Things in The Body. Andrey Ermoshin
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Название: Things in The Body
Автор: Andrey Ermoshin
Издательство: Издательские решения
Жанр: Медицина
isbn: 9785005350947
isbn:
Though it is possible to talk as well
However, I must note that there is no need to impose a rather closed, non-objective language of body sensations, when a person calls for an open conversation on existential topics and the balance of their state is not in doubt. Indications for SPT method are very wide, but not unlimited. It is the way to restore the resource of a person. It is needed in almost 100% of cases, but it is not the only thing that the patient may need. Thus, the psychotherapist is not obliged to use the methods of SPT always and everywhere.
We will continue to talk about situations where the balance of the human condition still raises doubts.
The ending – to the beginning
With the time, the phase of communication between the doctor and the patient, conventionally called the “relaxation phase’, became increasingly valuable. I learned to perceive it as a kind of goal, the culmination of the process of psychotherapy,
I once noticed that I was not at all inclined to talk to a patient. Of course, I mean «conversation of minds.» Taking into consideration the importance of the influence of affective charges on a patient’s thinking, I found out that it made sense to «talk to the boss’ (unconscious), in the words of M. Erickson, and not with subordinates (thoughts of conscious mind).
It was easier to find «the boss’ by the sensations in the patient’s body.
The direct appeal to the sensations from the very beginning of the work marked the opening of a unique opportunity to change the state directly, without talking (in the usual meaning of this word). The old formula «conversation – relaxation – conversation’ was replaced by a new one: «relaxation – conversation – relaxation’.
The idea, that the analysis of the patient’s circumstances was usually given an exaggerated value, began to strengthen. In fact, not these circumstances are so important, but how the patient «stands’ in them. It is important to help a person to take a different position in relation to the circumstances, to find another their state. The further is the matter of their own life.
The second phase became the first. Conversations began to start with the analysis of a condition, instead of a situation. Somatopsychotherapy is an exceptional care for the patient’s condition.
Separation of the concepts of “patient’s condition’ and “patient’s problem’
Often the conversation with the therapist flows into the area of discussion of the patient’s problems. I think this is a minimally productive approach. But firstly, let us define what there is besides the patient’s problems.
«The patient’s problem’ is what makes the body react. The perceived information about the situation inside or outside the body, deviates from the optimal. So, the persons consider the restoration of its optimality to be their vital task. This is the basis for their concern.
What is meant to solve the problem is the patient’s state. This is the life resource, the certain configuration of sensations in the body.
Perceptions of situations and responses to them vary widely. What is a difficult problem for one, is nothing for the other; when ones react with all their beings the others can stay completely indifferent. This observation makes you think about the initial state in which a person perceives the situation, evaluates it and forms a reaction to it. The constitutional and genetic factors, the early history of the individual and so on, play an important role in the formation of the patient’s state. It is important that by the time of the meeting with the psychotherapist, the result of the life of this particular person (with his genes, personal history and education) is presented in the form of a state with a certain configuration of internal sensations.
Temperature above 39 degrees
There is a number of situations when the patient’s condition itself (for example, tension) is a problem. As the temperature in case of inflammation goes above 39 degrees. The increase in temperature is natural, of course, but not to such an extent.
Entering the psychotherapeutic room, the patients do not always know what they did it for: in order to solve their problems, or to change their condition. (The third option is the question of how to constructively apply their condition to the problematic situations without changing it a lot). In fact, the problems of the patients are solved outside the therapeutic room. They come here to rate their state of mind in which they try solving the problems and to optimize it.
Psychocatalysis of body sensations is a method of changing the patients’ state and restoring their resources. It is not about solving their problems, unless, we consider the state of their health a special problem. In this case it is a «metaproblem’, the solution of which determines the solution of all other problems.
Separation of the concepts of “psychotherapy’ and “exchange of experience’
It is known that some psychotherapists, including the most authoritative, like M. Erickson or A. Alexeichik, did not shy away from acting as advisers to their patients. There is nothing unnatural in it: a wise person shares with the other one, who is not so wise, their life experience, possibilities, and the program of actions. Such advice of the psychotherapist is distinguished by the fact that it is given technically, “with the special approach’. The instructions remain in the patient’s mind until their full implementation… But it is not psychotherapy – it is an exchange of experience in solving different problems between the experienced and inexperienced persons. The same applies to psychological “problem’ counseling.
We are going to talk about psychotherapy, about helping to change the patient’s state. With such an approach the problems of life will go beyond the brackets. In the field of our study there will be only living beings themselves. The question will be only the following: in what state do they live? In what state do they solve their problems? One of the basic beliefs of the SPT is that it is good to solve problems when the one who solves them is a calm state – which is consistent with the position expressed by Freud: responsible decisions should be taken only after analysis.
The main concern of a somatopsychotherapist is to find what the patients’ resources, their energy, and their attention are being spent for. The work of a SPA therapist can be compared with the work of a prospector. The golden nuggets, that they extract, are the «petrified emotions.» The fact, that they look more like coal, should not be embarrassing. «Gold’, hidden in this ore, is the priceless energy of life, like human life itself is.
Not in blind
Activation of “moving sensations’, such as described in the case of the twelve-year-old boy, is quite common both in the states of “psychic genesis’ and somatic disorders. It is always surprising, delighting and reassuring when the body itself specifies and solves all the issues.
Typically, the sensations themselves are mostly «blind’. СКАЧАТЬ