Healthcare Training Institute
- Quality Education since 1979
Psychologist,
Social Worker, Counselor, & MFT!!

Section
1
Track #1 - Introduction & Internal vs. External Controls
Question
1 found at the bottom of this page
Answer
Booklet | Table
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Introduction
Welcome to the Home Study Course entitled "I'm Unlovable: Changing Client's
Lifetraps" sponsored by the Healthcare Training Institute. Our primary intent
for this home study course is to provide quality education to foster your professional
growth. The Institute has provided quality education since 1979 to thousands in
the US and Canada as well.
Hi. My name is Brian Clark. I'll be the narrator
of this CD. We appreciate that you've chosen this course as a vehicle for you
to earn your Continuing Education Credit.
The
purpose of the course is to assist you in increasing your knowledge regarding
how to treat patients, clients, etc., dealing with the "I'm Unlovable"
Lifetrap.
What
I'll call lifetraps, I define as persistent negative patterns of thinking, feeling
and behaving that are often created during childhood. As each case study is given,
if the concepts seem to be applicable to your situation, I encourage you to pause
this track and make a few notes regarding the application of the principle to
your setting. However, these notes are for your purposes only and are not to be
sent to the Healthcare Training Institute.
Regarding
completion of the Answer Booklet: at the end of each CD track, a question is asked.
This question corresponds with a question in your Answer Booklet. Merely write
the correct letter on the blank line that precedes each question. Keep in mind
there is nothing tricky or hard about these questions, they are merely intended
to verify the playing of this CD.
These
questions are sequential and deal with the section of content that preceded it.
For this reason, to facilitate answering of each question, you might read the
question from the Answer Booklet prior to listening to that CD Track. By knowing
what the question is ahead of time you'll then know the content to listen for
that contains the answer. So just a hint, after you answer a question, read on
to the next question in order to give youself a "heads up" to listen
for the content that contains the answer.
For
the purpose of brevity most generally I'll use the term "therapist"
or "mental health professional." However, don't let these terms deter
you from applying the concepts to your situations. When you hear the word "therapists,"
if your job title is social worker, psychologist, marriage and family therapist,
mental health counselor, professional counselor, resident director, program assistant,
etc., merely substitute the appropriate term that is the most meaningful to you.
In short don't let my use of the term "therapist" cognitively set you
off-track from hearing the content because your job title is school counselor,
for example. I'll also use the term "client" for the purposes of brevity.
However, if you deal with patients, residents, students, consumers, etc., transpose
"client" to the term that is the most meaningful to you in your work
setting.
So
let's get started... This CD's exploration of "I'm Unlovable: Changing
Client's Lifetraps" includes such topics as: Internal vs. External Controls,
Four Step Depersonalization, Deliberately Opposing and RET, Three-Tiered Affirmations,
Power-Imbalance Questions, Closure Metaphors, Four R's of Regaining Self-Esteem,
and Emotional Roller-coasters
As
stated earlier, Lifetraps are negative patterns of thinking, feeling, and behaving
which are often formed in childhood and adolescence. These negative thought patterns
are often self-defeating and result in the client thinking, feeling and saying
to themselves and perhaps to others, "I'm unlovable." Thus, these patterns
make it difficult for clients to accomplish their life goals, meet their needs,
and grow.
On
the remainder of this track we will discuss how to increase your client awareness
of what I'll call, the Cost-Benefits of their Lifetraps. Think for a moment: Do
your clients who state, "I'm unlovable..." or "I am a failure?"”...in
their mind are they conducting a cost benefits analysis?
Have
you found, like I have, that clients who create these Lifetraps or negative patterns
spend a lot of time assessing and evaluating themselves? In your clients assessing
and evaluating are they actually conducting, a "Cost-Benefit Analysis?"
By a Cost-Benefit Analysis, I mean measuring what they gain against what it costs
your client to keep living the same way. Let me repeat that...By a Cost-Benefit
Analysis, I mean your client is measuring what is gained against what it costs
to keep living in the same limited "I'm Unlovable" way.
Do
you agree that the reason a client comes into therapy is the costs increase to
the point where the cost outweighs the benefits? I've found that clients have
developed many different ways of dealing with their "I'm Unlovable"
Lifetraps. I've found there are basically three ways clients cope. These often
cause clients to create situations in which costs outweigh benefits, and thus,
the "I'm Unlovable" Lifetrap is created. Here they are. See what you
think....three ways costs outweigh benefits are: #1. The Cost of Giving-In, #2.
The Cost of Avoiding, and #3. The Cost of Deliberately Opposing.
#1.
The Cost of Giving-In
Here's an example of how giving-in creates such a high cost that it outweighs
the benefits.
Karl,
a 29 year old mortgage broker, found himself always "Giving-In" to co-workers.
Karl stated,
"I feel ashamed and humiliated when something goes wrong.
Even if something isn't my fault, I take blame for it. For example, at work my
co-worker, Norton, figured in the wrong sales commission. Norton told our supervisor
Joel it was my error. So I just 'Gave-In' to Norton's pressure and took the blame
for him as if it were my fault. Have you found like I have clients that are in
the "Giving-In" Lifetrap or frame of reference, are usually dependent,
submissive, clinging, avoid conflict, and are people pleasers? This, of course,
creates a formula which equals "I'm Unlovable." I found when working
with Karl, the best way to help him grow out of his "Giving-In" Lifetrap
was to increase his awareness of internal vs. external thinking."
In
Karl's situation, I felt that it was important for him to recognize the difference
between emotions that were internal as opposed to emotions that were external.
As you know, internally controlled emotions are described as originating from
and centered on the thinker. Externally controlled emotions are described as originating
outside of the thinker. Externally controlled emotions remove the thinker from
being in control of the emotions. Karl stated, "Norton my co-worker, uses
me." As you can see this is an externally controlled state. I told Karl he
couldn't change the way Norton, his co-worker, treated him, but he could change
the way he acted and felt about the way Norton treated him. I asked Karl if he
could think of a way to express the same thought, but would allow him to be the
subject of the sentence. Karl stated, "I allow Norton to upset me."
This is an internally controlled emotional state, thus giving Karl a sense of
control over the situation.
A
reproducible client worksheet entitled "Emotional States and the Dimensions
of Internal and External Control" can be found in the manual that accompanies
this course. In this chart clients are encouraged to identify external causes
of emotional states in one column and internal causes of emotional states in another.
In
summary, only when Karl felt the cost of Giving-In exceeded the benefit of
getting along did he feel motivated to examine the difference between internal
feelings and external referencing. Do you have a client who feels they're unlovable
and gives in? In your next session with "your Karl," would increasing
his or her awareness of the difference between saying, "They made me feel"
and "I feel," be beneficial? On the next track, Zachary and the cost
of Avoiding will be discussed.
QUESTION
1
What is one insight you might provide a client who feels "I'm unlovable"
and creates the lifetrap of Giving-In? To select and enter your answer go to Answer
Booklet.