PSYCHOTHERAPEUTIC NOTES. Initial Consultation. WORKING WITH A SYMPTOM

2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43

Initial consultation. WORKING WITH A SYMPTOM. Treatment for sleep disorders, and combined (difficult falling asleep, shallow sleep), feeling tired and weak. / For more information about the diagnosis of sleep disorders, you can watch a video seminar on my channel in the public domain /. The client lives together with her husband, at the beginning of 2019 she and her husband moved to a separate house / without a mortgage /, friends live in the neighborhood. In general, complete unconditional happiness. The only problem is sleep. The sleeping pill does not give an effect, the same feeling of being overwhelmed, does not remember dreams. The condition worsened during the year, it began before the move. I asked to put a model of the client's inner circle. I have several categories of toys: chess, a bag (no kidding) with small figurines of kinder eggs - animals, characters, men and women, Lego men, Slavic protective dolls, figurines, toy dolls from 10cm to 58cm. The client chose these dolls (just not mine), and put in two pairs, her own and close friends. The photo shows 1 position from slightly different angles. Everything became clear to me. And you?

I thank everyone who took part in the discussion of the previous post, as well as the authors of the drugs, presenting their versions.

So, I answer: The client's request is connected with the symptom, or rather, with its resolution, this is the first meeting, and it is not a therapy - it is a diagnosis. It is not surprising how divided your positions are, someone saw the Seductress, someone the Aggressor, someone the forbidden desires of the Client. There is nothing surprising in this, tk. we see all this through the prism of not only personal / own projections, but we also do not forget that this is also a projection of the situation of the Client herself - through the prism of a symptom.

I had an unconditional advantage over you, tk. I personally saw the client and contacted her.

Oh, I understand all the authors, because all these versions rushed through my head too.

The order of my reasoning:

1. The choice of dolls (despite the fact that the choice is huge).

2. Arrangement of the characters of the Client's inner circle.

3. Diagnostics

4. Recommendations.

The points:

1. Selected collectible Disney dolls, the first pair of Belle-the-Beast (golden dress), and a pair of friends Aurora-Prince. Despite the fact that the client clearly does not belong to the bohemian, the selected characters are in sparkling ballroom outfits, that is, at some solemn moment in life that does not coincide in any way with the client's lifestyle and pace.

2. PAIRED characters have been chosen for the role of themselves and the husband, which is an absolute plus and resource for the couple. Although the choice of a partner - the Monster is interesting, the character himself is different from the rest, and in terms of posture and activity, he is clearly the most proactive and energetic, and the vector of his attention is clearly shifted towards Aurora, who, as we remember, is the Sleeping Beauty, and her paired Prince clearly does not show initiative, and even suspended. A pair of Friends is clearly not in a marital position, she is "alone", but the Prince's husband is from behind in a parental position. / There is also a lot of fantasizing about relationships in a couple, but this is not our task /.

3. The symptom of sleep disorders was associated with a violation of Reality and the presence of too many% of Illusions in the Client's life. Too much difference in the balance of Conscious and Unconscious leads to the appearance of a symptom. In this particular case, the Symptom serves as a signal that the Client must see reality.

4. Recommendations were reduced to questions that clarify the real life of the client. How can you establish contact with the Beast? What happens when Belle and the Beast come home from the ball. What happens to this couple on weekdays, working hours, what kind of holiday / ball does Belle want, and how can this be done? What kind of relationship does Belle have with her parents and the Beast? - All questions concerned the life and conditions of interaction of the Belle-Beast doll pair (!) - this allowed to reduce the level of anxiety and expand the boundaries of the Client's perception, Catanamnesis: After half a year. Sleep stabilized immediately, one consultation was enough. The couple are together, but communication with friends has become more rare, but parents began to come to visit.

All other tasks were not set (!), And perhaps they are irrelevant at the moment, so our fantasies on the topic of relationships remained only fantasies.

Systemic family psychotherapist, Tatiana Belyaeva