Tuesday, March 26, 2013

Suffering, Scars, and Healing - Psychological Suffering Week 10 Reflection

**The following is an excerpt from a reflection paper for my course on Psychological Suffering and Disorders.  There are many references to other reflection papers and class discussions of which some have and some have not made their way onto this blog.  Nevertheless, I feel it was worth putting up here.  The information presented here is done so in its original content.**


          As I have mentioned before in class and in other reflections there is something unsettling to me about the commonly used notions of “coping” that imply a “fixing” or “getting over” suffering. Other reflections brought to light ideas of forgiveness in terms of love and understanding which I feel are much truer to what we mean when we say “cope.” I would be inclined to take the same approach towards “healing.” There is not necessarily a coming clean, making peace with, or closure of suffering, but an acknowledgement of ownership that our suffering is now part of our lives and we continue (if you're reading this then you are already doing so) not burdened under the the guise of suffering, but in spite of it; ala Sisyphus.
          In my personal preference I don't think that healing is nearly as implicative of “fixing” than coping. This may seem a strange paradox, but I think a biological example may help illustrate the point. When our body receives a superficial wound (a scratch or a bruise) we might not notice it at first, however, left unattended it will fester. If too much attention is paid to it, like picking a scab, the “wound” persists. Taken to a different degree; severe injuries leave scars once they heal. The wound or immediate danger (to the body) will close and heal with the right precautions. However, a scar remains... it serves as a reminder of the incident. I'd like to think of psychological suffering in the same manner. That the scars of our trauma and suffering serve as a persistence of memory. They remind us that our “wounds” are part of us. Scars may “heal” or disappear over time, but to an entirely different scale and degree than the “bleeding” wound.
          I've heard and used the expression that “scars are just tattoos with better stories.” However, this class has brought new light to that story. Not only do physical scars represent a “chapter” of our lives, but our psychological scars create the same kind of story-telling, an integral part of our meaning-making process. I think that healing is just that, a process. It is not a capstone or remedy, it is a growing not after suffering has been resolved but growing with that as part of our lives. We have talked before about about trauma be a sudden shock to our worldview, lifestyle, or “dam.” Trying to “get over” that shock is probably traumatic in its own right in that we are constantly and intimately reminded of it.
Irvin Yalom uses an analogy to title one of his books; “Staring at the Sun.” In the book, the sun is used to represent our death (ironic and paradoxical in its own right). Yalom emphasizes that without the sun we would live in a world of darkness; similarly being reminded of our mortality can serve as motivation to live a “fuller” life. Conversely (as Yalom also writes) staring directly at the sun is painful and can ultimately permanently blinding. In such a metaphor, too much concentration on our own death can be crippling in a neurotic disabling way. I'd like to think that the same metaphors hold true when talking about suffering rather than death.
          I don't know that I can think of any specific poems or songs that reflect the concepts I'm trying to convey; or perhaps there are too many. I can't think of any that capture suffering's complexity in entirety, but there is something (as we have also talked about) breathtakingly similar in all of they, yet each is uniquely different and elicits a specific “suffering.” However, if I had to pick one, the following comes pretty close to capturing my above thoughts on suffering, scars, and healing...

Sunday, March 24, 2013

10 Features of a Mentally Healthy Response to Disaster

          I am currently doing some group work in my Psychological Suffering and Disorders class for the Georgia Department of Behavioral Health and Developmental Disabilities on their Disaster Mental Health website.  The following is a sample of some proposed content I have offered to my group as part of our presentation to the class and the maintainers of the website.  From the georgiadisaster.info main page; this content will be located under the Public -> General Public -> Preparedness and Planning section.




10 Features of a Mentally Healthy Response to Disaster:
The U.S Substance Abuse and Mental Health Services Administration (SAMHSA) assembled a group of experts to study what helps people through disaster and they suggested, based on their studies, the following ten features. *List and descriptions have been elaborated on and obtained from this post in the SAMHSA newsletter.


1)  Person-Centered Approach - There are multiple pathways to recovery based on an individual's unique strengths as well as his or her needs, preferences, experiences, and cultural background.
          A person-centered approach to preparedness and planning means that the approach is individualized.  Each of us must prepare and plan for disasters in a way that "fits" with who we are and how we live.  For example, a disaster such as some hurricanes that involves relocation will be experienced differently for someone who has recently moved to a city compared to someone living there all of her life.  A person-centered approach takes into consideration one's strengths, experiences, and cultural background and adapts to individual preferences and needs.

2)  Self-Direction - Consumers determine their own path of recovery with their autonomy, independence, and control of resources.
          Although other people can influence and assist with our response to life events (such as disasters), each person's experience of a disaster is unique.  The availability, extent, and delivery of resources may vary greatly depending on the circumstances of a disaster.  Not all contributing circumstances can be controlled, however, individual responses can be.  Self-Direction means individual rationality.  This rationality involves making informed and un-coerced decisions.  Individuals recover and react differently to given circumstances.  A self-directed choosing of an individual pathway may ease the burden of the recovery process.

3)  Hope - Hope is the catalyst of the recovery process and provides the essential and motivating message of a positive future.  Peers, families, friends, providers, and other can help foster hope.
          Psychologists have found that hope, something that other traditions might refer to as a positive outlook or even faith, can help people prepare for and experience disasters in a mentally healthy fashion  having hope means keeping one's projected prospective of the future open to the potential for betterment and improvement of the current situation.

4)  Responsibility - Although resources including websites such as this one can help in preparation, ultimately disasters demand that we respond in a way that takes responsibility, that is ours.
          An individual's reaction to their circumstances and consumption of resources (such as assistance from government agencies or other people in the community) can be rationally individualized and accepted with responsibility to increase the need-based efficiency and benefits of those resources.  This website is designed to prepare foresight and preparedness for potential future disasters   However, it is the responsibility of the individual to carry out their plan and use the resources, skills, and tools available to them to the best of their ability.

5)  Empowerment - Consumers have the authority to participate in all decisions that will affect their lives, and they are educated and supported in this process.
          The essence of preparedness is to be empowered, to be able to not be merely a victim of disasters but a participant in their process.  Additional information about empowerment is located throughout our website.  Knowledge is empowering.  This website is designed to provide a great deal of information that can be generally applied to a variety of situations.  Your power, as a consumer of this information, comes in the form of your ability and willingness to share, use, and further research the information provided here.

6)  Respect -  Eliminating discrimination and stigma are crucial in achieving recovery.  Self-acceptance and regaining belief in oneself are particularly vital.
          People experiencing disasters are still first and foremost people.  A mentally healthy approach to disasters would respect and honor personal experience and meaning-making.  Disasters are life changing events and the journey can sometimes be lonely.  However, recovery after a disaster is best achieved by combining a respectful willingness to give and accept help from others as well as respect of one's own circumstances and avenues of change.

7)  Peer-Support - Mutual support plays a vital role in recovery.  Consumers encourage and engage others in recovery and provide each other with a sense of belonging.
          Although each of us experiences a disaster in ways that are unique to us and to our experience, and although we can count on governmental and other agencies to assist us through these experiences, reliance on those around us and similar to us is also an important feature of a mentally healthy response to disasters.

8)  Strengths-Based - Recovery focuses on valuing and building on the multiple capacities, resiliencies, talents, coping abilities, and inherent worth of individuals.  The process of recovery moves forward through interaction with others in supportive, trust-based relationships.
          Our approach to mental health in disaster is founded on the idea that people are fundamentally strong, and that rather than speaking to deficits or shortcomings, we build our response to disaster on these strengths.  Past events can be used as learning modules to adapt to present circumstances.  Not only can these modules be used as a model of what not to (in the case of unwanted results), but as a beacon of what has worked well and may be of benefit to continue doing.

9)  Non-Linear - Recovery is not a step-by-step process but one based on continual growth, occasional setbacks, and learning from experience.
          Although some elements of disasters and our responses to them are predictable in terms of progressing through phases to a defined outcome, a mentally healthy response to disaster takes its own journey, sometimes with twists and turns and according to its own timetable.  Responding to and recovering from disaster is a personal and somewhat unique experience.

10)  Holistic - Recovery encompasses an individual's whole life, including mind, body, spirit, and community.
          Recovery embraces all aspects of life, including housing  social networks, employment, education, mental health and health care treatment, and family supports.  This element of preparedness, response, and recovery emphasizes how disasters are part of a whole life and culture and time, and although having some special features, they are not separate from other human experiences.





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Monday, March 11, 2013

Solution-Focused Therapy and Athletic Performance

** This is an essay written for my "Brief and Narrative Therapy" course's midterm assignment.  I apologize in advance for any formatting errors that may have occurred during the upload/transition.**

Athletic Applications of Solution-Focused Therapy

Austin P. Haedicke

Brief and Narrative Therapy
Dr. Kathy Skott-Myhre
Spring 2013

          Abstract: “There is no such thing as neutrality” (O’Hanlon & Weiner-Davis, 2003,
p.187). Solution-focused therapy was originally developed in the counseling and therapeutic
fields for it’s potentially vast range of utilization, particularly within coaching methodologies.
(Grant, 2001, p.98). The methodologies of solution-focused therapy can be applied outside the
classroom or counseling session as well. This essay will demonstrate how such tactics can be
applied to sport psychology. A particular emphasis will also be placed on how the athlete can
apply this information to their training program and ultimately improve their performance. The
essay will also include sample directive procedures. With that in mind, the purpose of this essay
is to provide information from solution-focused therapy for coaches and athletes to apply
towards improving athletic performance.

Introduction to Solution­Focused Therapy
          “[Milton] Erikson viewed clients as having within them or within their social systems the
resources to make the changes they needed to make” (O’Hanlon & Weiner-Davis, 2003, p.16).
This is a founding principle for a solution-focused orientation. That is, resources and solutions
are available though they may be difficult to individually extract or evoke. De Zanet (2005)
states that “solution-focused brief therapy is defined by its emphasis on constructing solutions
rather than resolving problems.” If one were to think of a white piece of paper with several
black spots drawn on it to represent problems; SFBT (solution-focused brief therapy) would
desire to focus on growing the white area rather than erasing the black spots. The basic idea is
that “Once you know what works, do more of it. Part of a solution is probably already
happening” (De Zanet, 2005). SFBT places its emphasis on steering away from a
problem-eradication modality and working to strengthen what is already positive or find
something that is “working” rather than something that is “not a problem.”
         O’Hanlon and Weiner-Davis (2003) state that there are three things that solution-oriented
therapy is trying to do (p.126). It is trying to change the doing of the situation that is perceived
as problematic; change the viewing of the situation that is perceived as problematic; and evoke
resources and strengths to bring to the situation that is perceived as problematic (O’Hanlon &
Weiner-Davis, 2003, p.126).
          In terms of assessment, solution-focused therapy takes a non-pathological approach.
“Problems are seen, not as indications of pathology or dysfunctionality, but stemming from a
limited behavioral repertoire” (Grant, 2011, p.100). Grant (2011) also states that “the past is seen
as a potential reservoir of resources, but the past is not used as a means of exploring causality”(p.100). O’Hanlon and Weiner-Davis state that the goal of the therapist is to access the client’s
abilities and put them to use (2003, p.34). O’Hanlon and Weiner Davis also go on to state that
the therapist, or client themselves, needs to assess what is different about the times when they are
already successful (2003, p.83). The resulting effect is that the problem at hand begins to appear
more “manageable” and “less impervious” to creative problem-solving (O’Hanlon &
Weiner-Davis, 2003. p.58).
          O’Hanlon and Weiner-Davis also suggest that there are seven classes of intervention or
methods of change that they try to induce. Four of the seven are methods of change which
include: frequency or rate of the performance of the complaint, timing of the performance of the
complaint, location of the performance of the complaint, and sequence of elements / events in the
complaint pattern (O’Hanlon & Weiner-Davis, 2003, p.129-131). The seven methodologies also
include three other components which are: add (at least) one new element to the complaint
pattern, break the complaint pattern into smaller pieces, and link the complaint performance to
the performance of some burdensome activity (O’Hanlon & Weiner-Davis, 2003, p.129-131).
          These methods are foundational to attempts at adaptation. Such methods bear a future-based
orientation. “The emphasis is more on the future (what the client wants to have happen) than the
present or the past” (Grant, 2011, p.100). Furthermore, the focus is on constructing solutions and
disengaging from problems (Grant, 2011, p.100).
          There is also a specific role for the coach / therapist. For example, “problems are not
something people have or don’t have. How one judges the events in one’s life determines
whether one has a major problem, an interesting challenge, a small bump on the rocky road of
life, or no problem at all” (O’Hanlon & Weiner-Davis, 2003, p.173). The client, athlete, or coach
must also consider that “[people] are often eager to discuss their accomplishments and knowexactly what they need to do without guidance” (O'Hanlon & Weiner-Davis, 2003, p.137&147).
What, then, is the role of the therapist or coach?
          Grant (2011) states that “the coach helps the client articulate their preferred outcome(s)
and then works with them to help them identify action steps that may help them attain their goals.
Action steps are seen as being a series of mini-experiments rather than being predetermined
prescriptions for change” (2011, p.100-101). Grant also describes the coach/therapist’s role as
being one of utilization and activation of existing client resources which the client may have
been unaware of (2011, p.101).
          There are also some issues or problems which the therapist may encounter on their own
behalf. “Sometimes the problem is that the therapist never has a clear picture of the client’s
goal” (O’Hanlon & Weiner-Davis, 2003, p.165). The coach/therapist must also take careful note
of when a client is agreeing or disagreeing and also when they appear confused, annoyed, or
delighted (O’Hanlon & Weiner-Davis, 2003, p.171).
          In review, solution-focused therapy is a process from goal orientation to problem
disengagement and finally towards resource activation (Grant, 2011, p.102). Grant (2011) states
that goal orientation is “an orientation toward solution construction through the articulating and
use of approach goals and active self regulation” (2011, p.102). The second phase of the process
is problem disengagement. In this phase people must explicitly disengage themselves from their
problems in order to focus efforts on the solution-based mindset of this brand of therapy (Grant,
2011, p.102). The process then moves towards resource activation which is a focus on
acknowledging, identifying, and activating the vast array of personal and contextual strengths
within and at the client’s disposal (Grant, 2011, p.102).

Solution­Focused Approaches to Sport Psychology
          “The problem-focused perspective is the dominant perspective in psychology and also
among clients and psychologists” (De Zanet, 2005). Previous methods of applied sport
psychology has utilized cognitive behavioral methods that emphasize a development of internal
states such as thoughts, emotions, and bodily sensation (De Zanet, 2005). De Zanet (2005) states
that attempting to suppress unwanted thoughts or emotions can actually be counter-productive.
Such a procedure can have a paradoxical effect. For example, trying not to think about
something increases the probability to think about the unwanted thing (De Zanet, 2005).
De Zanet (2005) suggests that athletes under perform because they don’t know how to
solve or cope with the “sport challenges” they are confronted with. However, De Zanet also
suggests that solution-focused consultants should consider athletes as having the resources to
cope efficiently with these challenges (2005). Furthermore, the goal of the coach, therapist, or
self-guided athlete is to identify and solve these challenges by recognizing and mobilizing
available resources (De Zanet, 2005). The emphasis on clients setting their own goals can be
consistently seen throughout both the works of De Zanet and O’Hanlon & Weiner-Davis. De
Zanet does mention something that is not explicitly stated in the O’Hanlon & Weiner-Davis
piece. He states that “Performance results from quality in preparation” (2005). De Zanet’s
presentation was specifically designed with sport psychology and athletic performance in mind.
          However, the concept of performance can be retroactively applied to the concept of
solution-focused therapy. This is a precautionary procedure to ensure that quality solutions and
resources being pooled and utilized rather than an abundance of re-polished temporal aesthetics.
Quality, then, is the the mode of concentration in De Zanet’s specific application ofsolution-focused therapy towards sport psychology and athletic performance.
          De Zanet lists four primary reasons why SFBT (Solution-Focused Brief Therapy) is
useful in sport (2005). First, SFBT uses what athletes are already able to do. Here De Zanet
takes the solution-focused approach of emphasizing that one can learn just as much from
successes as they can from failures (e.g.: doing more of what is already working). Secondly,
SFBT allows for the bypass of “resistance.” In solution-focused therapy resistance
(theoretically) does not exist. By working on explicitly what the client / athlete wants leads to a
theoretical impossibility of what is commonly defined in psychodynamic terms as “resistance.”
Third, SFBT indirectly breaks the “very pervasive myth of mental weakness and/or mental
control” (De Zanet, 2005). De Zanet criticizes the old adage that if one is not succeeding then
they just need to try harder, be more focused, or are lacking will power (2005). It is implied that
improvement of “will power” and/or “mental control” may be beneficial, however, devoting
intervention efforts to such “issues” is not the focus of this particular modality. As stated
previously, the focus is on amplifying strengths and resources currently available rather than
remedying existing problems. Fourth, SFBT provides an opportunity for coach and therapists to
learn from athletes (De Zanet, 2005). By implementing such procedures therapists and coaches
can learn what athletes emphasize as their goal(s), where the athlete’s strengths and weaknesses
are, and how they react to a problem-preventative versus strength-amplifying interventions.

General Procedures
          One idea proposed in solution-focused therapy is that of a miracle question (De Zanet,
2005). The question asks the client/athlete to imagine a perfect day, a day when their problems
ceased to exist and all their goals were achieved; and then describe in vivid detail theproceedings of that day. There are several cues which can be implicated from such a description.
First, what is being done currently that hinders from such a “miracle” day from being achieved.
Secondly, what can be done that is not being done now to make that “miracle” become an
attainable reality.
          De Zanet (2005) also suggests that the therapist or coach should support soft and flexible
beliefs. In other words, sometimes beliefs about what one “should” be able to do is the source of
the problem. As a result, the therapist should use a new solution to re-frame the situation and
refrain from previously failed methods (De Zanet, 2005; O’Hanlon & Weiner-Davis, 2003, p.92).
De Zanet (2005) offers several sample questions to initially analyze the athletes performance
situation.
1. I am always stressed before and during competition. (Agree / Disagree)
2. In the last month how often were you too stressed to perform well?
3. What are you still able to do when you are stressed?
4. How do your stress problems stop?
5. What are you doing that improves your situation?
          The first question provides insight into the relatedness of stress to the athlete’s
performance. The second question involves inquiry into the frequency of stress issues related to
athletic (or other) performance. The third question begins the therapeutic solution orientation by
inquiring what the person is still able to do in spite of their (supposedly heightened) stress levels.
This is a cornerstone of solution-focused therapy in terms of strengthening what the client is
already doing well as opposed to weakening, fixing, or eradicating what the client is not doing
well. The fourth question is also very solution minded in that even the most stressed people have
times when they are not stressed. In athletic terms, presumably someone who is frequently notsatisfied with their performance still has occasional instances of satisfactory performance. The
fifth question is a derivative of the “miracle question” (O’Hanlon & Weiner-Davis, 2003, p.24)
to help the client detach from their problems and start taking steps to A) make that problem more
manageable, and B) reinforce the idea that there are steps that can be taken to improve one’s
current situation.
          Grant (2011) presents a solution-focused inventory that may be used by a coach,
therapist, or the athlete themselves to obtain an initial assessment of their performance and goal
attainment procedures (p.103). The inventory assessment items are scored on a scale from 1
(strongly disagree) to 6 (strongly agree). The first section of the inventory revolves around goal
orientation and asks 1) I imagine my goals and then work towards them, 2) I keep track of my
progress towards my goals, 3) I’m very good at developing effective action plans, and 4) I
always achieve my goals. These four questions are items that can be used to increase
performance or at least ensure that a maximal effort can be put forth in hopes of attaining
satisfaction with one’s performance; though they may not directly yield an explicit increase in
performance.
          The second part of Grant’s inventory involves the solution-focused premise of problem
disengagement (2005, p.103). This section is assessed with reversed scoring and presents the
statements; 1) I tend to get stuck in thinking about problems, 2) I tend to focus on the negative,
and 3) I’m not very good at noticing when things are going well. In contrast to the first section
of the inventory, these are things that should be minimized, or disengaged from in an attempt to
focus efforts (again) on increasing positives rather than decreasing negatives.
          The third and final part of the inventory is concerned with resource activation. It is
scored in the same fashion as the first segment and presents the following statements; 1) There is always a solution to every problem, 2) here are always enough resources to solve a problem if
you know where to look, 3) Most people are more resilient than they realize, and 4) Setbacks are
a real opportunity to turn failure into success (Grant, 2011, p.103). This section is where a
therapist or coach would be involved. The first statement is a matter of resource recognition, the
second, of resource availability. The third question has to do with recognition and activation of
resilience. The fourth question is a perceptual inquiry into how and if failures and successes are
being used as resources for assessment in and of themselves.

Specific Procedures
          De Zanet (2005) discusses specific procedures in terms of logistics. Logistics, then, are a
constant cycling of action and preparation (De Zanet, 2005). In De Zanet’s view action is a state
of goal automaticity, that is, skills learned during preparation are used to configure an optimal
load/balance between challenge, skills, and goals (2005). De Zanet also describes preparation as
a state of goal improvement in which the most important skills associated with performance are
identified and trained (2005). Preparation has within it a recurring cycle of overload and
recovery in which high demands are induced to stimulate adaptation on a scale of macro and
micro goal improvement/progression (De Zanet, 2005).
          De Zanet also suggests a “Plan, Do, Check, Act” methodology for this athletic application
of solution-focused therapy (2005). The first step in this procedure is to “analyze and anticipate
past performance, task demands, and critical situations (De Zanet, 2005). This planning portion
involves a careful assessment of past performances. Things taken into consideration are A) the
demands of a given task where performance is the concern, and B) critical situations within that
task where key performance is needed. The second part of this step is induced in order to narrowthe specific goals of performance enhancement. The second part of the procedure is to decide
one’s expectation on macro and micro levels (De Zanet, 2005). For example it is important to
establish realistic (given the resources available) and attainable goals (given the contextual
elements of the first portion of the procedure). To clarify this step, on may establish a long-term
goal to attain by the end of their sporting season; a “macro” goal. “Micro” goals would involve
more routine procedures such as inducing certain steps in one’s daily and weekly training
regimen in order to “chunk down” and progress towards the “macro” goal. This part of the
procedure is closely tied to the third which De Zanet describes as a designing of training cycles
and session and learning situation (2005). This is where the planning gets “put to paper” so to
speak. The planning is put into a procedural plan of action.
          De Zanet also stresses the importance of warming up and cooling down. He describes the
term of “flow” as “a state of optimal experience involving total absorption in a task at hand, and
creation of a state of mind where optimal performance is capable of occurring (De Zanet, 2005).
The warm up phase is designed to progressively prepare the body for the conditions to follow
(De Zanet, 2005); where the cool down phase is a controlled deceleration for the body. Part of
the warm up phase might include a mechanism to induce a state of (auto)hypnosis. De Zanet
(2005) states that “(auto)hypnosis is used as a tool to progressively reach its own ideal
psychological state [and to] focus attention on goals and strategies.”
          ACT (accept, choose, take action) is another acronym that can be used within this system.
“Acceptance is a major individual determinant of mental health and behavioral effectiveness”
(De Zanet, 2005). In the specific context of athletics, this means an acceptance of one’s
circumstances, resources, and capabilities at the time of procedure induction. De Zanet (2005)
states that acceptance is a two-part process that involves both “willingness to experiencethoughts, feelings and physiological sensations, especially those which are negatively evaluated,
without changing, avoiding, or otherwise controlling them” and “a more effective use of one’s
energy to act in a way that is congruent with his/her values and goals.”
          ACT may also be presented as a different acronym describing a specific “brand” of
therapy (Acceptance Commitment Therapy) that is closely related to this subject. De Zanet
states that “Acceptance Commitment Therapy promotes acceptance by training people to be
aware of their thoughts and feelings but to base their actions on their values and goals (2005).
However, De Zanet offers an alternative which he calls a “mindfulness-acceptance-commitment”
(MAC) approach. “MAC promotes acceptance of internal experiences while at the same time
focusing the individual on the appropriate external contingencies and behavioral responses
required to effectively navigate situations in order to achieve both immediate and distant goals”
(De Zanet, 2005). In both these contexts the athlete takes previous experiences into
consideration for preparation of an action plan but focuses their present behavior obtaining future
solutions.
          Yet another methodology that has been researched is visuo-motor behavioral rehearsal
(VMBR). “VMBR techniques include relaxation training, visualization or mental imagery, and
performance of the skill in a simulated stressful environment (Lohr & Scogin, 1998). Essentially
VMBR is a practice of relaxation and using mental imagery to rehearse techniques used in the
performance of one’s sport. The effectiveness of this practice may be enhanced by applying
VMBR techniques under similar psychological and stress conditions to those experienced during
participation in the sport. An article published in the Journal of Sport Behavior by Lohr and
Scogin describes a research study comparing the sport performance results of a VMBR test
group and a control group. Lohr and Scogin found that the VMBR group had significantly lowercompetition anxiety compared to the control group at the end of the (18 day) training period
(1998). The results of the study also showed that the VMBR group performed significantly
better in their chosen aspect of performance than the delayed-training control group (Lohr &
Scogin, 1998). Lastly, an analysis was provided by means of Sport Competition Anxiety Test
(SCAT), coach’s rating of the athlete’s mental performance, coach’s rating of athlete’s actual
performance, the athletes’ self-rating of mental performance, the athletes’ self-rating of actual
performance, and a Visualization Questionnaire. The results found that the VMBR test group
increased their total performance by a mean of 5.79% (SD of 4.77) while the delayed training
group’s overall performance decreased by a mean of 4.93% (SD of 7.69).

Conclusion
          Throughout this essay key components of Solution-Focused Therapy have been described
as a process of taking what is useful from past (positive and negative) performances and
exaggerating those components or increasing the occurrence of preferred performances by
emphasizing and eliciting the client/athlete’s strengths. This essay has also described the
preparatory phases of a performance-based sport application of solution-focused therapy and
procedures that may be useful in practically applying analysis of past performances and
client/athlete current strengths and working/performing conditions. Lastly, specific sample
procedures were listed to induce an action/doing response to the solution-focused planning and
preparatory phases.
          A solution-focused approach to athletic training and performance improvement is clearly
applicable. The suggestion from this essay is that emotional and physical energy should be
consumed by a focus on strategizing and replicating effective procedures rather than deconstructing and removing ineffective or poor-performing procedures. The concepts of
Solution-Focused Therapy and Acceptance Commitment Therapy in conjunction with
mindfulness and visuo-motor repetition can be used to great effect in both athletic training and
and competition contexts.
          However, there is a slight caveat to the study on VMBR. On a standard bell-shaped curve
34.13% of people will fall one standard deviation below the mean and 34.13% above. With the
data provided by Lohr and Scogin’s study, it is possible that any individual in the “delayed
training” group could surpass the VMBR group if the delayed-training participant fell within +1
standard deviation of the mean and a VMBR participant scored within -1 standard deviation of
the mean. Although, individual results were not compared and the collective group results stand
as stated by the study.
          Furthermore, the purpose of this essay has been to provide examples of primarily how to
elicit a client or athlete’s problem solving skills and utilize those skills and resources towards
enacting an improved-performance solution. “The challenge is to understand how it is possible
to help an individual become an expert athlete (De Zanet, 2005).

References
De Zanet, F. (2005). How to handle performance enhancement requests? a
solution-focused perspective [PDF slides]. Retrieved February 27, 2013, from
http://www.optimumcoaching.be/dossiers/download/2005_-_enyssp.pdf

Grant, A. M. (2011, December). The solution-focused inventory: a tripartite taxonomy for
teaching, measuring and conceptualising solution-focused approaches to coaching. The
Coaching Psychologist, 7(2), 98-106. Retrieved February 27, 2013, from
http://www.coachfederation.org/includes/docs/157-The-Solution-Focused-Inventory---Tripart
ite-Taxonomy-for-Solution-Focused-Coaching.pdf

Lohr, B. A., & Scogin, F. (1998, June 1). Effects of self-administered visuo-motor
behavioral rehearsal on sport performance of collegiate athletes. Journal of
Sport Behavior, 21(2). Retrieved February 27, 2013, from
http://www.biomedsearch.com/article/Effects-self-administered-visuo-motor/2082
5964.html

O'Hanlon, B., & Weiner-Davis, M. (2003). In search of solutions. New York, NY: W. W.
Norton & Company.

Friday, March 1, 2013

Research Update: Pre-Thesis, Sport Performance, and Persistence of Anguish

          Hey folks, I have quite  few irons in the fire at the present time.  This post will give an overview of the projects I am currently working on for various courses.  The topics are fairly steady, but those, and for sure the details are subject to change in the future.  The last entry is of my pre-thesis work including several graphs that are for DEMONSTRATION ONLY!  The graphs listed here do not reflect any data collected.

Brief and Narrative Therapy:

  • Midterm Essay Topic - Solution-Focused Therapy Principles Applied to Sport Performance
  • Final Essay - Unknown topic at this time


Psychology of Suffering Disorders:

Theoretical and Clinical Assessment:
*No current projects planned but learning and practicing (to say I never get it right) nearly every day.

Research Methods (Precursor to My Thesis):
         This project is essentially the foundational rough draft of my research proposal that I plan to use for my thesis work prior to graduating with my Master's Degree.  The project will look at two populations; 1)  Cancer Patients receiving in-patient care, and 2) Members of the General Population with similar demographic statistics but are not receiving in-patient medical care.  The study will assess both samples with three assessments; 1) Beck's Hopelessness Scale, 2) a Quality of Life Assessment (a particular one has not been chosen at this time), and 3)  an Existential Anxiety Questionnaire.  The results of the study will compare the mean scores of the samples for each of the three assessments.  The study will also conduct a correlative analysis between each of the assessments with both samples taken into consideration.  Below you will find SAMPLE charts of how the data will be presented.  NOTE:  These charts are for demonstration purposes only!  No data has been collected and as such these graphs do not reflect the results of any study or data sets.


Guilt, Causes, and Persisetence of Anguish - Psychological Suffering Week 8 Reflection

*Topics in this reflection include "Origins of Suffering", "Karmatic Therapist's Guilt", and the "Thematic Persistence of Anguish."


           Tuesday we talked about the paradigm that symptoms are the cause of suffering; also, how the opposite might be more accurate, that the suffering may be the root and the symptoms are exterior representations of that suffering. This is something that I have tried to put some thought into. It seems we have a bit of a chicken/egg complex on our hands. It makes sense in some situations that symptoms are the cause of a person's suffering. For example, say a person has a neurological disorder (perhaps a degenerative brain disease). In the instance that the neurological dysfunction was not the result of abuse or physical trauma, what if it's cause was genetic in orientation? In other words, “suffering” was not the “cause” of the symptoms, but rather genetics or “chance” was. The symptoms and/or behaviors that this person has to deal with would certainly seem to “cause” a great deal of dis-ease and suffering.
          On the other hand, we can look at more metaphysical issues for the other stance. Take anxiety for example. I don't think there would be any doubt that a person's anxiety would cause (in any varying degree) suffering. But it is also possible that a stressful, high-tension, hyper-emotional life situation, a situation which is “suffer-able”, is what is what is causing the person's anxiety. In other words, if the situation were removed, the anxiety would be removed as well. In this case both the previous hypotheses are true. The suffering (as a verb) of the situation has evoked a condition diagnosable as “anxiety”, however, that condition not only espouses a state of suffering but also creates a cyclic cause in which anxiety is espouses suffering but also provokes the conditions and symptoms which are suffer-able.
          I don't remember when exactly, but sometime this week we touched on what I guess I would dub as “Karmatic Therapist's Guilt.” That is, a therapist's guilt for not suffering as their clients are. I don't think this “condition” is explicit to therapist's, or even exclusive to health and mental health care providers. We see this in another form as well that we call “survivor's guilt.” In this form we have a case of what I guess you could call “post-secondary-traumatic stress disorder.” In the case of survivor's guilt the person feels overwhelming guilt for having survived or not being the victim of a particular incident. Due to the nature of our work, I think that therapists are highly susceptible to their own brand of survivor's guilt. All of the people we will work with are dealing with something, even if court appointed to therapy. We are effectively establishing relationships with our clients we have avenues of vividly seeing (understanding?) what they are experiencing. Certainly, it seems, then, that there is a high probability that in our authentic and genuine concern for the individual that we have efficiently projected a sense of guilt on ourselves for not being able to share that experience and to truly “understand” what they are going through. It may be over cautious to assume this condition as inevitable, but it is certainly just as naive to ignore the possibility.
          The other thing I've been thinking about is something I feel that we, or at least I, have spent a lot of time with. That is, the idea that every instance of suffering is remarkable unique, yet there is something eerily the same about each of them. There was something about [the instructor's] word choice in one of our discussions that clicked with me. I don't remember what the exact words he used were, but I found the title of “Thematic Persistence of Anguish” to be a kind mythical representation of this topic. Without delving to deep into the words, words, words, that we use to discuss this topic; I find this title (if considering the definitions of the words) to be remarkably fitting.




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