Gestalt Therapy: Past, Present, Theory, and Research

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Gestalt Therapy: Past, Present, Theory, and Research Psychotherapy: Theory, Research, Practice, Training Copyright 2004 by the Educational Publishing Foundation 2004, Vol. 41, No. 2, 180–189 0033-3204/04/$12.00 DOI 10.1037/0033-3204.41.2.180 GESTALT THERAPY: PAST, PRESENT, THEORY, AND RESEARCH LAURA E. WAGNER-MOORE University of Massachusetts at Boston Orthodox gestalt therapy suffered a Classical Gestalt Theory and rather unfortunate fate; gestalt theory Perls’s Eccentricities has been poorly articulated, and gestalt Fritz Perls has been simultaneously praised for techniques have received minimal his creative exuberance and criticized for aspects of his style that simply defy the term scientifi- empirical validation. These weaknesses cally derived. The “Perlsian” form of gestalt are, in part, a consequence of F. therapy primarily embodies the history and per- Perls’s biographical history, which led sonality of Perls himself, rather than a scientific, to an integration of disparate structured, empirically derived or theoretically theoretical models that were consistent model of psychotherapy. Gestalt theory is an intellectually fascinating, philosoph- exacerbated by F. Perls’s haphazard, ically complex set of diverse but poorly articu- idiosyncratic personal style. However, lated and poorly substantiated beliefs. recent empirical research suggests that Conversely, it is interesting that the actual the 2-chair technique is superior to techniques used by gestalt therapists have been other therapeutic interventions for clearly delineated and have received some em- pirical validation for their effectiveness. This dis- conflict splits, decisional conflict, junction between theory and research makes the marital conflict, and unfinished study of gestalt theory and technique decidedly business and that the 2-chair technique Byzantine and perplexing. This review and cri- is as effective as Rogerian and tique presents the most coherent aspects of gestalt cognitive–behavioral therapies. therapy that are based on principles of Gestalt psychology and provides a review of recent em- Although F. Perls’s techniques may pirical work on gestalt techniques. have been generated largely from his Historical context dictated a nomadic life for idiosyncratic personality Perls, with moves from Berlin (where he was characteristics, these techniques have heavily influenced by psychoanalysis) to Johan- some validity for very specific nesburg in 1933, to New York in 1946, and later psychological dilemmas. to California. Geographic location seemed, in part, to influence Perls’s concepts and practice of psychotherapy, on the basis of his teacher “du jour.” As a result, Perls’s approach to gestalt Laura E. Wagner-Moore, Department of Psychology, Uni- theory and therapy was, at best, eclectic. He bor- versity of Massachusetts at Boston. rowed some ideas from his analysts, like Reich This article represents a modified paper written for a gradu- and Horney (Miller, 1974). As Miller (1974) ate school requirement at the University of Massachusetts at noted, Perls integrated Horney’s notion that “neu- Boston. Assistance was provided by Joan Liem, Ester Sha- rotic behavior is based on manipulation, designed piro, and Don Kalick, University of Massachusetts at Boston. Correspondence regarding this article should be addressed to win love” (p. 5-24) and was attracted to “Sar- to Laura E. Wagner-Moore, PhD, who is now at the Center for trean” existentialism’s idea of individual respon- Child and Family Health, Duke University Medical Center, sibility and choice (Miller, 1974). In the wake of 3518 Westgate Drive, Suite 100, Durham, NC 27707. E-mail: the zeitgeist of World War II, which was so heav- [email protected] ily permeated by phenomenological and existen- 180 Gestalt Therapy tial thought, Perls rejected much of his analytic 1997). This process is best encapsulated in the training in favor of the new zeitgeist (Yontef & notion of figure–background gestalt formation Simkin, 1989). From Jan Smuts, the prime min- and destruction. Gestalt psychology suggests that ister of South Africa, Perls borrowed the idea of a mass of unstructured individual data in the en- holism. Ironically, he initially had minimal expo- vironment (i.e., parts) are subjectively structured sure to or understanding of Gestalt psychology by the perceiver into wholes that have both form itself and has been criticized for this on several and structure (Perls, Hefferline, & Goodman, accounts (Wheeler, 1991). Wheeler (1991) noted 1951). The person’s actual experience is deter- that Perls’s early work, titled Ego, Hunger and mined by the gestalt, rather than the raw pieces of Aggression, was simply revised and renamed The data. The way in which multiple data are shaped Beginnings of Gestalt Therapy (renamed at his is based on the individual’s needs, appetites, and wife’s suggestion) with little description of what impulses. Perls meant by Gestalt psychology or therapy. These concepts can be applied to the realm of Perls himself called the book “sketchy,” and psychological needs as well. In theory, a need Wheeler convincingly argued that Perls’s original arises and becomes foreground; if it is satisfied, it text is full of “vague philosophical musings and becomes background as the gestalt is completed. self-aggrandizement in the Freudian manner” Pathology arises when this process is disrupted. (Wheeler, 1991, p. 43). When gestalt formation is The fate of classical gestalt therapy is a sad blocked or rigidified at any stage, when needs are not recog- one, which finds itself without a clear set of bind- nized or expressed, the flexible harmony and flow of the ing theoretical principles and without a prolific organism/environment field is disturbed [and] unmet needs body of literature dedicated to the critical analy- form incomplete gestalten that clamor for attention . and sis and dialogue that could further its develop- interfere with the formation of new gestalten. (Yontef, 1969, ment. Miller, a practicing gestalt therapist and as cited in Simkin, 1976, pp. 223–234) student of Perls, argued that gestalt has “slipped A need may be blocked by an unclear sensation into a middle-aged decline” and is plagued by or a lack of awareness of one’s needs (Greenberg “a persistent intellectual thinness” (Miller, 1974, & Rice, 1997). Therapeutic work focuses on in- p. 21). Perls’s striking “anti-intellectual bias” creasing awareness to bring about change, so that (Miller, 1974) has been transmitted over time. the emerging need may be identified, satisfied, His famous “Lose your mind and come to your and enabled to retreat into the background senses” best embodies his preference for acquir- (Simkin, 1976). Awareness of one’s experience ing knowledge through experiencing and feeling and needs is considered the “royal road to the rather than through empirically validated or ra- cure” (Greenberg & Rice, 1997). tional, logical thought processes. Perls’s similar preference for the idiographic over the nomothet- Experience/Contact Cycle ic makes the systematic study of gestalt quite The processes underlying gestalt formation challenging. Despite these difficulties, neo- and destruction were obtusely described by Perls gestaltists have successfully described Perlsian as the experience/contact, or metabolism, cycle. notions of gestalt therapy linked to classical ge- The cycle consists of four main phases, including stalt psychological theory. The two concepts ex- awareness, excitement, action, and contact. In plained most completely involve (a) figure– gestalt theory, the term contact does not equate background gestalt formation and destruction and with the popular definition meaning closeness. (b) the contact/experience cycle, as they related Gestalt theory uses the word contact as an ab- to the etiology of psychopathology in gestalt stract, formal concept that refers to the exchange theory. between an individual person and the surround- ing environment (Miller, 1994). If the boundary Figure–Background Gestalt Formation between the self and the environment (or other) Perls, in keeping with other humanistic ap- becomes unclear or lost, then there is a distur- proaches, believed in the self-actualizing poten- bance of contact and awareness (Yontef & tial of the individual, which assumes that an or- Simkin, 1989). When the cycle is functioning ganism ultimately knows what is best for its self- smoothly, awareness of internal or external regulation and actualization (Greenberg & Rice, stimuli leads to excitement, which potentiates an 181 Wagner-Moore action tendency; the action tendency leads to ure, against a background, rather than focusing need satisfaction (optimally) and contact (Green- on the entire field. Second, the model is criticized berg & Rice, 1997). Dysfunction is considered for assuming cycle disturbances can always be the interruption of the cycle at any stage (Green- traced back to a problem in awareness itself. The berg & Rice, 1997), and resistances to contact model suggests that if an individual has aware- account for these disruptions. ness of a goal and attempts to act on that impulse Perls retained the traditional psychoanalytic but ultimately fails in that action, the failure is notion of defenses to explain additional disrup- due to misunderstanding the need or not empow- tions in the contact cycle including retroflection, ering the need from the very beginning. Wheeler introjection, projection, and deflection. For in- (1991) has noted that failing to meet a goal may stance, a break in the cycle between excitement not solely be attributed to a
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