it in your journal will<br />

reinforce desired change(s). The experience, perception with associated<br />

thoughts, feelings, and responses, and the chosen reframe (it may be helpful <strong>to</strong><br />

list several possible alternative reframes).<br />

1. All-or-Nothing Thinking. You see things in black and white categories.<br />

If your performance falls short of perfect, you see yourself as a <strong>to</strong>tal<br />

failure.<br />

2/8 3. Skill-Building Resources for Increasing Social Competency

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