CombatCounselor

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Welcome to CombatCounselor Chronicle, an E-zine dedicated to giving you the most current, pertinent information on cognitive behavioral therapy (CBT) and mindfulness-based CBT available.

Chris Sorrentino, a.k.a CombatCounselor, is a leader and expert in cognitive behavioral therapy. He combines 30 years of experience in psychology with the discipline from having served as a U.S. Air Force officer for 20 years, 4 of those in combat zones, retiring as a lieutenant colonel in 2005.

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Wednesday, November 16, 2011

Institutional Terrorism: The “Good Ol’ Boys Network” at Work

Institutional Terrorism:
The “Good Ol’ Boys Network” at Work

By Chris T. Sorrentino, MS, LPC, NCC

Chris Sorrentino is a combat and disabled veteran, retired military officer, and licensed professional counselor.  He was an Assistant Professor of Behavioral Sciences and Leadership and Counselor at the United States Air Force Academy from 1988 to 1993  and has over 30 years of experience and education in clinical psychology and mindfulness-based cognitive-behavioral therapy.  He is the author of You Think, You Are…Anxious: A Journey from Avoidance to Acceptance, the first installment in the You Think, You Are series and is the creator of Body-Mind-Behavior Therapy (BMBT).

Jerry Sandusky, Penn State’s long-time defensive coordinator, has been exposed long after an alleged 2002 child molestation incident, and several others apparently, and Penn State’s legendary coach, Joe Paterno, has been fired. Moreover, this is just the tip of the iceberg.
Apparently, “Stand-Up” Joe (Paterno), as he is affectionately known by the student-body, did not stand-up and do the right thing when one of his former players, a graduate assistant at the time, approached him with news of a ten year old boy having been molested in a shower at Penn State University by Sandusky in 2002. Sandusky’s alleged attacks apparently go back to the mid-90s and continued long after he was reported to Paterno and the Penn State Athletic Director.  I will not go into the details of the allegations because that is not the subject of this story. This is merely one example among thousands that occur in this country each year where innocent people are harmed and the institutions sworn to protect them stand by and do nothing…what I call “Institutional Terrorism”.

The Penn State cover-up reminds me of a similar case in the Diocese of Kansas City and St. Joseph, Missouri, very recently in the news for similar allegations. Catholic Bishop Robert W. Finn and the Kansas City-St. Joseph Diocese have been indicted by a grand jury on a charge of failure to report suspected child abuse by one of the diocese’s priests. This Class A misdemeanor carries a potential sentence of up to one year in jail and a fine up to $1,000 for the bishop. Finn reportedly failed to notify the police regarding the sex abuse of a minor by one of the priests in his diocese after having been made aware of the situation in December of 2009. According to the Huffington Post, Finn is the highest-ranking Catholic clergyman ever to be indicted on criminal charges in a court of law in the United States.  As I will discuss later, this is only one example of Bishop Finn’s propensity to cover-up for one of his own, also known as (a.k.a.) the “good ol’ boys network”, even when he knew his subordinates had done wrong.

As a retired military officer and licensed professional counselor for over 20 years, I have seen and heard of numerous incidents over the years where individuals have been abused, harassed, bullied, discriminated against, then ignored, ostracized or retaliated against for having the audacity to come forward to protect themselves or to file a complaint against their aggressors.

The United States of America has been in a “War with Terror” since September 11th, 2011, a war with an invisible enemy and a relatively small number of casualties worldwide, comparatively speaking. The U.S. has spent billions and sacrificed the lives of thousands of men and women in the armed forces to wage this war, yet we are no closer to a conclusion than we were ten years ago. 

Institutional terrorism is a term I use to define what our nation’s corporations, institutions, and bureaucracies (large organizations) are doing to their workers when they abuse, harass, bully, or discriminate against them or tolerate the illegal or unethical treatment to occur without any repercussions to the offenders. Thousands, possibly hundreds of thousands or more, of our citizens are being tormented every day by an abuser, bully, “control freak”, sadist, or micro-manager, so much so that the stresses caused by these perpetrators result in illness, mental anguish (anxiety and depression), and even suicide or murder (as in going “postal”). What are the other costs? Not just the emotional costs the victims must face night after night, morning after morning, but the real costs related to sick days, medical treatment, administrative time, legal fees, and court costs brought about by their perpetrators? We are talking about billions of dollars annually, and those are just the monetary costs.

All public and private institutions in our country are required by law to treat the people within their organizations fairly and without animus based on their race, religion, gender, national origin, age, sexual orientation, veteran status, and other protected categories. The laws which protect these people include Title VII of the Civil Rights Act of 1964, which prohibits employment discrimination based on race, color, religion, sex, or national origin; the Equal Pay Act of 1963, which protects men and women who perform substantially equal work in the same establishment from sex-based wage discrimination; and the Age Discrimination in Employment Act of 1967 among others. However, the penalties for not complying with these laws are considered “civil” infractions, not “criminal” acts and those found guilty are given a “slap on the wrist” in the form of monetary compensation to the victim by a jury, if it ever gets that far. Even then, these large organizations have high-priced lawyers defending them, scaring away complainants whom rarely have the resources to fight back, and insurance policies to “pay off” the claims if they are, in-fact, ever held accountable in a court of law.

Having defined institutional terrorism and discussed how our laws (fail to) protect workers and others covered under these statutes, I will now elaborate on a few such cases and provide a synopsis of what I believe needs to be done to put an end to these practices. 

Victim #1 is in a helping profession, a generally tolerant, easygoing, empathic person and it is normally quite difficult to ruffle his feathers. Having spent many years in the military, several of them in combat zones, he has also learned to be very patient, respectful of others, and loyal to his superiors and to the organization in which he works.

In December of 2007, Victim #1 and his wife were traveling from their home in Colorado Springs, Colorado to visit Florida with the intention of possibly relocating.  He had told an old and dear friend who lives in a large Midwestern metropolitan area that they would be passing through, so his friend was gracious enough to invite them to stay at their home for the night, which happened to be Christmas Eve. This man had been Victim #1’s commander while assigned to the NATO headquarters in Naples, Italy and, beside being his former boss, they had become very good friends. Who else would invite you to spend Christmas Eve and morning with him and his family, right?

To make a long story short, on Christmas eve, as they sat around the fire having a glass of wine, His friend asked Victim #1 if he would be interested in moving to the area because he had an opening for a purchasing manager in his company. His friend had become the president of a subsidiary of one of the nation’s largest construction companies after retiring from the Army a few years before and was in a position to offer Victim #1 a quite tempting and lucrative offer.

After quite a bit of deliberation, Victim #1 and his wife decided the offer was too good to turn down even though they had no desire to move to the Midwest. He had a cursory interview for the job shortly thereafter, was hired, and moved 600 miles to the area in March 2008. Sounds wonderful, does it not? In such a friendly Midwestern city, what could possibly go wrong?

Well, Victim #1 was bullied, harassed, and threatened by his new thirty-something MBA of a boss from the very beginning, putting up with it for over a year before approaching his friend (his boss’s superior) to discuss the problem. To Victim #1’s utter amazement and dismay, his “friend” threw Victim #1 out of his office, not wanting to even listen to his side of the story. Victim #1 went immediately to human resources (HR) to fill them in on what was going on. He filed a formal complaint against his immediate supervisor a few days later.

Victim #1 had thought that his good friend would never believe the word of such a rude and unprofessional person over that of an old friend and fellow military officer. Friendship is an important bond, one that cannot be broken except in the most extreme circumstances, but officership, the bond between fellow military officers, is one that Victim #1 thought was insurmountable and unbreakable. His “friend” had broken both of those bonds and Victim #1 was devastated.

Once he filed the complaint, the retaliation commenced. The very day he visited HR for the first time, his ex-friend approached him and asked, “So, are you going to resign”? Victim #1 told him that he had no intention to resign and that he (his ex-friend) was picking the wrong side. In addition, the very day he filed the complaint with HR, Victim#1 was brought into an office with his bosses and a representative from HR and, after having been a model employee for over a year, receiving a promotion and a substantial bonus in recent months, Victim #1 was given a written performance plan. Suddenly it was his behavior that was in question, not his boss’s.

It was obvious what was happening in the weeks that followed with Victim #1’s supervisors, including his ex-friend, scrutinizing everything Victim #1 did on a micro-level, bringing him into meetings and lambasting him for one thing or another, even in front of subordinates. He complained to HR about the retaliation, but it was obvious that they would not interfere with the “good ol’ boys network” within the company. His ex-friend was too powerful and had chosen whom he would support. Not knowing what his rights were and psychologically beaten, Victim #1 resigned from his lucrative position after just 15 months, during the worst recession since the great depression, rather than be subjected to the daily torment he had been subjected to for so many months.

Victim #2 had a secure position in one of the “best” school districts in the city. Having been lured from Colorado Springs, she had given up a well-paid tenured position for an excellent salary in this highly respected school district. Victim #2’s principal, who was also new to the school and uninvolved in her hiring, made it obvious from the beginning of year one that she did not like Victim #2, treating her coldly and differently than she did all of the other teachers (who happened to be fair-haired, blue-eyed, and fair- skinned for the most part). I will also point out that there was not a single minority out of 35 full-time employees in the entire school. Year one seemed to go well even though Victim #2 was routinely treated rudely by her principal.

However, at the beginning of year two, it was obvious that something had changed. A little over a month into the school year, Victim #2’s principal decided to put her on a performance plan, even though she had been a model educator for 17 years without a single blemish on her record. I cannot go into details because Victim #2’s discrimination and retaliation case has not yet gone to trial, but she was terminated illegally for filing a lawful complaint based on national origin discrimination (she is an Italian citizen).

The school district supported the perpetrators of the discrimination, performing a cursory investigation at best before finding that “no discrimination” had occurred (one of the perpetrators actually performed the initial  investigation). Of course, they would say that, not admitting publicly that one of their own had been negligent. The superintendent and school board even refused to hear Victim #2’s appeals in order to protect their employees from further unwanted public scrutiny. Fortunately, the teacher’s union was involved from the very beginning, sitting in on every meeting between Victim #2 and the district and supporting her 100 percent. She has a solid case and one of the best discrimination lawyers in the city on her side, but the worst that can happen to the district and the perpetrators is a financial judgment against them. Their insurance company will probably end up paying a majority of the costs once Victim #2, hopefully, prevails.

In July 2010, Victim #3 was attacked in what he thought was a safe haven, the university he attends as a post-graduate student. By the way, Victim #3 is a Phi Kappa Phi Honor Society scholar with a 4.0 GPA in four semesters in the School of Education and a 96 percent average in his courses. Victim #3 is also a non-traditional student being over 50 and a military (disabled) veteran.

He filed a complaint against an instructor in July 2010 for possible discrimination on a course project on which he was graded drastically different (lower) than his classmates for no apparent reason. His advisor, a woman of color, accepted the complaint on behalf of the university, the investigation was mediated within the School of Education, and both sides were satisfied with the result. His advisor did make a strange comment at the end of their first meeting on the issue, stating, “I hope you learned something from this”, as if he, the victim, should learn something from being treated differently and discriminated against? He sent an email to his advisor noting the inappropriate nature of her comment, but thought little more about it.

In May 2011, Victim#3’s advisor called him into a meeting and accused him, without warrant, of acting “aggressive and threatening” in email communications with faculty. He noted that he was surprised by such an accusation and when he asked for specific examples of such behavior, his advisor could provide not a single example, saying “it’s just a perception” (that’s what people apparently say when they want to demean or accuse a person and have no evidence to substantiate their claims). His advisor then threatened his status in the program, telling him that she did not think he had the ability to complete the program successfully, even though Victim #3 is a high-ranking retired military officer, highly decorated war veteran, and Phi Kappa Phi scholar. After doing a little research, it turned out that his advisor was friends with the instructor Victim #3 had filed the complaint against in July 2010, having done research, written papers for journals, and presented at conferences together on several occasions.

When Victim #3 filed a complaint of retaliation and discrimination with the university’s Office of Affirmative Action against his advisor, he was met with resistance from the beginning. Having officially accepted the complaint, they gave him the email runaround for over a week, even insulting him, comparing him to those who had discriminated and retaliated against him (in an email inadvertently sent to him and meant for the Chancellor’s Chief of Staff). The Deputy Chancellor for Diversity, Access and Equity finally decided that Victim #3 had no basis for a complaint because he “had not followed proper procedures” and refused to investigate his legitimate complaint when, in fact, he had followed university policies to the letter.

Having nowhere to appeal within his university, Victim #3 appealed to the president of the state university system, his chancellor’s boss. Even the president of the university refused to acknowledge his complaint until it was sent certified mail, return receipt (signature required) with copies going to the victim’s U.S. senator and representative, state senator, Missouri Department of Higher Education, and the governor as well as several local media agencies (television and print). Since the acknowledgment of receipt of his complaint by the president’s assistant over three months ago, Victim #3 has not heard a single word from anybody, including his elected officials. In the interim, he was forced to withdraw from courses two semesters in a row, being only two semesters shy of graduation, because his complaint has not been successfully resolved. Victim #3’s principles prohibit him from attending an institution that treats people the way this institution has done and will not pay another cent in tuition, even if that means not graduating, which seems highly likely at this point. It is amazing that a public institution of this size and stature, a state university, is not held accountable for their actions when they fail to enforce the very diversity policy and U.S. laws they are sworn to uphold.

Victim #4’s church has joined the list of organizations that could not care less about human beings, protecting their own at all costs.  Having gone through a very difficult two years financially (and emotionally), Victim #4 and his wife started businesses to try to make ends meet. Their only option, to try to salvage their lives from financial ruin, was to start businesses in their respective areas of interest and expertise.

Because they were struggling financially, the only way they could give back to their (Catholic) church was through the donation of time and services, and they had been attempting to do so for several months. They attempted to contact the business manager of their parish on several occasions, offering  thousands of dollars worth of their services to the needy. Having been ignored for months, they wrote an email to the manager explaining their situation, but they received a reply from the parish priest, not the business manager. Instead of getting answers to their questions and concerns, the response from the priest was superficial, defensive, and insulting. He defended his business manager’s behavior, indicating that Victim #4 was incorrect in his assessment of the situation. 

Victim #4 decided to write back, telling the priest he was confused and disappointed by his response. Two weeks passed without a word, so Victim #4 decided to take it to the next level, sending an email to the bishop of the diocese (with all previous messages attached), again explaining what he wanted to accomplish and expressing his disappointment with the response from his priest. He told the bishop (this is the same bishop, Bishop Finn, who is now being investigated for covering up knowledge of a pedophile priest and indicted) what had happened and, again, the bishop missed the mark, defending the parish priest instead of offering a simple apology and solution to the situation.

Once again, the diocese protected one of their own instead of doing the right thing, admitting to a mistake, and trying to resolve the problem professionally and amicably. Bishop Finn obviously has a history of covering-up for and protecting his own as is obvious in the charges against him for covering-up for the pedophile priest.

Finally, Victim #5’s business advertisements (postcards) were approved by his local YMCA’s general manager to be placed in their “vendor” area, providing several customers and hundreds of dollars in business revenue each month.  The ads were left “mostly” undisturbed for over a year, having been located in the same exact spot during that entire time.  Various business owners, who felt they could displace the ads with their own any time they pleased, had vandalized the postcards from time to time during that period. In May 2011, Victim #5’s advertisements were once again displaced by another business’s, so Victim #5 complained to YMCA staff. The staff, including the general manager, all of whom appeared defensive, saying they “didn’t have time” to manage business advertisements, seeming  perturbed by the complaint. Oddly, the postcards suddenly started to disappear in bulk (50 or more at a time) and when Victim #5 asked a staff member what had happened to the cards, he was  informed that the general manager had removed them.

Victim #5 brought the matter to the attention of the general manager, but she appeared to care less, giving him the impression that she was in-fact behind the vandalism and petty theft of the cards.  The victim’s business is a service-disabled veteran-owned small business by the way.  Having mentioned the problems to management on numerous occasions, they seemed to care less, appeared to not want to be bothered, and in-fact appeared resentful and even hostile at times.

Getting no assistance or resolution from YMCA staff, Victim #5 decided to file a report with the local police department and sent a letter of complaint (certified mail with return receipt/signature) to the YMCA Board of Directors, asking them to have their staff refrain from stealing postcards and treating him (a service-disabled veteran business owner) differentially from other business owners.  Nearly six months have passed and the YMCA Board of Directors has yet to either acknowledge or respond to his official complaint against YMCA staff. He has since removed his business’s advertisements and the businesses are, unfortunately, closing due to lack of clientele and some additional assistance from the local YMCA.

Does anybody deserve the kind of treatment these victims have been subjected to? Absolutely not! Does it happen? You bet it does and these victims are not alone. Discrimination laws in this country are a joke. As I mentioned earlier, there is no criminal penalty for discrimination or retaliation. I had thought it was a crime to discriminate until just recently. However, discrimination and retaliation cases, when they proceed to trial, are heard in “civil” court, not “criminal” court.

It is not a crime to discriminate and nobody goes to jail for mistreating people based on color, national origin, religion, veteran status, or other protected categories. The worst that happens is a slap on the wrist. If an organization is found negligent, their insurance company usually ends up paying the bill. Most cases are swept under the rug and never heard about because the insurance companies settle with the victims before it can go to trial, avoiding negative media exposure and possible internal sanctions.

If you have not figured it out yet, you may be surprised to know that I am Victim #1, 3, 4, and 5 and my wife is Victim #2.  This has been the story of our lives over the past three years. Having spent nearly 25 percent of my 20 year military career in combat zones, being shot at by Bosnian-Serb snipers in Sarajevo, the target of Serbian artillery while fighting for the liberation of Kosovo, and on an aircraft targeted by Al Qaeda surface-to-air missiles while in Saudi Arabia shortly after 9/11 while supporting Operation ENDURING FREEDOM, I have never in my life been the target of such unwarranted, ruthless, and needless attacks as we have since moving to Kansas City, Missouri in 2008.

As I said earlier, we are not alone and this is a huge problem in our nation. Many thousands of citizens and non-citizens are being abused, bullied, harassed and discriminated and retaliated against while the bureaucracies their aggressors work for turn their heads the other way, covering up for the corporate elite and refusing to do the right thing.

Joe Paterno and Bishop Finn could have stopped needless sexual abuse had they come forward immediately and reported the offenders as is required by law, but the institutions they represent let the offenders continue their abuses in the name of protecting their own and their institution’s “good” name. Whether it is child abuse, sexual abuse, bullying, harassment, discrimination, or retaliation, if an institution covers-up an offense, whether criminal or civil, they are not acting in the public interest, they are acting in their own interest.

As I see it, being not just an expert in human behavior, but a management and leadership expert as well, the many difficulties we are experiencing as a society stem from a lack of accountability as well as a lack of clarity regarding our values. Let me explain briefly.

First, individuals are not held accountable within organizations because to admit wrongdoing when a complaint of abuse, harassment, bullying, or discrimination is lodged against an employee, is to admit that the institution is culpable. I have seen it repeatedly that the powers that be refuse to protect the victim, siding with the aggressor in order to save face and avoid possible litigation and responsibility.

Because bullying, harassment, discrimination and retaliation are civil crimes at the very worst, they are swept under the table until the victim navigates a complex web of requirements and deadlines in order to file a case, often without the assistance of a lawyer.  Why no lawyer? Because the legal profession will not lift a finger until they see “dollar signs” and, by then, it is often too late because the victim had missed one step or strict deadline along the way, negating the validity of the case in the eyes of the law.

Did you know that if you are discriminated against, you have just 180 days (in most states), only 6 months, after the alleged offense to file a formal complaint or you lose your right to justice? Even then, you must follow the institutions complex policies to the letter, then filing with the appropriate state agency (e.g. Human Rights Commission) or the Equal Employment Opportunity Commission (federal).  Until these laws are changed, making them criminal rather than civil offenses, and the aggressors, as well as those who cover-up those offenses, are held accountable, going to jail when appropriate, these institutions will continue to hide their atrocities as was recently the case at Penn State and in Kansas City’s Catholic diocese.

Second, individuals and institutions have lost touch with their values, if they ever had any in the first place. I have seen it repeatedly in my practice; people do not have a clue what their core values are. That is why my therapy, Body-Mind-Behavior Therapy (BMBT) focuses on values clarification and living a value-driven life. Without clearly defined values, it is impossible to set clear, just, and attainable goals. These institutions have lost touch with what it means to do the right thing, even if it means making themselves look bad or turning-in one of their own when they have done wrong.

Until many more Americans and American institutions start holding their people accountable and stop giving “lip service” to their core values, starting to make decisions based on them instead, our country is going to continue to deteriorate. We see it more and more very day. Bernie Madhoff, Elliot Spitzer, Enron, AIG, Bank of America, Joe Paterno, Bishop Finn, the list goes on and on, people and institutions will do practically anything and crush anybody that gets in their way in the name of self-preservation, preserving the status quo…“the good ol’ boys network”.

Chris Sorrentino is host of the weekly series, CombatCounselor Q&A, on YouTube’s CombatCounselor Channel, airing Saturdays at 11:00 AM CSTThis series answers viewer’s questions, taking them through ten steps toward better mental health while incorporating his proprietary, holistic, cognitive-behavioral approach to the treatment of anxiety and depression known as Body-Mind-Behavior Therapy (BMBT).  Chris also plans to write a series of books, the You Think, You Are series, focusing on the role of cognition, physiology (e.g. diet, exercise, and sleep), behavior (positive and negative), and emotion in maintaining a healthy mind and positive lifestyle. You can follow Chris on Twitter @CombatCounselor or read his blog, CombatCounselor, on Blogspot.

COPYRIGHT © 2011-2014 – C.T. Sorrentino and 3rd Wave Publishing – All Rights Reserved


Sunday, November 13, 2011

Is Penn State Cover-up INSTITUTIONAL TERRORISM?

Penn State cover-up another example of INSTITUTIONAL TERRORISM and the "good ol' boys network" Penn State cover-up another example of INSTITUTIONAL TERRORISM and the "good ol' boys network" at work. Here's another http://t.co/Lg4AtCW7
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CombatCounselor Q&A Episode 3

Watch the latest episode and stay tuned for more, every Saturday at 11AM CST, on the CombatCounselor Channel.
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Wednesday, November 9, 2011

Watch The CombatCounselor Channel on YouTube ... Over 500,000 Views!

CombatCounselor During Kosovo Operations - March 1999

                         

CombatCounselor with the first-ever Czech Republic NATO airlift
mission in Skopje, Macedonia during Operation ALLIED FORCE

Title: Watch The CombatCounselor Channel on YouTube ... Over 500,000 Views!

Key Words:  "CombatCounselor Q and A" "The CombatCounselor Channel" series "Body-Mind-Behavior Therapy" questions viewers show Twitter CombatCounselor YouTube, 

Saturday, October 29, 2011

Your "Self"

How you perceive your "self" is a fluid process & not necessarily accurate. It is the accumulation of acts & behaviors which define "you".
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Thursday, October 27, 2011

"To be" in Italian is "essere" from the Latin root "esse" and is defined as "Being". Are you "Doing" or "Being"? Before you go to bed each night, reflect on your day and note the things you did that brought you closer to your values, then plan tomorrow in a value-based way.

For more information and DAILY INSPIRATIONS, follow me at hhtp://www.Twitter.CombatCounselor, you'll be glad you did!
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Saturday, October 15, 2011

Healing and the Mind with Bill Moyers



Mindfulness and Chi in Healing and the Mind, a video series by Bill Moyers.
In the series, Mr. Moyers explores Eastern beliefs such as the concept of Chi, the energy which flows throughout the body which, when interupted, can cause illlness.  Tai Chi, accupuncture, massage, and mindful meditation are a few of the ancient forms used to balance Chi and explored in the series.


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Thursday, October 13, 2011

Comment on Show on Psychic Frauds - Anderson (10-13-2011)

Mr. Cooper,

It is ridiculously clear that the average American does not have a clue what a "qualified" counselor/psychotherapist is. One of your guests mentioned "certification" being a determinant, but licensing is the real issue here.  The woman (who pays $30K per year) stated that she does not go to a "real" therapist because she does not want to be judged.  Licensed, certified psychotherapists DO NOT JUDGE people and, if they do, they do not deserve to be licensed. Licensed, certified psychotherapists SHOULD take an entirely non-judgmental stance and objectively help clients solve their problems based on years of education and experience.

It's not only the psychic mediums, healers, and the like who are scamming the public, "life coaches" are the latest frauds bilking naive individuals into believing they are qualified to help you solve your problems. A life coach gets a "certificate" (which isn't actually required because they, life coaches, are not recognized by any state) in a couple hours to a couple days, many times by filling out a form online and paying some money.
You may want to consider doing the American public a service by doing a show what to look for when looking for a "qualified" counselor/therapist. Psychiatrists, psychologists, licensed professional counselors, and licensed clinical social workers MUST complete a graduate degree (master's or higher), complete a practicum and internship (usually one year each), complete a minimum of 3,000 hours of supervision (under a qualified, licensed therapist), and pass a national exam, as well as a background check, before receiving a license (which is required BY LAW in all states to practice psychotherapy).  For example, I have been licensed (CO and MO) AND certified (National Board of Certified Counselors) for over 20 years, completing a MINIMUM of 20 hours of continuing education each year (required by the states and NBCC), and I only charge $125 per hour.  If your guest was my client and I saw her once a week for a year (my clients rarely need more than 12-14 sessions), she would have paid $6,500 (not $30,000) and may have been able to be reimbursed by her insurance company (I do not accept insurance) by filing a claim.  Insurance companies DO NOT reimburse psychics or life coaches because THEY ARE NOT QUALIFIED to help you.  Most life coaches are out of work MBAs or other unemployed people trying to make a quick buck with little, if any, training requirements.  It is a very lucrative business.  This is not only a disservice to unsuspecting consumers, it takes business away from qualified clinicians and MAY EVEN CAUSE HARM.  My ethical code (a non-existent entity in the world of psychics and life coaches), requires me to, above all else, DO NO HARM to my clients and I take that requirement very seriously.

If you would like to read and learn more, visit my blog at http://combatcounselor.blogspot.com/2011/03/client-beware-protecting-yourself-from.html. You can also visit my website, www.kccbt.com or follow me on Twitter @CombatCounselor for more information that is RELIABLE.
Stop the ignorance and pain these frauds are causing to unknowing, undereducated consumers, not to mention the financial hardship they cause by making people pay large sums for their UNLICENSED services.

Thank you for getting the dialogue going by exposing psychic frauds.  Now, take it a step further by educating people about what to look for when they need psychological help. Within the realm of licensed psychotherapists, there are some questionable "modes" of treatment available, so a license is not the only thing required to make sure you get what you are paying for, but that is an entirely different story.

Thanks...CombatCounselor

Monday, September 12, 2011

StayTheCourse

StayTheCourseTM: "The ability to focus on & ACT in accordance with your values at all times, but particularly during times of great stress."

Chris Sorrentino, LtCol, USAF (Ret)
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BeResilient

BeResilientTM: "Ensure that your body & mind are well nourished & rested, preparing you for optimal resourcefulness when difficulties arise."

Chris Sorrentino, LtCol, USAF (Ret)
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StayPresent

StayPresentTM: "The ability to focus nonjudgmentally on the present moment, giving you the presence of mind to ACT in a value-driven manner."

Chris Sorrentino, LtCol, USAF (Ret)
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Saturday, June 18, 2011

Introduction to Body-Mind-Behavior Therapy (BMBT)

Many of us have suffer from anxiety or depression, yet are still looking for a solution. Whatever you have been doing must not be working or you would not still be looking for answers.
Maybe you have been looking in the wrong places! Maybe you have been focusing on changing the "content" of your life (words, thoughts, emotions) instead of the "context", the part you actually have control over when it comes to internal problems (e.g. cognition...your thoughts).

My upcoming book, "You Think, You Are...Anxious: A Journey from Avoidance to Acceptance", explains my proprietary approach to psychotherapy, integrating traditional cognitive behavioral therapy (CBT) with mindfulness-based CBT, called Body-Mind-Behavior Therapy (BMBT)

In BMBT, we focus first on what your BODY is telling us in terms of proper exercise, diet, and sleep as well as those internal sensations that "set-off" your anxiety or depression. Next, we focus on the MIND, teaching you how to be mindful in the present moment, accepting thoughts and emotions, and changing the "context" of how you relate to your thoughts rather than changing the thoughts themselves. Finally, BEHAVIOR becomes the target by clarifying your values, setting achievable goals, and making a commitment to taking action toward achieving those goals.

The result of BMBT is not another "quick fix", but a new way of life where you are mindful of the moment and ACT based on your values, rather than avoiding the things that you fear or make you sad.

Visit my YouTube channel and  send me a message, telling me about your problem, what you have tried to do to fix it, and what result you would like to achieve:


You may be one of the lucky viewers who has their issue addressed personally by CombatCounselor.

Good luck!

Monday, June 13, 2011

Finally, A Therapy That Makes Sense...and Works – Acceptance and Commitment Therapy


 by

Chris Sorrentino, LPC, NCC

             Coming from a primarily cognitive-behavioral background, I am quite happy to see “the third wave of behavior therapy” (Hayes, 2004, p.16), as Hayes and others have called it, emerge to address some of the missing links, so to speak, of a somewhat strict and inflexible cognitive-behavioral approach to treatment.  This third wave of therapies, including Acceptance and Commitment Therapy (ACT – pronounced as a word, not an acronym) and Dialectical Behavior Therapy (DBT – Linehan, 1993), focus on mindfulness and acceptance, both of which are influenced by the traditions and practice of Zen Buddhism.  I have used meditation in my own life for quite some time and, while integrating this practice with what I know about cognitive-behavioral theory and methods, have found it quite effective in dealing with the day-to-day stresses of life in general.  I will now focus on ACT in general and the readings specifically to elaborate on my reactions to the philosophy of Functional Contextualism, Relational Frame Theory (RFT), and ACT as a treatment modality. 

            Having read Walser and Westrup’s text (2007) on ACT for Post-Traumatic Stress Disorder on a couple of occasions, I still did not have a good grasp of ACT and how it functioned as a therapy.  It was a bit too fuzzy for me until I read Hayes (1999) book and the assigned reading by Blackledge (2007).  Blackledge was able to state the concept of cognitive defusion in such a way that it really made sense to me for the first time.  He used relevant and creative examples, explaining the concept in simpler terms than Hayes had done previously.  He also expanded on defusion techniques (e.g. the I-Here-Now concept and violation of speech parameters) in a way that really made me understand the role of context in language and how defusion (and context) play a role in the, very behavioral, application of exposure in ACT.  It was kind of an “ah hah” moment for me that really made me understand what Hayes and others have been trying to say for so long, that you can use some very behavioral techniques in a context of total acceptance to reduce anxiety and other problematic emotions.  Blackledge (2007) also helped me understand RFT much better than Walser and Westrup (2007) or even Hayes (1999 & 2004) have tried to do.  Maybe Hayes has become so enmeshed with his theory and understands it on such a complex level that it is difficult for him to explain in easily understandable terms.  In any case, the Blackledge article was an excellent choice and really helped me understand ACT in general and cognitive defusion in particular much better than I have in the past.

            The Blackledge and Hayes (2001) article is quite informative, helping clarify the connection between language, experiential avoidance, cognitive defusion, and exposure in ACT.  It also helps clarify the difference between ACT and CBT, where thoughts emotions, and memories are simply accepted as such rather than trying to modify them as is done in the cognitive model.  The fact that language and rule-governed behavior are additive in the sense that what we have experienced (behavior, thoughts, emotions, memories, etc.) can never be eliminated, makes me think that a contextual, acceptance-based approach may be a way to get the mind to create positive, novel, experience-based memories founded on acting in accordance with personal values.  The vignette, although rather brief and somewhat simplistic, was a good illustration of ACT at work and helped clarify some of the concepts and techniques of the therapy.  After reading the two Blackledge articles (2001 & 2007) specifically, I have a much greater understanding of and appreciation for ACT and am quite excited about the possibilities this type of approach offers to clinicians and clients alike.  ACT is a treatment approach that can be applied to a diverse number of people and disorders, and is blind to cultural influences in the sense that the therapist accepts the client as they are and helps them establish values that are consistent with their culture of origin, personal experience, and unique view of the world.

Eifert et al (2009) described their protocol for working with anxiety disorders, which they call the Act for Anxiety program.  In their program, they introduce value and goal related work much earlier in the process than Hayes (1999 & 2004) has described.  Hayes has noted that the therapeutic steps in ACT are fluid and can be shuffled or adapted based on the experience of the therapist and the needs of the client, but I think it may be a little early in treatment (no later than session 3 according to the authors) to focus on values and goals.  Since they are proposing a 12-session treatment protocol, I would think that focusing on the skills involved in addressing creative hopelessness, cognitive defusion, and self as context would provide a better foundation for value and goal work than vice versa.  Additionally, in session four and five, they propose an “acceptance of anxiety exercise” where clients are “encouraged to make full contact with the experience of anxiety” (Eifert et al, 2009, p. 373).  I doubt that the client will have a solid enough grasp of mindfulness and acceptance at this point in therapy to allow them to experience the kind of therapeutic exposure required for a successful outcome.  It seems far too early for such an intervention and could possibly do more harm than good at this point in treatment.  I also found it confusing when they later referenced “getting ready to face anxiety with mindfulness acceptance” in relation to the goals of sessions six and seven (Eifert et al, 2009, p. 374).  If clients are expected to make full contact with the experience of anxiety in sessions four and five, what is the difference in how it addressed in sessions six and seven?  

            Which brings me to the article by Forman et al (2007) and the randomized controlled trial (RCT) involving ACT and Cognitive Therapy (CT).  The subjects may have been randomly assigned to treatment, but to call this a “controlled” trial is, to put it mildly, a bit of a stretch of the imagination.  First, if you want to compare your treatment (in this case ACT) to the “gold standard” (CT), you probably should not start out by bashing cognitive therapy.  On one hand, they site all of the outcome studies pointing to the efficacy of CT, but, on the other hand, consequently site the research that points to a “lack of consistent support for postulated cognitive mechanisms of CT” (Forman et al, 2007, p. 774).  When they cited the research supposedly showing the effectiveness of ACT, the authors quickly pointed out that all of the studies lacked an active comparison group and were conducted by researchers with an allegiance to ACT, not a very convincing argument.  The therapists used in the trial who were trained in ACT also received six hours of additional training (50 percent more) when compared to the therapists trained in CT, so they would probably be more competent than those providing CT.  Therapist allegiance was also (supposedly) controlled by “asking” the therapists (before they entered the study and knew little about either ACT or CT) which treatment they thought would have better outcomes, so that control goes out the window.  So, in the end, the authors determined that ACT was as effective as CT, which they stated in the beginning of the article was not very effective to begin with.  If you want to compare your treatment option to another model, you should probably say nice things about the comparison if you want to sway readers into accepting your proposal.

            Finally, Hayes et al (2006) did an excellent job of laying out the framework for ACT, explaining the basic philosophy, principles, and processes in a succinct and easily understandable manner.  I really don’t have much else to say other than the fact that they point out an inconsistency I have noticed in Hayes’ other works (1999 & 2004).  Hayes developed ACT as a therapy and began research back in the 1980s, but did not develop the philosophy (Functional Contextualism) and theory (Relational Frame Theory) until the late 1990s and early 2000s.  Even though I think ACT in general is quite thought provoking and even a possible breakthrough in how we approach human suffering, it concerns me that the philosophy and theory were developed to explain the treatment approach.  It’s the old chicken or egg (or cart before the horse) analogy all over again.  I am not saying that ACT is not a valid treatment modality because of this switch, I am only saying that I believe ACT would have more credibility (to me anyway) if the philosophy and theory had been developed or hypothesized first.

References
Blackledge, J.T. (2007). Disrupting verbal processes: Cognitive defusion in Acceptance and Commitment Therapy and other mindfulness-based psychotherapies. The Psychological Record, 57, 555-576.

Eifert, G.H., Forsyth, J.P., Arch, J., Espejo, J., Keller, M., and Langer, D. (2009).  Acceptance and Commitment Therapy for anxiety disorders: Three case studies exemplifying a united treatment protocol. Cognitive and Behavioral Practice, 16, 368-385.

Forman, E.M., Herbert, J.D., Moitra, E., Yeomans, P.D., and Geller, P.A. (2007). A randomized controlled trial of Acceptance and Commitment Therapy and Cognitive Therapy for   anxiety and depression. Behavior Modification, 31 (6), 772-799.

Hayes, S.C. and Blackledge, J.T. (2001). Emotion regulation in Acceptance and Commitment   Therapy. Psychotherapy in Practice, 57 (2), 243-255.

Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., and Lillis, J. (2006). Acceptance and             Commitment Therapy: Model, process and outcomes. Behaviour Research and Therapy,             44, 1-25.

Hayes, S.C., Strosahl, K.D., and Wilson, K.G. (1999). Acceptance and Commitment Therapy:      An Experiential Approach to Behavior Change. New York, NY: The Guilford Press.

Hayes, S.C. and Strosahl, K.D. (Eds.). (2004). A Practical Guide to: Acceptance and         Commitment Therapy.  New York, NY: Springer Science+Business Media, LLC.

Linehan, M.M., (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder.  New York, N.Y: Guilford Press.

Walser, R.D. and Westrup, D. (2007). Acceptance and Commitment Therapy for the Treatment     of Post-Traumatic Stress Disorder and Trauma Related Problems: A Practitioners Guide         to Using Mindfulness and Acceptance Strategies. Oakland, CA:  New Harbinger     Publications, Inc.


Sunday, April 24, 2011

A Cognitive Behavioral Critique of Time-Limited Dynamic Psychotherapy


 by

Chris T. Sorrentino, LPC, NCC

             Some of the younger readers haven’t had this experience, but 20 to 30 years ago, theories of personality in general and treatment methods specifically were stovepiped or, as Rudyard Kipling would say “never the twain shall meet” (Kipling, 1889).  According to one of my old textbooks, Personality,  by Jerry M. Burger (Burger, 1990), there was the psychoanalytic camp including the likes of Erikson, Horney, and Fromm, the trait theorists such as Allport, Cattell, and Eysenck, the humanists with Maslow and Rogers taking the lead, the behavioral/social learning group which included Skinner, Bandura, and Rotter, and, finally, the new kids on the block, the cognitive bunch led by Kelly, Mischel, and Ellis (although Beck and Meichenbaum were also quite well known by this time).  The various theories and their clinical applications were extremely diverse and scientists, as well as clinicians, were passionately dedicated to their particular favorite.  Over the past 30 years, I have seen an extraordinary evolution of these theories and their applications.  Today, there is so much overlap and similarity between theories and methods that it’s getting harder and harder to see the difference between them, on paper at least.
            Levenson (2003) discusses, on several occasions, the similarities between Time-Limited Dynamic Psychotherapy (TLDP) and the cognitive-behavioral model.  Levenson states “Not only psychoanalysis but other theories as well are increasingly incorporating interpersonal perspectives, for example, cognitive therapy, behavior therapy, and gestalt therapy (p. 303).  She went on to say that “Modern cognitive theorists voice analogous perspectives when they talk about interpersonal processes that lead to experiential disconfirmation” (p. 307) and “The second goal of providing a new understanding focuses more specifically on cognitive changes than the first goal just discussed, which emphasizes more the affective–behavioral arena” (p. 308).  Originating in the psychodynamic camp, TLDP today looks very little like the psychoanalysis of old, having embraced an eclectic treatment approach that focuses on interpersonal factors and a directive, here and now approach while moving away from insight, interpretation, and a very non-directive approach to uncovering the repressed psychosexual conflicts of long ago.  Hip-hip-hooray!  Unfortunately, once again, there wasn’t a lot of information in the readings related to treatment methods and techniques, so I hope we will be discussing this more in class.

           Aaron Beck’s concept of the “schema” (Beck and Clark, 2010) is not much different then Greenberg’s concept of the “scheme” (Greenberg et al, 2004).  Levenson (2003) also discusses the “interpersonal schema” and “schemata” on several occasions, but never really defines the concept in depth.  In fact, she quotes Goldfried and Newman (1986), who said:

A number of contemporary writers have independently suggested the possibility that a common [integrative] language may ultimately come from the field of experimental cognitive psychology and social cognition....Concepts such as “schema,” “scripts,” and “metacognition” have the potential for covering therapeutic phenomena observed by clinicians of varying orientations (pp. 46–47). (Levenson, 2003, p. 310). 
Based on what I can infer from the context in which the terms were used in Levenson’s article, it sounds like a concept very similar to both Beck’s and Greenberg’s, the only difference being that Beck focused on cognitions, Greenberg on emotions, and Levenson on interpersonal relationships.  I don’t want to spend too much more time on this because I discussed the issue at length in my last paper, but want to add one more point.  The concept of transference is more commonly being utilized by members of the different camps (psychodynamic, cognitive, etc) and the application of transference (and countertransference) in treatment is becoming more and more similar.  As Levenson stated, “transference is not considered a distortion but rather the patient’s plausible perceptions of the therapists behavior and intent” (Levenson, 2003, p. 303) while Beck (1979) made several references to transference and its usefulness in therapy from a cognitive perspective.   Even Linehan (1993) mentioned the similarities between the psychodynamic emphasis on transference and her concept of therapy interfering behaviors as opposed to any aspect of cognitive-behavioral therapy.

               I found it interesting that training effects (Henry, Schacht, Strupp, Butler, and Binder, 1993) could have such a profound impact on outcomes, an assertion supported by Wampold (2001) in his defense of a contextual model and the corresponding limitations of the medical model.   Henry (Henry et al, 1993) found significant effect size differences between the two groups (trained by Trainer A and B) and that Trainer A was more effective than Trainer B for several reasons.  We know that there are “thearpist effects” which influence treatment effectiveness and that some therpists are more competent than others, whether we’re talking about their influence on specific or general factors.  For example, if specific factors are repsonsible for outcome as the medical model proposes, then therapist comptency in that particular treatment modality should have an effect on outcome.  As a result, more seasoned, better trained clinicians will see better results with their clients than less experienced, novice therapists.  At the same time, if general factors are responsible for outcome as the contextual model proposes, therapist competency (in terms of empathy, belief in the modality, ability to convince the client of its effectiveness, etc), in general, should also have an effect on outcome.  Some clinicians, usually (but not necessarily) the more experienced variety, should also have better outcomes with their clients than less experienced (competent) therapists. 

                  Henry (Henry et al, 1993) found exactly that when comparing therapists providing training on how to provide Time-Limited Dynamic Psychotherapy (TLDP) in the study in question using a treatment manual.  It appears that, from the discussion and conclusions in the article, it was the general effects of the individual trainers that were responsible for the differences between groups as the contextual model would predict.  This finding has serious implications on the validity of any study which uses a treatment manual and trains clinicians to treat clients in accordance with the manual.  Not only is there going to be variability in abilities within groups being trained, but there will also be variability between groups depending on the skills and approach of the facilitator.  Wampold (2001) has shown that allegiance has a siginifcant effect on outcome in randomized control trials (RCT) and that, even when utilizing a treatment manual, the allegaince effects are large.  Add to that the impact of trainer attributes, as described by Henry et al (1993), and we have some very serious confounding variables related to RCTs in general and the utilization of treatment manuals (and any associated training) in particular when measuring efficacy.

The article by Shefler, Time Limited Psychotherapy with Adolescents (2000), was quite interesting from a cultural diversity perspective.  I found it interesting that the Israeli adolescent seemed to be struggling with many of the same types of issues as American youth and Shefler’s description of the intervention was probably not much different than an intervention that would be used by a clinician using TLDP here in the United States.  One thing that really turned me off was Shefler’s references to “masochistic tendencies” and “incestuous fantasies” (Shefler, 2000, p. 92):
            Heightened sensitivity to frustration and to a lack of love and support characterizes the narcissistic awakening that typically occurs in adolescence. This awakening can either set the adolescent on track toward healthy development or on the road toward personality disturbance or toward a narcissistic character first manifested in adolescence. Masochistic tendencies toward painful pleasure and passivity characterize adolescent fantasies among both males and females. In addition, preoccupation with issues of bisexuality, anxiety surrounding bodily change, and remnants of incestuous fantasies frequently become intensified.  I understand the relevance of a narcissistic awakening and a preoccupation with sexuality or body image in the budding adolescent, but masochistic tendencies and incestuous fantasies sounds more like the psychoanalysts of old and not the here and now, interpersonal TLDP therapist of today.

            Finally, I didn’t see much relevance in the Strupp article (Strupp, 1990) and don’t think it added much to the readings.  In my opinion, it highlighted his own narcissistic tendencies in that he was clearly off the mark with Helen, but refused to admit it.  Having so much anger toward men in general, he should have referred her to a female therapist in the very beginning and finally admits to it in the discussion section (Strupp, 1990, p. 655):
            Thus, after a few sessions, when the patient's relative unsuitability had become apparent, one might have referred the patient elsewhere, openly admitting one's difficulty in working with her. In so doing, one would not commit the error of blaming the patient for the difficulty but simply indicate that in the therapist' judgment there was no match. He was way off the mark, alienating an already hostile client (and most modern women in general) by insisting that she really wanted to be a man (penis envy).  If TLDP is focused on the here and now, interpersonal aspects of personality and not on the interpretation of and insight into latent psychosexual process characteristic of the old psychoanalytic model, what was Strupp trying to do?  In the end, he refused to admit to his mistakes when working with Helen and even concluded that the therapy was beneficial to the client, clearly displaying his lack of insight and objectivity into his own therapeutic skills as well as his personality.

References

Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive Therapy of Depression. New York, NY: The Guilford Press.

Beck, A.T. and Clark, D.A. (2010). Cognitive Therapy of Anxiety Disorders – Science and Practice.  New York, NY: The Guilford Press.

Burger, J.M. (1990). Personality (Second Edition). Belmont, CA: Wadsworth Publishing, Inc.

Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning Emotion-Focused Therapy: The Process-Experiential Approach to Change. Washington, DC: American Psychological Association.

Goldfried, M. R., & Newman, C. (1986). Psychotherapy integration: An historical perspective. In J. C. Norcross (Ed.), Handbook of eclectic psychotherapy (pp. 25–61). New York, NY: Brunner/Mazel.
 Henry, W. P., Schacht, T. E., Strupp,H. H., Butler, S. F., & Binder, J. L. (1993). Effects of training in time-limited dynamic psychotherapy: Mediators of therapists' responses to training. Journal of Consulting and Clinical Psychology, 61(3), 441-447.

Kipling, R. (1889).  The Ballad of East and West.  In Wikpedia online.  Retrieved from 
http://en.wikipedia.org/wiki/The_Ballad_of_East_and_West

Levenson, H. (2003). Time-limited dynamic psychotherapy: An integrationist perspective. Journal of Psychotherapy Integration , 300-333.

Shefler, G. (2000). Time-limited psychotherapy with adolescents. The Journal of Psychotherapy Practice and Research , 88-99.

Strupp, H. H. (1990). The case of Helen R: A therapeutic failure? Psychotherapy , 644-656.

Wampold, B. (2001).  The Great Psychotherapy Debate. Mahwah, NJ: Lawrence Erbaum Associates.

Emotion-Focused Therapy Versus Cognitive Behavioral Therapy...What Next?


Emotion-Focused Therapy Versus Cognitive Behavioral Therapy...What Next?
              Emotions are obviously a key focus when working with clients in a psychotherapeutic alliance no matter which theoretical orientation you might favor.  Emotion-Focused Therapy (EFT) may very well be a useful approach to resolving emotional disturbances, but the readings really did not give me enough information to make an informed decision in that regard.  I will refer to the readings to elaborate on this point, make some general comments regarding “humanistic” psychology, and provide some thoughts on the similarities of different theories as well as the need to develop one overarching meta-theory.

            You will have to excuse me, because I come from a primarily cognitive-behavioral framework and, therefore, have some difficulty grasping some of the “grayness” of humanistic and some of the experiential theories.  Do not get me wrong; even though I am somewhat of a dichotomous thinker, I still believe there are some very valuable concepts to be taken out of the readings and humanistic theories in general.  However, in Elliott, Watson, Goldman, and Greenberg’s text entitled Learning Emotion-Focused Therapy: The Process-Experiential Approach to Change (2004), there is very little mention of therapeutic methods or techniques.  The text explains Process-Experiential Theory in appropriate detail, although I would not necessarily say it was “made simple” as the title of chapter two suggests.  Because I come from a “primarily” cognitive-behavioral perspective, that doesn’t mean that I don’t utilize an eclectic approach and find value in other treatment modalities formulated by such notable and intelligent theorists such as Rogers, Perls, Moreno, or Freud.  On that note, I would have hoped to read more about the contributions of EFT regarding therapeutic techniques, that is all I’m saying.
            In fact, none of the readings, with the exception of Repairing Discordant Student-Teacher Relationships: A Case Study Using Emotion-Focused Therapy (Lander, 2009), focused on therapeutic methods or techniques, which I found quite disappointing.  I hope that these missing components will be elaborated on more in other works.  Lander (2009) did provide an excellent case study that I found quite interesting and possibly useful in working with children.  Since I have very little experience working with small children, the techniques utilized piqued my interest and will inspire me to seek additional information regarding their specific applications. 

            As Wampold (2001) stated so elaborately in his text, I saw the “general effects” in Lander’s (2009) case study as being equally, if not more, responsible for the positive changes (outcome) in the relationship between Guy and Ms. Greenberg.  I believe the individual techniques were an excellent vehicle for building an alliance between teacher and student, and that the collaborative nature of the exercises did more to repair the relationship than any of the exercise’s products.  For the first time, the two individuals were able to see each other as human beings with struggles and emotions not so different from each other.

            Elliott, Watson, Goldman, & Greenberg (2004) mentioned that neo-humanism evolved because the humanistic movement “fell out of favor” (p. 6) in the 1970s and 1980s, but did not elaborate on why that occurred.  I have to assume it is because that is when the behavioral and cognitive revolutions in psychology began to take hold and the humanists really did not fit very well with the medical model.   It would have been nice to hear why the humanists believed this happened, why they felt compelled to create a neo-humanistic model, and what the differences are between the two. 

            I have noticed a lot of discussion of “dialectical” frameworks in the literature over the past several years and it seems to be a concept catching on in many theoretical camps including Linehan’s Dialectical Behavior Therapy (DBT) and EFT.  Is that the big difference between humanistic and neo-humanistic models?  Dialectical constructivism, as described by Elliott, Watson, Goldman, & Greenberg (2004), is not much different from dialectics as described by Linehan (1993).  Both Greenberg and Linehan are talking about the polarity of emotions as well as the dialectical relationship between therapist and client, yet they are coming from humanistic and cognitive-behavioral perspectives respectively.  Is it the dialectical opposition of emotions that separates the humanists of old from the neo-humanists or is there something more radical that I may have missed in the readings?

            I have to say that I take exception to the term “humanistic” psychology in general.  It is not that I do not believe in the principles behind the humanistic perspective, because I see many positive and useful ideas coming out of the writings of “humanists”.  My concern is that if a theory or therapy does not fall within the confines of the humanistic model, does that mean that all other models are inhumane?  What makes the humanistic theories more relevant to humanism than others theories, therefore making it necessary to make this very specific distinction?  Aren’t all theories concerned with helping people solve their problems and lead happier, healthier lives humanistic?  Don’t psychodynamic, behavioral, cognitive, developmental, and humanistic models all treat people with dignity and respect, nurture their clients, and show compassion for fellow human beings?  Of course they do! 

            In reality, the different theories or models of psychopathology and treatment are starting to look more and more similar as time goes on.  I can see many similarities between EFT and CBT for example.  EFT refers to the concept of the “scheme” while CBT uses the term “schema” to capture pretty much the same concept (I believe “schema” came first by the way).  Elliott, Watson, Goldman, and Greenberg (2004, p. 7-8) say they “use the word ‘scheme’ instead of ‘schema’ because ‘schema’ implies a static, linguistically based mental representation, whereas ‘scheme’ refers to a plan of action”.  They go on to say that a scheme is a process, not a thing, including linguistic components but consisting mostly of preverbal elements such as bodily sensations (physiological), images (also cognitions), and smells that are “not directly available to awareness”.  In Beck’s latest book (Beck and Clark, 2010, pp. 44-46), his concept of schemas is not much different from that of Greenberg et al.  Beck describes not only a cognitive-conceptual schema, but behavioral, physiological, motivational, and affective (emotional) schemas as being integral in primary threat mode activation, all of which are “automatic” processes (not directly available to awareness).  Humanists apparently use the “empty chair” technique (referred to, but not elaborated on, on p. 32 of the Greenberg reading), a technique developed by Fritz Perls, but also utilized in cognitive-behavioral therapy as a technique in role playing or behavioral rehearsal.  The readings state that the focus in EFT is on emotions rather than cognitions, but when describing emotions, the authors, Elliott, Watson, Goldman, & Greenberg (2004) and Pascual-Leone & Greenberg (2007), all describe them in terms of thoughts, statements, and cognitions and it is those statements that Pascual-Leone & Greenberg (2007) used to measure “emotion” in the research they describe.  So are emotions and cognitions that different or are they integrated in such a way that they become almost indistinguishable?

            In conclusion, with few exceptions, most science is based on theories that are more or less accepted as facts.  The theory of relativity, for example, doesn’t have four other competing theories explaining how celestial bodies relate to each other in the universe and there aren’t six different theories of evolution (although creationists have an alternative theory of their own), so why does psychology have so many theories of the mind, personality, behavior, emotion, and the treatment of psychopathology?  If we want to be taken seriously as scientists and validate our research on human psychology with credibility, we will eventually need one overarching meta-theory of psychology.  As I stated above, many of the remaining theoretical camps are all starting to sound more and more alike, only using different jargon and semantics to make their approaches sound novel and intelligent.  Rather than fighting each other over who is right, why don’t they all put their heads together and come up with one overarching theory of psychology that we can all accept?  Could that theory change over time?  Possibly.  Nevertheless, who has to say that the theories of relativity and evolution might not change with some unforeseen dramatic discovery in the future?  At least we could be taken seriously as a science and focus our funding and efforts in one direction rather than eight or ten.  If the general effects of therapy are as critical as Wampold (2001) suggested, what would the credibility of one psychological theory add to client expectation, the therapeutic alliance, and positive outcome?  One thing is for sure, allegiance factors, which according to Wampold (2001, p. 206), account for up to ten percent of the variability of outcomes, would be a thing of the past.

References
Beck, A.T and Clark, D.A. (2010). Cognitive Therapy of Anxiety Disorders – Science and Practice.  New York, NY: The Guilford Press.

Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning Emotion-Focused Therapy: The Process-Experiential Approach to Change. Washington, DC: American Psychological Association. 

Lander, I. (2009). Repairing Discordant Student-Teacher Relationships: A Case Study Using
Emotion-Focused Therapy. Children & Schools, 31, 229-238.

Linehan, M.M., (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder New York, N.Y: Guilford Press.

Pascual-Leone, A., & Greenberg, L. S. (2007). Emotional Processing in Experiential Therapy: Why “The Only Way Out Is Through”. Journal of Consulting and Clinical Psychology, 75, 875-887.

Wampold, B. (2001). The Great Psychotherapy Debate. Mahwah, NJ: Lawrence Erbaum Associates.