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Scott Kellogg - Transformational Chairwork: Using Psychotherapeutic Dialogues in Clinical Practice

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Scott Kellogg Transformational Chairwork: Using Psychotherapeutic Dialogues in Clinical Practice
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Transformational Chairwork: Using Psychotherapeutic Dialogues in Clinical Practice is an exposition of the art and science of Chairwork. It is also a practical handbook for using the Chairwork method effectively with a wide range of clinical problems. Originally created by Dr. Jacob Moreno in the 1950s and then further developed by Dr. Fritz Perls in the 1960s, Chairwork has been embraced and re-envisioned by therapists from cognitive, behavioral, existential, Jungian, experiential, psychodynamic, and integrative perspectives. Transformational Chairwork builds on this rich and creative legacy and provides a model that is both integrative and trans-theoretical.
The book familiarizes clinicians with essential dialogue strategies and empowers them to create therapeutic encounters and re-enactments. Chairwork interventions can be broadly organized along the lines of external and internal dialogues. The external dialogues can be used to help patients work though grief and loss, heal from interpersonal abuse and trauma, manage difficult relationships, and develop and strengthen their assertive voice. The internal dialogues in turn focus on resolving inner conflicts, combatting the negative impact of the inner critic and the experience of self-hatred, working with dreams and nightmares, and expanding the self through polarity work.
Using both internal and external strategies, this book explores how Chairwork dialogues can be a powerful intervention when working with addictions, social oppression, medical issues, and psychosis. This is done through the use of compelling clinical examples and scripts that can be read, studied, and enacted. Chairworks central emphasis is helping patients express each of their voices as distinctly and as forcefully as possible. The book concludes with a review of the deepening techniquethe strategies that therapists can use to help facilitate clarity and existential ownership.

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Transformational Chairwork

Transformational Chairwork

Using Psychotherapeutic Dialogues in Clinical Practice

Scott Kellogg

ROWMAN & LITTLEFIELD

Lanham Boulder New York London

Published by Rowman & Littlefield

A wholly owned subsidiary of The Rowman & Littlefield Publishing Group, Inc.

4501 Forbes Boulevard, Suite 200, Lanham, Maryland 20706

www.rowman.com

Unit A, Whitacre Mews, 2634 Stannary Street, London SE11 4AB

Copyright 2015 by Rowman & Littlefield

All rights reserved . No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without written permission from the publisher, except by a reviewer who may quote passages in a review.

British Library Cataloguing in Publication Information Available

Library of Congress Cataloging-in-Publication Data

Kellogg, Scott, 1954, author.

Transformational chairwork : using psychotherapeutic dialogues in clinical practice / S cott Kellogg.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-4422-2953-2 (cloth : alk. paper)ISBN 978-1-4422-2954-9 (electronic)

I. Title.

[DNLM: 1. Gestalt Therapymethods. 2. Interview, Psychologicalmethods. WM 42 0.5.G3]

RC489.G4

616.89143dc23

2014039924

Picture 2 The paper used in this publication meets the minimum requirements of American National Standard for Information SciencesPermanence of Paper for Printed Library Materials, ANSI/NISO Z39.48-1992.

Printed in the United States of America

Contents

Acknowledgments

Speaking Ones Mind

External Dialogues: Grief, Loss, and Unfinished Business

External Dialogues: The Treatment of Trauma and Difficult Relationships

External Dialogues: Assertiveness and Behavioral Rehearsal

Internal Dialogues: Multiplicity and Inner Conflict

Internal Dialogues: Inner Critic and Negative Schema Voices

Inner Dialogues: Polarity Work

Substance Use and Addictive Behaviors

Feminist Therapy, Internalized Oppression, Somatic Concerns, and Working with Psychosis

Deepening Your Practice

References

Index

About the Author

Chapter 1

Speaking Ones Mind

The reverberations of these experiences brought up strong feelings of angereven decades later. To work through and hopefully resolve this issue, I set up an encounter with his father. I invited him to sit in one chair and imagine his parent in the chair opposite. I encouraged him to speak with his father and to tell him how deeply distressing those coaching sessions had been for him as a child. After expressing anger about the relentless perfectionism that he had been subjected to, I then invited him to switch chairs and be his father. Doing this, he gave voice to his fathers concern that he learn how to play the game the right way. We alternated chairs and gave voice to both of their perspectives. We then debriefed the experience. The full power of this session became clear a week later when he returned and told me that the dialogue had worked, that he no longer felt a profound resistance to orders and requests and that he had been able to attend and participate in a work meeting without discomfort. It would turn out that this would be a change that lasted. This single session cure would inspire me to begin a journeya journey centered on exploring the healing power of dialogue and encounter (adapted from Kellogg, 2013). Given this, perhaps the best place to start is with the story of Dr. Perls and the development of Chairwork.

FRITZ PERLS AND THE CREATION OF CHAIRWORK

In the 1960s, Dr. Frederick Perls emerged as a major figure in Humanistic Psychology and what would eventually be known as the Human Potential Movement. Fritz, as he was called, challenged the world of psychotherapy not only with his creative use of awareness as a central therapeutic intervention, but also through his astonishing and virtuosic demonstrations using the Chairwork technique. His experiential work with chair dialogues inspired psychotherapists from nearly every school of therapywith many of them integrating and reinterpreting both the technique and its underlying mechanisms of change. It is this rich and still-developing heritage that is the foundation for this book.

Perls overnight success was, of course, built on a lifetime of effort, exploration, and experimentation. His life was, in many ways, quite extraordinary as he engaged with many of the most tragic and creative forces in 20th Century Western European and American history. It is my intention to briefly touch on some of the key moments in his professional and creative life; for those interested in a deeper exploration, there are a number of excellent biographies available (Clarkson & Mackewn, 1993; Gaines, 1975; Shepard, 1972).

Frederick Fritz Perls was born in 1893 into a middle-class family in a Jewish section of Berlin. One of three children, Perls reported that his early childhood was happy, but that things changed as he got older. Over time, his relationship with his father deteriorated to the point of mutual hatred, and, at age ten, he began to act outwhich eventually led to his being expelled from school.

At fourteen, he was admitted to the Askanische Gymnasium . This was a more progressive school than the one that he had attended, and he grew to care deeply about many of the staff members. Fritz always loved the theater and, at age fifteen, he discovered the famous director, Max Reinhardt, the demanding and innovative leader of the Deutsche Theater . Perls spent his free time at the theater and, while not a great actor, he was able to fill several walk-on roles, which brought him great pleasure. This early experience in the theaterincluding that of seeing a great director in actionwould stay with him for the rest of his life. The positive environment of his school also helped him to regroup academically and he was able to graduate and enter the University of Berlin where he decided to study Medicine.

Shortly after he began his studies, World War I broke out. Because of medical issues and personal frailties, he was not drafted into the army in 1914; he did, however, volunteer with the Red Cross in 1915. By 1916, there was a growing need for soldiers and the requirements for enlistment were lowered. Fearing that he would be called up, Perls enlisted and became a medic.

As it was for millions of other combatants and civilians, Perls wartime experiences were deeply traumatic and emotionally damaging. Nonetheless, he won a medal for bravery and was promoted to the rank of Medical Sublieutenant, which was an officer rank. After the war, he returned to Medical School and graduated in 1920.

During the early years of Perls career, he was searching for answers and direction. He began to work as a psychiatrist and started spending his free time with the Bauhaus group and other bohemian circles. A successful doctor, he earned enough to come to New York City in 1923 and was able to get a job in the Hospital for Joint Diseases. He was, however, unhappy with the practice of Psychiatry there and returned to Berlin a few months later. At this time, he was also filled with self-doubt on both personal and professional levels and frequently suffered from bouts of self-criticism and depression.

In 1925, he developed an intense, life-changing relationship with Lucy, who was a sexually-vibrant and married distant relative. This experience served to bolster his sense of masculinity. However, he found the emotionally turbulent nature of his time with her to be deeply disturbing and, in 1926, he decided to begin psychoanalysis with Karen Horney. Karen Horney appears to have seen something in him and she would provide significant assistance to him several times over the next twenty years. After a few months of working with her, he decided to take a job in Frankfurt, and, at Horneys recommendation, he continued his analysis with Clara Happel.

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