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Therapeutic Strategies - Page 6
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Working in the present moment
• Bringing responses in the room into visibility
• Requires vigilance
• Noticing emotions we experience also useful

This refers to bringing responses happening in the room into visibility for consideration. An inquiry about what is noticed can give the person an opportunity to notice what they are experiencing and bring it into consciousness. This enables the bringing forward of resource, knowledge and experience which otherwise might escape notice. It requires considerable vigilance, careful observation and listening and centralizes the person’s experiences and responses, indicating the importance given to them by the clinician:

  • “I noticed as I asked that question there seemed to be a lot of thought.
    What was the effect of the question?”
  • “That laugh, is it an amused laugh, an embarrassed laugh?”
  • “I noticed you smiling as your mum talked about the behaviour problems. Was there a fun aspect?”
  • “This is what I am noticing (e.g. sighing, lots of looking at watch). Have you noticed this as well?”
  • “Is there any sense that there could be a trick happening here, that I could be tricking you?”
  • “It seems as if I have got a lot more energy in this conversation than you do.”

Emotions being experienced in the present moment can be a useful resource. Feeling states are telling us something and we need to find a way to ask questions to put language, sensation, metaphor to the emotion. This extends the knowledge people have re the feeling state. People often are not cognitively aware of what they are experiencing. Inviting the person to bring it into cognitive awareness in relational language can make it an available resource. For instance:

“Can you put words to that anxiety/tears, etc? What was I saying when you started to become aware of it?”

Similarly the emotions we experience can be a useful resource. We need to note and hold our response, consider it in relational language and consider using it to inform an inquiry. It may be an appropriate time to slow the conversation down, gather threads, consult regarding direction, etc, and consider the effect that the response is having on the conversation.

 
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