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UK Council for Psychotherapy Issue 39 Autumn 2008
Positive psychology and the psychotherapist the The Psychotherapist_issue39_master.qxp 03/09/2008 14:13 Page B
the psychotherapist
Diversity and Equalities Contents Page Statement Guest Editorial: Positive psychology 1 Positive psychology and strengths- The United Kingdom Council for Psychotherapy (UKCP) promotes an active engagement based clinical work 2 with difference and therefore seeks to provide a framework for the professions of psychotherapy and psychotherapeutic counseling which allows competing and diverse Psychotherapy as strength-spotting 4 ideas and perspectives on what it means to be human to be considered, respected and valued. Through the lenses of time: in search of balance and well-being 6 UKCP is committed to addressing issues of prejudice and discrimination in relation to the mental well being, political belief, gender and gender identity, sexual preference or Growth following adversity: a new orientation, disability, marital or partnership status, race, nationality, ethnic origin, heritage paradigm for the study of post- identity, religious or spiritual identity, age or socio-economic class of individuals and traumatic stress and its treatment 8 groups. William James: psychological energy UKCP keeps its policies and procedures under review in order to ensure that the and human functioning 10 realities of discrimination, exclusion, oppression and alienation that may form part of the experience of its registrants as well as of their clients are addressed appropriately. Positive psychotherapy [PPT] 12 UKCP seeks to ensure that the practice of psychotherapy is utilised in the service of the Autogenic therapy and positive celebration of human difference and diversity, and that at no time is psychotherapy used psychology 14 as a means of coercion or oppression of any group or individual. Book review 16 Editorial Policy Chair’s report 22 The Psychotherapist is published for the benefit of UKCP registrants and aims to keep UK Shape Development update 19 them informed of developments likely to impact on their practice and provide an opportunity for registrants to share information and views on professional practice and The Political Action Group 20 topical issues. A wider picture 21 The material in The Psychotherapist is only provided for general information purposes and does not constitute professional advice of any nature. Whilst every effort is made to Letter from the Vice Chair ensure the content in The Psychotherapist is accurate and true, on occasion there may be (Registrants) 22 mistakes and readers are advised not to rely upon its content. Row row row your boat 23 The Editor and UKCP accept no responsibility or liability for any loss which may arise from reliance on the information contained in The Psychotherapist. From our European correspondent 26 From time to time The Psychotherapist may publish articles of a controversial nature. Letters to the Editor 27 The views expressed are those of the author and not of the Editor or UKCP. New UKCP registrants 29 Regional connections 30 Advertising Policy Invitation to a UKCP Conference 30 Advertisements are the responsibility of the advertiser and do not imply Events 31 endorsement by UKCP or the editor of The Psychotherapist.The editor reserves the right to reject or to cancel advertisements without notice. Work opportunities 34
Managing Editor: Jude Cohen-Phillips Continuing professional Guest Editor: Yasmin Headley development 35 Editorial Board: James Antrican, Jude Cohen-Phillips, Sally Forster, Katrina Phillips, Sally Scott, Tom Warnecke Published by UK Council for Psychotherapy, Cover photo: Professor Martin Seligman 2nd Floor, Edward House, 2 Wakley Street, London EC1V 7LT Positive Psychology Center Registered Charity No. 1058545 University of Pennsylania Company No. 3258939 Registered in England
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the psychotherapist feature: positive psychology Guest editorial: Positive psychology
The Contributors References The first seven people listed are well Bandler, R & Grindler, (1983) Reframing: known in the field of positive psychology; Guest Editor: Yasmin Headley Neurolinguistic Programming and the Chris Peterson, Nansook Park,Alex Transformation of Meaning. Linley, Ilona Boniwell, Stephen Joseph, Positive Psychology is the scientific Cacioppo, J.T. Berntson,Adolphs, R (2002) James Pawelski and Tayyab Rashid. Areas study of the strengths and virtues Foundations in Social Neuroscience. MIT covered in the articles listed in this issue that enable individuals and Press. communities to thrive. This field is are positive psychotherapy, post- traumatic growth, strength-spotting, time, Klopfer,W.G.Humor and Psychotherapy. founded on the belief that people want philosophy and William James. (1984) Journal of Personality Assessment, to lead meaningful and fulfilling lives, to Volume 48, Issue 6 February 1984, pages cultivate what is best within themselves, I have also added the work of Jane Bird 660 – 661. and to enhance their experiences of love, because of her work in autogenic training Lyubomirsky, S (2008) The How of work, and play (see online reference). (AT). AT is a systematic and scientific Happiness. A practical Guide to Getting the method of relaxation which has been Life You Want. A Sphere Original. The Positive found to be an extremely effective way of Oring, E. (1984) Jokes of Sigmund Freud:A There are many positives in managing stress. Meditative techniques Study in Humour and Jewish Identity. psychotherapy. Contrary to the popular have been found to work well with University of Pennsylvania Press. press, it is not all about the pain, misery positive psychology (Shapiro et al, 2005). and the upsetting things in life. Many Shapiro et al (2005) Meditation and Positive Psychology. 646-662 in Snyder & psychotherapists do also help their clients I would like to express my sincere Lopez (2005) Handbook of Positive to grow and develop. Those who are appreciation to all the contributors, who Psychology. Oxford University Press. psychotherapists also know of the responded to my request for articles humour, the off-beat moments and the with enthusiasm and energy, and have Online Reference tender connections which often occur in produced articles that are engaging, http://www.ppc.sas.upenn.edu/ the therapeutic space. thoughtful and creative. accessed 15/05/08 The articles that follow present the Due to the constraints of space and time Write for The Psychotherapist positive in psychotherapy. This is not to some of the articles had to be edited, but Would you like to respond to say there are no negatives in it is hoped that the essence of the something you have seen in this psychotherapy – ever. Often we reframe material has been left intact for you to issue? Or to something in the areas (Bandler, 1983) for our clients to enjoy. You will also see that interesting outside world that is affecting you as work with and Freud himself was known books by four of the contributors are a psychotherapist? to have quite a sense of humour available for review for the next issue of (Oring,1984. Klopfer,1984). The Psychotherapist, if you would like to Do you, or your MO, have a read further on these subjects. particular group of clients that you The series of articles that follow clarify specialise in working with? Or are some of the material from an approach Yasmin Headley BA,Dip HG, MA, you involved in a particular project called ‘positive psychology’. Positive CUG,AdDip, MAPP you think innovative or unusual? psychology is not just ‘happiology’ or UKCP Registrant ‘Pollyanna’ fantasy. This approach focuses Have you attended a workshop or on the positive and the emphasis it places Yasmin Headley is an Integrative seminar that has influenced your on scientific research has given more Psychotherapist living and working in personal practice, that you would credence to the notion that the positive London. She has been coaching and like to share with or recommend to has a large part to play in our work with counselling people extensively by phone other psychotherapists? clients. The negativity bias (Cacioppo, and in person since the 1990s. 2002) that naturally occurs within us has Or would you like to guest edit an to be attended to and worked on Her particular interests are in taking issue of The Psychotherapist? constantly. To be happy and effectively the ‘positives’ more seriously happy requires constant attention and particularly with regards to cultural Write with your suggestion(s) to work (Lyubormirsky, 2008). change, aging, spirituality and money. the Editor, Jude Cohen-Phillips: (www.integrative.com) [email protected]
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the psychotherapist feature: positive psychology Positive psychology and strengths-based clinical work Christopher Peterson & Nansook Park
Besides providing a vantage on what is considered a psychological disorder, positive psychology also speaks to other aspects of therapy. Even if therapeutic concern is with traditional diagnostic categories, the goals of therapy can be fleshed out with a positive psychology perspective, keeping in mind the vision of psychological health already discussed and more generally by taking DSM Axis V (global assessment of functioning) as seriously as diagnosis on Axis I and Axis II. Christopher Peterson Nansook Park “Low life satisfaction can When positive psychology was first If one can extrapolate from the sorts of described, its stated goal was not to topics that have been studied, positive occur in the absence of move people from -5 to zero – the psychology assumes that people are doing presumed goal of business-as-usual well when they experience more positive psychopathology” feelings than negative feelings, are satisfied psychology – but rather from +2 to Assessment has long been a staple of +5 (Seligman, 2002). This emphasis on with their lives as they have been lived, have identified what they do well and use psychology, and much of it has been promotion as opposed to remediation these talents and strengths on an ongoing tilted – understandably – toward was useful in highlighting what was novel basis; are highly engaged in what they do, identifying weaknesses, deficiencies, and about positive psychology, but did not do are contributing members of a social problems. The positive psychology justice to what this new field might help community, and have a sense of meaning perspective is that business-as-usual people to achieve. and purpose in their lives (Peterson, assessment should be expanded by 2006). Health and safety provide an attention to areas of strength and “positive psychology can important context for psychological well- competence. Low life satisfaction can being. It is difficult to imagine a cultural occur in the absence of do more than help group in which these components of the psychopathology, and it is nonetheless good life are not valued. related to psychological and social people doing well in life problems. Conversely, high life do even better” Here we have a vision of mental health satisfaction is linked to good functioning that can be used to make sense of even in the presence of symptoms. Interventions based on positive psychological problems that people psychology can do more than help might have. Problems (from a positive Positive psychologists have already people doing well in life do even better. psychology perspective) represent developed an impressive set of These interventions may also help shortcomings with respect to one or measurement instruments that allow people with problems lead a fulfilling life, more of the components of the someone doing assessment to break moving them from -5 to +2 or beyond. psychological good life. For example, through the zero point of deficiency Whatever the presenting complaints, people may experience more negative measures. For example, the healthiest people also bring into therapy assets and affect than positive affect; they may be that one can score on a typical measure strengths that can be used to resolve dissatisfied with their lives; they may be of depression is zero, but this lumps their problems. A crucial task of any socially estranged; they may be bored, together people who are blasé with treatment is therefore to identify clients’ alienated, or nihilistic; and so on. those who are filled with zest and joy. resources and encourage their use. The distinction seems well worth
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the psychotherapist feature: positive psychology
making, and the self-report surveys and Research support is accumulating. for assessment, treatment, and interviews developed by positive Enough outcome studies have been promotion. Positive psychology psychologists allow it. conducted to conclude that these expands our view of psychological therapies are more than just promising, health beyond the absence of symptoms Many of the popular positive psychology with effect sizes in the small to and disorders and provides hope that a self-report surveys are available free of moderate range typical of psychological healthy, fulfilled, and productive life is charge at www.authentichappiness.org. interventions. Not known in most possible for all. Upon completion of a survey, individual cases is how these expanded therapies feedback is provided, which means fare in direct comparison to business- Christopher Peterson clients can be directed to the site and as-usual treatments for anxiety or University of Michigan asked to keep a record of their scores. depression. The boundary conditions of Ann Arbor, MI, USA effective therapies informed by positive Nansook Park Positive psychologists have psychology are completely unknown. University of Rhode Island demonstrated that brief interventions in Kingston, RI, USA the short term boost happiness, “attention to both satisfaction, and fulfillment. From Biography rigorous studies using randomisation strengths and weaknesses Dr. Peterson is Professor of Psychology and a placebo control, there is evidence and Organizational Studies at the that positive psychology based is critical... no useful University of Michigan,Ann Arbor, USA. interventions increase well-being as well as alleviate depression (Seligman, Steen, purpose is served by He is the research director of the Values in Park, and Peterson, 2005). For example, Action (VIA) Project and has created a clients can be asked to count their regarding them as classification of human strengths and virtues and strategies for assessing them. blessings or to use their character strengths in novel ways. mutually exclusive” In 2003 Dr Peterson was named by the Institute for Scientific Information (ISI) as Beginning to appear are so-called Many positive psychologists would like among the world’s 100 most widely-cited to believe that a strengths-based positive therapies: interventions linked psychologists over the past twenty years. to positive psychology. What approach to change is superior to one distinguishes these therapies from that focuses on the remediation of He is well-known for his pioneering business-as-usual treatments is their deficiencies, but this hypothesis has yet studies on optimism and health; is an stated goal is not symptom reduction to be put to serious test. Our even- author of more than 300 scholarly or relief but rather enhanced happiness, handed suspicion is that attention to publications including a recent book A life satisfaction fulfillment, productivity, both strengths and weaknesses is Primer in Positive Psychology (2006) and is a and the like – one or more critical and that no useful purpose is recipient of the Rackham Distinguished components of positive psychology’s served by regarding these as mutually Faculty Achievement Award at University vision of the good life. These therapies exclusive therapeutic goals. of Michigan. target people with psychological problems as well as those without. In the past, some of us thought that Dr. Park is Associate Professor of positive psychology interventions were Psychology at University of Rhode Island, In our opinion, the term ‘positive inherently light-handed, meaning that USA. She did her graduate work both in therapy’ is misleading if it implies that they are met with little resistance and Korea and the USA. Dr. Park took the these approaches are wholly new. All that they are self-sustaining. Why would lead in developing ways to assess character positive therapies are derived from someone not want to be happier and strengths for children and youth. She has well-established conventional more fulfilled, especially given the over 70 publications. approaches, usually from the cognitive- additional – presumably rewarding – behavioral arena. What is novel about benefits of so being? Her main interest is the promotion of them are their expanded goals and their positive development and well-being across Our current thinking is that positive deliberate incorporation of positive life span in different culture settings and interventions can challenge both the psychology interventions to achieve strength-based practice at school, work client and the therapist. People do not these goals. Perhaps it is better to and mental health services. describe these approaches more always do the right or good or happy precisely as therapies informed by thing, even when they know perfectly References positive psychology. well what is to be done. So why do we live as we do? This question is among Peterson, C. (2006). A primer in positive the most crucial for positive psychology. New York:Oxford University Therapies informed by positive Press. psychology take issue with assumptions psychologists to answer, especially as we of the medical model that people in develop and deploy interventions. The Seligman, M. E. P.(2002). Authentic happiness. treatment are ill and that their not-so-good life has considerable New York:Free Press. problems are best described as discrete inertia. Seligman, M. E. P., Steen,T.A., Park, N., and (present-or-absent) entities à la DSM. Peterson, C. (2005). Positive psychology According to positive psychology, In conclusion, positive psychology progress: Empirical validation of people’s weaknesses and strengths exist provides a valuable perspective on the interventions. American Psychologist, 60, in degrees. human condition as well as strategies 410–421.
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the psychotherapist feature: positive psychology Psychotherapy as strength-spotting P. Alex Linley
undoing dysfunction and enabling more unpublished) research, I have been able optimal functioning, helping clients to to demonstrate that people achieve identify and use their strengths more their goals more effectively when they would seem to be indicated. are using their strengths. While, of course, these are still early days, the In a study with 214 university students, emerging evidence suggests that Reena Govindji and I were interested in strengths may well have a place to take the question of whether strengths use in the therapy room. was associated with greater levels of well-being, self-esteem, and self-efficacy. “the emerging evidence We found that it was: people who used their strengths more reported higher suggests that strengths P. Alex Linley levels of self-esteem, self-efficacy, subjective well-being, psychological well- may well have a place in Is psychotherapy a place where you being, and vitality. Further, they would go to talk about your strengths? reported higher levels of organismic the therapy room” And yet, with positive psychology valuing, the Rogerian concept of being in touch with one’s inner nature and This being so, how might applied to psychotherapy, the focus on psychotherapists go about spotting strengths in psychotherapy is growing organismic valuing process (see Joseph and Linley, 2006). strengths in their clients? What are the rapidly as a therapeutic approach. telltale signs of a strength? Over the These are early days, but we may be When we statistically controlled for last number of years, a lot of my time taking bold and important steps has been spent ‘strength-spotting’, as I towards realising the aspiration that self-esteem and self-efficacy, strengths use was still a significant predictor of describe in my latest book, Average to psychotherapy is a place where you go A+: Realising Strengths in Yourself and to talk about your strengths. psychological well-being and subjective well-being, indicating that the effect of Others (CAPP Press, 2008). This being so, what might using one’s strengths on well-being went over and above existing levels of self- Strength-spotting is about looking for psychotherapists need to know about the telltale signs of a strength in strengths, how might they go about esteem and self-efficacy. This is good news for psychotherapists, since it someone. These telltale signs are not spotting strengths in the therapeutic necessarily always found together, at session, and what can they do with suggests that whatever a client’s current level of self-esteem and self-efficacy, least at any given moment in time. those strengths once they have been Over time, however, it is likely that spotted? And, perhaps most important strengths use is likely to lead to increased levels of well-being. patterns will emerge. Thus, throughout of all, is there any evidence that it is the course of a series of psychotherapy worth them doing this in the first place? sessions with a client, as therapists we “whatever a client’s have ample opportunities to become As I have defined,“a strength is a pre- current level of self- strength-spotters. As I have described existing capacity for a particular way of elsewhere (Linley, 2008, pp. 74-75), these behaving, thinking, or feeling that is esteem and self-efficacy, telltale signs of a strength include the authentic and energising to the user, and following: enables optimal functioning, strengths use is likely to development and performance” (Linley, a real sense of energy and 2008, p. 9). Simply put, strengths are lead to increased levels of engagement when using the natural propensities that each of us have strength; (I argue that they are evolved well-being” adaptations), and when we are using losing a sense of time because you our strengths, we are feeling in touch Further, in a study of positive are so engrossed and engaged in the with our ‘true selves’ and that we are psychotherapy with a clinically activity; depressed population, Seligman, Rashid, doing the things that are right for us to very rapidly learning new do and from which we derive a sense of and Parks (2006) found that identifying one’s signature strengths and finding information, activities, or approaches energy as a result. When these two associated with the strength; coincide, as they do in strengths use, ways to use them more led to clinically optimal functioning is enabled. Given significant and sustained decreases in that psychotherapy is often focused on depression. And in my own (as yet
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the psychotherapist feature: positive psychology