Table of Contents
Praise
Title Page
Copyright Page
Dedication
Acknowledgements
Quick Reference Guides
Introduction
WHAT THIS BOOK OFFERS
THE CONTRIBUTORS
THE STRUCTURE OF THIS BOOK
PART ONE - Happiness
CHAPTER 1 - Strengthspotting
WHY IS STRENGTHSPOTTING WORTHWHILE?
HOW DO YOU SPOT STRENGTHS IN A CLIENT?
A SURPRISING REVELATION
HOW DO YOU HELP A CLIENT SPOT STRENGTHS?
HOW DO YOU ENABLE AND DEVELOP STRENGTHS?
WHAT WAS THE FOLLOW-UP?
REFERENCES
CHAPTER 2 - We Will Be Laughing Again
POSITIVE PSYCHOLOGY AND COUPLES THERAPY
MEETING THE COUPLE
THE STRENGTHS AND FULFILLED DREAMS GENOGRAM: A POSITIVE ASSESSMENT OF THE ...
WHAT DID WE WANT TO ACCOMPLISH WITH ANA AND PEDRO?
CONSTRUCTING THE THERAPY SESSIONS
WHAT WERE THE INTERVENTIONS USED?
WHAT WAS THE OUTCOME?
FURTHER THOUGHTS
APPENDIX
REFERENCES
CHAPTER 3 - What Is Right with Him?
ERICKSONIAN POSITIVE PSYCHOTHERAPY
CASE EXAMPLE BUILT ON ERICKSON’S POSITIVE PSYCHOLOGY
THE THERAPEUTIC GOALS
LIVING FOR TODAY AND TOMORROW
THE OUTCOME
REFERENCES
CHAPTER 4 - The Why, Not the What
IMPORTANT LIFE GOALS AND INTRINSIC MOTIVATIONAL THERAPY
THE CASE OF DAVE
THE WHAT VERSUS THE WHY
UNDERSTANDING THE PROBLEM
HOLDING ON TO THE GOAL
BUILDING INTRINSIC MOTIVATION
DEVELOPING A FOCUS ON INTRINSIC REWARDS
STARTING FROM THE BEGINNING, RECLAIMING OWNERSHIP
PROCESS OVER OUTCOME
REFERENCES
CHAPTER 5 - From Here to Where You Want to Be
THE BACKGROUND OF HOPE THERAPY
THE NEED FOR HOPE-BASED TREATMENT
DEVELOPING A HOPE-BASED TREATMENT
THE ASSESSMENT
DEVELOPING GOALS FOR THERAPY
CLIENT RESOURCES
HOPE-BASED THERAPY AS OPPOSED TO OTHER TREATMENTS
THERAPY TARGETS
INTERVENTION
OUTCOME
LESSONS LEARNED
REFERENCES
CHAPTER 6 - You Want Me to Fix It?
HOPE THEORY AND PSYCHOTHERAPY
HOPE AND EVIDENCE-BASED INTERVENTIONS FOR YOUTH
HOPE AND EVIDENCE-BASED INTERVENTIONS FOR PARENTS
CLINICAL OUTCOMES AND CONCLUSIONS
REFERENCES
CHAPTER 7 - Putting the Lid on the Divorce Monster
HOPE-FILLED STORYBOOK THERAPY
HAVING A HOPE-FILLED FRAMEWORK
EXAMINING AND DECONSTRUCTING PROBLEM STORIES
CREATING THE PREFERRED STORY
VALIDATING THE NEW HOPE-FILLED NARRATIVE
TOUCHING HOPE
REFERENCES
CHAPTER 8 - Development through Disability
HEALTH IN THE BIOPSYCHOSOCIAL PERSPECTIVE
DISABILITY AS A RESOURCE: TWO EXAMPLES
SUGGESTIONS AND WARNINGS FROM POSITIVE PSYCHOLOGY
REFERENCES
CHAPTER 9 - From Vulnerability to Skillfulness
THE ADOLESCENT I WANT TO SHARE WITH YOU
COMING TO THE THERAPY AND THE ASSESSMENT
THE STEP-BY-STEP PROCESS
THE INITIAL SESSIONS
THE INTERMEDIATE SESSIONS
FINAL SESSIONS
FOLLOW-UP
REFLECTIONS ON MARIA’S THERAPY
REFERENCES
CHAPTER 10 - Do You See the Forest or the Tree?
AN AUTISM SPECTRUM DIAGNOSIS
THE CASE OF MARK
REFERENCES
PART TWO - Healing
CHAPTER 11 - Now I Can Get on with Life
CLARA: A CASE OF MAJOR DEPRESSION
FORMING A THERAPEUTIC PLAN
BUILDING EXPERIENCES OF PLEASURE
FOSTERING ENGAGEMENT
FINDING MEANING IN LIFE
THE OUTCOME
FOLLOW-UP
REFERENCES
CHAPTER 12 - Empowering Lisa
CASE BACKGROUND
CLIENT RESOURCES
WHY CHOOSE A POSITIVE PSYCHOLOGY APPROACH?
INTERVENTIONS WITH SPECIFIC GOALS IN MIND
LISA EMPOWERED: CREATING HER OWN METAPHOR
ISA’S METAPHOR: SIMPLE BUT POIGNANT
FOLLOW-UP
SOME FINAL THOUGHTS
REFERENCES
CHAPTER 13 - Can Helping Others Help Oneself?
THE CRITICAL FIRST STEP: STUMBLING ONTO THE BENEFITS OF LISTENING TO OTHERS
THE KNOWLEDGE VERSUS THE WISDOM
A GROWING SCIENTIFIC BASE
A CONCEPTUAL MODEL OF ALTRUISM: BUILDING ON RESPONSE SHIFT THEORY
THE ALTRUISTIC WEB
REFERENCES
CHAPTER 14 - Doing Nothing, Changing Profoundly
THE PARADOX OF MINDFULNESS
THE BACKGROUND
THE MINDFULNESS INTERVENTION
A MINDFULNESS METAPHOR
THE MINDFULNESS APPROACH OF PARADOX AND INQUIRY
SCIENCE, WISDOM, AND PRACTICE
MINDFULNESS AND POSITIVE PSYCHOLOGY
REFERENCES
CHAPTER 15 - Laying Out in Anxiety
HOW ACCEPTANCE AND COMMITMENT THERAPY FITS WITHIN A POSITIVE PSYCHOLOGY PARADIGM
AN OVERVIEW OF ACT
GETTING STARTED
ACT WITH SUSAN
IMPLEMENTING THE SIX CORE COMPONENTS
SUSAN’S LIFE
REFERENCES
CHAPTER 16 - Playing with the Moment
THE GOAL: CHANGE THE FRAME OF REFERENCE
BRING RESOURCES FORWARD
INTRODUCING PARADOX
THE COGNITIVE GAME: TALKING TO ANXIETY
DIRECTLY CHALLENGE THE AVOIDANT FRAME THROUGH ACTION
SUMMARY AND FOLLOW-UP
REFERENCES
CHAPTER 17 - Can You Be Happy in Pain?
A THERAPEUTIC GOAL OF NEUTRALITY
CAN YOU BE HAPPY IN PAIN?
THE ROLE OF HYPNOSIS
NATURE-BASED MINDFULNESS
RECALLING PAST POSITIVE EXPERIENCES
REBUILDING RELATIONSHIPS
A WORD OF CAUTION
THE OUTCOME
FOLLOW-UP
REFERENCES
CHAPTER 18 - Charting a Course to New Beginnings
A CRY FOR HELP PROMPTS IMMEDIATE ASSISTANCE
INITIAL IMPRESSIONS AT INTERVIEW
EXPLAINING SIGNAL FUNCTION, CODING, AND DECODING
SIGNAL FUNCTIONS OF EARLY REEXPERIENCING EXEMPLIFIED
BREAKING AWAY FROM ORTHODOXIES
CONSTRUING REACTIONS EVOKED BY TRAUMA AS ADAPTIVE SIGNALS
DECODING ENDURING REACTIONS FOR THE LONGER TERM
POSITIVE PSYCHOTHERAPY AND ENDURING REACTIONS
DECODING ADAPTIVE SIGNALS IN LONG-TERM THERAPY
HAVING CHARTED A COURSE TO NEW BEGINNINGS
REFERENCES
CHAPTER 19 - A Surprise Attack, A Surprise Result
A SURPRISE ATTACK
PLAN FOR TREATMENT
POSTTRAUMATIC CLINICAL WORK WITH JANE
WHAT THIS CASE TELLS US
A SURPRISE RESULT
REFERENCES
PART THREE - Enhancement
CHAPTER 20 - Sunsets and Seashores
CAN NATURE ENHANCE WELL-BEING?
A CASE OF INTENSE JEALOUSY
CAN NATURE ENHANCE RELATIONSHIP WELL-BEING?
WHAT IS NATURE-GUIDED THERAPY?
FINDING NATURE-BASED RESOURCES
HOW TO USE THE SENSORY AWARENESS INVENTORY
CONCLUSIONS
FOLLOW-UP
REFERENCES
CHAPTER 21 - A Dream of Creative Menopause
THE ASSESSMENT
GENE EXPRESSION AND BRAIN PLASTICITY
INITIAL SESSION
THE FOUR STAGES OF THE CREATIVE PROCESS DURING A DREAM
CREATIVE THERAPEUTIC HYPNOSIS TO FOCUS ATTENTION, GENE EXPRESSION AND BRAIN PLASTICITY
FOLLOW-UP
REFERENCES
CHAPTER 22 - Can We Play Again?
A FORTUITOUS SHIFT: MOVING TO A POSITIVE-PSYCHOLOGY-BASED COGNITIVE-BEHAVIORAL ...
PRETEND PLAY AND POSITIVE PSYCHOLOGY
THE BENEFITS OF PLAY THERAPY
COGNITIVE-BEHAVIORAL PLAY THERAPY
THE INTERVENTIONS
OUTCOMES
LESSONS LEARNED
REFERENCES
CHAPTER 23 - Inspiring Change
ABOUT THE INTERVENTIONS
GETTING STARTED
AN OVERVIEW OF THE INTERVENTIONS
THE OUTCOME
REFERENCES
CHAPTER 24 - A Positive Way of Addressing Negatives
WHAT ARE STRENGTHS?
HOW MIGHT STRENGTHS BE USED THERAPEUTICALLY?
THE CASE OF LINDA
CASE SUMMARY AND DISCUSSION
FINAL DISCUSSION
REFERENCES
CHAPTER 25 - There Is a Fly in the Urinal
CLOSE RELATIONSHIPS ARE RELATED TO HAPPINESS LEVELS
POSITIVE ILLUSIONS IN RELATIONSHIPS
BE GRATEFUL AND INCREASE YOUR HAPPINESS LEVELS
SHIFTING PERCEPTIONS AS A STRATEGY FOR CHANGE
SELF-COMPASSION IS GOOD FOR YOU
BETTER THAN ZOLOFT
THERE IS A FLY IN THE URINAL
CONCLUSIONS
REFERENCES
CHAPTER 26 - Soaring to New Heights
WHY USE METAPHORS IN THERAPY?
WHY USE METAPHORS WITH PHILLIPA?
THE PRO APPROACH
HOW DO YOU PLAN AND CONSTRUCT A THERAPEUTIC METAPHOR?
BUILDING ON THE METAPHOR
FOLLOW-UP
REFERENCES
CHAPTER 27 - Are There Times Not to Use Positive Therapy?
POINTS TO BE MINDFUL OF
HAPPINESS, HEALING, ENHANCEMENT
REFERENCES
Author Index
Subject Index
Praise forHappiness, Healing, Enhancement
Filled with good strategies based in research, compelling case material, and most importantly practical advice, this book belongs in the library of everyone interested in what it means to live well. It provides not only ample food for thought, but for action.
Christopher Peterson, PhDProfessor of Psychology, University of Michigan, MI
If you are a therapist or a coach—or if you want to help yourself and others flourish—then this book is a must read. It is an important theoretical and practical contribution to the field of positive psychology—and, in fact, to the field of psychology as a whole.
Tal Ben-Shahar, PhDAuthor of Happier and The Pursuit of Perfect
George Burns and the contributors to this volume have created the most useful manual ever developed for therapists. Strengthspotting, enabling, and developing change the focus of therapy as well as the process and outcome. Using this approach not only benefits clients, but will force the therapist to become healthy as well.
Jon Carlson, PsyD, EdD, ABPPDistinguished Professor, Governors State University, IL
George Burns has assembled a group of sensitive, seasoned therapist-scholars, like himself, to present a treasure trove of ways to add positive psychology to clinical practice. The approaches are cutting edge. They are what we need to bring our clients to a new level of feeling, functioning, and flourishing.
Michael B. Frisch, PhDProfessor of Psychology, Baylor University, TXAuthor of Quality of Life Therapy and Creating Your Best Life
Join this international assembly of experts on an enlightening expedition that explores a vast panorama of new visions of promoting therapeutic change. Recommended for the novice and the experienced explorer of clinical resilience and hope.
Jeffrey K. Zeig, PhDDirector, The Milton H. Erickson Foundation, AZ
This book is printed on acid-free paper.
Copyright © 2010 by John Wiley & Sons, Inc. All rights reserved.
Published by John Wiley & Sons, Inc., Hoboken, New Jersey.
Published simultaneously in Canada.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, or on the web at www.copyright.com. Requests to the publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008.
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Library of Congress Cataloging-in-Publication Data
Happiness, healing, enhancement: your casebook collection for applying positive therapy/edited by George W. Burns. p. cm.
Includes bibliographical references and index.
eISBN : 978-0-470-56084-6
1. Happiness. 2. Psychotherapy. I. Burns, George W. (George William)
BF575.H27.H367 2009
616.89’14-dc22 2009021644
There are many dear friends and familywho contribute so much to my personal happiness, but it is enriched very specially in the love and contentment I share with Sue. So, Sue, this book is dedicated to you . . . with love.
Acknowledgments
One summer’s evening I decided to get my head out of pulling the final threads of this book together by having a sunset picnic on a riverbank with Sue—a little practicing what I preach! The sun was a ball of gold. The sky was subtly washed with many hues from pink through blue, and dotted with moody gray clouds brightly rimmed with gold. The reflections of bronzed trees rippled in the water, and ducks made V-shape wakes as they paddled across the river. A pair of eagles soared toward their roost for the night, and a flock of squawking white cockatoos slalomed along the meandering course of the river. The grassy ground felt warm at the end of the day, while the gentle breeze that lightly rippled the river’s surface held a refreshing coolness. As I looked at the many parts that made up the scene, each was uniquely beautiful in itself. But each contributed to a big picture that was immeasurably more overwhelming and spectacular than each of its parts.
I confess I was not completely in the moment and had not gotten my head totally out of the book. Here was the metaphor I wanted for these acknowledgments. Like the various elements of our sunset scene, this book has happened through the contributions and efforts of so many beautiful people. Each part, no matter how little or large, has enriched the whole picture.
First, and foremost, I cannot express adequate gratitude to the deeply valued contributors who have so generously given of their time, knowledge, and wisdom with the aim of enhancing the practice of therapy and the lives of their fellow beings. Please accept this as a personal expression of my gratitude to each and every one of you.
Thanks go to our therapeutic clients and research subjects who have shared their stories with us, informed us about life’s challenges, and shown us the amazing resilience of human nature. I hope our professions never lose sight of just what a privilege it is to join a fellow being on his or her journey through life’s trials and triumphs.
I am not sure how I would survive without Julie Nayda. My professional and personal happiness bear a direct correlation to her skills, competence, and humor. Thank you, Kym Nayda, too, for your input and help with the challenging references. Helen Street, PhD, is valued not only as a contributor but also as a discussant of ideas, peer reviewer of certain chapters, and, along with Neil, Lucia, Molly, and Tess, a dear friend. Sue Thomas has patiently read every word, then reread them some more, correcting grammar, offering suggestions, and providing loving support. I am also indebted to my endorsers for their most kind words.
They say when you are on a good thing, stick to it. That is how I feel about working with everyone at John Wiley & Sons. This book got off the starting block with Lisa Gebo’s helpful ideas and encouragement: I wish you health and happiness. Sweta Gupta picked up the baton: Congratulations on the promotion. Rachel Livsey carried it down the final straight: Thanks for the challenging, creative ideas and pleasant company over our halibut dinner in New York. Kara Borbely and Kim Nir, along with the rest of the Wiley team, have competently seen it across the finish line. Thank you, one and all.
When Tam asked, “Can we be in your book?” I said, “Sure. What do you want me to say?” She dictated simply, “To the four grandchildren of Suzanne Thomas: Sarsha, Tamika, Indiana, and Chloe.” You are now as warmly incorporated in my book as I feel warmly incorporated in your family.
Indeed, friends and family can be one of our greatest sources of happiness. And here I feel blessed to be no exception to the statistics. Thank you to all my dear friends for just being who you are. Special gratitude goes to Phyllis and Ken for their generosity, lasting friendship, and love of everything that is important—including our extending family, Philip, PK, Delila, Robbie, and Bella.
But just as the river picnic would not have been complete without the setting sun, so the picture of my life would not be complete without Leah, Ian, Oscar, Taran (who gets his first mention in a book!), and Tom. The love of family is beyond comparison and the joy of grandparenthood is simply the best stage of life.
We know that being grateful, that counting one’s blessings, is also good for one’s happiness. I feel truly blessed by and grateful to you all . . . and that surely enhances my happiness. Thank you.
Quick Reference Guides
Clinical Problems Addressed
Looking to Deal with a Problem ofGo toAbuseChapter 2Adolescent IssuesChapters 6, 9AngerChapter 1AnxietyChapters 14, 15, 16, 26Asperger’s SyndromeChapter 10Childhood IssuesChapters 1, 6, 7, 10, 22Couples ProblemsChapters 2, 20DepressionChapters 5, 9, 11, 12, 13DisabilityChapter 8DivorceChapter 7Family RelationshipsChapters 1, 2, 6, 7, 9, 13, 17, 20Goal SettingChapters 4, 23, 24Health IssuesChapters 8, 17, 21Life GoalsChapters 4, 23, 24MenopauseChapter 21PainChapter 17PanicChapters 14, 15, 16, 26ParentingChapters 1, 6, 9PhobiasChapters 16, 26Posttraumatic DisorderChapters 18, 19RelationshipsChapters 1, 2, 6, 7, 9, 13, 15, 17, 20Sexual AbuseChapter 3TraumaChapters 18, 19
Strategies and Interventions
Looking for an Intervention UsingGo toAcceptanceChapters 14, 15, 16, 18Acceptance and Commitment TherapyChapter 15Action PlansChapter 18AgencyChapters 5, 6AltruismChapter 13Attributional StyleChapter 12CartoonsChapter 6Chunking LogicChapter 23Coded SignalsChapter 18Cognitive-Behavior TherapyChapters 12, 22CompassionChapter 13Deep StrategiesChapter 2DefusionChapter 15Emanated ImagesChapter 23Evoked ReactionsChapter 18ExerciseChapters 9, 25Expert CompanionshipChapter 19ExternalizationChapters 7, 16Four-Stage Creative ProcessChapter 21Future OrientationChapter 2Frame TheoryChapter 16GamesChapters 6, 1 6, 22
Strategies and Interventions
Looking for an Intervention UsingGo toGoal SettingChapters 4, 5, 8, 16, 17, 22, 26Gratitude/AppreciationChapters 23, 25GroupsChapter 5HopeChapters 5, 6, 7HumorChapter 3HypnosisChapters 3, 17, 21Individual Strengths AssessmentChapter 1LeisureChapter 9MeaningChapters 2, 8, 11MetaphorsChapters 7, 12, 14, 15, 26MindfulnessChapters 14, 15, 17, 20NarrativeChapter 7NeuroscienceChapter 21Optimal FunctioningChapter 8ParadoxChapter 14Past Positive ExperiencesChapters 17, 20PathwaysChapters 5, 6Play and PlayfulnessChapters 3, 6, 7, 9, 16, 22Pleasure, Engagement, and MeaningChapters 2, 11, 20Positive ExpectancyChapter 10Posttraumatic GrowthChapters 18, 19Present MomentChapters 14, 15ResourcesChapters 1, 2, 3, 8, 9, 10, 12, 16, 24Self-CompassionChapter 25Sensory Awareness InventoryChapters 11, 17, 20Signature StrengthsChapters 11, 24Socratic EnquiryChapter 14Solution-Oriented TherapyChapter 25Storybook TherapyChapter 7StrengthsChapters 1, 2, 3, 8, 9, 10, 22, 24, 26Strengths and Fulfilled Dreams GenogramChapter 2StrengthspottingChapters 1, 26Support NetworksChapter 8SupportiveChapters 2, 6, 8, 9,Relationships17, 20, 25Surface StrategiesChapter 2Valued LivingChapter 15Vivid Symbolic ImageryChapter 23What-Is-Right OrientationChapter 3
Introduction
George W. Burns
WHAT THIS BOOK OFFERS
“Please present a clear case example of how you translated solid, positive psychology research into sound clinical practices.” This is what I asked contributors when inviting them to submit chapters for this book.
Can we apply the growing body of research from the field of positive psychology to our work with clients who are suffering the distressing challenges that life inevitably seems to present? Can we have therapeutic practices that are positive in their paradigms, applications, and outcomes? How can we assist someone not to just eliminate the symptoms of depression, anxiety, anger, or trauma but also to move on to a life that is flourishing or being well lived? And what are the step-by-step strategies to do so effectively?
Following a workshop I conducted on using positive psychology in therapy, a participant e-mailed me. He wrote: His e-mail was one of the stimuli behind the evolution of this book that you now hold in your hands.
I often tell the story of seemingly successfully using a CBT [cognitive-behavior therapy] approach to therapy with a young woman with depression some years ago. Her Beck Depression Scale scores had lowered from the severe to the normal range and I was feeling great about a job well done, only to hear her say to me, “I am not depressed anymore, but I don’t feel happy. Can you help me with that too?” I had to confess that I couldn’t and discharged her from our care. In retrospect, it has always seemed such an inadequate response!
The term positive psychology was coined by Martin Seligman. Using his 2000 term as president of the American Psychological Association to highlight psychology’s traditional focus on pathology and challenge it to examine more about human functioning, he laid a solid, scientific, research foundation to a field that is now burgeoning. While traditional psychology continued to trundle along the freeway of examining and treating the problems and foibles of human misery, Seligman sought to divert the discipline down a path that examined well-being, happiness, flourishing, and the life well lived. This is not to say that psychology and psychotherapy have not had positive orientations prior to Seligman’s presidency. Among other approaches, Carl Rogers wrote about self-actualization, solution-focused therapy has—as its name states—actively moved from a problem to solution-oriented approach, and Milton Erickson eagerly sought out resources that clients could utilize toward healthier and happier functioning.
What is new is that we have now gathered a strong body of research evidence in fields such as optimal functioning, hope, altruism, goal setting, and strengths that can usefully inform therapeutic practice. However, there seems to be a gap (which perhaps widens to a chasm at times) between the growing body of knowledge on one hand and the therapeutic applications on the other. Some invited contributors to this book came back with such comments as “I research, write, and teach positive psychology but I don’t do cases.” One said, “There are two groups in this field: those that know and don’t do, and those that do but don’t know.” While there may be some truth in this, I hope the contributions in the following pages will show that the field is certainly not as bipolar as suggested.
THE CONTRIBUTORS
The contributors of chapters include researchers and teachers who are keen to see their well-informed evidence communicated into helpful therapeutic practice. There are also clinicians whose work is well informed and well grounded in both scientific evidence and wisdom. I have invited some whose names are well known in the field and others who may be less well known but who are doing good and valuable work at the interface of therapy and research.
The e-mail from my workshop participant raises important questions about the goal of therapy. Is therapy’s purpose to reduce suffering and pathology, as my colleague had done successfully with his depressed client, or is the goal of therapy to enhance flourishing, happiness, and well-being, as his client requested? How you answer this, what you focus on, and what your own philosophies of life are will determine not only how you do therapy but also what outcomes your clients are likely to receive. However, the question may not be as dichotomous as suggested in his e-mail or as I have reproduced it here. Reducing suffering and pathology does not necessarily increase optimism, hope, and happiness. Eliminating the negative does not necessarily give the skills to create the positive. Yet building skills in the positive may well reduce or eliminate the negative. If therapy is oriented toward happiness, healing, and enhancement, clients are likely to gain freedom from their presenting problems and gain a happier life.
If this is the case, the question then becomes: How can we as therapists best facilitate a happier life or a greater sense of well-being for our clients? “Show our readers how you do this,” I asked the contributors. “Give them the evidence your work is based on and take them step-by-step through your processes for applying this in a real case example.” In doing so, contributors were asked to adhere to the American Psychological Association’s ethical principles and code of conduct regarding confidentiality. They may have obtained client consent, appropriately disguised identifying features of the case, or compounded material from several cases. Unless stated, we do not know what approach each contributor has taken, and that further adds to the confidentiality.
THE STRUCTURE OF THIS BOOK
The title, and corresponding three sections, of this book, Happiness, Healing, Enhancement represents three core processes and outcomes in the application of positive psychology into psychotherapy, counseling, and coaching practice. Part One, Happiness, moves beyond traditional therapy’s aim of eliminating dysfunctional symptoms. Happiness here refers to more than hedonic pleasure. It is perceived in a eudaemonic sense, including Seligman’s concepts of pleasure, engagement, and meaning. Subsections discuss how to assess your clients positively and orient them toward happiness, how to instill hope, and how to access and use client resources.
Part Two, Healing, offers ways to assist your clients to make the transition from unhealthy psychological, physical, or psychophysiological states to the attainment of health and well-being. Its subsections provide samples and strategies for how to move from depression to happiness, how to build mindfulness and acceptance, and how to transform trauma and pain into well-being.
Part Three, Enhancement, explores the means to help clients discover better ways of being, enjoying life, and flourishing. The subsections cover novel approaches in ecotherapy, neuroscience, and play therapy, finding beneficial tools and techniques, and effectively communicating positive therapeutic messages.
Of course, there is much overlap between the book’s three parts and the titles I have allocated to them. They are offered merely as a guide, and the division of chapters into each section is not intended to suggest that this is their sole function. Enhancement, for example, can and does contribute to a person’s happiness and, in turn, to healthier attitudes and behaviors. Likewise, happiness is known to have direct benefits on both psychological and physical health and, indeed, enhances the quality of our lives.
At the end of each chapter, the contributors and I have worked collaboratively to add a text box titled “Putting It into Practice.” This box takes the main therapeutic applications presented in the chapter and presents them in a point form for practitioners to follow easily and replicate quickly.
Another feature of the book is two Quick Reference Guides at the beginning. If you wish to quickly access information about dealing with a particular clinical problem or use a specific intervention, this section directs you to the relevant chapters.
On the right-hand edge of the pages you will find tabs to each section. These are included to allow you to access a section or chapter quickly, such as just before seeing a depressed client to look at how others have applied positive psychology in similar cases.
I hope you find as much enjoyment and benefit for you and your clients in reading this book as I did in reading, editing, and compiling it . . . and then in applying the new things I had learned with my clients, and in my own life.
PART ONE
Happiness
CHAPTER 1
Strengthspotting
Finding and Developing Client Resources in the Management of Intense Anger
P. Alex Linley and George W. Burns
MEET THE CONTRIBUTORS
P. Alex Linley is the founding director of the United Kingdom-based Centre of Applied Positive Psychology (www.cappeu.com), focused on the applications of strengths in organizations and schools as well as to individual and community development projects in the United Kingdom and Kolkata, India, through the charity The Strengths Project, of which Alex is a founding trustee. Alex holds the position of visiting professor in psychology at the University of Leicester and is an international speaker on strengths and positive psychology, having delivered keynote presentations throughout the United Kingdom, Europe, the Caribbean, the United States, and India. He has written, cowritten, and/or edited more than ninety research papers and book chapters and five books, including Positive Psychology in Practice (Wiley, 2004) and Average to A+: Realising Strengths in Yourself and Others (CAPP Press, 2008). His time outside work is spent with his wife and four children, listening to The Cure, and supporting the Nottingham Forest Football Club.
George W. Burns is an Australian clinical psychologist whose innovative work as a practitioner, teacher, and writer is recognized nationally and internationally. The author of numerous articles and book chapters, he has authored or edited seven books that have been widely translated, including Nature-Guided Therapy, 101 Healing Stories, and Healing with Stories. He is director of the Milton H. Erickson Institute of Western Australia and the Hypnotherapy Centre of Western Australia, is an adjunct senior lecturer at Edith Cowan University, and has a busy private practice with a brief, solution-focused, positive psychology orientation. He has served on the Practitioners Advisory Board of the first and second Australian Positive Psychology and Well-Being Conferences and was a presenter at the First World Congress on Positive Psychology. As a keen traveler, George enjoys combining his passions for nature, cultural tales, and psychotherapy into workshop/study tours for colleagues that venture into remote areas, such as the Himalayan kingdom of Bhutan.
Is psychotherapy a place where clients would consider going to talk about their strengths? Is psychotherapy a place where therapists would routinely inquire about a client’s strengths as a part of their initial assessment and ongoing therapy? It is unlikely this is what Emma was expecting when she presented to therapy with a slight weight problem, saying “I eat when I am bored, frustrated, anxious and angry—for psychological reasons. It makes me happy.” However, it was not until the second session that she revealed the real, embarrassing, and distressing reason for attending.
What she believed made her happy was quite specific: chocolate. With almost any emotional swing she would gorge on a family-size block of chocolate, a full package or two of chocolate cookies, or a container of chocolate milk. Trying to stop any long-established behavior can be difficult, especially if it is an approach behavior, meets a psychological need, and offers such strong rewards as the chocolate was doing for Emma. It provided instant pleasure when she was in distress, and she had empowered it with the ability to “make” her happy. To direct therapy toward stopping something that served as an effective, though maladaptive, coping strategy with such powerful rewards was obviously going to be an uphill battle.
With the exception of one or two therapeutic approaches, such as Ericksonian or solution-focused therapy, or with the occasional therapist, few therapies or therapists have oriented themselves toward spotting, enabling, and developing client strengths. Therapists and therapeutic models usually are very well versed in, and have good clinical strengths in, problem-spotting and weakness-spotting.
This being so, what might psychotherapists need to know about strengths, how might they go about spotting strengths in the therapeutic session, and what can they do with those strengths once they have been spotted? And, perhaps most important of all, is there any evidence that it is worthwhile for them to do this with clients like Emma in the first place?
In this chapter, we first offer some evidence to show why it is worthwhile spotting, enabling, and developing strengths in the context of therapy. Then we explore several questions relevant to this: How do you spot strengths in a client? How do you help a client spot strengths? How do you enable and develop strengths? Most of the discussion in answer to these questions is provided by Alex (PAL) while a therapeutic example (the evolving case of Emma) is presented by George (GWB).
When talking of strengths, we are using this definition: “a strength is a preexisting capacity for a particular way of behaving, thinking, or feeling that is authentic and energizing to the user, and enables optimal functioning, development and performance” (Linley, 2008, p. 9). Simply put, strengths are natural propensities that each of us have—so natural, we argue, that they are evolved adaptations. When we are using our strengths, we are feeling in touch with our “true selves,” are doing the things that are right for us to do, and from them we derive a sense of energy as a result. When these factors coincide, as they do in strengths use, optimal functioning is enabled. Given that psychotherapy often is focused on undoing dysfunction and enabling more optimal functioning, helping clients to identify and use their strengths more would seem to be indicated.
WHY IS STRENGTHSPOTTING WORTHWHILE?
In a study with 214 university students, Reena Govindji and I (PAL) were interested in the question of whether using strengths was associated with greater levels of well-being, self-esteem, and self-efficacy. We found that it was: People who used their strengths more reported higher levels of self-esteem, self-efficacy, subjective well-being, psychological wellbeing, and vitality (Govindj & Linley, 2007). Further, they reported higher levels of organismic valuing, the Rogerian concept of being in touch with one’s inner nature and organismic valuing process (Joseph & Linley, 2006).
When we statistically controlled for self-esteem and self-efficacy, the use of strengths was still a significant predictor of psychological well-being and subjective well-being, indicating that the effect of using one’s strengths on well-being went over and above existing levels of self-esteem and self-efficacy. This is good news for psychotherapists, since it suggests that whatever a client’s current level of self-esteem and self-efficacy, using strengths is likely to lead to increased levels of well-being.
Further, in a study of positive psychotherapy with a clinically depressed population, Seligman, Rashid, and Parks (2007) found that identifying one’s signature strengths and finding ways to use them more led to clinically significant and sustained decreases in depression. And in my own (as yet unpublished) research, I (PAL) have been able to demonstrate that people achieve their goals more effectively when they are using their strengths. While, of course, it is still in the early days, the emerging evidence suggests that strengths may well have a place to take in the therapy room.
Given this evidence, mobilizing Emma’s strengths toward more desirable behaviors for managing her emotions and eating patterns seemed an appropriate therapeutic direction. To this end, I (GWB) first needed to spot what strengths she had. In the process, I learned that after graduating college, she committed herself to developing an academic career before having children. She had been married for 12 years and was in her late 30s when she had her first child. She was now a full-time mother of a 4-year-old-daughter, Samantha, and 1-year-old son, Jason.
HOW DO YOU SPOT STRENGTHS IN A CLIENT?
Listen for Strengths
Hearing the passion and energy that strengthspotting ignites in people, I (PAL) began to wonder what strengths “sound like.” Are there identifiable differences that we can listen for when people are talking about strengths, compared to other topics or other types of conversation? To explore this, I developed an exercise for a class that I used to teach by telephone to members from half a dozen countries around the world. First, I asked someone to speak for five minutes about a weakness or about something with which they were struggling. Then I asked them to spend the same time talking about a strength or about when they are at their best. As the exercise was by telephone, there were no additional physical cues, such as body language or facial expressions (Linley, 2008).
Other listeners in the telephone class were asked to describe their observations of what characterized the answers. In sum, they noticed that when people are talking about weaknesses, they are more negative, hesitant, and disengaged. Their energy levels drop and they sound more withdrawn. If we have access to body language, we might also notice they are more closed and defensive, and their attentional focus is narrowed.
When asked what she was good at, Emma replied in the negative. “Not much. All I seem to do is change pooey diapers and think about what to feed the kids next.” Her voice was flat and monotonal, her arms folded across her chest, her body hunched forward.
When people are talking about strengths, however, they are more positive, energetic, and engaged. They sound happier, more confident, and more relaxed. There is a passion in their tone, their conversation is free flowing, and they explain things graphically. If we were to observe body language—as one can in therapy—it is likely to be open and receptive.
When discussing singing, one of Emma’s strengths, there was a marked difference. Her voice was animated, her energy levels increased, she sat more upright and made eye contact—all signs of greater engagement and confidence.
Listening for, and observing, these shifts in your clients’ conversation and body language is a good indicator of when they are revealing a strength. However, this leads us to an important caveat. While there are certainly remarkable consistencies across these different groups and diverse populations, there can also be important individual differences. Not everyone responds in the same way, and it is very important to keep this in mind. If we do not, we run the risk of misinterpreting the responses of people who are simply different. Psychological research is almost always nomothetic in that it seeks to create generalized laws that apply across the majority of people. These laws, in turn, are generally applied in idiographic ways that are specific to a given individual—such as in a therapy session. As therapists we need to (a) be aware of the general trends and (b) be conscious that the person sitting with us in any one session may respond quite individually.
Inquire about Self-Perceived Strengths
A simple way to find out about a person’s strengths is to ask—just as you would discover a person’s history by asking standard questions about family of origin, education, relationships, and the like. All that is different with strengthspotting is that the nature and orientation of the questions shifts the therapeutic dialogue to a greater focus on strengths. Here are some of the questions that we have used to elicit strengths with people in challenging life circumstances:
• What are you good at?
• What do you enjoy doing?
• Tell me about the best experience you have had.
• What do you admire about other people? Do you see any of that in yourself?
• When do you think you have been at your best? What enabled that to happen?
• What are your aspirations for the future? What can you do to make them happen?
When Emma responded to the first question by saying she was not good at much (in the present tense), I (GWB) shifted direction to inquire about what she had been good at in the past.
“I think I was good at supervising research,” she answered. “I loved to challenge students, to ask questions, to ensure that their research design was sound. I think I was also good at lecturing. My courses were commonly rated highly by students, and I achieved several teaching awards.”
“Congratulations,” I validated, and leaned over to shake her hand as an action of affirmation for her abilities. With each strength she described, we spent some time discussing and affirming it before moving onto the next question.
“What would you say you enjoy doing most?” I continued.
“Research and supervision have to be high on the list. I enjoy the intellectual challenge. But I think my greatest enjoyment came from singing. I belonged to the university choir, and a quartet from the choir formed a small group. We used to sing for weddings, conference dinners, and those sorts of things.”
“When do you think you have been at your best?”
“Definitely when I was singing. I used to get a bit nervous before a performance, but once I started to sing it was like every other worry and thought just floated away.”
“That sounds like an important skill to have. How did you enable that to happen?” I asked.
“The four of us in the quartet were great friends, we had a lot of fun rehearsing and practicing and, I guess, I was so focused into what we were doing.”
“And what are your aspirations for the future?”
“I am planning to go back to teaching next year perhaps part time, and it would be nice to start singing again. But I don’t know if I’m going to have time now that I am a mom.”
Watch for Telltale Signs of a Strength
As you listen for and inquire about strengths, it is helpful to watch for the telltale signs of a strength, such as:
• A real sense of energy and engagement when using the strength
• Losing awareness of time because the client is so engrossed and engaged in the activity
• Very rapidly learning new information, activities, or approaches that are associated with the strength
• A repeated pattern of successful performance when using the strength
• Exemplary levels of performance when using the strength, especially performance that evokes the respect and admiration of others
• Always seeming to get the tasks done that require using the strength
• Prioritizing tasks that require using the strength over tasks that do not
• Feeling a yearning to use the strength while also feeling drained if you have not had the opportunity to use it for a time
• Being irrevocably drawn to do things that play to the strength—even when you feel tired, stressed, or disengaged (Linley, 2008, pp. 74-75).
In conversation, not only did Emma reveal a number of strengths, but she affirmed them through the telltale signs. There had been a shift in the tone of her voice and the degree of animation that she showed. It was possible to hear the difference between when she was talking about changing kids’ diapers and when she was talking about singing in her quartet. The signs were there in the sense of energy and engagement that was communicated about using her strength of singing. She spoke of being engrossed and engaged in her activities of supervision, teaching, and singing.
These telltale signs are not necessarily always found together, at least at any given moment in time. Over time, however, it is likely that patterns will emerge. Thus, throughout the course of a series of psychotherapy sessions with a client, as therapists we have ample opportunities to become effective strengthspotters.
In each of these steps—listening for strengths, inquiring about self-perceived strengths, and watching for telltale signs of a strength—the therapist’s ear is attuned for any response that offers a glimpse into another, more positive side of their clients than that which brought them into therapy in the first place. While we know that negative mood primes negative memories, shifting our focus onto strengths and success helps engender more positive emotions that, in their own turn, prime more positive memories and more positive aspirations for the future.
A SURPRISING REVELATION
It was at the second consultation that Emma revealed the embarrassing and more pressing problem. She had unsuccessfully tried to keep it secret from her husband and had not told anyone else. It is hard to know, of all the things that happen in a therapeutic session, just which factors may influence a person to reveal and talk about a difficult subject or not. We would like to think that taking a positive, strengthspotting approach in the initial consultation gave Emma both the confidence and the hope to be able to approach the topic. Tearfully, she revealed that there were times when she got angry with her daughter, Samantha, her behavior contradicted all her principles and conflicted with the image that she had of herself as a mother. So difficult was this subject to discuss in detail that she had put it into writing and passed me the handwritten letter.
“Life fucking sucks,” I read. “Anger is everywhere. The rage has got to go. I hate this, I am out of control and our kids are copping it. I don’t have the energy or feel that I care (but I do very much). I hate this. Samantha is being yelled at, screamed at, pushed, shoved, poked. Gosh, no wonder she doesn’t know how to handle herself when she gets frustrated. What is going to become of our family? It’s not feeling very good at the moment. I have to change or I am going to have to leave for the sake of the children. Samantha needs her space and it’s only going to get worse as she gets older. I can’t keep it all together, our poor darling Samantha. Please let this stop!!”
A prime concern here in terms of one’s professional and ethical duty of care is, without question, the protection of the child. While Emma’s letter referred to pushing and shoving Samantha around, I was assured by the conviction of her comments to my inquiries that she had never hit or struck her, and vowed she never would. Herein was perhaps an indication of another of Emma’s strengths: She could choose how far she went in her anger and when she stopped. She had the strengths of choice and control at a particular given point, despite the level of her rage. She was not concerned about physically harming Samantha but rather about psychologically harming her. Two key questions in regard to client care and professional responsibility are to ask yourself: Does this issue fall within my field of professional competence? and, Can I provide the best source of assistance to this client? If there had been any question of physical abuse, my response to those questions then, or at any stage during therapy, would have been to refer her immediately to an agency that could ensure the protection of the child.
HOW DO YOU HELP A CLIENT SPOT STRENGTHS?
Strengthspotting can be a highly engaging activity for therapists and also for clients. However, while it is one thing for therapists to be able to spot strengths in their clients and communicate their observations to them, it may be another thing altogether for clients who have a long history of self-effacement or self-denigration to spot, acknowledge, and employ their own strengths. Yet therapy is surely at its most effective when it can teach clients the skills to discover, use, and enjoy their own strengths without being dependent on a therapist or others to point them out. This being the case, how do we go about helping a client like Emma to spot her own strengths? How do we teach our clients the ongoing skills to live an optimally functioning life? Let us offer two areas of possibility.
Teach Your Clients to Look for Strengths in Others
Teaching clients to look for strengths in others can hold four advantages.
1. It helps them to look for, be aware of, and acknowledge strengths in general.
2. This awareness of the positives and strengths around them is likely to enhance their own sense of well-being.
3. By looking for strengths in others, rather than seeing the negatives, they are likely to form the basis for more positive relationships with people such as spouses, partners, friends, children, and work colleagues.
4. Getting into the enjoyable habit of spotting strengths in others means they are more likely to spot strengths in themselves.
How do you get clients to look for strengths? One way is by what we call day-to-day strengthspotting. Just as you have learned to do as a therapist, ask your client to (a) listen for strengths; (b) inquire about strengths; and/or (c) watch for telltale signs of a strength as they share a meal with a spouse, discuss a project with a colleague, listen to their child recounting the events of a day at school, stand in line at a supermarket checkout, or hear an athlete being interviewed on television. It is hoped that clients will discover that strengths can come to the fore at any time, from anyone—possibly even from unlikely people in unlikely places.
What does it take to be a strengthspotter? In essence, spotting strengths in whatever we are doing, wherever we are, and whoever we’re with requires just a simple orientation of mind—a mind prepared to look out for and acknowledge a strength when it has been “spotted.” To help this orientation, you could ask clients to carry a notebook with them between now and the next session, daily noting the strengths they spot in other people and what led them to define it as a strength.
Emma was asked to spot and note the strengths she saw in Samantha—just three things per day to start with. At first the request took her by surprise, as she had been so focused on the negative, problematic aspects of her daughter’s behavior. Often what we focus on is what we see. As Emma started to shift her attention, she began to see a different child. She began to speak of her daughter’s independence and determination as positive qualities. She became more aware of Samantha’s playfulness, creative engagement, and laughter. Samantha, as any child is likely to do, responded to the positive attention with more positive behaviors, and the mother-daughter relationship quickly began to improve.
Teach Your Client to Look for Strengths in Him- or Herself
Having you, the therapist, as a model of strengthspotting in therapy is one way your clients can learn to replicate this skill. Another that we use is the Individual Strengths Assessment (ISA) (Linley, 2008). The questions that make up the ISA are all designed to encourage people to talk about their great experiences, their enjoyment, their best successes, who they are at their core, and when they are at their best—to look for strengths within themselves. They cover each of the emotional, thinking, and behavioral aspects of people, and range over the past, present, and future, always looking for consistent themes that would indicate the presence of a strength.
Rather than being an inventory or psychometric scale, the ISA is more of a guided conversation and does not work according to a script. It is, unfortunately, not a foolproof process, whereby anyone can read the questions from the list and determine what someone’s core strengths are. In contrast, it is a subtle but powerful combination of the ISA questions and the expertise of the strengthspotting therapist. The questions orient people into the right territory to be thinking about their strengths. The therapist’s objectives are, first, to draw strengths out through the guided conversation and, second, to feed them back to the client in such a way that the client understands, values, and engages with the strengths.
Here are some sample ISA questions. You may wish to consider your own answers as you read through them and to see what strengths your responses may lead you to identify in yourself. You might also want to try them out with some of your current clients, seeing what sort of responses you receive and what you can glean about that person from how they respond. This is a good way to see if this approach to therapy fits for both you and your clients.
• What sort of everyday things do you enjoy doing?
• What makes for a really good day for you? Tell me about the best day that you can remember having.
• What would you describe as your most significant accomplishment?
• When you are at your best, what are you doing?
• What gives you the greatest sense of being authentic and who you really are?
• What do you think are the most energizing things that you do?
• Where do you gain the most energy from? What sorts of activities?
• What are you doing when you feel at your most invigorated?
• Tell me about a time when you think that “the real me” is most coming through.
• Do you have a vision for the future? What is it about?
• What are you most looking forward to in the future?
• Thinking about the next week. What will you be doing when you are at your best?
All of these questions are designed to open up the dialogue around strengths, what energizes and invigorates people, what gives them a sense of authenticity, and what enables them to be at their best. Strengthspotting therapists are always at liberty to tailor the questions to fit within the context and flow of the conversation as well as the needs and expectations of the client. The questions should be used as a helpful framework and prompt rather than as an exercise that constrains and gets in the way of what would otherwise be a nicely flowing conversation.
Wanting to tailor questions specifically to her maternal strengths, I asked Emma, “When do you feel you are best as a mother? When are the times that you feel really good in your mothering role, the times that you feel that the real you is shining through?”
“Not too often at the moment,” she answered.
“I wasn’t asking how often they occurred,” I responded, “but rather what those times and feelings are like when you do have them.”
“I guess they are the loving kind,” she said. “The times when the day hasn’t gone too bad, and I lie beside her to read her a story and feel her falling asleep in my arms.”
“Are there other such times when you feel really good about your role as a mom?” I inquired.
“The playful times. The times when we are just fooling around and she does those funny things that have me laughing out loud.”
To facilitate client skills of personal strengthspotting, it is very often helpful to conclude by asking what, on the basis of the conversation, they think their strengths are. This can also be a good opportunity to inquire about what formal or informal feedback they have had about their strengths from other people and whether that feedback is consistent with what they have started to identify through the ISA conversation. They may also keep that notebook with them to record further personal strengths as they spot them.
When we start to explore strengths, we often find that clients ask, “What are my top strengths?” Paradoxically, answering this question without appreciating the wider context and implications for it can be unhelpful. There is no fixed number and no set hierarchy of strengths. It is an open question as to how many strengths a given individual has or needs, and also an open question as to how many of those strengths are “top strengths.” In addition, strengths may shift, some moving into the foreground and others receding into the background, as the context and need changes.
HOW DO YOU ENABLE AND DEVELOP STRENGTHS?
Questions we have found that almost inevitably come up at the end of an ISA conversation include, “What next? I have spotted my strengths. Where do we go from here?” If the client doesn’t ask them, however, it is important for the therapist to do so. Knowing one’s strengths may be interesting; putting them to use is what creates change. These questions are about helping clients to find or create situations where they can deploy their strengths more or explore ways in which they can have conversations with others (spouse and supervisor being classic examples) about what they would like to do to maximize their strengths more in the future.
Emma had spotted many strengths in herself as a person, an academic, a singer, and a mother. How could she now enable and develop those strengths for the ongoing benefits of herself, her daughter, and their relationship? She had successfully defined what her strengths were; the task now became how to put them into practice or facilitate them more frequently, and when she could do so.
This enabling process revolved around questions such as: How can you enable and develop these loving and playful strengths in your role as a mother? How can you create more of the intellectual challenge you are good at and miss? How can you recapture that mindful engagement you have when singing?
When she said she was most looking forward to getting back to work and singing, I asked, “Then how and when do you see you might start to resume those things?”
“I would feel guilty about putting the kids into child care. I would feel that I failed as a mom,” she said.
“But aren’t you feeling guilty and a failure at the moment?” I asked, confronting her gently. “What would be the difference?”
Within a couple of weeks, she had enrolled Samantha and Jason in a day care facility for two half days a week, arranged to resume some part-time PhD supervision, and rejoined the quartet’s evening rehearsals while her husband looked after the children. As she started to utilize her strengths again, she began to feel better and happier in herself. This, in turn, seemed to have her relating with the children in a happier and more relaxed manner. Samantha blossomed in the day care facility, especially through the social interactions with other children of her age. And Emma seemed to be progressing so well after five sessions that we did not arrange any further consultations, leaving the option open for her to contact me if she felt the need in the future.
Almost always—and almost inevitably—the conclusion of a strengthspotting session is characterized by clients’ realization of a deeper insight and understanding of themselves, particularly when they are at their best, and what they can do to achieve that best more often. There is also a marked shift in realization toward the practical steps that can be taken to reshape and refine their life and work on this basis.
WHAT WAS THE FOLLOW-UP?
About three months later, Emma called requesting an urgent appointment. Fortunately, I was able to offer her a cancellation. Again she handed me a handwritten letter. It read: “Bad, bad blow-up with Samantha yesterday. Had just come home from shopping. She wasn’t well with a throat infection and started screaming. I swore and went ballistic for no reason at all. I didn’t touch her; I was just very violent in my body language and voice. I got her into her room behind closed doors as quickly as I could to remove myself from her. I have been doing well, so well, that I think I blew it all in one go. I plugged in my MP3 player and started singing along, then went out and hung out the washing while I was singing. Later I came back and calmly apologized to Samantha. I was so deeply sorry for scolding her. It had been a long while since I had done this.”
While it was troubling that Emma had “gone ballistic,” it was good news that it had not happened for a long time. It was also good to note that she was (a) aware of her own behavior, (b) able to take action about it by separating herself from the situation, and (c) could tap in to her strength of singing. This enabled her to relax, review her reaction from a more distant perspective, and deal with the situation more appropriately. I sought to reassure her about the strengths that she had exercised in this situation and reinforced the fact that once we are capable of doing something, we have clearly demonstrated to ourselves that we are capable of doing it again. If she had been able to go for several months without exploding into her former anger, it was possible to do it again. If anger did arise, she knew that she was capable of picking up on the triggers and taking action to spot and utilize her strengths. Indeed, her management of it was proof of even more strength.
And what of the chocolate consumption? After the first session, Emma made no mention of it again, and nor did I. My guess was she had found other, more adaptive ways to experience happiness.
Strengthspotting is a tremendously powerful way of opening up a conversation about strengths and enabling people to talk in ways that allow the expert therapist to identify and draw out the core strengths people are describing through their responses. Through spotting, enabling, and developing clients’ strengths, psychotherapists have another powerful approach in their repertoire to help them help their clients improve functioning and achieve life goals. We hope that one of the many contributions of positive psychology to psychotherapy will be the reenvisioning of psychotherapy from a process of problem-spotting to one of strengthspotting. In time, psychotherapy really may become a place where people like Emma go to talk about their strengths and empower themselves to great achievements.
Putting It into Practice
1. Spot the strengths in your clients.