Ego-state therapy

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Ego state therapy is a parts-based psychodynamic approach to treat various behavioural and cognitive problems within a person. It uses techniques that are common in group and family therapy, but with an individual patient, to resolve conflicts that manifest in a "family of self" within a single individual.

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History

The concept of segmentation of personality has been around for many years, and that of ego states was highlighted by the psychoanalyst Paul Federn. The creation of ego-state therapy is attributed to John G. Watkins, an analysand of Edoardo Weiss who was himself analysed by Federn. [1] The first research on the efficacy of Ego state therapy was conducted by Gordon Emmerson. Emmerson conducted his research [2] during a sabbatical from Victoria University. In this research he showed that the therapy could reduce menstrual migraines 5-fold in just 4 weekly sessions. It further indicated that Ego state therapy could not only reduce the occurrence to menstrual migraine, but participants also showed a significant reduction in both Anger and Depression on the MMPI-2. This quasi-experimental study was the only causal study included in the Watkins, book, Ego States: Theory and Therapy. [3]

Ego states

Distinct ego states—in the most rigorous sense—do not normally develop except in cases of dissociative identity disorder. However, Ego state therapy identifies and names facets of a patient's personality, e.g., the "frightened child" or "control freak". After the characteristics and function of each ego state are identified, the therapist uses various psychotherapeutic techniques (e.g. behavioral, cognitive, analytic, or humanistic therapies) to achieve a kind of integration or internal diplomacy. [4] Ego state therapy may use hypnosis, but is not necessarily required to do so, employing conversational technique instead. [5] Ego state therapy has sometimes been able to resolve complex psychodynamic problems relatively quickly.

Psychological process

In the development of the human personality, there are two processes that are essential: integration and differentiation. Through integration a person learns to put concepts together, like a shirt and a pair of trousers, to build more complex units known as clothes. By differentiation the person separates general concepts into specific meaning, such as the differences between a comfortable shirt and an uncomfortable shirt. Such differentiation allows humans to experience one set of behaviours in a different situation to another.

Psychological processes do not exist on an either/or basis. Things such as moods and emotions like depression, anxiety, and fear exist on a continuum with differing degrees of intensity. It is the same with differentiation-dissociation. Disorders such as dissociative identity disorder are often in the extreme end of the continuum that begins with normal differentiation. It is a matter of intensity. Therefore, the general principle of personality formation in which the process of separation has resulted in discrete segments, called ego states, with boundaries that are more or less permeable. Where however an ego state is a response to psychological trauma, it may remain completely walled-off from the rest of the personality. [6]

Ego states exist as a collection of perceptions, cognitions and affects in organised clusters. An ego state may be defined as an organized system of behavior and experience, whose elements are bound together by common principle. When one of these states is invested with ego energy, it becomes "the self" in the here and now. This state is executive, [7] and experiences the other states which are then invested with object energy.

Ego states vary in their volume. A large ego state may include all the various behaviors activated in one's occupation. A small ego state are the behaviours one experiences in a simple action, such as using a mobile phone. They may represent current modes of behavior and experiences or, as with hypnotic age regression, include many memories, postures, feelings, etc. that were apparently learned at an earlier age. They may be organised into different dimensions. For example, an ego state may be built around the age of 10. Another one may represent patterns of behavior toward a father or authority figures and thus overlap with experiences from the age of 10. Behaviors to accomplish a similar goal may be uniquely different from one ego state to another, especially in true multiple personalities.

Hypnosis

Hypnosis is a process to assist focus and dissociation. Through hypnosis, the therapist can focus on a single ego state or segment of personality and dissociate other parts. Many practitioners today are hypnotically activating covert ego states and announcing that they have discovered another multiple personality.[ citation needed ] Although multiple personalities are usually studied through hypnosis, they should be diagnosed only when the ego states can become overt spontaneously and when the main personality is generally amnesic to what occurs when the alter is overt and executive. When a covert ego state can be induced to emerge only through hypnosis, we do not consider this as a true multiple personality, and it should not be diagnosed. Ego states are commonly found through student volunteers for hypnotic studies.[ citation needed ] Because hypnosis is a form of dissociation, it is not surprising to find that good hypnotic subjects often manifest covert ego states in their personalities without being mentally ill.[ citation needed ]

See also

Related Research Articles

<span class="mw-page-title-main">Hypnosis</span> State of increased receptivity to suggestion and direction

Hypnosis is a human condition involving focused attention, reduced peripheral awareness, and an enhanced capacity to respond to suggestion.

Hypnotherapy is a type of mind–body intervention in which hypnosis is used to create a state of focused attention and increased suggestibility in the treatment of a medical or psychological disorder or concern.

Dissociative identity disorder (DID), formerly known as multiple personality disorder, split personality disorder or dissociative personality disorder, is a member of the family of dissociative disorders classified by the DSM-5, DSM-5-TR, ICD-10, ICD-11, and Merck Manual for diagnosis. It remains a controversial diagnosis.

Transactional analysis is a psychoanalytic theory and method of therapy wherein social interactions are analyzed to determine the ego state of the communicator as a basis for understanding behavior. In transactional analysis, the communicator is taught to alter the ego state as a way to solve emotional problems. The method deviates from Freudian psychoanalysis, which focuses on increasing awareness of the contents of subconsciously held ideas. Eric Berne developed the concept and paradigm of transactional analysis in the late 1950s.

<span class="mw-page-title-main">Milton H. Erickson</span> American psychiatrist (1901–1980)

Milton Hyland Erickson was an American psychiatrist and psychologist specializing in medical hypnosis and family therapy. He was the founding president of the American Society for Clinical Hypnosis. He is noted for his approach to the unconscious mind as creative and solution-generating. He is also noted for influencing brief therapy, strategic family therapy, family systems therapy, solution focused brief therapy, and neuro-linguistic programming.

Suggestibility is the quality of being inclined to accept and act on the suggestions of others. One may fill in gaps in certain memories with false information given by another when recalling a scenario or moment. Suggestibility uses cues to distort recollection: when the subject has been persistently told something about a past event, his or her memory of the event conforms to the repeated message.

Psychology is an academic and applied discipline involving the scientific study of human mental functions and behavior. Occasionally, in addition or opposition to employing the scientific method, it also relies on symbolic interpretation and critical analysis, although these traditions have tended to be less pronounced than in other social sciences, such as sociology. Psychologists study phenomena such as perception, cognition, emotion, personality, behavior, and interpersonal relationships. Some, especially depth psychologists, also study the unconscious mind.

Self-hypnosis or auto-hypnosis is a form, a process, or the result of a self-induced hypnotic state.

Dissociation is a concept that has been developed over time and which concerns a wide array of experiences, ranging from a mild emotional detachment from the immediate surroundings, to a more severe disconnection from physical and emotional experiences. The major characteristic of all dissociative phenomena involves a detachment from reality, rather than a loss of reality as in psychosis.

The development of concepts, beliefs and practices related to hypnosis and hypnotherapy have been documented since prehistoric to modern times.

<span class="mw-page-title-main">Psychodynamics</span> Approach to psychology

Psychodynamics, also known as psychodynamic psychology, in its broadest sense, is an approach to psychology that emphasizes systematic study of the psychological forces underlying human behavior, feelings, and emotions and how they might relate to early experience. It is especially interested in the dynamic relations between conscious motivation and unconscious motivation.

Covert hypnosis is an attempt to communicate with another person's unconscious mind without informing the subject that they will be hypnotized. It is also known as conversational hypnosis or sleight of mouth.. It is a term largely used by proponents of neuro-linguistic programming (NLP), a pseudoscientific approach to communication and interaction.

Nicholas Peter Spanos, was professor of psychology and director of the Laboratory for Experimental Hypnosis at Carleton University from 1975 to his death in a single engine plane crash on June 6, 1994. Spanos conducted multiple studies that challenged common beliefs. He tried to distinguish the difference between common beliefs about hypnosis and what was actually occurring. These studies conducted by Spanos led to the modern understanding that hypnosis is not an altered state and is actually suggested behaviors that the participant chooses to go along with or not. Along with this, Spanos conducted studies regarding dissociative identity disorder in which he stated that multiple personalities are not a product of trauma but are based on social norms.

The developmental needs meeting strategy (DNMS) is a psychotherapy approach developed by Shirley Jean Schmidt. It is designed to treat adults with psychological trauma wounds and with attachment wounds. The DNMS is an ego state therapy based on the assumption that the degree to which developmental needs were not adequately met is the degree to which a client may be stuck in childhood. This model aims to identify ego states that are stuck in the past and help them get unstuck by remediating those unmet developmental needs. The processing starts with the DNMS therapist guiding a patient to mobilize three internal Resource ego states: a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. The therapist then guides these three Resources to gently help wounded child ego states get unstuck from the past by meeting their unmet developmental needs, helping them process through painful emotions, and by establishing an emotional bond. The relationship wounded child parts have with these Resources is considered the primary agent for change.

Paul Federn was an Austrian-American psychologist who was a native of Vienna. Federn is largely remembered for his theories involving ego psychology and therapeutic treatment of psychosis.

Age regression in therapy is a psycho-therapeutic process that aims to facilitate access to childhood memories, thoughts, and feelings. Age regression can be induced by hypnotherapy, which is a process where patients move their focus to memories of an earlier stage of life in order to explore these memories or to access difficult aspects of their personality.

John Goodrich Watkins was a United States psychologist best known for his work in the areas of hypnosis, dissociation, and multiple personalities. With his wife, Helen Watkins, he developed ego-state therapy, which uses analysis of underlying personalities, rather than traditional talk therapy, to find the causes of psychological problems.

Transference focused psychotherapy (TFP) is a highly structured, twice-weekly modified psychodynamic treatment based on Otto F. Kernberg's object relations model of borderline personality disorder. It views the individual with borderline personality organization (BPO) as holding unreconciled and contradictory internalized representations of self and significant others that are affectively charged. The defense against these contradictory internalized object relations leads to disturbed relationships with others and with self. The distorted perceptions of self, others, and associated affects are the focus of treatment as they emerge in the relationship with the therapist (transference). The treatment focuses on the integration of split off parts of self and object representations, and the consistent interpretation of these distorted perceptions is considered the mechanism of change.

Divided consciousness is a term coined by Ernest Hilgard to define a psychological state in which one's consciousness is split into distinct components, possibly during hypnosis.

Fantasy-prone personality (FPP) is a disposition or personality trait in which a person experiences a lifelong, extensive, and deep involvement in fantasy. This disposition is an attempt, at least in part, to better describe "overactive imagination" or "living in a dream world". An individual with this trait may have difficulty differentiating between fantasy and reality and may experience hallucinations, as well as self-suggested psychosomatic symptoms. Closely related psychological constructs include daydreaming, absorption and eidetic memory.

References

  1. D. Barrett, Hypnosis and Hypnotherapy (2010) p. 55
  2. Emmerson, G.J.; Farmer, K (1996). "Ego state therapy and menstrual migraine". Australian Journal of Clinical Hypnotherapy and Hypnosis (17): 7–16.
  3. Watkins, J.G.; Watkins, H.H. (1997). Ego States: Theory and therapy. W. W. Norton & Company. ISBN   978-0393702590.
  4. C. Frederick, Inner Strengths (2013) p. 79
  5. J. Sky, The Many Parts of You (2012) p. xxi
  6. C. Frederick, Inner Strengths (2013) p. 78
  7. J. Sky, The Many Parts of You (2012) p. xviii