STUDY GUIDE AND INTERVIEW TRANSCRIPT TO ACCOMPANY VIDEO TAPE PSYCHOTHERAPY WITH THE EXPERTS FEATURING JAMES BUGENTAL

Transcription

1 STUDY GUIDE AND INTERVIEW TRANSCRIPT TO ACCOMPANY VIDEO TAPE PSYCHOTHERAPY WITH THE EXPERTS FEATURING JAMES BUGENTAL Jon Carlson Diane Kjos Governors State University University Park, IL

2 EXISTENTIAL-HUMANISTIC THERAPY with James Bugental Introduction This video is one in a series portraying the leading theories of psychotherapy and their application. This series presents the predominant theories and how they are practiced. Each video in the series features a leading practitioner and educator in the field of counseling or psychotherapy. The series is unique in that it features real clients with real problems. During the course of the series these clients bring up a number of issues with the therapists. A theory is a framework that helps us understand something or explains how something works. Just as there are many different people and personalities, there are different theories of understanding how people live and how change occurs, each with its own guidelines for understanding and procedures for operation. The primary differences between these theories are related to the relative importance each theory places on cognitive (thinking), behavioral (doing), and affective (feeling) factors. Each theory has devotees who think and act as the theory prescribes in order to help people change their lives. Certain theories explain certain phenomena better than others. The individual counselor or psychotherapist needs to develop his or her own approach to helping others with problems of an emotional, behavioral, or cognitive nature. Specific objectives in therapy include (1) removing, modifying, or retarding existing symptoms, (2) mediating disturbed patterns of behavior, and (3) promoting positive personality growth and development. The video begins with a brief discussion with the practitioner concerning the theory. We then move to the actual counseling session. After the session, 1

3 Bugental discusses the session with Jon Carlson, Diane Kjos, and an audience made up of counselors, graduate students, and counselor educators. Because the video series contains actual counseling interviews, professional integrity is required to protect the confidentiality of the clients who have courageously shared their personal lives with us. Purpose The series is designed for pre-professional training in graduate and undergraduate classes in counseling theory. Students will learn about the theory and watch a leading practitioner work with a client in a first session interview. The series is also appropriate for workshops or individual study for the professional development of practicing counselors, social workers, clinical psychologists, or psychotherapists. Professionals will learn from the practitioner by gaining new ideas and insights which can be helpful in working with current or future clients. How to Use the Video 1. As a standalone activity for professional development or orientation to Existential-Humanistic Therapy. If you are using the video this way, it might be helpful to first read about Existential-Humanistic Therapy. See page 24 of this guide for a list of suggested readings. Or, you may wish to watch the video, read about the theory and then watch the video a second time. As you watch the video, note the questions included on the enclosed test. This will help you identify key points related to this theory. If you wish continuing education credit, complete the test and submit it as directed. 2. As an integral part of a course in counseling theory with the textbook, student study guide and instructor's guide. The text by Jon Carlson and Diane 2

4 Kjos (1998), Introduction to Counseling and Psychotherapy, Needham Heights, MA: Allyn & Bacon with accompanying Study Guide to Counseling and Psychotherapy, and Instructor's Guide to Introduction to Counseling and Psychotherapy, published by Allyn & Bacon of Needham Heights, Massachusetts, are coordinated with the video tapes and can assist in guiding the student through the learning process, including key concepts, application, and techniques. 3. As an adjunct in classes to demonstrate a practical application of Existential-Humanistic Therapy or to demonstrate specific interventions and techniques. Guidelines and suggested discussion topics will be included in Carlson and Kjos (1998), Instructor's Guide to Introduction to Counseling and Psychotherapy, Needham Heights, MA: Allyn & Bacon.. 4. As a basis for a series of class sections or a workshop for either professional development or counselor education. You may choose to use all or parts of the video to support specific teaching objectives. Suggestions for scheduling, discussion questions and other activities will be included in Carlson and Kjos (1998), Instructor's Guide to Introduction to Counseling and Psychotherapy, Needham Heights, MA: Allyn & Bacon. Existential-Humanistic Therapy with James Bugental James Bugental, who holds a Ph.D. in psychology from Ohio State University, has been an active therapist, teacher, and writer in Existential- Humanistic Therapy for over fifty years. He was named a Fellow of the American Psychological Association in 1943 and has held leadership positions in a number of professional organizations. Currently, he serves as a consultant and teacher and continues to write about existential psychotherapy. He has published a number of books and more than 70 articles in professional and technical journals, served on the editorial boards of a number of 3

5 journals in psychology and related fields, and had his work reprinted in a number of other languages. Learning Objectives 1. Identify theoretical concepts which are descriptive of Existential- Humanistic Therapy. 2. Recognize specific interventions or techniques related to Existential- Humanistic Therapy. 3. Describe the range of applications of Existential-Humanistic Therapy. Abstract of Existential-Humanistic Therapy Video This video is approximately 107 minutes long and is divided into three parts: Part I: Introduction of the theory with Jon Carlson, Diane Kjos, and James Bugental (21 minutes). Part II: An initial therapy session with James Bugental and Gina (43 minutes), an African-American female, where the presenting issue is Gina s self-evaluation and need to be perfect. Part III: Discussion of the therapy session (43 minutes) with Jon Carlson, Diane Kjos, James Bugental, and a panel of counselors, counselor educators, and graduate students. Transcript TH 1 Gina, I find it best when starting something like this to make a transition. CL 1 Okay. TH 2 And what I am going to do and encourage you to try is just to breath inside and, and get quite inside. CL 2 Okay. 4

6 TH 3 So we start from a level playing ground or whatever that means. CL 3 Okay. Neutrality, okay. All right. (Pause) TH 4 How'd it go? Could you do it? CL 4 No. It's weird. TH 5 It's hard, isn't it. Yeah. CL 5 It's, someone had asked me What do you do during your quiet time? I'm like, what time? [TH Mhm] Quiet time? What is that? I don't have quiet time. I mean my quiet time is usually after the kids go to bed, and then I'm grading papers or cleaning house, or doing something else. It's still not quiet. [TH Still not quiet time] There is no noise from other people, but, [TH Inside it's fairly noisy] Yeah. The only time that's real quiet time is when I actually go to sleep. Yeah, I think that's it. Although I like times when it is quiet. [TH Mhm] You know, [TH Mhm] and I do know those times. Like Ooo, you know, I didn't do anything. You know, it's kind of quiet and I, I need to have more of those I think. [TH Mhm] I need time like that. TH 6 I think they're important. CL 6 Yeah, yeah. They are. TH 7 Try this. CL 7 Okay. TH 8 Just go into your center and don't try to be quiet. Just see what's, what's going on there. What's spontaneously going on in you. CL 8 Okay. (laughter) [TH Mm] A lot. There is a lot. TH 9 A lot. Kind of a wry laugh. CL 9 Yeah, yeah. Because it's like, oh, how could I not, there's a lot of things going on, you know. [TH Mhm] Yeah. Inside, probably outside. [TH Mhm] Yeah, a lot of things on my mind. A lot. 5

7 TH 10 Does it have a common denominator, a theme, a music? CL 10 Um, yeah. Pretty much survival. TH 11 Survival? Say more. CL 11 Mhm. [TH Uh huh] Yeah. Being able to, to be productive in the world. [TH Mhm] To be successful [TH Mhm] with as few failures as possible. [TH Mhm] I don't, no, I really don't like that. TH 12 These sound like instructions. Like survive, be productive, don't fail. [CL Yeah] Is it that kind of... CL 12 Yeah, it's, um, it's instructions, but it's, I want to say it's natural, but not really, um. It's just something that I've been trying to do pretty much all my life, I guess. [TH Mhm] Um, even when I was a kid. When I think about it, trying to succeed [TH Mhm] even if it was playing double Dutch or if it's my grades or if it's doing the best cleaning up job in the house to please my mom and dad, [TH Mhm, Mhm] I always wanted to be on top. [TH Mm] And nobody said I had to be on top. TH 13 Mhm, mhm. Except inside. CL 13 Yeah. TH 14 Inside it said you had to. CL 14 Yeah. Inside said I got to be perfect. And it's something I'm just, I realized 'cause I have a girlfriend who, I told her my oldest son had to get glasses. He's had them about maybe three weeks now. And the minute I heard he had to wear glasses I felt like I failed. [TH Ahh] And I know it had nothing to do with me, [TH Ahh, yeah] but it was one of those like I sort of didn't do something I was supposed to do [TH Mhm] to help him out in this world. And I told my girlfriend that and she says Are you serious? I said uh huh. I was serious that it did feel like I did something wrong, [TH Mhm] I didn't do what I was supposed to do. TH 15 Boy, really. 6

8 CL 15 And she was like, I never knew that about you. Now we've been pretty close now for maybe five years so, it's still a new friendship. We're still learning about each other and things, but she was quite surprised to hear. TH 16 Mhm. What strikes me is how ready you were to point the finger at yourself and find fault with you. CL 16 Yeah, I do that. TH 17 You do that. CL 17 Mhm. TH 18 Otherwise too? CL 18 Yeah, I, I do. I mean, I try to find good in me, too. Don't get me wrong. [TH Mhm, mhm] But yeah, I kind of, I want to find a mistake before somebody else [TH Ahh] does so that I can sort of take care of them, at least get ready, [TH Uh huh huh] so I'm prepared for when somebody notices them. TH 19 Mhm. That's funny. That brought a little laugh twice. Did you hear it? CL 19 A little bit, maybe, yeah. TH 20 What's that? CL 20 'Cause I know it's stupid for me to feel this way. TH 21 Oh, see, now there you found fault with, you called yourself stupid. CL 21 Yeah, yeah, I did. I know that to be perfect is impossible. [TH Yeah] That humans aren't supposed to be perfect. That's the science and logic behind me and, but I can't help but want to be perfect even though I know that it's not normal. I mean, you're supposed to make mistakes. How else do you learn if you don't make mistakes. But I just don't want to make any mistakes. [TH Mhm] And especially I don't want mistakes for my kids. I don't want them to make any mistakes. I want to try to cushion every corner I can to make sure they don't run into problems, [TH Mhm] and I think my mom kind of wanted to do the same thing for me too, [TH Mhm] but yet I fought it. [TH Mhm] Typical, you know. 7

9 Don't do this. I'm going to do this anyway. Just to see, you know, the testing and all of that. But she was kind of protective, I guess. [TH Mhm] And I'm protective too. TH 22 Kind of protective I guess. How come I guess? CL 22 Yeah, well I was able to do some things, but I guess not a lot of things. TH 23 There's another guess. Do you have to guess about Gina? CL 23 Yeah, now I do. Especially because so many things are... TH 24 You just kind of bit your lip when you thought about that. What's that about? CL 24 (laughter) Mm, I don't know. Just, just something I guess I do. I poke my lip out... TH 25 See, did you hear the guess there? Something I guess I do. CL 25 Something I guess I do. That's my, probably that's a word I use to cover myself. TH 26 That's a probably. That's like a guess. [CL Mhm] You know we use those things sometimes so we don't get caught just standing firmly in some way. [CL Mhm] Does that feel right? CL 26 Mhm. Yeah, it does, yeah. It goes back to I have to be ready for anything that comes up. [TH Mmm] So I'm covering myself so if I can say I guess, that sort of gives me the chance of saying yup or maybe no. TH 27 Maybe not. CL 27 Yeah, mhm. So that I do. And it has to do with whether I agree with like when I was being raised by my mom, being protective and things like that. In a way I agree with some of the things that she did, and in a way I don't agree. [TH Yeah] So that's why that word guess comes in, because it's giving her some flexibility. Yeah, she did okay, but she wasn't perfect, although she never tried to be perfect. [TH Mhm] She said that. 8

10 TH 28 You're the one who tries to be perfect. CL 28 Yup. Yeah, I do, I know. TH 29 Mhm. What happened that time? CL 29 Cause I know I shouldn't, that it's okay to be who I am, that there's nothing wrong with who I am, and it's okay to make mistakes. [TH Mhm] I tell my two boys that all the time. It's all right to make a mistake, but yet, it's hard to swallow that myself. TH 30 Mhm. You don't give yourself the permission you give them. CL 31 Yeah, yeah, I don't, I don't. [TH Mhm] But yet when I do make a mistake... TH 32 What do you think about that? What do you think about Gina? CL 32 Probably it causes more... TH 33 No, that's probably. See that's like a guess. CL 33 (laughter) Yeah. TH 34 Let's think, you're better, you give your boys more freedom to make mistakes than you give Gina. [CL Mhm] Sort of chew that one for a minute and see what comes. CL 34 I'm responsible for them, that's why I can't make mistakes. They're still learning. TH 35 No laugh this time. CL 35 No, no, no laugh this time, 'cause I take the raising of them very seriously. TH 36 Very serious. CL 36 Yeah, 'cause I brought them into this world. And I always said growing up that if I'm going to bring children into the world, I'm the one that's supposed to be responsible. Nobody else, me, you know. And so I do take it very seriously. [Mhm] Sometimes I don't even enjoy being a mom, 'cause I take it so seriously, yeah. 9

11 TH 37 Ahh, it spoils some of the good times. CL 37 Yeah. Some of the fun that we should have we don't have probably. TH 38 For example. CL 38 Oh like I'll go home from work, [TH Mhm] and I've been away from them all day, and I miss them, but instead of me just being kind of jovial like, hey guys, how are you doing, da da, da da, I sort of jump into the, okay, did you put your book bag away, did you put coat away? Did you start your homework? Did you do. [TH Ahh] And, and that is part of me. Organized, have everything in place. Because if it is then they have less problems in their life. TH 39 True. CL 39 They don't wake up in the morning wondering where's my book bag or where's my coat or where's this. So that keeps them sort of organized, but it does create a situation where it's like dang, I wish we'd just sort of not worry about it for a while. [TH Mhm] You know, so I've tried sometimes to not do that. I call it nagging, 'cause it falls into that category, you know, but... TH 40 But how's it going? CL 40 Mm. There are days when it's good and days when it's bad. I'm beginning to recognize it though now. When I feel tension I realize okay, wait, whoa, stop for a minute. Let's just chill for a while, and then I think okay, you didn't come in and do this, this and this. [TH Mhm] You came in and did this and this. And then I have to think about what happened with them. And then sometimes I, the general statement is, well, how did school go? Oh fine. But that's the typical response that they are going to give me. But later on in the evening, I'll hear about something that happened at recess, or something else. [TH Mhm] But see if I don't hear that at first, then I jump into my thing that I've got. I have my agenda, and they might not be quite there because they are still dealing with what happened at school, [TH Yes] and so that I have to, I'm catching myself more on now, you know and... 10

12 TH 41 Well, one thing I can see is you don't stop on Gina. You're teaching her new things and keeping on top of her. CL 41 Yeah, yeah, um. TH 42 Kind of a look when you hear that. CL 42 I'm changing. I'm growing. I'm, I'm definitely not stagnant. TH 43 You're not stagnant. CL 43 No, I was a while ago. TH 44 Were you? Oh. CL 44 Yeah, mhm. For about a couple of years I was pretty much stuck in the same spot. [TH Mhm] But I'm not going to be there for much longer. Well, actually I'm out of it. Well, not that I'm out of it, I'm working my way out of it, 'cause it is going to be ongoing. TH 45 Say more. It sounds like something important is going on in you. CL 45 Yeah, yeah. I'm getting a divorce so (laughter) that is pretty, pretty important. TH 46 Yeah, it is, yeah. CL 46 Yeah. I'll be taking care of the boys. I'll be the custodian for the boys, so there's a lot on my mind and, as I said, there's a lot, there's a lot going on. Quiet time is like... no quiet time. Although I'm trying to find times where it's quiet, you know, and it's working out pretty good, you know. But, as it gets closer to that time where it's about to end. It's shaky. It's, it's a lot going on, you know, in my mind, and... TH 47 You're shaky? CL 47 Yeah, I'm shaky, [TH Mhm] meaning that I have some doubts now that maybe I didn't have before. I have some concerns that I didn't have before, as you get closer to that point where everything is like over. You wonder, did I do the right thing? Am I doing the right thing? All along I was thinking that, but as it 11

13 gets to the end, there goes that what if I'm making a mistake. [TH Uh huh] Or what if I'm not doing the right thing. That goes back to being perfect again. TH 48 Yes it sure does. CL 48 And it's something I've been thinking about for a couple of weeks now. [TH Mhm] Especially after my son getting the glasses, I thought about how I felt, but it was like, hm, this is, you know... TH 49 That showed you how judgmental you are. CL 49 Yeah. TH 50 About yourself, yeah. CL 50 Yeah, yeah. I am. Although, I like myself. [TH Mhm] I do. [TH Mhm] Um, I don't know, I don't know. I still don't know why I had to be so perfect. I don't know. It's just, I try to pinpoint when did it start, and I don't know when. It just sort of, you know, started happening. TH 51 That's a hard question to answer, yeah. CL 51 Yeah, yeah. TH 52 What is it, are you most apt to be judgmental, under what conditions? CL 52 Hmm. Probably in terms of raising my boys to make sure I'm doing the very best that I can. [TH Mhm] As far as making the right decisions and giving them the right opportunities or consequences, and things like that. Um. I wonder. [TH Mhm] Especially being a female raising two boys. [TH Mhm] There I tend to be a little more judgmental. [TH Mhm] Probably with relationships with men I am going to be very judgmental. [TH Mhm] Um, that's going to be interesting. TH 53 Your mouth, what, when you said relations, what goes on when you do that? CL 53 (laughter) I poked my lip out when I did that. Well, I don't want to make the same mistakes I made the first time around. That's the first thing with me, yeah, definitely. 12

14 TH 54 I heard it. CL 54 Goes back to being perfect again. Not perfect, but just making sure that I go about it the right way this time and that I don't go into it thinking certain things are going to happen and they're not. I don't want to go into another relationship thinking I am going to change that person because that's what I thought at first. [TH Mhm] And you can't really do that. [TH Mm] I'm stuck on how much I want them to take care of me. [TH Mhm] See I grew up with my dad taking care of us. [TH Mhm] My mom stayed home for most of the time, but then she started to work. But dad was the major breadwinner and mom was the one that we came home and she was there cooking meals and things like that. [TH Mhm] And even when she started working, she became a teacher, so she had the same hours that we did. [TH Mhm] But I grew up with dad was the one, the male was the one, who was supposed to take care of everything. [TH Mhm] And in my marriage that has not been the case at all. [TH Mhm] So, it's totally different. [TH Big grin] Well, I can accept that now. I fought it for a while, and I didn't like it for a long time. TH 55 Past tense? CL 55 Yeah. 'Cause in a way for me not to like it is going against me of taking charge and being responsible and doing things and not waiting for somebody else to do it. [TH Mhm] So, I don't know if I want someone to quote-unquote take care of me in a relationship. [TH Mhm] I'm at a point now where I don't need anybody to take care of me. I can do this myself. TH 56 You're kind of mocking yourself right now, quote-unquote take care of me. What's, what's, how come? CL 56 Anger still probably from the relationship. TH 57 Ahh, that's a probably, ahh, okay. CL 57 No that's definite. No I am still angry that a lot of responsibilities fell on 13

15 me when it shouldn't have. When it should have been more of a partnership. [TH Mhm] So, yeah. There's no problem. Definite about that. So... TH 58 Yeah, you sound very different now. CL 58 Yeah, a little. Yeah, different things play back in my mind. The time when I have to take charge and when I didn't, you know. It's few, you know, but at the same time where I say that, I have to look at how I am as a person. [TH Mhm] And, again, it's not, it takes two people to make a relationship, [TH Mhm] and as much as you come together, it takes two to make it fall apart. I even think that part of the reason that we are not going to be together anymore is because of me and the way that I am, the fact that I do take charge and do things and sort of like to fix stuff. I like to solve problems for other people. Why? I don't know. It's just sort of my nature. But, it's like there will be a problem and I just automatically start fixing it. It's not my problem, you know, it belongs to somebody else, [TH Yeah] but, in this relationship, in the marriage, I thought, oh, well I'm supposed to do this, and do this and do this. And then it became well you're going to do it so why do I have to do it. And then I, sort of like I dug myself a hole because I started doing that. Then my husband thought well, I don't have to do that thing, you've got to do it. And then that goes back until you feel taken for granted, don't feel appreciated, but yet you're the one that did it. You're the one that started jumping up and doing this, this, and this and this. TH 59 Was that a hard thing to learn? CL 59 Yeah. To admit that I might have... TH 60 'Cause the way you mocked again, every once in a... you mock yourself about something that isn't really very funny. CL 60 I never noticed that, I never noticed that. [TH Mhm] But, yeah, I guess, yeah, I do. TH 61 Mhm. My hunch is that there must be a lot of hurt under there someplace. 14

16 The mocking keeps the hurt down. Does that seem right? CL 61 (tears) Yeah, yeah. Probably, because if you find humor in it, it tends to lessen it a bit. If you can find the joke behind it or the... I'm glad that's there (Kleenex). TH 62 It's all right. CL 62 Yeah. It's much easier to laugh about things than to cry about them. But... TH 63 Mhm. But sometimes if we laugh about instead of cry, we don't deal with the real issue. CL 63 Yeah. And I do that sometimes. TH 64 Yeah. You're doing your work, yeah. CL 64 Yeah. I haven't done this in a while. (tears) Been too busy doing things. Probably I haven't because I make sure that I don't for the boys. [TH Mhm] Because I know it's a change for them, and if I was strong, then they'll be able to get through it with as little pain as possible. 'Cause that's probably the only regret I have with it. If it was just me and him, snap. I really wouldn't think about it too much. But with kids it's... TH 65 It's another thing. CL 65 Yeah, it is, it is, you know. But I feel strong enough about what I'm doing that I am going to still do it. Because I tried the other way too where, oh, for the kids, don't get divorced. And that's not good either. TH 66 That didn't work. CL 66 No, that's not good either, because you still stop being a person. [TH Mhm] You still stop being who you are, and then you're no good for the kids. You're no good for yourself first of all and then you're no good for them. [TH Mhm] So, you know, as it's getting closer to the point where the divorce will be final, yeah, a lot of things are going on in my head. [TH Mhm] And I don't think I 15

17 want quiet time 'cause this will happen. TH 67 Uh huh. But sometimes that cleans the slate, you know. You'd be more real with yourself. CL 67 Yeah. TH 68 'Cause it's kind of fooling yourself if you laugh instead of letting you know your pain. CL 68 Yeah, yeah, yeah. It is. [TH Mhm] Because when you do you have to accept everything, your faults, your good things. [TH Mhm] You may have to work with things that you, you know you try to avoid some things and you realize, man, there is no way I can avoid it. TH 69 Yeah, they don't go away. CL 69 No, they don't, no they don't. You're going to have to deal with it to the best of your ability, so... I have real good support, I have real good support with my friends and with my family. [TH Mhm] So, they've helped me go through it. TH 70 Good enough. CL 70 Yeah, it helps, yeah, it helps. But I do beat myself up. I know I do. TH 71 Yeah, I was just going to say, they don't beat you up, you do. CL 71 No, they don't. You know, when I think about it, I mean, they tease me about stuff, but basically, no. They pretty much have sat back and let me try to figure everything out on my own. But they've always reassured me that they're there, you know, and I'm the one that's pretty much done that. I'm the one that beats myself up. I'm more critical of myself probably than they are, you know. TH 72 Now you say that, and it sounds right, but how do you feel about that fact? Does it matter. CL 72 That I'm critical of myself? TH 73 Mhm. More than other people. CL 73 I shouldn't be, more so than other people. 16

18 TH 74 Does it matter? You didn't answer that question. CL 74 Well, probably, no it shouldn't matter. TH 75 Why all the (facial gestures)? CL 75 I don't know because I'm not sure, I'm not sure. TH 76 Yeah, I think that's an important question. Yeah, it doesn't matter. CL 76 I think we should self analyze, you know, figure things out. TH 77 You bet. CL 77 We should admit our mistakes. That we should do because if you don't, they are going to keep coming back, and you're never going to grow. TH 78 You betcha. CL 78 So that in one way I do believe that you should be critical of yourself. But it shouldn't be distractive. [TH Mhm] It shouldn't get you into depression and you shouldn't lose your self esteem over it. You shouldn't stop functioning because of it. TH 79 Now I'm going to play mean [CL Okay] and point out you suddenly switched to the second person. You're saying you shouldn't. CL 79 Okay, meaning that... TH 80 What about Gina, first person. CL 80 First person. I... TH 81 Ahh, the faces come back. [CL laughter] Did you see it? CL 81 Yeah. I thought, uh oh, making faces again. Um, I could say with me, yeah, that I shouldn't be so critical of myself. TH 82 What can you do about it? CL 82 I should totally accept who I am. TH 83 Can you? CL 83 Most of the time, yeah, I think I can. TH 84 Yeah, this brings a grin. 17

19 CL 84 But I know I have my ways that sometimes aren't the nicest or sometimes I can be stubborn and don't want to give in. TH 85 Mhm. But you are making beating yourself up and finding fault or finding things that you wish were different, the same thing. I don't know whether they are or not. Do you think they are? CL 85 That if my faults are... TH 86 If you do something, if you are stubborn. Let's take that. CL 86 That's not a bad trait. [TH Mhm] I don't think that's a bad trait. TH 87 Okay. CL 87 I think it's a good trait. TH 88 Now you're not beating yourself up. CL 88 Right. Yeah. [TH Yeah] You switched it. Yeah. It's a good trait to have. I like being stubborn. [TH Mhm] I do. [TH Mhm] But I'm also flexible. [TH Mm] I have to be because of my kids. TH 89 They teach you. CL 89 Yeah they do, they do. And then not even just the kids, though, but I even like to be flexible. Me. I do. Because then it then allows me some leeway, here or there. [TH Mhm] So maybe it goes back so I don't make a mistake [TH Mhm] or so I can end up figuring things out and still being, like in control of things. [TH Mhm] So, yes, so no, it's, I shouldn't beat myself up about it. You're right, I really shouldn't. It's actually sort of a good quality, you know, yeah, um... TH 90 Yeah. You look reflective now. Just stay with that and find out where it takes you. CL 90 Okay, um. Being stubborn eventually people will see it my way. They will go the way that I want to go so that I end up still in charge. Um, but the first thing I am thinking now is what if I make a mistake. See, that thought came in. TH 91 I know. 18

20 CL 91 That thought came in. [TH Good, yeah] Just as I got done saying I'm in charge, but what if I mess up. That is always there. TH 92 Always there. CL 92 Yeah. That fear of making a mistake [TH Yeah] or you know. I don't know. I've made mistakes. [TH You] A lot. [TH Mmm] And I've come out okay from them. [TH Mmm] I mean, there's some I wish I didn't do, [TH Yeah] but I'm still here and still doing things. So why does it matter? I don't know why it matters so much. TH 93 You're doing your work. Just stay in there. What if you make a mistake? CL 93 Well, if I make a mistake it could mean I end up paying for it meaning that more time has to be put into something, and right now it's like I'm already going five different directions, but I think I kind of like that. [TH Ahh] My personality. I think I like a lot of things going on at once. [TH Ah huh] If I make a mistake, it costs me time, it costs maybe money, and that's a concern to me. Sure, I have enough money to take care of everything, um, if I make a mistake it means I'm human. TH 94 Oh, you grit your teeth when you say that. (laughter) CL 94 I like being human, I do. But I want to be on the upper end of that. TH 95 I see, okay. CL 95 I want to be on the upper end of that. Um, making a mistake means that maybe somebody else was right [TH Mhm] and you weren't and [TH Ooo] being able to say okay, you were right. It's kind of hard. TH 96 Now that has a little tag on it, doesn't it. I could see you sort of (gesture). CL 96 Yeah, yeah. TH 97 See, just explore that feeling a little bit. CL 97 Well, I always have to be right or letting someone else be right [TH Mhm] um, gives up some of my control [TH Mm] of a situation. [TH Mhm] It means that 19

21 maybe I'm not the one that's responsible. [TH Mhm] Maybe it means I get some freedom [TH Mm] which I actually do want sometimes. TH 98 Sometimes. CL 98 Yeah, I don't know. It's kind of nice when I do it. [TH Yeah] When I admit okay you were right and I was wrong. But it, it staggers out, it doesn't come out real smooth. [TH Yeah] It doesn't come out with a smile. It's like okay, all right, all right. But it is getting better. [TH Mhm] But, it is, it's kind of tough. TH 99 Yeah. CL 99 It's kind of tough, but I make a mistake, hm, life goes on. It doesn't stop. TH 100 Nope. CL 100 It might mean things get prolonged a bit or [TH Mhm] I have to think a little bit more about something, [TH Mhm] but I'm not going to give up. That's something I don't do. TH 101 Yeah, you don't do that. CL 101 No. Mm, I complain maybe in the process of facing that mistake, but I've never given up on something. TH 102 When you say that you're quite sure. CL 102 Yeah, [TH Yeah] yeah. I figure things where I know it was tough [TH Mhm] but I kept going, then I could put my head up when it was done. [TH Mhm] It feels good, yeah. TH 103 So there's that side of Gina too. CL 103 Oh yeah. [TH Yeah] Yeah. I like success. [TH Mhm] I do. I like working hard and getting that success. I do. [TH Mhm] I like it. I mean I live for those days sometimes. TH 104 That's it. CL 104 Yeah. I do. Um, I see it in my oldest, too. I'm very competitive. [TH Uh huh] Um, that drives my girlfriend crazy. Well, it doesn't drive her crazy but we're 20

22 so different. She is not competitive at all, and I am. But I think that comes from my family. With four brothers and sisters and always competing to get your point across and say what you want to say. We're all headstrong. [TH Yeah] It comes a lot from that. [TH Uh huh] When I am competitive, I push myself [TH Mhm] to work the very hardest that I can and then I do exactly what I want to do. [TH Mhm] I see the end result, [TH I see] and I like it. TH 105 When you talk about being competitive, there's a, a little spark comes into you. CL 105 Yeah. 'Cause I'm good when I'm competitive. I mean there are things I'm really good at, and I know it's all because I worked at it. [TH Mhm] And I like that. [TH Mhm] I just started playing tennis again. [TH Uh huh] I played for years and then I had kids. And then, naturally, you stop because you have to stay with them, you don't have money, and then I kind of lost interest in it, I think. And I started back Thanksgiving. And I'm good. I'm good now. I like it. [TH Ahh] I feel comfortable with it. I'm better now than I was 12 years ago, [TH Ahh] but I'm working at it. And I know exactly what I want to do with it. [TH Mhm] And it's got a certain spot in my life, yeah TH 106 There's that sureness. CL 106 I know exactly what I want from [TH Mhm] tennis in my life. Whereas, before I didn't. I think that's why I kind of, I think I kind of backed out of it because of that. [TH Mhm] Um, but now, you know, I know exactly what I want. TH 107 Mhm. I'm reflecting that you called yourself stubborn. But normally it's having an idea of what you want to do and going for it and staying through it. [CL Yeah] It isn't just stubborn, it's... CL 107 No, it's determination. TH 108 Determination, yeah. CL 108 I know what I want to do. [TH Mhm] It's like I knew I wanted to do 21

23 certain things in my life. TH 109 Mhm. Like what? CL 109 I wanted to get married. [TH Mhm] That's a big joke, now I'm getting divorced, but that's okay. That's all right. I did it, [TH You did it] that was okay. I wanted to have kids. I wanted to have a job that I liked going to at least three days out of five. [TH Mhm] I wanted to make enough money to be comfortable. Um, I wanted to be healthy enough to be able to do anything. Like if you say, let's go climb a mountain tomorrow, I want to be healthy enough to make ita third of the way up. Not all the way, [TH Okay] because I know you can't, don't do that, but healthy enough to do, to not have any limitations. With anything that you want to do. [TH Uh huh] And I've pretty much have done those things. TH 110 Sounds like you checked them off. CL 110 Yeah. TH 111 What's ahead? What do you want to do now? CL 111 Oh man. Now you know... TH 112 Oh man, huh? CL 112 I haven't made that list yet. I haven't, um... TH 113 See what's percolating in there. CL 113 Yeah. What do I want to do now? Um, hm, okay, mom is the first thing that comes into my head. I want to have, well, I want to be a better mom, okay. That's the goal. [TH Mhm] Especially since... TH 114 We've come back to that theme a couple times. CL 114 Okay, I want to be a better mom. [TH Okay] Um, I want to continue being close to my family, spending time with them, and doing things with them. TH 115 Who's your family? CL 115 My mom, my dad, my sister and two brothers, a niece. Yeah. Those are my immediate family. 22

24 TH 116 I got you. CL 116 Yeah. Um, I want to continue to give in my friendship with my girlfriend, actually with a couple of my girlfriends. [TH Mhm] I want to do more for them, because they've done a lot for me. [TH Ah huh] And I want to sort of be there for them. [TH Yeah] So that means I got to get other things of my life straight so that when they need me I can go right there and be okay for them. [TH Mhm] Um. There is a possibility that I might go on to get my Ph.D., but I don't know. [TH Mhm] I don't know about that. But that's sort of there. My mom probably wants me to do it more than I want to do it. [TH Ahh] And I don't know, I might. TH 117 What happened, you just (gesture). CL 117 I was thinking well, my job is okay. I'm a pretty good teacher. I could probably get better at that year by year. Um, I thought about a relationship. Like getting involved with a man again is like, well, I don't want to make the same mistake I did before, um. TH 118 Sort of grope? CL 118 Yeah. Probably a goal with that would be to communicate better. [TH Mhm] Definitely communicate better in a relationship. [TH Mhm] To talk openly about how I feel. Not to hold back, not worry about saying something, they're not going to like or say something they disagree with. TH 119 Mhm. Can you do that? CL 119 Yes. I can. TH 120 Mhm. You, you paused a minute to really consider. [CL Mhm] Can you say anything about what happened in that minute when you were considering? What did you, what went through... CL 120 Well, I thought, I've accomplished other things in my life. I should be able to do this. [TH Mhm] That's... it's not something that's impossible, [TH Mhm] so that the hesitation was I should be able to do this. I know I've done it in 23

25 the past. It still involves another person and how they're going to respond. So that's why it's like well, I could do it, but I don't know if the other person can. [TH Mhm] And that goes into you can only contribute so much to a relationship. You can only give yourself. [TH Mhm] You can't really expect the other person, you can't change the other person. You've got to go into it accepting the person as they are, [TH Mhm] and hopefully, you will be able to work that out. [TH Mmm] But communication is definitely something that I have to do. I have to be selfish. That's a goal. That s the goal. Now that's a big one. TH 121 That is. CL 121 That's probably more so than all of them. TH 122 Say more about what that means. CL 122 I need to put myself first. [TH Mhm] I need to put myself first even before my kids. [TH Mmm] Because there were times when I didn't. And I lost myself a little bit when I did that. Um, being selfish does not mean I can't be a good mother. TH 123 No. CL 123 Or a good friend, [TH Mhm] or a good family member. [TH Mhm] I thought it was though. [TH Mmm] Which is why I wasn't selfish. Which is why I gave and gave and allowed things to happen. [TH Mhm] Then I woke up and said I do this. TH 124 What would be an example, where that happened? CL 124 Oh, well, okay, if say, like my girlfriend and I go out, [TH All right] and I always pay. Sometimes I can say no, I don't want to pay. [TH Mhm] I couldn't do that before. I could do it now. I could do it now. TH 125 What's different? CL 125 Well, first thing, I got to watch my money now because I have to take care of the two boys without my husband. [TH Mhm] So that is the driving force. 24

26 [TH Okay] But also it, I can do it because I know that I have a right to say that. [TH Mhm] That it's okay for me. TH 126 Didn't you know that before? CL 126 Way back here. [TH Mhm] It wasn't up front. [TH Mhm] No. TH 127 What was up front? CL 127 Doing whatever it takes to please people. TH 128 Do whatever it takes to please people. Wow. CL 128 And not disappoint them. TH 129 Mmm. CL 129 Yeah. That's a big thing. TH 130 That is a big one. CL 130 Real big. And that's the one I've got to, that's the first, that's the goal to think about myself. TH 131 So that's what you call selfish, if you don't do whatever it takes to please people, that's selfish? CL 131 If I don't please, yeah. If people don't like me. Yeah, mhm. It has to do with I want people to like me. [TH Mhm] I want you to like me and you don't even know me. I don't want you to not like me. I don't even know who you are. TH 132 I know. CL 132 But that's there, [TH Yeah] that's there. Like being perfect. TH 133 Can you give up that? You've been doing that a while. CL 133 It's going to be hard. I've been doing it for 37 years, well maybe not quite that long, but, yeah, long time. I'll slip up. I slipped up lately, you know, a couple of times doing it, but... TH 134 Now there's where the question, when you slipped up, how are you going to be with yourself? CL 134 Well, I'm not going to beat myself up about it, [TH Mhm] 'cause I am 25

27 going to say, ah, you know, that's, that's how you are. Okay. Next time, let's do this instead, so that, yeah, no, I'm not going to beat myself. TH 135 Can you, can you really do that? Can you... CL 135 I want to do it. TH 136 I know you do. CL 136 And because I'm determined to do it, [TH Mhm] yeah. Can I do it immediately? No. [TH No] But I think in a few years I will be able to. [TH Mhm] Yeah. TH 137 You've got to be patient with yourself in between. CL 137 Yeah. TH 138 That's been hard. CL 138 Yeah, yeah, yeah. I have to be patient. I'm patient probably with a lot of things but me. Yeah, yeah. TH 139 You're kind of recognizing that right now. What came with that? CL 139 Oh, well, I thought about being patient with the kids, for the boys. But I am patient with them. But then myself, I'm not patient with [TH There you are] my, my job. You know, I've got to get things done, or don't put it off. Do it now. Um, with relationships, oh, it's got to be just right now or forget it, and you've got to be a little flexible. Um, I'm thinking it's like, you don't agree. After watching like a television program, [TH Mhm, mhm] walk away and think about it. You don't have to agree at that moment. [TH Mhm] You don't have to convince that person at that moment. You may never agree, and that's okay. [TH Yeah] That's, I got, that's, I've got to work on, I have to work on that. And that's just being patient or understanding that everybody is entitled to their own thought and... TH 140 Including you. CL 140 Yeah, including me, too. Yeah. TH 141 Sounds like a good program. 26

28 CL 141 Yeah, hey, I didn't think about that. That's pretty good. To really put me first. Yeah. I like doing that. I really do. When I do put myself first, boy I feel really good. [TH Mhm] I can tackle anything. [TH Mhm] I mean I can tackle kids turning in assignments late at school, coming up with five million excuses. I can take my kids bickering with each other. When I feel good about me, it's like okay, no big problem. No, I've got patience, flexible, and I think about instances where I did that. Where I put myself first, and I remember how I felt with that, and the, the problems that happened right after that - it's a piece of cake. [TH Ah huh] Why can't I remember that all the time. I don't know. TH 142 Let's slow down. Why can't I remember that all the time. That's not just your question. Stay with that question inside you. CL 142 Well, I've got some patterns that I've developed over a long period of time. [TH Mhm] And it's going to take some time to totally break out of them. [TH Mhm] I wonder if I'll even ever really be able to totally break free. I still think there will be a little bit there, but it won't be predominant. [TH Mhm] It won't be as predominant. Um... TH 143 Most of these things aren't all or none. CL 143 Yeah. I'm learning that. [TH Yeah] There's a big area in the middle. Very big area in the middle [TH Right] that most things fall into. TH 144 Well, as a teacher, you know about learning curves. They go like this. They don't go zoom. CL 144 I'm finding that if I use my teaching strategies with my personal life, I'm a lot happier. [TH Mhm] It works out pretty good. It's like, because I do think that. I take into consideration they're kids, they make mistakes, things happen. I take that into consideration for everybody but me. TH 145 There you go. Now it's time for you. CL 145 Yeah. 27

29 TH 146 Our time's just about up. Anything you want to say? CL 146 Gosh, it goes fast. TH 147 Anything you'd like to say to me? CL 147 Thank you. TH 148 You're welcome, Ma'am. CL 148 Thank you because it, I needed to self reflect, [TH Mhm] and I enjoy it. TH 149 Make time for Gina. CL 149 Yeah, to sort of just chill. Just sit back and think, add up, not really take a checklist, but... TH 150 No, more just like it turned out tonight. Just take, take time to listen. CL 150 Appreciate yourself. Yeah, to listen to myself, too. Because sometimes I do shut myself up. I do. TH 151 There go those faces. CL 151 I know, I know. (laughter) TH 152 That's all right. Maybe sometimes you ought to do it looking in the mirror. CL 152 I should, I should, because everybody sees them and I don't even know I'm doing it. Yeah. But no, I will reflect. [TH Good] That will be good. Thank you. TH 153 You're welcome, and very good fortune to you. CL 153 Thank you, thank you very much. Treatment Plan for Gina In future sessions with Gina, Bugental would follow Gina s lead in terms of content, dealing with whatever issues she brought to counseling. These might include reviewing her decision to divorce, examining her parenting skills, or some other area of concern. As he worked with Gina, he would pay attention to her 28

30 resistance patterns. These might include her tendency to pose a problem and then quickly solve or dismiss it; her impulse to quickly explain away any hesitation, misunderstanding or difference; and her avoidance of concern about being a single parent with sole responsibility for her children. His initial tasks in working with Gina would be to help her ground more fully so that she is able to work more effectively with the real issues she faces in her life. As she becomes more fully attuned to herself and her issues, he would hope to begin to teach her how to use her inner searching capacity more effectively. Although Gina faces many challenges, by learning to pay attention to her own needs and powers, she has the capacity to develop into an even more effective professional and achieve a more satisfying inner life. To Learn More About Existential-Humanistic Therapy BOOKS Bugental, J. F. T. (1990). Intimate Journeys: Stories from Life-Changing Therapy. San Francisco: Jossey Bass. Bugental, J. F. T. (1987). The Art of the Psychotherapist. NY: Norton. Bugental, J. F. T., (1981). The Search for Authenticity. NY: Irvington. (Originally published in 1965 by Holt,Rinehart and Winston). Bugental, J. F. T. (1978). Psychotherapy and Process: The Fundamentals of an Existential-Humanistic Approach. NY: McGrawHill. (Originally published by Addison-Wesley). Bugental, J. F. T. (1976). The Search for Existential Identity: Patient-Therapist Dialogues in Humanistic Psychotherapy. San Francisco: Jossey Bass. Frankl, V. (1969). Will to Meaning. NY: World Publishing. Frankl, V. (1963). Man s Search for Meaning: An Introduction to Logotherapy. 29

31 NY: Pocket Books. Yalom, I. (1981). Existential Psychotherapy. NY: Basic Books. 30