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
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There are two main questions in the diagnostic phase: WHERE and WHAT.
“Obstetricians’
Socrates, with his “skill of midwife’, more than 2000 years ago showed the effectiveness of asking in a philosophical conversation: “People, when being asked right questions, decide themselves what is necessary…12». The discovery of the role of questions as “birth attendants’ is perhaps as significant in the field of interpersonal communication as the discovery of the wheel in technology.
The effectiveness of questioning, instead of stating, was noticed by many wonderful masters not only in philosophical circles but also by the medical «maieutic’. (The Socratic Method, also known as maieutic is a form of cooperative argumentative dialogue between individuals, based on asking and answering questions to stimulate critical thinking and to draw out ideas).
I mean not just ancient the Zen Buddhist teachers with their unanswerable questions («How does one-palm clap sound?»), or the Sufi sages, or Orthodox saints, who, by asking questions, revealed the «soul problems’ of their disciples, spiritual children, no worse than a surgeon with a scalpel reveals ulcers. I am also talking about the masters of psychotherapy.
It would be difficult to describe their work here. After all, even a benevolent silence, a willingness to encourage and to support the mental movement of a patient is also a kind of a question – silent and at the same time the deepest one. «Tell me anything you want.» When I talk about such silence, I mean the empathic acceptance of Carl Rogers, creating a space for safe expression of a client, or a «gap’, the willingness to patiently wait for the manifestations of a patient’s activity, of Arnold Mindell, as a fisherman waits for a bite13. A question creates an area of negative pressure that is ready to take into its form what it is waiting to be let out. The task of a psychotherapist is to model capacities for meaning.
Questions are a natural part of the life process
We are going to talk about the questions that people can ask their body, but I have no doubt that the body itself is able to ask questions. In particular, with the help of dreams. Wakefulness is the “answer’ to dreaming. The dream poses a problem and real life serves its solution. You can say the opposite: a dream is a response to wakefulness. The life itself is questions and answers.
Psychotherapy and somatopsychotherapy, as part of our life, does not invent anything unnatural, it does not deal with something artificial. It only cleanses and gives patronage to everything natural.
The terms «facilitation’ and «amplification’ are well known. I use the term «psychocatalysis’. The fact, that psychocatalysis applies to the inner body sensations, became an important opening of the Russian school of BEST by E. I. Zuev and the basis of the development of this «question’ therapy.
«Ask me questions,» a patient often says, dropping themselves into a therapist’s chair (as if surrendering»). Who will do it, how will it be done, and what for?
The Key question
We can say that each system of psychotherapy has its own key question. (This does not automatically mean that it works by questions – and yet…)
The question of clinical psychotherapy: dynamics of what constitutional genetic type manifests itself in the experiences and events of this person’s life?
The question of psychoanalysis: when, under what circumstances, what affection of Id and prohibition by Super-Ego encountered in Ego and provoked the complex?
The question of Jungian therapy: what kind of distortion in the conscious life of the patient makes their subconscious mind «to take measures to equalize the situation» and «what exactly should a person do to regulate their relationship with the unconscious?14»
The question of Gestalt therapy: what is the need of the body which makes the «figure’ now, what is the «background’, what prevents the Gestalt from «closing’, what unfinished actions prevent a person from living «here and now’?
The question of NLP: in what modalities and submodalities there is the information that affects a person, how they «manage’ to be upset or, on the contrary, spirited. And so on.
The SPT question
At the diagnostic phase of SPT, a charge that deranges the patient’s consciousness focusing the energy of the body on itself (the substance “heat-heaviness’) is found.
The question that helps to find to this «charge’ is usually very simple: where is the sensation associated with a particular episode of life, with a particular fragment of a dream, with a particular picture, which the patient drew on the instructions of the doctor? At the level of head, chest, abdomen, or anywhere else? Is it something big, small, light, or dark? What is it «made of’? And so on.
Below we will take a closer look at the options of talking to patients, depending on how they declare their problem.
In fact, SPT offers the patients to think about a simple thing: how are their sensations distributed when they solve this problem? Or simply: how are their sensations distributed? Is there anything that disturbs the optimal distribution of sensations in the body? Is anything missing to feel good?
Where does the heat in the arms and legs reach? Are there any uncomfortable sensations concentrated at the level of an area of the body?
I will allow myself a short historical excursus.
Do not wait for any hair to appear on a tortoise shell
Before somatopsychotherapy I had a few years of practice in clinical psychotherapy.
What are its obvious advantages? Firstly, it is the interest in the constitutional and genetic basis on which certain mental processes are developed. A clinical psychotherapist at the first stage of communication with a patient finds out the specific features of the mentality of the latter, and at the last stage they help a patient to see the world as a meeting of different forms of life, each of which has their own purpose. The ultimate achievement of successful clinical work is the patient’s inner peace and tranquility based on self-acceptance as a certain natural entity, endowed with their own character, accepting others as well! «Do not wait for any hair on the shell of a tortoise,» says Taoist wisdom, quite «clinical’ in its essence). This is a substantial part of the work of a clinical psychotherapist, but I would like to draw your attention to something else.
“Storytelling’
A clinical psychotherapist pays much attention to the baseline state in which the communication between a doctor and a patient takes place. Even the most correct messages can be received by the patients only when they have a free resource for this. The fact is that their resources are mostly spent on tension and neurotic experiences.
Johann СКАЧАТЬ
Losev A. F. Essays on ancient symbolism and mythology. – M.: Thought, 1993, p. 418.
See: Mindell E. Psychotherapy as a spiritual practice. – M: Independent firm «Class», 1997, pp. 84— 101.
Jung, C. G. Synchronicity. Collector. – Moscow: Refl-Buk, K.: Vakler, 1997, p. 13.