Ron Kimball, PhD, CGP      202-452-6257 

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Individual Psychotherapy

Individual psychotherapy is a unique relationship situation. Two people come together for the express purpose of helping one of them find new options, new solutions, a new path through the forest of his/her life.  In times past this role was filled by the shaman or the priest.  In modern life the psychotherapist has this privilege and responsibility.

In most cases the problems that cause people pain and confusion are really solutions they have invented to other, often forgotten or obscured problems in their lives.  And these solutions are not working.

We live our lives on the basis of meanings that we construct to explain things that we do, others do, or that just happen to us. These meanings are constructed from our historical experience, our intellect, our memories, and our biological and learned reactions.  That is why the same event can have a significantly different impact on two people -- or on the same person at two different times. When people seek therapy, it is because the meanings they are applying to events in their lives are not helping them, are maladaptive, or are producing inexplicable discomfort.

Learning this -- and then learning how to both let go of old meanings and develop new ones -- are not easy tasks. Human beings both seek change and resist it, usually resistance being the stronger and more desperate of the two opposing forces. The therapist’s job is to help people through the process of exploration, decision, and change.  He/She is not smarter or wiser or a guru with all the answers. Rather, he/she needs experience to be able to say, “This path, not that one, seems more promising at this point.” The therapist and the client must walk side-by-side in a collaborative effort.

Since the advent of managed care, it has become popular to “manualize” therapy by trying to match specific techniques with certain symptoms. The assumption is that if a given person has a certain symptom, then there is a specific technique that will “cure” that symptom. While there are instances in which this approach can be helpful, I think it is clear from the above that I do not subscribe to it as a general approach.  I believe that human behavior is far more complex and does not allow for simplistic rubrics.

“Constructive therapy affirms and encourages a hopeful engagement with the mysteries and complexities of each developing life and the connectedness of all lives. It addresses the painful limitations of some personal beliefs, the gain and loss of meanings as life unfolds, and the chaos that often accompanies major life changes.”                            Michael Mahoney, 2003, Constructive Psychotherapy

Individual therapy, then, becomes the process of learning one another and finding ways of seeing ourselves in new and more useful ways. Certainly specific cognitive/behavioral techniques can help in this process, but only if embedded in the deeper understanding of the ways in which people construct meaning and how that powerfully effects the ways they then think, feel, and behave. If you believe that this approach may be helpful to you, feel free to contact me to discuss it further.

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