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	<title>Hypoglycemic Health Association of Australia</title>
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	<link>http://www.hypoglycemia.asn.au</link>
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		<title>Psychological Projection and Hypoglycemia</title>
		<link>http://www.hypoglycemia.asn.au/2013/psychological-projection-and-hypoglycemia/</link>
		<comments>http://www.hypoglycemia.asn.au/2013/psychological-projection-and-hypoglycemia/#comments</comments>
		<pubDate>Tue, 15 Jan 2013 10:09:13 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3681</guid>
		<description><![CDATA[by Jurriaan Plesman, BA(Psych), Post Dip Clin Nutr We are genetically programmed to look for causes of our feelings in our immediate environment, which in psychological jargon is called &#8220;psychological projection&#8221;. It is the foundation and source of delusions and hallucinations and misinterpretation of our environment. It really means in psychology our tendency to exclusively<a href="http://www.hypoglycemia.asn.au/2013/psychological-projection-and-hypoglycemia/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>by Jurriaan Plesman, BA(Psych), Post Dip Clin Nutr</p>
<p><b><i>We are genetically programmed to look for causes of our feelings in our immediate environment, which in psychological jargon is called &#8220;psychological projection&#8221;</i></b>. It is the foundation and source of <a href="http://www.hypoglycemia.asn.au/2011/silent-diseases-and-mood-disorders/#Delusions">delusions</a> and hallucinations and misinterpretation of our environment.</p>
<p>It really means in psychology our tendency to exclusively attribute our own feelings to the outside world or to expect to find the cause of these feelings in the immediate environment, present or past memory. This may have some unexpected consequences in our social relationships.</p>
<p>Even most clinical psychologists, unaware of nutritional biochemistry, continue to interpret most &#8220;psychological symptoms&#8221; in terms of our social environment, present or past (hidden in  our &#8220;subconscious mind&#8221;), which are then thought to be amenable to talk-therapy. Feelings are always being interpreted as products of our environment, present of past, conscious or subconscious (memories of the past).  Unfortunately, this misinterpretation contributes to a considerable failure rate in counseling. See also <a href="https://docs.google.com/document/pub?id=17o7DsgVMGJYvT0HHq-sjjwVjngdN1s2qZGohc9WboKA">Psychotherapy Ineffective?</a></p>
<p><b>Negative self-image</b></p>
<p>It is interesting to see how a metabolic disorder can play tricks on our mind. Nutritional therapists accept that the <a href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" target="_blank">hypoglycemic syndrome </a>can cause a negative self-image, because of the over-production of stress hormones such as adrenaline and cortisol. These hormones generated from within (endogenously) give rise to us feeling being constantly under stress, quite unrelated to whatever is going on in our immediate environment. In other words, we complain of having anxiety or panic attacks without us understanding why and being unable to control them. Constantly being bombarded with stress hormones will naturally produce a low self-esteem.</p>
<p>Having a feeling of <b><i>&#8220;I am no good&#8221;</i></b>, soon becomes by force of &#8220;psychological projection&#8221; , <b><i>&#8220;people think I am no good&#8221;</i></b>. Thus people with a low self-esteem tend to withdraw from social intercourse&#8230;&#8230; from the perceived source of their low self-esteem. They may feel insecure in intimate and close relationships. They are reluctant to express their feelings or talk about themselves for fear of being rejected. In the extreme form this may lead to <a href="http://www.wisegeek.com/what-is-agoraphobia.htm">agoraphobia</a>.</p>
<p>A low self-esteem can lead to emotional calamities as for instance in <a href="http://www.hypoglycemia.asn.au/2012/romantic-rejection-trigger-for-depression/">rejection of love</a>. People with a low self-esteem experience rejection of love as a disaster, whereas a person with a healthy self-regard will see this more as a disappointment, but will soon be looking for a better partner. People with a good self-image will usually find one another, as will people with a low self-image may find on another. The latter couple may soon regard each other in a negative way. This will often result in the breakup of their relationship. People with a low self-esteem, even if accepted by a partner, may be under constant fear and worry about the loyalty of the other partner. She/he will be projecting &#8220;how could he/she love a person like me?&#8221; Rejection in love will reinforce one&#8217;s low self-esteem.</p>
<p><b>Stress hormones, </b>such as adrenaline and cortisol, function to convert energy stores in our body such as <a href="http://www.wisegeek.com/what-is-glycogen.htm">glycogen</a> into glucose in order to feed the brain with glucose as the only source of biological energy called<a href="http://anatomy.wisegeek.com/what-is-the-function-of-adenosine-triphosphate.htm"> adenosine triphosphate</a> (ATP). A hypoglycemic brain is forever exposed to wildly fluctuating blood sugar levels which trigger the release of stress hormones in an endeavor to stabilize energy supplies to the brain.</p>
<p>Without that stable energy supply we would not be able to convert one set of molecules into another set of molecules, such as the conversion of <a href="http://www.hypoglycemia.asn.au/2011/rich-sources-of-nutrients/#Tryptophan">tryptophan</a> into serotonin. So, we become depressed and suffer from mood disorders. The erratic production of stress hormones appear to be a common features of most if not all mood disorders. Uncontrollable feelings for which there is no apparent explanation are then misinterpreted according to the mechanism of Psychological Projection into virtual delusions and hallucinations.</p>
<p><b>Depression </b>may be seen to follow a long period of anxiety, when the adrenal glands become exhausted, and <a href="http://www.hypoglycemia.asn.au/2011/chronic-fatigue/">Adrenal Fatigue</a> sets in. It may lead to clinical depression marked by a variety of symptoms such as feelings of hopelessness, worthlessness, insomnia, loss of interest in life, sadness, anxious or &#8220;empty&#8221; feelings, loss of interest in hobbies, or sex. In terms of hypoglycemia depression is due to a lack of a stable supply of biological energy, required for serotonin synthesis. <a href="http://www.hypoglycemia.asn.au/2011/research-evidence-for-hypoglycemia/#HYPOGLYCEMIAAND">Here</a>.</p>
<p>Again, being programmed to believe that causes lie in the environment, a depressed person is apt to believe, that there may be something wrong with his marriage, or that something might have happened in the past (or childhood) or that a past traumatic event is the cause of his present negative feelings as in <a href="http://www.hypoglycemia.asn.au/2011/post-traumatic-stress-disorder-ptsd-and-hypoglycemia/">Post Traumatic Stress Disorder </a>(PTSD). In other words, projecting feelings onto the outside world, instead of the endogenous source. The traumatic event(s) that is seen as the cause of PTSD, hides the underlying biochemical abnormality responsible for its symptoms.</p>
<p><b>Hypochondria:</b> Again these same uncontrollable stress hormones may lead a victim to believe that he is suffering from an incurable disease as in <a href="http://www.hypoglycemia.asn.au/2011/silent-diseases-and-mood-disorders/#Delusions">hypochondria</a>. Symptoms of excessive stress hormones are translated into symptoms of diseases.</p>
<p>Ironically, this illness is often seen as an imaginary illness &#8211; somatoform disorder &#8211; i.e.,<i> &#8220;</i><i>a mental illness in which a person has symptoms of a medical illness, but the symptoms cannot be fully explained by an actual physical disorder &#8221; </i><a href="http://my.clevelandclinic.org/disorders/hypochondriasis/hic_hypochondriasis.aspx">Cleveland Clinic</a>.</p>
<p>This mental illness is difficult to understand by conventional medicine because palliative medicine does not recognize hypoglycemia to be a genuine illness, as distinct from diabetes. Hypochondria, ironically <b>is</b> a real physical disease, a symptom of hypoglycemia, but:</p>
<p><i>&#8220;</i><i>Most mainstream physicians, however, don&#8217;t believe hypoglycemia is a genuine condition. They cite research showing that most people who develop a hypoglycemic-type reaction actually have fairly normal blood sugar levels at the time of their symptoms.&#8221;</i> <a href="http://www.helpher.org/hyperemesis-gravidarum/complications/hypoglycemia.php">Her Foundation</a></p>
<p>No, they have abnormal blood sugar levels!! See the correct <a href="http://www.hypoglycemia.asn.au/2012/self-help-website-for-personal-growth/#Testing">test for hypoglycemia</a>.</p>
<p>Therefore, hypochondria can also be understood in terms of &#8220;Psychological Projection&#8221; where the symptoms of stress hormones are converted to &#8220;diseases&#8221;.</p>
<p>Psychologists have a tendency to translate emotional disorders as a &#8220;sickness of the mind&#8221;, confusing symptoms for causes &#8211; in fact the result of Psychological Projection.</p>
<p>The misinterpretations of feelings as being inevitably related to environmental stimuli &#8211; past or present &#8211; becomes problematic and counterproductive, when sufferers of mood disorders seek empathy and support in self-help discussion boards. When established professionals fail to alleviate their sufferings they may seek an alternative approach to the treatment of their illnesses by participating in discussion boards. But unfortunately most of the these discussion boards are dominated by a group&#8217;s axiomatic belief that mental illness is an illness of the mind, thus perpetuating the illusion that symptoms are the causes of &#8220;mental illness&#8221;.</p>
<p>See:   <a href="http://psychonutrition.proboards.com/index.cgi?action=display&amp;board=general&amp;thread=3&amp;page=1">Mental Illness: A Disease of Delusions</a>.</p>
<p>Please discuss this article with your health care worker, doctor or nutritional doctor or therapist.</p>
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		<title>Assumptions in Psychotherapy</title>
		<link>http://www.hypoglycemia.asn.au/2012/assumptions-in-psychotherapy/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/assumptions-in-psychotherapy/#comments</comments>
		<pubDate>Mon, 05 Nov 2012 10:48:32 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3163</guid>
		<description><![CDATA[Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr &#160; The various forms of psychotherapy all derive from the philosophical assumptions of therapy. Most psychotherapists have often a unique and personable view of personality based on these assumptions. It would be very difficult to find a hypnotist who would question the assumption that we have a<a href="http://www.hypoglycemia.asn.au/2012/assumptions-in-psychotherapy/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr</p>
<p>&nbsp;</p>
<div>The various forms of psychotherapy all derive from the philosophical assumptions of therapy. Most psychotherapists have often a unique and personable view of personality based on these assumptions.</div>
<div></div>
<div>It would be very difficult to find a hypnotist who would question the assumption that we have a &#8220;subconscious mind&#8221;, or a behaviourist raising doubts about human behaviour being learned, or a psychoanalysts who would object to the idea that human behaviour stems from early childhood experiences, or a Rational Cognitive Behaviourist who believes that innate attitudes are irrelevant to our actions.</div>
<p>These are the assumptions of psychotherapy which differentiate one psychotherapist from another. An assumption is basically a major premiss that is accepted as being true or as certain to happen, without proof. These assumptions, once accepted, generate inevitable logical consequences that will create an cohesive structure to the theoretical background of a particular psychotherapist. Thus as a psychotherapist, the therapy I practise are equally based on fundamental assumptions, that are different from many other therapists. I, for instance, have questioned the assumptions of many psychologists, and this has lead me to conclude that most psychological theories are dead wood, or psychological debris that we need to sweep aside, if we want to develop our own theory or assumptions.</p>
<div>I feel that many therapists tend to confuse &#8221;<a id="management" name="management"></a>management techniques&#8221; with proper treatment (or &#8220;cure&#8217;) of a disorder. Thus psychiatrists manage mental illness by the prescription of drugs, without &#8220;curing&#8221; the underlying biochemical imbalance responsible for mood disorders. This is a typical example of a management technique.</div>
<p>People with anxiety disorder are told to do &#8220;breathing exercises&#8221; which may be a valid &#8220;management technique&#8221;, but does nothing to &#8220;cure&#8221; anxieties. Drug addicts, withdrawing from drugs, are advised to exercise strenuously each day to reduce withdrawal symptoms, or to do &#8220;meditation&#8221; or &#8220;yoga&#8221; as techniques to &#8220;manage&#8221; their symptoms. One feature of management techniques is that they need to be repeated periodically. One may have to take AD medication for life. Some management techniques are healthier than others. For instance daily exercises, meditation and taking your dog for a walk, or pursuing a hobby may be healthier than drinking coffee to give you a lift or even smoking pot. Hence managing an illness is not necessarily to cure it and some management techniques may be preferable to others.</p>
<div>I could go on and point out assumptions underpinning other psychotherapies, but such criticism would simply imply that there is a clash of assumptions or major premisses. It would be better to discuss my assumptions in psychotherapy, to emphasize some of the differences.</div>
<p>I would like to summarize my assumptions that are fundamental to my approach to psychotherapy and that seems to distinguish it or could be in conflict with the majority opinion among psychotherapists.</p>
<p><strong>Major Premiss #1:</strong> Most forms of mood disorders are due to a biochemical imbalance that needs to be treated FIRST, before considering psychotherapy.</p>
<div>It is difficult to say that this is an &#8220;assumption&#8221;, because the statement is either true or false. The proposition can be tested by medical tests. In fact, it implies that before any therapy is undertaken, the person needs to be medically assessed for metabolic disorders, that are known to be responsible for mood disorders. Specialists in this area of medicine are Nutritional Doctors and Clinical Nutritionists. It is my firmly held belief (assumption), that therapists who ignore the biological aspects of mood disorders are not in a position to fully understand emotional disorders. See: <a title="http://www.hypoglycemia.asn.au/2011/silent-diseases-and-mood-disorders/" href="http://www.hypoglycemia.asn.au/2011/silent-diseases-and-mood-disorders/">Silent Diseases and Mood Disorders</a></div>
<p>This does not mean that I do not recognize mood disorders (or depression) that are environmental in nature and are not necessarily caused by biochemical disorders. Traumatic events and stressors of life do interfere with the production of feel good <a title="http://www.google.com/search?complete=1&amp;hl=en&amp;ie=ISO-8859-1&amp;q=define%3A+neurotransmitter&amp;btnG=Google+Search" href="http://www.google.com/search?complete=1&amp;hl=en&amp;ie=ISO-8859-1&amp;q=define%3A+neurotransmitter&amp;btnG=Google+Search">neurotransmitters</a> and this could cause a person to feel depressed, as in bereavement or rejection of love. But most people who enjoy good health recover from these events and are able to resume life. This is not the case with endogenous depression when people seek the assistance of psychotherapists.</p>
<div>Many people with depression suffer from a low self-esteem and the question is whether this is the cause or the consequence of depression. Most people have problems considering the possibility that a metabolic disorder &#8211; constantly bombarding the person with stress hormones &#8211; could be responsible for a low self-esteem. A low self-esteem has been reported to be caused by depression. <a title="http://books.google.com/books?id=8birbXl7kHQC&amp;lpg=PA282&amp;dq=negative%20self-image%20creates%20negative%20social%20relationships&amp;as_brr=3&amp;pg=PA282#v=onepage&amp;q=&amp;f=false" href="http://books.google.com/books?id=8birbXl7kHQC&amp;lpg=PA282&amp;dq=negative%20self-image%20creates%20negative%20social%20relationships&amp;as_brr=3&amp;pg=PA282#v=onepage&amp;q=&amp;f=false">Stella Chess et al p.282</a>. Some people do not recover from traumas and continue to have abnormal psychological experiences for which they seek the help from therapists.</div>
<p><strong>Major premiss #2:</strong> Most of mood disorders can be treated by nutritional means.</p>
<div>Although nutritional therapy means putting a person on a healthy and natural diet, nutritional therapy really means treating specific nutritional disorders that are known to be responsible for mood disorders. Thus being on a &#8220;healthy&#8221; or &#8220;natural&#8221; diet is not sufficient AND could be the very reason for emotional problems. It happens to be the case that most people with mood disorders are found to be <a title="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/">hypoglycemic</a> - as a result of prediabetic <a title="http://www.google.com/search?complete=1&amp;hl=en&amp;lr=&amp;ie=ISO-8859-1&amp;safe=off&amp;q=define%3A+insulin+resistance&amp;btnG=Search" href="http://www.google.com/search?complete=1&amp;hl=en&amp;lr=&amp;ie=ISO-8859-1&amp;safe=off&amp;q=define%3A+insulin+resistance&amp;btnG=Search">insulin resistance</a> - according to a medical test designed by Dr George Samra. Hypoglycemia has depression and other mood disorders among its symptoms.</div>
<div>See <a title="http://www.hypoglycemia.asn.au/2011/testing-for-hypoglycemia-and-how-your-doctor-can-help/" href="http://www.hypoglycemia.asn.au/2011/testing-for-hypoglycemia-and-how-your-doctor-can-help/">GTTH</a>.</div>
<p>Samra, Dr George (2002), The Hypoglycemic Connection II, One Stop Allergies, Kogarah Sydney, <a title="http://www.hypoglycemia.asn.au/2011/dr-samras-books/" href="http://www.hypoglycemia.asn.au/2011/dr-samras-books/">here</a>.</p>
<div>Hypoglycemia can itself be a symptom of other diseases as for instance in Bipolar Disorder, who are often found to be hypoglycemic as well.</div>
<div></div>
<div>Other factors to be considered are allergies and food sensitivities. Many of these can be found by completing a daily food diary as explained <a title="http://www.hypoglycemia.asn.au/2011/finding-your-allergies/" href="http://www.hypoglycemia.asn.au/2011/finding-your-allergies/">here</a> or by reading books or articles on <a title="http://www.hypoglycemia.asn.au/2011/allergies-the-food-and-disease-paradigm/" href="http://www.hypoglycemia.asn.au/2011/allergies-the-food-and-disease-paradigm/">allergies</a>. Detecting and treating allergies is a huge medical topic and sometimes patients need to be referred to a Nutritional Doctor for proper diagnoses with Antinuclear Antibody Tests.</div>
<p>Another vast range of possible illnesses affecting moods are digestive disorders. The simple reason is that these diseases can interfere with the proper absorption of essential nutrients that are forerunners of feel good neurotransmitters.</p>
<p>In fact, there are many other diseases that can affect our &#8220;mental&#8217; well-being as has been explained at:</p>
<div></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/diseases-signs-and-possible-association-with-emotional-disorders/" href="http://www.hypoglycemia.asn.au/2011/diseases-signs-and-possible-association-with-emotional-disorders/">Diseases Associated with Emotional Disorders</a></div>
<div>Psychonutritional therapy does not condemn the use of drugs in treating mood disorders &#8211; especially those  psychotic disorders such Schizophrenia and Bipolar Disorders &#8211; provided various <a title="http://curezone.com/upload/Newsletter/Hypoglycemic_He/HYPONL2001_06.pdf" href="http://curezone.com/upload/Newsletter/Hypoglycemic_He/HYPONL2001_06.pdf">nutritional aspects (&#8211;&gt; P7)</a> of have been eliminated, before using pharmaceutical medications. Besides many side effects of psychotropic drugs can be ameliorated by nutritional means in the hands of a nutritional doctor. The criticism against drug therapy only is that it does not allow for competition with evidence-based psychonutritional approaches.</div>
<p><strong>Major premiss #3:</strong> Psychotherapy is strictly a &#8220;here-and-now&#8221; kind of therapy.</p>
<div>Psychotherapy can be beneficial with a healthy body, able to synthesise normal hormones and neurotransmitters. This assumption aims at bypassing what I call &#8220;the debris of psychological theories&#8221;. People tend to have a misconception that if you have an explanation for a psychological problem, you have the &#8220;cure&#8221; of the illness.</div>
<p>Thus if we see a young woman, who has an extreme low self-esteem, we may find that she has been sexually abused as a child. We naturally tend to assume that her sexual abuse has something to do or even could be the cause of her present day behaviour. According to some psychological theories, her past history gives us an explanation of her present-day behaviour. Some therapists or parents may &#8211; intentionally or unintentionally &#8211;  even create false memories to explain abnormal mood disorders (<a title="http://books.google.com/books?spell=1&amp;as_brr=1&amp;q=creating+false+memories&amp;btnG=Search+Books" href="http://books.google.com/books?spell=1&amp;as_brr=1&amp;q=creating+false+memories&amp;btnG=Search+Books">Various magazine reports</a>). A person under stress may fall victim to <a title="http://www.hypoglycemia.asn.au/2011/beating-anxiety-and-phobias/#NOTES" href="http://www.hypoglycemia.asn.au/2011/beating-anxiety-and-phobias/#NOTES">delusions</a> in some circumstances. But by the same token, her present behaviour can also be explained &#8211; not by her past &#8211; but by her present experiences, if, for instance, she has a metabolic disorder, or if she has a negative self-image. She would lack the social skills to handle people or form any close and loving relationships. All these factors are treatable in the here-and-now without having necessarily to know anything about her social history.</p>
<p>The behaviour of an alcoholic jealous husband who has beaten his wife could easily be explained by his social history. We may find that he was brought up in a family where parents were alcoholic and violent. He reported that his mother had multiple extramarital relationships with other men. This could easily explain why he walked around with an attitude &#8220;that women cannot be trusted&#8221;. He beat his wife, because according to him she came home late one night and told him &#8220;a lie&#8221;, claiming that she met some female friends. In fact, she told him the truth, but he simply did not believe her and now his marriage is on the rocks.</p>
<p>Indeed, his social history gives a good explanation for his present behaviour, but has it any therapeutic value? If we assume, as I do, that causes of present day behaviour lie in the here-and-now, and not in the past, his behaviour can also be explained by his present day jealousy stemming from a very low self-esteem &#8211; &#8220;why would any woman (including my wife) be interested with me&#8221;. Other factors are his addiction to alcohol and anger-control issues, all of which are signs of a metabolic disorder. They operate in the here-and-now and can be treated in the here-and-now. There are many other factors that can be treated regardless of any knowledge of a person&#8217;s social history. We do not need a social history to treat him now. In fact his social history could stand in the way of immediate treatment!</p>
<p>Social histories provide interesting explanations of behaviour, but they usually have little therapeutic value. My assumption is that the causes of behaviour lie in the &#8220;here-and-now&#8221;. We cannot change the past, we cannot use our parents as scape goats for present day behaviour, nor blame our peers, or society or whatever else is happening in our present environment. We are the cause of our behaviour. We simply need to to tackle biological aspects first and then learn the social skills, in the here-and-now, to earn our rewards and happiness, regardless and in spite of our past!</p>
<p>It is therapeutically more efficient to assume that all causes of human behaviour occurs in the here-and-now, and that although personality development may have an interesting past history culminating in present behaviour, that behaviour can be radically changed by interventionist therapeutic techniques that ignores the past and looks strictly at present day aspects of personality; such as metabolism, self-image, assertiveness, communication skills, and one&#8217;s values system.</p>
<div>I have crystalized this approach in:</div>
<div></div>
<div><a title="http://www.hypoglycemia.asn.au/2012/principles-of-psychonutritional-therapy/" href="http://www.hypoglycemia.asn.au/2012/principles-of-psychonutritional-therapy/">Principles of Psychonutritional Therapy</a></div>
<p>&nbsp;</p>
<div><strong>Further reading:</strong></div>
<div></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/">What is hypoglycemia?</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/the-serotonin-connection/" href="http://www.hypoglycemia.asn.au/2011/the-serotonin-connection/">The Serotonin Connection</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/depression-a-nutritional-disorder/" href="http://www.hypoglycemia.asn.au/2011/depression-a-nutritional-disorder/">Depression is a Nutritional Disorder</a></div>
<div><a title="http://curezone.com/upload/PDF/Articles/jurplesman/depression_energy3.pdf" href="http://curezone.com/upload/PDF/Articles/jurplesman/depression_energy3.pdf">Depression is a Disease of Energy Production</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/post-traumatic-stress-disorder-ptsd-and-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/post-traumatic-stress-disorder-ptsd-and-hypoglycemia/">PTSD and Hypoglycemia</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2012/alcoholism-addiction-is-a-treatable-disease/" href="http://www.hypoglycemia.asn.au/2012/alcoholism-addiction-is-a-treatable-disease/">Addiction is a Treatable Disease</a></div>
<div><a href="http://www.hypoglycemia.asn.au/2012/psychotherapy-summary-of-the-psychotherapy-course/" target="_blank">The Psychotherapy Course</a></div>
<div><a title="http://www.google.com.au/books?vid=ISBN1862525919&amp;id=cIbpj59s-KAC&amp;pg=PR3&amp;lpg=PR3&amp;ots=raIs2LZ1Xy&amp;dq=Getting+off+the+Hook+Foreword&amp;sig=c8n90fzLjpOj46KNhPpHgpsvXRw#PPA36,M1" href="http://www.google.com.au/books?vid=ISBN1862525919&amp;id=cIbpj59s-KAC&amp;pg=PR3&amp;lpg=PR3&amp;ots=raIs2LZ1Xy&amp;dq=Getting+off+the+Hook+Foreword&amp;sig=c8n90fzLjpOj46KNhPpHgpsvXRw#PPA36,M1">The Positive Ego Training Program</a></div>
<div></div>
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		<title>What is Rational Cognitive Behaviour Therapy? A short interpretation</title>
		<link>http://www.hypoglycemia.asn.au/2012/what-is-rational-cognitive-behaviour-therapy-a-short-interpretation/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/what-is-rational-cognitive-behaviour-therapy-a-short-interpretation/#comments</comments>
		<pubDate>Mon, 05 Nov 2012 10:48:10 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3173</guid>
		<description><![CDATA[By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr &#160; Rational Cognitive Behaviour Therapy or RCBT is a very powerful technique in psychotherapy to help people overcome emotional problems. In order to understand the origin and its rationale we need to have a quick look at “Behaviorism” a school of of psychology which aims at rendering psychology<a href="http://www.hypoglycemia.asn.au/2012/what-is-rational-cognitive-behaviour-therapy-a-short-interpretation/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr</p>
<p>&nbsp;</p>
<p><strong><em>Rational Cognitive Behaviour Therapy </em></strong>or<strong><em> RCBT </em></strong>is<em></em><strong><em> </em></strong>a very powerful technique in psychotherapy to help people overcome emotional problems.</p>
<p>In order to understand the origin and its rationale we need to have a quick look at “<strong><em>Behaviorism” </em></strong>a school of of psychology which aims at rendering psychology a purely scientific investigation. The earlier approach was to study human behaviour or any behaviour for that matter &#8211; including animal behaviour &#8211; in terms of references to consciousness or mentalistic constructs. The Behaviourist school had its beginnings in the work of JB Watson (1878-1958) in his many publications such as “Psychology as the Behaviorists Views it” in the <em>Psychological Review</em> in 1913 and many others.<br />
Watson defines psychology as the <strong><em>science</em></strong> of behaviour. The aim of behaviourism is to be able to predict behaviour (or more correctly responses) from a knowledge of stimulus conditions, based on observation rather than upon interpretations involving the concept of ‘mind’, ‘unconscious’ or ‘consciousness’. Thus he was able to do research in a laboratory with animals without any reference to mentalistic concepts. He believed in contrast to prevalent ‘introspective’ psychologists, that psychology was simply the observation of behaviour, similar to those of physical scientist.</p>
<p>There is a principle in science that says that anything that can be measured can become the subject of scientific investigation. So psychologists of the school of behaviourism (learning psychology) look at the elements of behaviour in terms of the following formula.</p>
<p><strong>S &#8212;&gt; [-] &#8212;&gt; R</strong></p>
<p>where<br />
S = Stimulus<br />
[-] = organism (also humorously called the empty box)<br />
R = Response.</p>
<p>Scientists can observe stimuli and responses, but behaviourists claim that you cannot observe what goes on inside the organism. Thus according to behaviourists we are just a bundle of stimulus/response connections. They would deny scientific access to what other psychologists call the “mind”.</p>
<p>Cognitive therapists however believe that whatever goes on inside the empty box affects the way you respond to stimuli.</p>
<p>Thus they have a formula that looks like this;</p>
<p><strong>S &#8212;&gt; [Attitudes] &#8212;&gt; R</strong></p>
<p>Thus if your mother falls under a bus, you may respond to this incidence in a way that depends on your attitude towards your mother. If you hate your mother and are looking forward towards a rich inheritance upon her pending death, you will react in a completely different way, from the position if you love your mother dearly.</p>
<p>Thus attitudes affect the way we react to events (stimuli) in our lives.</p>
<p>Thus RCBT therapists are interested in attitudes, which may be defined as a semi-permanent pattern of reaction (responses) towards persons, objects, institutions or issues.<br />
These attitudes are learned responses and RCBT therapists believe that by examining these attitudes (self-confrontation) we should be able to change these beliefs and RELEARN the kind of ‘positive’ attitudes that are less destructive of behaviour.</p>
<p>And here we find differing theories cropping up among different psychologists. Some will concentrate on ‘negative’ thought processes alone, how they were arrived at, and perhaps stemming from childhood experiences in the family and so on. (Psychoanalysis).<br />
From my experience it does not help a person one iota to know that one’s negative self-image stems from one’s overly critical mother. You cannot rationalize a negative self-image away by analysis. You can only get rid of them in exactly the way you acquired it and by a RELEARNING program.</p>
<p>Others look at what thought processes go on right in the here and now (the “here and now” psychotherapists).</p>
<p>I belong to the latter kind of psychotherapists and start off with a fundamental assumption (axiom as it were) &#8211; for which there is considerable scientific support &#8211; that one’s attitude to the self &#8211; or the self-image (ego) is at the core one’s personality.</p>
<p>The self-image is also a learned response, an attitude, that can be changed. The advantage of this approach is that every one of us have direct access to our self-image. We all know for instance, whether that self-image is positive or negative. Thus you can be your own psychotherapist!!!<br />
If we can change our own self-image, the hypothesis is that we can change a host of other attitudes, which upon examination derive from the self-image.</p>
<p>Thus the formula becomes:</p>
<p><strong>S &#8212;-&gt; [Ego] &#8212;&gt; R</strong></p>
<p>Now basically a self-image consists of a learned (that is automatic) statement floating around inside your head saying:</p>
<p>“I am &#8230;&#8230;&#8230;&#8230;.”</p>
<p>Here we are looking for an adjective that is either positive or negative.</p>
<p>You as a psychotherapist are interested only in negative adjectives such as;</p>
<p>“I am stupid”</p>
<p>“I am unlovable”</p>
<p>“I am no good” etc etc etc.</p>
<p>The next step is; ask yourselves why???</p>
<p>Perhaps you may have an answer, but you will find that the answer may have a negative adjective too! And then you have to ask an other “why”.</p>
<p>But from my experience most people have no answer as to why they feel “stupid”. “unlovable”, “no good” or whatever nasty things you are telling yourself. This may indicate an underlying metabolic disorder preventing the body from producing feel-good neurotransmitters; i.e., <a href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" target="_blank">hypoglycemia</a>. This may mean that we have to first treat the underlying metabolic disorder before we can move on to treat it psychologically.</p>
<p>From a &#8220;learning perspective&#8221;,  you know that you may have been taught to believe the idea from somewhere in the past. You have been indoctrinated to unquestioningly accept that you are ‘stupid’. You may have internalized this idea by constant repetition and self-talk. Not only that, because you firmly believe that you are stupid, you may have acted in a way towards other people that has reinforced THEIR belief about you that ‘you are stupid’. You may have been on a defensive as a pattern of behaviour that makes it very difficult for other people to understand you. They may have lost their patience. You may have even triggered their hang-ups and triggered their defensive mechanism.</p>
<p><strong>THUS WE HAVE A SELF-FULFILLING PROPHESY. </strong><strong><br />
</strong><br />
People are inclined to reinforce your own ideas about yourself by your behaviour towards them!</p>
<p>The answer, according to RCBT,  is to UNLEARN these irrational ideas by again repetition and repetition, by replacing these silly and childlike ideas repetitively with a more positive idea, or simply by saying to your self STOP IT!!!!! Don’t analyze as to where these ideas have come from. Just catch yourself thinking it and then STOP IT!!!</p>
<p>This approach has been elaborated in the self-help PSYCHOTHERAPY course.</p>
<p>By doing this course you can in fact participate in a RCBT course whereby you play your own psychotherapist. You should be able to complete the course in eight week (a chapter per week) and feel a different person at the end of the road.</p>
<p>Of course I would like to add, that RCBT alone may not always help one’s depression, if you overlook the biochemical aspects of depression.</p>
<p>See <a href="http://www.hypoglycemia.asn.au/2011/the-serotonin-connection/" target="_blank">The Serotonin Connection.</a></p>
<p>If you feel you have corrected the underlying biochemical abnormality responsible for mood disorders, and you would like to undertake the Self-Help Psychotherapy Course, start reading  <a href="http://www.hypoglycemia.asn.au/psychotherapy/transactional_analysis.html">What is Transactional Analysis</a>.</p>
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		<title>Treatment of Anxiety, Gambling, and Phobias</title>
		<link>http://www.hypoglycemia.asn.au/2012/treatment-of-anxiety-gambling-and-phobias/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/treatment-of-anxiety-gambling-and-phobias/#comments</comments>
		<pubDate>Mon, 05 Nov 2012 10:47:56 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3183</guid>
		<description><![CDATA[by Jurriaan Plesman BA (Psych), Post Grad Dip Clin Nutr &#160; Anxiety defined Anxiety Seeking behaviour Adrenal Exhaustion Free-floating anxiety Gambling and The Gambling Pigeon Phobias Systematic Desensitization Imaginal Desensitization Relaxation Therapy: how to We will try to show how best we can treat ourselves of the debilitating afflictions of anxiety and phobias. If problems arise the<a href="http://www.hypoglycemia.asn.au/2012/treatment-of-anxiety-gambling-and-phobias/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>by Jurriaan Plesman BA (Psych), Post Grad Dip Clin Nutr</p>
<p>&nbsp;</p>
<p><a href="#Anxiety">Anxiety defined</a></p>
<p><a href="#Gambling">Anxiety Seeking behaviour</a></p>
<p><a href="#Continuedexposure">Adrenal Exhaustion</a></p>
<p><a href="#Whentheobject">Free-floating anxiety</a></p>
<div><a href="#Gambling">Gambling</a> and <a href="#Thegamblingpigeon">The Gambling Pigeon</a></div>
<div><a title="#Phobias" href="#Phobias">Phobias</a></div>
<div><a title="#SystematicDesensitization" href="#SystematicDesensitization">Systematic Desensitization</a></div>
<div><a title="#ImaginalSystematicDesensitizat" href="#ImaginalSystematicDesensitizat">Imaginal Desensitization</a></div>
<div><a title="#relaxationtherapy" href="#relaxationtherapy">Relaxation Therapy: how to</a></div>
<div></div>
<div></div>
<p>We will try to show how best we can treat ourselves of the debilitating afflictions of anxiety and phobias. If problems arise the assistance of a psychologist or counsellor should be sought.</p>
<div></div>
<div>Anxiety and phobias have this in common that they are driven by the fear response. Unexplainable fear reactions may be due to illnesses &#8211; such as hypoglycemia &#8211; that have the effect of over-producing stress hormones. This has been discussed extensively in this web site. If the root cause of anxiety is physiological, then this needs to be treated before considering &#8220;psychological&#8221; aspects. Here we will discuss mood disorders from a more psychological viewpoint.</div>
<p>&nbsp;</p>
<div>We  can learn to be fearful of any object if it is accompanied with a negative experience, like an electric shock, or heat. This is how children learn to avoid stoves, heaters, hot irons, boiling water and other dangerous things. Fear is essential to our survival, when we think about the dangers of driving a car and making sure the brakes work properly. Such fears cause us to think of methods to overcome the threat. A soldier’s survival in war may depend on how cautious he is. Many war heroes were in fact very cautious people.</div>
<p>&nbsp;</p>
<div><a id="Anxiety" name="Anxiety"></a><strong>Anxiety is closely related to this fear response</strong>. It can become associated with any neutral stimulus, if it is paired with a traumatic stimulus like the sensation of pain. However, by the same token this kind of problem solving may also lead to obsessive-compulsive reactions if the object or situation comes to haunt a person by senseless repetition of thoughts or acts in his attempt to reduce anxiety or guilt. Examples are kleptomania or the compulsion to steal something for which the kleptomaniac has no use. The compulsive washing of hands for fear of becoming infected by germs is another example. This may be classed as “making sure” behaviours, such as compulsion to check whether one has closed the doors, water taps or windows, compulsion that everything is in its proper place. In all these acts there appears to be some attempt to reduce some internally generated metabolic or ‘psychological’ anxiety, unrelated to environmental events. This is further explained in:<a title="http://www.hypoglycemia.asn.au/2011/obsessive-compulsive-disorder-and-nutrition/" href="http://www.hypoglycemia.asn.au/2011/obsessive-compulsive-disorder-and-nutrition/">Obsessive Compulsive Disorder (OCD) and Nutrition</a></div>
<div></div>
<p>&nbsp;</p>
<div><a name="Whentheobject"></a>When the object of fear becomes less specific and a person cannot identify the cause of the fear response, then we speak of a <strong>free-floating anxiet</strong>y. It is free-floating, because it tends to occur from one situation to another, not generated by external happenings but from within.</div>
<div>Anxiety attacks are usually due to an overactive autonomic nervous system which produces such physical symptoms as a rapidly beating heart, gastric disturbances, bowel disturbances, visual difficulties, cold hands and feet, tense muscles, particularly in the back and neck. These happen also to be symptoms of reactive hypoglycemia, and this should be considered the first candidate in the treatment of free-floating anxiety. Anxiety attacks are said to be caused by the rapid descending blood glucose concentrations typical of hypoglycemia (<a title="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/">What is hypoglycemia</a>, <a title="http://www.hypoglycemia.asn.au/2011/beating-anxiety-and-phobias/" href="http://www.hypoglycemia.asn.au/2011/beating-anxiety-and-phobias/">Beating anxiety and panic attacks</a>). For how the Autonomic Nervous System is activated by the neurotransmitters, adrenaline and acetylcholine, see <a title="http://www.hypoglycemia.asn.au/2011/anxiety-and-the-autonomic-nervous-system/" href="http://www.hypoglycemia.asn.au/2011/anxiety-and-the-autonomic-nervous-system/">Anxiety and the Autonomic Nervous System</a>.</div>
<div></div>
<p>&nbsp;</p>
<div>Over time, tense feelings exhaust the immune system and the person complains of fatigue and failing memory. Such symptoms may also lead to chronic fatigue syndrome. See <a title="http://www.hypoglycemia.asn.au/2011/chronic-fatigue/" href="http://www.hypoglycemia.asn.au/2011/chronic-fatigue/">Chronic Fatigue</a>.</div>
<div></div>
<div>Anxiety attacks may also follow allergic reactions to food items or environmental toxins and sensitivities. Often specific sensitivities tend to spread out over time to a wider range of substances in the environment as the immune system weakens further. Allergic reactions generalize to more and more substances. If you want to find your allergies please read:</div>
<div>“<a title="http://www.hypoglycemia.asn.au/2011/finding-your-allergies/" href="http://www.hypoglycemia.asn.au/2011/finding-your-allergies/">Finding your Allergies</a>”.</div>
<p>&nbsp;</p>
<div>Anxiety may also emerge from stressful social conditions, our workplace environment, problems in the home, worries about the future or stressful relations with loved ones, constant worries about children.</div>
<div>When blood sugar levels crash from high to low &#8211; mainly in response to stresses and to refined carbohydrates (sugars) or allergic reactions &#8211; the body produces adrenaline to convert stored sugar (glycogen in muscle tissues and liver) back into glucose. This prepares the body for action. But adrenaline is also a fight/flight hormone. Thus it is important to stabilize the blood sugar levels by having frequent or three hourly snacks (depending on how fast your reaction to sugar intake is). One way of providing a slow but regular release of glucose is by taking glycerine. Glycerine is a sweet tasting substance, obtainable from your chemist, that bypasses the pancreas and it is converted to biological energy in the liver, thus providing a source of normal physical and mental activity.</div>
<div>This should be considered a temporary measure until blood sugar levels settle down. The herb fenugreek is also a glucose stabilizer as are many other herbs. Perhaps a herbalist can help you out there.</div>
<div>The aim in the treatment of hypoglycemia is to to avoid these wild fluctuations of blood sugar levels by a natural diet, very similar to the diabetic diet. (See <a title="http://www.hypoglycemia.asn.au/2011/the-hypoglycemic-diet/" href="http://www.hypoglycemia.asn.au/2011/the-hypoglycemic-diet/">The Hypoglycemic Diet</a>)</div>
<p>&nbsp;</p>
<div><a name="Continuedexposure"></a>Continued exposure to these stresses may lead to <strong>adrenal exhaustion</strong> when the adrenals fail to synthesize the necessary stress hormones at the right amount and time. This could also be a sign of <a title="http://www.hypoglycemia.asn.au/2011/chronic-fatigue/" href="http://www.hypoglycemia.asn.au/2011/chronic-fatigue/">Chronic Fatigue</a>.</div>
<div>The immediate nutritional treatment for adrenal exhaustion would be the adoption of the hypoglycemic diet and supplementing the body with the various coenzymes, vitamins and minerals such as vitamins B1, B2, B6, B12, folic acid, pantothenic acid (B5), C, zinc, magnesium and potassium &#8211; all involved with stress reactions. Hypoglycemia aggravates adrenal exhaustion, because erratic blood sugar levels drain stress hormones. See <a title="http://www.hypoglycemia.asn.au/2011/rich-sources-of-nutrients/" href="http://www.hypoglycemia.asn.au/2011/rich-sources-of-nutrients/">Rich Sources of Nutrients</a>.</div>
<div></div>
<div>In addition to the hypoglycemic diet there are many antistress herbals which may be beneficial such as Withania somnifera (Indian ginseng, Winter cherry), also Korean and Siberian Ginseng, Damiana, Gotu Kola 2500mg pd, Wood Betony, Skullcap, Vervain and Zizyphus.</div>
<div>A herbalist or naturopath should be able to help you to choose the proper remedies.</div>
<div></div>
<p>&nbsp;</p>
<div>The underlying causes of stress &#8211; nutritional, environmental, psychological, social &#8211; need to be isolated in the first place. If it is not possible to have regular holidays from stress &#8211; in both the physical or spiritual sense &#8211; then we may need to look at our relationships with significant others, rearranging responsibilities in the household or the work place, and re-examining one’s priorities and goals in life. These may all be sources of stress. To deal with these problems we need the various social and problem solving skills learned in the <a href="http://www.hypoglycemia.asn.au/2012/psychotherapy-summary-of-the-psychotherapy-course/" target="_blank">psychotherapy</a> section in this web site. Familiarity with the psychotherapy course in this web site should therefore enable people to pinpoint most of the sources of their internal or social conflicts and how to deal with them. People with a high regard for the self, with a clear outlook on life, and an ability to assert themselves in an non-aggressive manner and able to resolve conflicts seldom experience anxiety attacks. Unachievable goals such as displayed in “perfectionism” is a major source of stress and anxiety. It is not only restricted to self-criticism, but often directed at others, causing social disharmony. Behaviour patterns prompted by avoidance of anxiety are sometimes classified as Avoidance Personality Disorders (APD). Leisure activities such as playing golf, fishing, sailing, bush-walking and bowling are instances when people find relaxation. These activities allows the body to synthesize beneficial neurotransmitters (such as serotonin, dopamine) in the absence of stress and stress hormones.</div>
<p>&nbsp;</p>
<div>Other remedies may be regular periods of relaxation each day as explained below when we consider <a title="#relaxationtherapy" href="#relaxationtherapy">Relaxation Therapy</a>.</div>
<div>Thus the treatment of <a id="freefloating" name="freefloating"></a>free floating anxiety begins with the adoption of the hypoglycemic diet together with the antistress nutrients and herbs mentioned above, the elimination of allergies and other stresses in one’s diet, health or environment.</div>
<div>This should then be followed by an attack on some psychological sources of stress, such as inner conflicts and doubts about oneself, stemming from a negative self-image which has ramification in one’s network of important relationships. Many of these stresses, leading to anxiety, can easily be resolved by some minor alterations in the way we react to people and situations, simply by studying the <a title="http://www.hypoglycemia.asn.au/i-psychotherapy.html" href="http://www.hypoglycemia.asn.au/i-psychotherapy.html">PSYCHOTHERAPY</a> course in this web site.</div>
<p>&nbsp;</p>
<div><em><strong>Anxiety seeking behaviours - <a id="Gambling" name="Gambling"></a>Gambling</strong></em></div>
<div>Thus far we have considered behaviour patterns that aims at avoiding anxiety. There are behaviours that appear to seek the opposite, namely activities that are rewarded by an adrenaline rush. Just like a person who is addicted to coffee, which temporarily triggers a bursts of energy, so there are people who seek the thrills of risks and competition to mobilize an anxiety response as a reward. Possible mechanisms are that the adrenaline rush elevates blood glucose levels, which in turn raises insulin levels, which then facilitates the absorption of amino acids including tryptophan which leads to the reward of serotonin. Whatever the internal metabolic mechanism involved, no doubt the hypoglycemic condition may be implicated. Many risk seeking sports reward people with the needed excitement, such as parachute jumping, boxing, mountain climbing, car and motorbike racing. These activities may be within the normal range, but some activities may become pathological and very self-destructive as when a person becomes addicted to compulsive gambling. A gambler competes with luck, which by definition is a rare event. Compulsive gamblers report the enjoyment of their adrenaline upsurge as the major element of addiction. It provides them with a needed high, usually followed by a bout of depression, sense of hopelessness and guilt. These roller-coasters conform with the symptoms of hypoglycemia. In some individuals the desperation of paying off debts may lead to the selling of their homes, and in extreme cases have prompted them to commit armed robbery, or bank robbery. Unlike businessmen who seek to reduce risks at all costs, gamblers enjoy exposure to risks and the adrenaline rush they create. Gamblers could also be seen to live a sheltered life, when needs for excitement are stifled. Gambling may also be interpreted as absence of any goal-directed behaviour prompted by one’s values system. See “<a title="http://www.hypoglycemia.asn.au/2012/values-clarification/" href="http://www.hypoglycemia.asn.au/2012/values-clarification/">Values Clarification</a>”</div>
<p>&nbsp;</p>
<div><a id="Thegamblingpigeon" name="Thegamblingpigeon"></a><em><strong>The gambling pigeon</strong></em></div>
<div>Psychologists &#8211; called behaviourists &#8211; have another theory that clearly explains the power of compulsion in behaviour. This is based on studies that show that a certain behaviours can be reinforced by reward or non-reward. The latter leads to extinction of that behaviour. This can be illustrated by Skinner’s experiments with pigeons in 1968. They in fact can be taught a gambling addiction, by a series of what is called a schedule of reinforcement.</div>
<div>Let us suppose a pigeon pecks at a red button, and is then immediately rewarded with food (a seed). Every time it hits that button it is rewarded with food. We can increase the rate of pecking by presenting food after say every ten hits of the button. This is called an intermittent reinforcement schedule. Note that the pigeon can maintain a rate of pecking of about 4,000 responses per hour for as long as 15 hours. Studies have shown that by reducing the number of rewards we increase the rate and number of pecks by the pigeon.</div>
<div>If we vary the intermittent reinforcement schedule, that is we reward the pigeon at an average of say fifteen hits, then we can increase even more the intensity and number of hits by the pigeon. Strangely enough it means that we can make an organism respond more by reinforcing him less!! A gambler has learned to respond in the absence of previous reinforcements!! He has learned to continue to bet when his previous bets has been rewarded only a fraction of the time. Thus he has learned to be loser, a psychologically proven fact on which casinos and gambling organisations depend. It is interesting to speculate, whether the negative self-image is the consequence or the original cause of the gambler’s disease.</div>
<div>Like an alcoholic, a compulsive gambler usually hits his rock-bottom &#8211; the red line beyond which he won’t go &#8211; before he is ready to seek help in psychotherapy. The location of this red line, depends on his values system. “Where are his priorities?” His struggle with control over his behaviour &#8211; and over the demon of luck &#8211; is a major prop in his self-image.</div>
<p>&nbsp;</p>
<div>As in alcoholism, there usually is an ‘alcoholic wife’, to whose controlling character he is strangely attracted. The gambler often satisfies the wife’s need to control, and often both need to undergo therapy. But it is also this wife and children, who usually are the source of motivation to undertake this psychotherapy, because they often become major victims of his addiction. Again treatment should start with the adoption of the hypoglycemic diet, followed by a course of psychotherapy with a chief emphasis on the self-image and “values clarification”.</div>
<p>&nbsp;</p>
<div><a id="Phobias" name="Phobias"></a><em><strong>Phobias</strong></em></div>
<div>Unlike free floating anxiety attacks, a phobia is a fear response to an identifiable object in the environment but in the absence of any real danger. They are called phobic reactions. Common phobias are agoraphobia, fear of open spaces, claustrophobia fear of confined spaces.</div>
<div>Some other strange-sounding phobias are mysophobia fear of dirt, monophobia fear of being alone, arachnophobia fear of spiders, homilophobia fear of sermons, onomatophobia fear of names, melissophobia fear of bees, katelophobia stage fright, benolephobia fear of sharp objects and hydrophobiafear of water to name just a few.</div>
<p>&nbsp;</p>
<div><strong>Other technical names of phobias:</strong></div>
<div>Technophobia &#8211; Fear of technology Sciophobia &#8211; Fear of shadows Decidophobia &#8211; Fear of making decisions Nyctophobia &#8211; Fear of night Electrophobia &#8211; Fear of electricity Topophobia &#8211; Fear of performing (Stage Fright) Tropophobia &#8211; Fear of moving or making changes Triskaidekaphobia &#8211; Fear of the number 13 Gephyrophobia &#8211; Fear of crossing bridges Ophidiophobia &#8211; Fear of snakes Gatophobia &#8211; Fear of cats Hydrophobia &#8211; Fear of water Batrachophobia &#8211; Fear of reptiles Pyrophobia &#8211; Fear of fire Astrapophobia &#8211; Fear of lightning Spermophobia &#8211; Fear of germs Pnigerophobia &#8211; Fear of smothering Cynophobia &#8211; Fear of dogs Aerophobia &#8211; Fear of flying Ochlophobia &#8211; Fear of crowds Blennophobia &#8211; Fear of slime Katagelophobia &#8211; Fear of ridicule Spheksophobia &#8211; Fear of wasps Thalassophobia &#8211; Fear of the ocean Kakorraphiaphobia &#8211; Fear of failure, Gynophobia &#8211; Fear of women Agoraphobia &#8211; Fear of open spaces Claustrophobia &#8211; Fear of enclosed spaces Eremophobia &#8211; Fear of being alone Acrophobia &#8211; Fear of heights Musophobia &#8211; Fear of mice Apiphobia &#8211; Fear of bees Gamophobia &#8211; Fear of marriage Scholionophobia &#8211; Fear of school Odynephobia &#8211; Fear of pain Keraunophobia &#8211; Fear of thunder Amathophobia &#8211; Fear of dust. See: <a title="http://www.phobia-fear-release.com/names-of-phobias.html" href="http://www.phobia-fear-release.com/names-of-phobias.html">More Names of Phobias</a></div>
<div></div>
<div>Phobias are sometimes difficult to treat, because the person is often persuaded to believe that it is a sign of weakness in one’s personality. Thus he forces himself to confront this ‘weakness’ thereby unwittingly reinforcing the phobia.</div>
<div>Any object or situation can become the subject of a phobia. Most of these may have been acquired from a frightening childhood experiences, but some developed in adulthood. Sometimes the object of fear has been generalized, as in a case when a person has developed an unreasonable fear of all furry animals or furry things after an attack by a dog in early childhood. Or the fear response is generated as a result of word associations. Fear of white things may have become associated with the snow white collar of a minister of religion instilling purity and high standards of morality in one’s childhood ridden with feelings of guilt.</div>
<div>Another possible and perhaps more plausible explanation for a phobic reaction is that an object may have been paired with the fear response during a free-floating anxiety attack.</div>
<p>&nbsp;</p>
<div>
<div>A phobia can also be seen and as a distortion of reality under the influence of excess stress hormones as a result of a inner metabolic disorder. See also: <a href="http://www.hypoglycemia.asn.au/2011/silent-diseases-and-mood-disorders/#Delusions">Delusions</a>.  Free-floating anxiety attacks phobias are closely related to hypoglycemia and hence the first step in the treatment is the adoption of the hypoglycemic diet.</div>
</div>
<div></div>
<p>&nbsp;</p>
<div><em><strong>Agorophobia</strong></em></div>
<div>To explain the psychological treatment of phobias, we will discuss the treatment of agoraphobia as an example as to how most other phobias can be treated.</div>
<div></div>
<div>Agoraphobia should be seen as a separate, or perhaps an additional condition to hypoglycemia. I had a client who had severe hypoglycemia, crashing half an hour after ingesting refined carbohydrates (in her case milk shakes) AND agoraphobia or fear of open spaces. On many occasions she had tried and forced herself to leave the house, which may have aggravated her condition.</div>
<div>It is important never to force yourself to leave the house if you are anxious, because this could reinforce the fear response. You should only leave the house if you are totally relaxed.</div>
<div></div>
<p>&nbsp;</p>
<div><a id="Letuslook" name="Letuslook"></a><em><strong>Let us look at how a phobia can be treated.</strong></em></div>
<div>Imagine a child frightened of water. This is hydrophobia. Psychologists use &#8221;<a id="SystematicDesensitization" name="SystematicDesensitization"></a>Systematic Desensitization&#8221;, that is getting the child to relax by letting it play near or far away from the water. By gradually getting the child to play nearer the water (by gradually placing toys near the water for instance) it remains relaxed near the water. Very soon the child will play IN THE WATER, and you may now have to educate the child on some of the dangers of water. Technically speaking, what we have achieved is to pair a relaxation response with the object of the original fear response. This process takes place over a period of time depending on the severity of the phobia. The principle is to introduce the fear object gradually whilst in a state of relaxation.</div>
<div></div>
<div>This technique can be extended to <strong><em>“Imaginal Systematic Desensitization”</em></strong> where a person’s mental image of the fear object is gradually introduced whilst in a state of relaxation. Here again we pair the fear object with the response of relaxation.</div>
<div></div>
<div>Thus in the treatment of agoraphobia, we must first learn how to relax in the house! <strong>This can be learned by mastering <a id="relaxationtherapy" name="relaxationtherapy"></a>relaxation therapy at first as follows:</strong></div>
<div></div>
<div>Sit and relax in an easy comfortable chair, close your eyes, and feel how heavy your body is, starting with your feet, gradually working up to your legs, your body, your arms, chest and head. Imagine that you are laden with lead and that you are sinking deep into the easy chair. Feel the pressure of your body against the cushions in the chair. Soon you should feel so relaxed that you cannot be bothered to get up and then enjoy the whole experience!!</div>
<div>Do this a couple of times until you can relax in a shorter period of time each time you sit down to relax.</div>
<div>Following a series of these exercises you should be able to relaxed in a fairly short period of time. These daily exercises alone should help you in free-floating anxiety attacks. The success of non-directive counselling is based on the fact that a person can relate traumatic experiences in an atmosphere of acceptance, understanding and relaxation in the presence of a counsellor, thus pairing anxiety arousing images with the relaxation response!</div>
<div></div>
<div>In phobias we are going to use your ability to relax by introducing images in your mind, whilst you are relaxed, on similar principles.</div>
<div></div>
<div>Thus the next step is <em>TO IMAGINE</em> that you walk around the house.</div>
<p>&nbsp;</p>
<div>In a session of <a id="ImaginalSystematicDesensitizat" name="ImaginalSystematicDesensitizat"></a><em><strong>Imaginal Systematic Desensitization</strong></em> by a psychologist, you will be asked to lift your index finger, whenever you feel the first sign of anxiety. This is usually felt in the pit of your stomach or a tension in another part of the body. Each individual has a unique locus of such tension. You will be asked to recognize this sign as a first warning of anxiety.</div>
<div>In your imagination, walk around in the house, go to the kitchen, to the corridor, to the bedroom, to the laundry, to the front door. Oops you feel a tension in your stomach when you imagine going to the front door. Walking to the front door could easily arouse the fear response and then you should lift the index finger indicating to the psychologist that the image of the door arouses fear. You may do this as well, although there is no real psychologist in the room. You are your own psychologist now! When you lift your index finger, the psychologist would immediately lead you away from the front door and guide you to a safer place in your home. Thus don’t go to places in your imagination that the first warning signs tell you may be dangerous.</div>
<div>This indicates that you get anxious, and immediately in your imagination return to the lounge room, the place of safety. Thus whenever you feel the first signs of anxiety you immediately return to the place of safety. Get to know this bodily warning sign, this is the first sign of the uncontrolled fear response! Never allow your autonomic nervous system to trigger an anxiety reaction because of your imagination! Gradually you will discover that you can leave the house and walk around in your garden in your imagination.</div>
<p>&nbsp;</p>
<div>As an aside, some people may find it difficult to reach this state of relaxation, because they have been “trying” to relax. “Trying” implies “making an effort” which is the opposite of being relaxed. Trying to do anything at all, implies that you will fail to do whatever you are trying to do. Just relax!</div>
<div>Your exercises in relaxation should be pleasurable.</div>
<div></div>
<div>You will soon discover that you can remain relaxed by walking to the front gate in your imagination , or perhaps to the street in front of your house.</div>
<div>Now still imagining, make a trip into town, on the railways, bus stops and in shopping centres. The aim is to be able to walk into the street or anywhere you fancy in your imagination all the time sitting in the chair!!!! Remember to return home immediately into your chair whenever you feel the warning sign of anxiety in your stomach.</div>
<div>Repeat the relaxation exercises and imaginal trips at home over several days, even weeks if necessary, until you feel you have control over your autonomic nervous system. Here it should be said that individuals differ in their learning curves: some people are fast learners, others somewhat slower, but you all will get there in the end.</div>
<div>You are now ready to experiment in vivo, in real life, by walking to the door, into your garden, into street, always ready to return home when you start to feel anxious. My bet is that you won’t feel anxious and that in fact you will experience a sense of relief and exhilaration.</div>
<p>&nbsp;</p>
<div>When you have gained total control over your ability to relax and walk anywhere in your imagination, you will soon find that you can get out of the chair and walk out of the house. But remember, if you feel tension (in your stomach) immediately return to the safety of your home and start all over again. Learning to respond in the correct way at the level of the autonomic nervous system requires repeated exercises, just as we learn to play the piano. Furthermore, we need to keep an eye on other causes of anxiety reactions when we are not on the correct diet!</div>
<div></div>
<div>If at this stage you still encounter difficulties, it would be wise to get help from a professional counsellor who is familiar wit Imaginal Systematic Desensitization.</div>
<div></div>
<div></div>
<div>I have been able to help car phobic people to drive a car. These are clients who have learned and know how to drive a car, may even have a licence, but have developed an abnormal fear of driving. This could have been exaggerated, by forcing themselves to drive a car under condition of extreme anxiety. They have been able to overcome these fears by imaginable desensitization by imagined trips whilst in a relaxed state. They visualized walking around a car in the middle of an empty paddock, getting to sit inside the car, then driving the car in the paddock &#8211; no fences or other objects &#8211; then introducing lonely country roads, then gradually introducing houses on the side of the road. When the client experienced the warning sign, there was always a side track leading back to an large empty paddock. Gradually more houses were introduced, then a dog or cat on the road, then a cyclist, then an other car in the distance, but fortunately he disappeared into a side road. You will have to have a vivid imagination, changing the scene immediately when the index finger goes up. Soon the client is driving a car in a busy city street, reversing his car for parking purposes&#8230;.all in his imagination. Having done this several times the client is now ready to experiment in real life.</div>
<p>&nbsp;</p>
<div></div>
<div>Other scenes can be created for people with stage fright, a very common phobic reaction. We can start off standing at the back of a hall full of people, or a hall with only one person. The possibilities are infinite. Then in one’s imagination we move the client progressively to the front, until he stands viewing a sea of faces staring at him. Imagining what people would think of you at this stage may point to a negative self-image &#8211; a useful tool of the “paranoid situation” as discussed in “Improving one’s Self-Image”. Apart from that, it is still important to prepare your speech and practise this at home in a safe surrounding, before embarking on your speaking engagement to a large crowd in a real life hall.</div>
<div></div>
<div></div>
<div>This is an outline of the program to give you an idea how people overcome their phobias. It is like the hydrophobic child playing with his toys which are gradually placed near the edge of the water. There are other methods such as ‘implosion’, where a client is exposed to a fear object without an escape route. Many counsellors &#8211; among them myself &#8211; are reluctant to use this method on ethical grounds.</div>
<p>&nbsp;</p>
<div><strong>In summary:</strong> Both anxiety attacks and phobias are marked by an exaggerated fear response that derive from internal factors most probably related to a <em><strong>hypoglycemic reaction</strong></em> or a response to allergies. These need to be attended to first by adopting the <a title="http://www.hypoglycemia.asn.au/2011/the-hypoglycemic-diet/" href="http://www.hypoglycemia.asn.au/2011/the-hypoglycemic-diet/">hypoglycemic diet</a> and a program designed to avoid allergies.</div>
<div>If these attacks have taken place over a long period of time the possibility of adrenal exhaustion should be considered, which need to be treated with the hypoglycemic diet and special vitamins and minerals, plus antistress herbals as mentioned (i.e.,Withania somnifera).</div>
<div>In free-floating anxiety attacks the person needs to have a careful look at some of the sources of stress in his/her social life, apart from internal factors. These may be related to the environment in the home or work place, relationships with significant others such as family members, partners, children, or to ambitions in one’s career. These are usually centred around a poor self-esteem, and lack of social skills in handling people.</div>
<div>The most common source of anxiety is “perfectionism” or the striving for unattainable standards of performance by the self and others.</div>
<div></div>
<div>Most of these sources of stress can be traced to a negative self-image &#8211; the core of our personality &#8211; and can be corrected by studying the PSYCHOTHERAPY course in this web site.</div>
<div>In “anxiety-seeking” behaviour a person is believed to be driven by an inner metabolic need for adrenaline, the energizing hormone, that can provide a high, just as a person addicted to caffeine derives ‘pleasure’ from the drug. Many ‘risky’ sports satisfy these needs. But addiction to adrenaline may be severely self-destructive in the case of compulsive gambling. The treatment for this has common features with the treatment of alcoholism.</div>
<div></div>
<div>Phobias are treated, 1) by learning how to relax (relaxation therapy), 2) and by gradually introducing the objects of fear in imagination, whilst in a state of relaxation.</div>
<div></div>
<div>Thus adopting the <a href="http://www.hypoglycemia.asn.au/2011/the-hypoglycemic-diet/" target="_blank">hypoglycemic diet</a> and doing the daily mental exercises over a period of time will help you overcome the debilitating affliction of anxiety and phobias.</div>
<div></div>
<div>If these do not help, please consult a clinical psychologist and/or a nutritional doctor.</div>
<div></div>
<div>See also:</div>
<div><a title="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/">What is Hypoglycemia?</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/beating-anxiety-and-phobias/" href="http://www.hypoglycemia.asn.au/2011/beating-anxiety-and-phobias/">Beating Anxiety</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/the-serotonin-connection/" href="http://www.hypoglycemia.asn.au/2011/the-serotonin-connection/">The Serotonin Connection</a></div>
<div></div>
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		<title>Psychotherapy: Summary of the Psychotherapy Course</title>
		<link>http://www.hypoglycemia.asn.au/2012/psychotherapy-summary-of-the-psychotherapy-course/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/psychotherapy-summary-of-the-psychotherapy-course/#comments</comments>
		<pubDate>Mon, 05 Nov 2012 10:35:07 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3210</guid>
		<description><![CDATA[If you want to study the Self-Help Psychotherapy Course, start reading the article 1-9 at the rate of one per week. Keep re-reading again and again in order to make it part of your automatic thinking. Assumptions in Psychotherapy Principles of Psychonutritional Therapy What is RCBT? A short interpretation Transactional Analysis How to Improve One&#8217;s<a href="http://www.hypoglycemia.asn.au/2012/psychotherapy-summary-of-the-psychotherapy-course/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<div>
<div>
<div>
<p>If you want to study the <em>Self-Help Psychotherapy Course</em>, start reading the article 1-9 at the rate of one per week. Keep re-reading again and again in order to make it part of your automatic thinking.</p>
</div>
<ol>
<li><a title="http://www.hypoglycemia.asn.au/2012/assumptions-in-psychotherapy/" href="http://www.hypoglycemia.asn.au/2012/assumptions-in-psychotherapy/">Assumptions in Psychotherapy</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/principles-of-psychonutritional-therapy/" href="http://www.hypoglycemia.asn.au/2012/principles-of-psychonutritional-therapy/">Principles of Psychonutritional Therapy</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/what-is-rational-cognitive-behaviour-therapy-a-short-interpretation/" href="http://www.hypoglycemia.asn.au/2012/what-is-rational-cognitive-behaviour-therapy-a-short-interpretation/">What is RCBT? A short interpretation</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/what-is-transactional-analysis/" href="http://www.hypoglycemia.asn.au/2012/what-is-transactional-analysis/">Transactional Analysis</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/how-to-improve-ones-self-image/" href="http://www.hypoglycemia.asn.au/2012/how-to-improve-ones-self-image/">How to Improve One&#8217;s Self-Image</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/treatment-of-a-low-self-esteem/" href="http://www.hypoglycemia.asn.au/2012/treatment-of-a-low-self-esteem/">Treatment of a low Self-Esteem</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/on-being-assertive/" href="http://www.hypoglycemia.asn.au/2012/on-being-assertive/">On Being Assertive</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/communication-and-counselling/" href="http://www.hypoglycemia.asn.au/2012/communication-and-counselling/">Communication and Counselling</a></li>
<li><a title="http://www.hypoglycemia.asn.au/2012/values-clarification/" href="http://www.hypoglycemia.asn.au/2012/values-clarification/">Values Clarification</a></li>
</ol>
</div>
<div></div>
<div><strong>Miscellaneous</strong></div>
<div><a href="http://www.hypoglycemia.asn.au/2011/anger-management-nutrition-and-psychotherapy/">Anger Management: Nutrition and Psychotherapy</a><br />
<a title="http://www.hypoglycemia.asn.au/2012/treatment-of-anxiety-gambling-and-phobias/" href="http://www.hypoglycemia.asn.au/2012/treatment-of-anxiety-gambling-and-phobias/">Anxiety, Gambling, and Phobia</a><br />
<a title="http://www.hypoglycemia.asn.au/2012/sexual-abuse-and-treatment/" href="http://www.hypoglycemia.asn.au/2012/sexual-abuse-and-treatment/">Sexual abuse and treatment</a></div>
<div><a title="http://www.google.com.au/books?vid=ISBN1862525919&amp;id=cIbpj59s-KAC&amp;pg=PR3&amp;lpg=PR3&amp;ots=raIs2LZ1Xy&amp;dq=Getting+off+the+Hook+Foreword&amp;sig=c8n90fzLjpOj46KNhPpHgpsvXRw" href="http://www.google.com.au/books?vid=ISBN1862525919&amp;id=cIbpj59s-KAC&amp;pg=PR3&amp;lpg=PR3&amp;ots=raIs2LZ1Xy&amp;dq=Getting+off+the+Hook+Foreword&amp;sig=c8n90fzLjpOj46KNhPpHgpsvXRw">Getting off the Hook</a>, a book by Jurriaan Plesman, start at page 36</div>
</div>
]]></content:encoded>
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		</item>
		<item>
		<title>Principles of Psychonutritional Therapy</title>
		<link>http://www.hypoglycemia.asn.au/2012/principles-of-psychonutritional-therapy/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/principles-of-psychonutritional-therapy/#comments</comments>
		<pubDate>Mon, 05 Nov 2012 10:34:34 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3214</guid>
		<description><![CDATA[Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr &#160; I see personality problems in a rather holistic way, meaning that most symptoms are just that&#8230;symptoms. I usually reject arguments such as because &#8220;as child I was neglected, therefore I feel neglected now&#8221;. This ignores the fact that NOW you are an adult and you can<a href="http://www.hypoglycemia.asn.au/2012/principles-of-psychonutritional-therapy/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr</p>
<p>&nbsp;</p>
<div>I see personality problems in a rather holistic way, meaning that most symptoms are just that&#8230;symptoms. I usually reject arguments such as because &#8220;as child I was neglected, therefore I feel neglected now&#8221;. This ignores the fact that NOW you are an adult and you can control whether or not you are neglected. You are not a child anymore!</div>
<div>I believe, this way of thinking is merely a symptom of a negative self-image operating in the here and now.</div>
<p>From a more holistic point of view I see personality as consisting of layers. The innermost personality is the &#8220;biological self&#8221;, which controls the other layers of personality. If the biological self is suffering from a biological disorder, such as <a title="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/">hypoglycemia</a>, it will affect the next layer dealing with the self-image, and consequently influence other layers of personality in the area of human relationships, that all depend on the self-image. These layers are systematically dealt with in my book &#8220;Getting off the Hook&#8221; accessible <a title="http://www.google.com.au/books?id=cIbpj59s-KAC&amp;pg=PR3&amp;ots=raJo6KW6Zs&amp;dq=foreword+in+getting+off+the+hook&amp;sig=lWYn0E8n1gvVRW2UM7S3rkrANsY'%3E%3CFONT%20COLOR=" href="http://www.google.com.au/books?id=cIbpj59s-KAC&amp;pg=PR3&amp;ots=raJo6KW6Zs&amp;dq=foreword+in+getting+off+the+hook&amp;sig=lWYn0E8n1gvVRW2UM7S3rkrANsY'%3E%3CFONT%20COLOR=">here</a>.</p>
<p>Thus personality can be compared to the layers of an onion, where the inner layer affects the function of the next layer.</p>
<p>Thus I emphasize that we need to FIRST treat the biological self, before we can consider the treatment of the self-image.</p>
<p>I also differ from most other psychotherapists in that I believe that the self-image can be the product of a biological disorder (in the here-and-now), and not necessarily the result of childhood experiences or other learning processes. If you have a metabolic disorder that pumps adrenaline and other stress hormones into the system, this will inevitably affect the self-image, because the person is NOT in control of his emotions.</p>
<p>When we have mood disorders it is natural to PROJECT these feelings on to the world and INVENT events that will explain our uncontrollable emotions. We see this in Post Traumatic Stress Disorder (PTSD) where a past trauma many years ago is blamed for an ongoing metabolic disorder affecting your personality now. This is a delusion, that normally accompanies mood disorders and that may serve to save our sanity (explain to us why we feel the way we do).</p>
<div>See:</div>
<div><a title="http://www.hypoglycemia.asn.au/2011/post-traumatic-stress-disorder-ptsd-and-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/post-traumatic-stress-disorder-ptsd-and-hypoglycemia/">“Post Traumatic Stress Disorder (PTSD) and Hypoglycemia”</a></div>
<p>Thus when we experience a sudden attack of anxiety, we tend to invent a theory (called technically &#8220;projection&#8221; or &#8220;rationalization&#8221;) attempting to explain the causes of these attacks in terms of &#8220;cognitive processes&#8221;, such as attitudes, false beliefs, learned experiences, processes in a mythical &#8216;subconscious mind&#8217; or events in the past etc etc.</p>
<p>Somehow, even the prescription of antidepressant drugs does not seem to convince us that the problem is biological and not psychological.</p>
<p>The myth of the all-powerful mind controlling our behaviour stands in the way of more scientific thinking. This is a belief sustained by the <a href="http://www.answers.com/topic/psychosomatic" target="_blank">psychosomatic</a> model of psychology, which says &#8220;it is all in the mind&#8221;. The greatest enemy in science is human&#8217;s resistance to change. This may be especially so in people who have little control over their moods and emotions.</p>
<p>This overall view of personality also explains my rejection to the notion that all psychological experiences derive from past experiences. Sure we may have learned habits of thinking in the past, but the habits occur in the here-and-now and cannot be changed by contemplating the past or contemplating our navel.</p>
<p>You can change learned habits in the here-and-now, without having any idea where these habits came from. We do not need to know where our hang-ups come from. I am simply not interested in the past! This is where Rational Cognitive Behaviour Therapy (RCBT) (see below) plays a crucial role. It is a therapeutic program dealing strictly with the here-and-now.</p>
<p>This approach will simplify psychotherapy and saves a lot of time in &#8220;analyzing the past&#8221;. Ruminating about the past is actively discouraged in the kind of psychotherapy that I teach. Thus when it comes to drastically changing one&#8217;s personality we are all &#8216;orphans&#8217; and become totally responsible for treatment ourselves in the here-and-now. We are the source of our emotions! We cannot blame the past, our parents, our society or our peers. Yes, they may have influenced us in the past, but they are no more than habits of thoughts, we can change now. This is a rapid-acting psychotherapy that can bring about a radical change in personality within a period of three months for most people, unless the brain has been contaminated with xenobiotic drugs. When the body has been subjected to drugs it will require a longer period of treatment to repair physical damage to receptors for <a title="http://www.google.com/search?complete=1&amp;hl=en&amp;ie=ISO-8859-1&amp;q=define%3A+neurotransmitter&amp;btnG=Google+Search" href="http://www.google.com/search?complete=1&amp;hl=en&amp;ie=ISO-8859-1&amp;q=define%3A+neurotransmitter&amp;btnG=Google+Search">neurotransmitters</a>.</p>
<p>Thus in this kind of therapy all we need to know is 1) the present metabolic status of the person and treat this by nutritional means wherever possible., and THEN 2) improve our social skills in the here-and-now, starting with a consideration of the self-image. The self-image is at the core of personality.</p>
<p>In summary my motto is <em><strong>&#8220;biochemistry before psychology in the here-and-now&#8221;.</strong></em></p>
<p>It aims at restoring the balance and place the inner Adult &#8211; the rational mind &#8211; in control over the emotional aspect of personality.</p>
<div>It does not concentrate on you as a person but rather on a system that controls you. By studying that system you acquire the tools to change your personality the way YOU want to. It is the ultimate self-therapy for most people.</div>
<p>After treatment of the biological aspects of mood disorders you can improve your social skill by studying the self-help psychotherapy course, starting with <a href="http://www.hypoglycemia.asn.au/2012/what-is-rational-cognitive-behaviour-therapy-a-short-interpretation/">What is RCBT? A short interpretation.</a>, then move on to:  <a href="http://www.hypoglycemia.asn.au/2012/what-is-transactional-analysis/">What is Transactional Analysis</a> and complete all 9 articles at the rate of one per week. In nine weeks you would start to feel better.</p>
<div></div>
<div><strong>References:</strong></div>
<div><a title="http://www.hypoglycemia.asn.au/2012/assumptions-in-psychotherapy/" href="http://www.hypoglycemia.asn.au/2012/assumptions-in-psychotherapy/">Assumptions of Psychotherapy</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/" href="http://www.hypoglycemia.asn.au/2011/what-is-hypoglycemia/">What is Hypoglycemia?</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/the-serotonin-connection/" href="http://www.hypoglycemia.asn.au/2011/the-serotonin-connection/">The Serotonin Connection</a></div>
<div><a title="http://www.hypoglycemia.asn.au/2011/depression-a-nutritional-disorder/" href="http://www.hypoglycemia.asn.au/2011/depression-a-nutritional-disorder/">Depression is a Nutritional Disorder</a></div>
<div><a title="http://curezone.com/upload/PDF/Articles/jurplesman/depression_energy3.pdf" href="http://curezone.com/upload/PDF/Articles/jurplesman/depression_energy3.pdf">Depression is a Disease of Energy Production</a></div>
<div><a title="http://www.google.com.au/books?vid=ISBN1862525919&amp;id=cIbpj59s-KAC&amp;pg=PR3&amp;lpg=PR3&amp;ots=raIs2LZ1Xy&amp;dq=Getting+off+the+Hook+Foreword&amp;sig=c8n90fzLjpOj46KNhPpHgpsvXRw#PPA36,M1" href="http://www.google.com.au/books?vid=ISBN1862525919&amp;id=cIbpj59s-KAC&amp;pg=PR3&amp;lpg=PR3&amp;ots=raIs2LZ1Xy&amp;dq=Getting+off+the+Hook+Foreword&amp;sig=c8n90fzLjpOj46KNhPpHgpsvXRw#PPA36,M1">The Positive Ego Training Program</a></div>
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		<title>What is Transactional Analysis</title>
		<link>http://www.hypoglycemia.asn.au/2012/what-is-transactional-analysis/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/what-is-transactional-analysis/#comments</comments>
		<pubDate>Sun, 04 Nov 2012 10:15:00 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3124</guid>
		<description><![CDATA[By Jurriaan Plesman, BA (Psych), Post Grad Dip Clin Nutr Psychotherapy differs from other kinds of counselling in that a change in behaviour and feelings is brought about with reference to a theoretical model. Thus there are a number of different types of psychotherapies depending on the models used by the therapist and client. The<a href="http://www.hypoglycemia.asn.au/2012/what-is-transactional-analysis/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>By Jurriaan Plesman, BA (Psych), Post Grad Dip Clin Nutr</p>
<p>Psychotherapy differs from other kinds of counselling in that a change in behaviour and feelings is brought about with reference to a theoretical model. Thus there are a number of different types of psychotherapies depending on the models used by the therapist and client. The model used here is based on the concept of personality as consisting of layers of personality, the inner core of which is the biological self. A physical disorder, such as hypoglycemia, affects the biological self and can express itself as both a physical and psychological illness.</p>
<p>Treatment of the biological self must take precedence over the psychological disorder. No self-respecting therapist would attempt to treat a ‘behavioural’ problem, when in fact that behaviour is due primarily to an underlying physical ailment, such as hypoglycemia, diabetes, chronic fatigue syndrome, schizophrenia or manic-depressive illness.<br />
However, this is not to say that personality is nothing more than a physical manifestation of the biological self. The next layers of personality may be seen as the psychological aspects of personality, which takes into account the self-image, the self in relation to other humans, his social skills, including communication, and perhaps more importantly his values system. The latter is often referred to as a person’s spirituality, whatever that means.<br />
Many people who have recovered or are recovering from the ravages of a metabolic disorder are left with the scars of psychological damage left behind by their illness. This is especially so if the physical ailment dates back to much earlier times, even to childhood.<br />
Recovering hypoglycemics have to restore relationships with significant others, possibly damaged by years of uncontrollable mood swings, depression and bouts of anger. Recovering alcoholics and drug addicts who’s personality development has stagnated from the time they first used their drugs are often faced with the necessity of completely overhauling their life-style. A person with a long and painful history of broken relationships due perhaps to initial ill-health needs a swift program aimed at restoring a severely injured self-esteem.</p>
<p>The treatment of one’s <strong>negative self-image</strong> is at the hub of psychotherapy and is the starting point of everything else that follows.</p>
<p>To gain a clear understanding of this therapy we need a language, easily understood by the client and that is free of emotional bias. After learning this basic language we will soon learn how we can change our negative self-image. We will then learn about the Assertiveness Training Program, move on to communication and values clarification.</p>
<p>I would like to give a very brief summary of Transactional Analysis based on the book by Berne,E.(1961), <strong>TRANSACTIONAL ANALYSIS IN PSYCHOTHERAPY</strong>, Ballantine Books, N.Y., but reinterpreted by me for the sake of simplicity in order to understand some very important principles in psychotherapy.</p>
<p>&nbsp;</p>
<p>In Transactional Analysis (TA) it is assumed that when we think or talk we jump from one “ego state” to another. In <strong>Figure 1</strong> we see that “Mary” has three egos: the PARENT, ADULT and the CHILD. So has Paul on the left.</p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/ta1.gif" alt="" width="388" height="454" /></p>
<p>When we speak from the PARENT ego state, you hear such things as “good”, “bad” “right”, “wrong”, “you should”, “you ought to”, “you have to”, “you must”, “you always&#8230;..”. In other words we speak as if we are a critical parent telling a child what it should, must and ought to do. This is often accompanied with gestures that reflect our authority such as when we point our finger or frown our eyebrows. Finger pointing is a sign when a person speaks from his/her PARENT ego.</p>
<p>When we are in our ADULT ego, we deal with the world as it is. Statements are either true or false and we usually come to a decision based on rational thinking: “because of X, which leads to Y, which leads to Z” etc. This is our analytical mind and source of our rationality.</p>
<p>When we speak from our CHILD ego we often say things like “I want”, “I need”, “I hope” and so on. The things we need are not always wanted, like vitamins and minerals, the things we want are not always needed, such as drugs and alcohol.</p>
<p>Some of our basic needs are: the need for security, respect, for shelter (a home), for food, sex, affection and love, for play and laughter. As adults in later life these needs are extended to a range of values we desire in civilized relationships.</p>
<p><strong><em>A happy person is one, that can satisfy his needs without interfering with the need of others.</em></strong></p>
<p>Referring figure 1, suppose that Paul is asking Mary: “Where is my coat?”<br />
Mary can answer either as</p>
<p>1) “Your coat is hanging in the cupboard” or,</p>
<p>2) “If only you would put your coat where you should have put it in the first place, you would know where your coat is”.</p>
<p>In 1) Mary speaks from her ADULT to Paul’s ADULT, because whatever she says is either true or false. There is no judgment.<br />
In 2) Mary speaks from her PARENT to Paul’s CHILD; she is not answering Paul’s question but gives him a lecture.</p>
<p>In 1) there is what is called an A-A message<br />
In 2) Mary gives Paul a P-C message.</p>
<p>This is illustrated in <strong>Figure 1</strong> above. You will see that the A-A arrow crosses the P-C message and hence this is called a cross transaction. In transactional analysis all cross transactions indicate a conflict in communication.<br />
The above example AA &#8211;&gt; PC comes in many forms, as in “Where is Sydney Harbour Bridge?”(AA) &#8211;&gt; “You must be pretty stupid to ask that question!” (PC).</p>
<p>It is possible that the respondent may misunderstand the question and hears a criticism instead. This becomes AA&#8211;&gt; CP. For example the conversation goes like this: “Where is Sydney Harbour Bridge?” (AA) &#8211;&gt; “I wonder why he is asking this question, perhaps he thinks I am stupid” (CP).</p>
<p>In this example the person shows his suspicion about the question and this is called a paranoid response, for in fact instead of giving a straight answer “The bridge is in the middle of Sydney” the respondent reads the question to be a hidden criticism.<br />
Many verbal arguments finish up in PC-PC messages, whereby opponents call each other by names, such as “You are a bum”, “You are a bitch:”.</p>
<p><strong>Role playing</strong> can also be interpreted in terms of TA. For example:<br />
“Doctor, what is wrong with my ears, it hurts” (A-A), the doctor might reply:<br />
“Don’t worry about this I am your doctor and know exactly what should be done. You need a prescription” (P-C). The doctor doesn’t give an answer and plays doctor.</p>
<p>To become familiar with transactional analysis listen to conversations you hear around you and try to classify the transactions in terms of A-A, P-C, C-P.</p>
<p><strong>THE NEGATIVE SELF-IMAGE</strong></p>
<p>In <strong>Figure 2</strong> we show how a person has acquired a negative self-image. The critical PARENT &#8211; the robotic judge &#8211; sends a constant stream of mental messages to the CHILD, saying such things as “I am no good”, “I am a failure”, “I am ugly and unlovable”.</p>
<p>&nbsp;</p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/ta2.gif" alt="" width="327" height="408" /></p>
<p>&nbsp;</p>
<p>In this illustration Mary firmly believes that “I am no good”. Whenever Paul makes a critical remark or a remark <strong><em>that is seen</em></strong> to be critical Mary has no defences because her PARENT agrees with Paul’s PARENT. The result is that Mary either attacks or withdraw which in either case may often result in aggression.</p>
<p>Her reaction against Paul &#8211; whatever it is &#8211; will confirm in Paul’s mind that there is something wrong with Mary. He may even come to think that “Mary is indeed no good”.<br />
And so we have an example of a <strong>self-fulfilling prophecy.</strong><br />
It means that our behaviour creates images in other people that support our belief in ourselves as to whom we are.</p>
<p>&nbsp;</p>
<p><strong>THE “I AM RIGHT POSITION”</strong></p>
<p><strong><img src="http://curezone.com/upload/PDF/Articles/jurplesman/ta3.gif" alt="" width="384" height="376" /><br />
</strong></p>
<p>In <strong>Figure 3</strong> we see a person in the “I am Right Position”. This represents the authoritarian personality, who tends to see the world in simple colours of black and white. He is good at making quick decisions, he appears confident, can be condescending. Often they are found at the head of organisations with a strict pecking order, a structure of command that goes from the top to the bottom. In the extreme form or in a pathological stage he can be aggressive and the remarkable characteristic is that they often lack insight. In terms of his self-image the transaction at the CHILD level he seems to be saying: “I am better than you are”, “My house is bigger than yours”.</p>
<p>The reason seems to be that he is driven by an extremely low self-esteem saying: “I am no good either” which is completely blocked from his awareness. Hence the self-image “I am no good either” is placed in <strong>double </strong>brackets in figure 2.</p>
<p>This person is often attracted to a shy partner &#8211; the person in Figure 2 &#8211; partly because that partner satisfies his “nurturing” but authoritarian PARENT ego. The partner may find an attraction in such a confident personality and compensates for her feelings of inadequacy and insecurity.</p>
<p>This goes to show an important principle in psychotherapy: <strong><em>“Hang-ups attract hang-ups”</em></strong>.</p>
<p>Problems often arise when one of the partners in such relationship grows up or changes personality. The mutual bond goes out of kelter.</p>
<p>In social situation the person in the extreme form of “I am right position” is difficult to handle, and are best avoided unless you are able to adopt a subservient role. In circumstances of social conflict they tend to see the problem as lying out there in the world, they seldom have insight into the effects of their behaviour on other people. The alcoholic who denies he is alcoholic is a typical example. They often adopt a “righteous” position and tend to be defensive. They feel that they are constantly under attack!!<br />
Such a person usually gains a modicum of insight in a crisis situation as when their partners (wives or husbands) walk out of a relationship, they lose a job, or commit an offence, “which is out of character”. At such times when they have reached “rock-bottom”, or “crossed the red line”, they are often accessible to psychotherapy, for they may suddenly realize, that they did not have full control over their lives and need help.<br />
It is essential that a person has some <strong>insight</strong> if he is to benefit from therapy.</p>
<p><strong><em>The PARENT Ego source of inner conflict</em></strong><strong><br />
</strong>When we see a man picking up an injured bird, or console a crying child he operates from what is called his “nurturing PARENT”. This is the source of our civilization, our cultural values or, as it were, the better side of human nature. The flip side of this ego is the punishing and critical PARENT. The latter is the root of our emotional problems. The aim in psychotherapy is to change the critical PARENT within us.<br />
In our model the PARENT ego could be compared to the animal part of our mind that has learned to behave in a certain way by indoctrination. It has learned to quote negative “moral” sentences quite beyond the conscious control of the speaker or thinker.<br />
When a teacher says to a child: “You are dumb&#8230;.you are dumb”, the child comes to believe that “I am dumb&#8230;I am dumb, because the teacher says so..”.<br />
After a few repetitions the child believes: “I am dumb&#8230;.I am dumb, and I don’t need a teacher to tell me that, &#8230;.. because I damn-well know I am dumb”.<br />
Now he has internalized that belief and it becomes part of his personality.<br />
We may have met many authority figures in our childhood that could have implanted all sorts of negative ideas about oneself or the world and this has become part of our habitual thinking and behaving. It forms part of our attitudes.<br />
Thus we may hear a prisoner, who has been sentenced for assault, say : “Well, I wanted to teach him a lesson”, he reveals with a slip of the tongue the origin of his thoughts.<br />
The PARENT ego does not respond to a rational debate, stemming from the ADULT within us, just like a doggie does not learn from a verbal lecture given by his master. It has to be re-trained, by sheer repetition, persistence and determination. Thus when we go over to improving our our self-image in the next section, it must be emphasized that we are undertaking a retraining program of that animal part of the mind (the negative PARENT ego within us), with as much dedication as when we learn to play the piano, or any other skill we have learned.</p>
<p>We are now ready to have a closer look at the negative self-image and how we can change this in the article <a href="http://www.hypoglycemia.asn.au/2012/how-to-improve-ones-self-image/" target="_blank">“How to Improve One’s Self-Image”</a>.</p>
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		<title>Values Clarification</title>
		<link>http://www.hypoglycemia.asn.au/2012/values-clarification/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/values-clarification/#comments</comments>
		<pubDate>Sun, 04 Nov 2012 10:13:38 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3097</guid>
		<description><![CDATA[By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr &#160; We seldom hear people walking around saying they are happy. Unhappy people are usually aware of their unhappiness. Values clarification tries to answer questions such as: what am I trying to achieve? What would make me happy? What do I really want out of life?<a href="http://www.hypoglycemia.asn.au/2012/values-clarification/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr</p>
<p>&nbsp;</p>
<p>We seldom hear people walking around saying they are happy. Unhappy people are usually aware of their unhappiness.<br />
Values clarification tries to answer questions such as: what am I trying to achieve? What would make me happy? What do I really want out of life? What is important to me? What are my values? What do I want from my husband or wife? What kind of career do I want?<br />
Values can of course mean many things, but in motivational terms we are speaking of things that we need, require, want, aspire, set on’s heart on and so on.<br />
When we buy a car we unwittingly use a means of choosing an object that has values, that we have thought about before, or clarified. A decision to buy a certain car is chosen among other possible cars that we might have looked at. So there must be a choice.<br />
The characteristics of this car consists of desirable attributes (values) such as the colour, whether it is a four seater or two seater, whether it is a sports car, or sedan; it has a certain engine capacity, fall within a certain price-range and a myriad of other values that we consider to be important.<br />
In fact, values are not values unless it implies importance, thus all values comprise of things that we deem important!<br />
But the colour of car may be of lesser importance than the engine capacity, thus values clarification requires some ranking in importance. Furthermore, we must be able to afford to buy the car, which means we must test values against reality.<br />
We do not own many of our values; that is to say we have never been in position to ‘evaluate’ our values, because many of these have been inherited &#8211; not through genes &#8211; but by simply being a member of some social group or culture that has determined what these values ought to be. In the Western culture one’s house has to conform to certain standards (values), which are different from those of another culture. These cultural values have a long history of development, which may offered survival values to that culture, such as that standards requiring minimization of fire hazards, building codes, standards of safety etc.<br />
So far we have been talking about ‘concrete values’, that is values attached to concrete object, that can be touched or observed through our senses.<br />
What about abstract values such as ‘love’, ‘loyalty’, ‘courage’, ‘respect of other human beings’, ‘respect for animals’, ‘love of science, or music’, the kind of things we may or may not want, which are important to us and yet cannot be defined in terms of our senses. Many of these values are taught in the family, the church or the school. We may admire competition as a cultural value, others see cooperation among members of a community to be more important. But many values are also arrived at through personal meditation or reflection.</p>
<p>If we want to own these values, that is be responsible for what we believe in &#8211; we will have to re-choose those values.</p>
<p>Some principles appear to emerge;</p>
<p><strong> 1. Values are chosen</strong> and this implies that we can either accept or reject values.</p>
<p><strong> 2. We choose values from alternatives. </strong>Choice (free will) is impossible if we have no alternatives, hence such choosing requires an open mind.</p>
<p><strong> 3. Values need to be realistic. </strong>They need to be capable of realization in the world we live in. This in itself is often a matter of value judgment.</p>
<p><strong> 4. Values need to be specific and positive</strong>. “I value life” or “I value freedom” tells us little what action I should take now. Thus values need to be clarified or defined. Here subjecting values to the “W” questions may help us to get a clearer picture. For example: “Freedom to do what?”</p>
<p><strong> 5. We need to think about our values before we can accept them as our own. </strong>“Are the values I believe in mine or do they derive from other people or sources?” If so, we do not necessarily need to reject them, provided we feel comfortable with these values.</p>
<p><strong> 6. Values need to be felt as being important to the person.</strong> When values lack the quality of ‘importance’, they could be merely “prized” and perhaps talked about, but rarely acted upon.</p>
<p><strong> 7. Ideally, values should be consistent with our behaviour. </strong>When our behaviour is in conflict with our expressed values, we may not have much commitment to those values. Of course, being imperfect human beings our behaviour will not always coincide with our belief systems; they may overlap! Sometimes it is not prudent to act in accordance with our values; in America it may be dangerous to express communist ideas. In China it is not wise to speak of democracy. This goes to show that one’s values may be in conflict with the prevailing values of society or the political system.</p>
<p><strong> 8. Values tend to be goal directed. </strong>In psychology it is difficult to define what is and is not goal-directed behaviour. But is is clear that without a values system, humans would be the victim of his circumstances, a ship without a rudder.</p>
<p>Looking at some of these principles it is apparent that our “free will” may be severely restricted as when a man is in prison.<br />
Some other factors that restrain our ability to choose are; poverty, lack of education, ill-health (hypoglycemia, endogenous depression, psychotic illness, attention deficit hyperactivity disorder (ADHD)), conditions of employment or unemployment, family circumstances and so on. Yet among all these restricting environments there remains often an area where we can exercise our free will.</p>
<p><strong>Motivational Test</strong></p>
<p>If we want to find out whether a person is motivated to change his behaviour, we could ask him to complete the sentence:</p>
<p>“I want to change because of X Y Z, and that is important to me!”</p>
<p>where “X Y Z” are the underlying reasons given for wanting to change. By using “W” questions, we can test the second layer of arguments in favour of his reasons.<br />
For examples: “I want to change, because I don’t want to go to gaol” or “because I don’t want to lose my wife”. Note these reasons are in the negative and may not prompt the person to change his behaviour, were it not for the gaol or his wife walking out on him. The person may be at a loss to explain why it is important to him not to lose his wife. He may even hate her! These negative feelings need to be translated into positive values, which is one of the objects of values clarification.</p>
<p>If a person is unable to give any reason why he wants to change, perhaps we could ask him to fill up the following sentence;</p>
<p>“I don’t want to change because of X Y Z, and that is important to me!”</p>
<p>By using the “W” questions we should be able to analyze the reasons behind his lack of motivation. There could be a payoff for continuing the behaviour, such as “Everything is going alright&#8230;.my mother is looking after me and I get regular meals&#8230;.I am free to go the beach&#8230;.and I receive my regular unemployment check&#8230;why change??”<br />
Thus his motivation is intertwined with that of his mother and the question is “What motivates the mother to support his son unconditionally?” Are we dealing here with an arrangement that is satisfactory to both mother and son?</p>
<p><strong>Daily Activities Pies</strong></p>
<p>Another way of looking at motivation and values clarification is by studying the activities of people on a daily basis.</p>
<p>&nbsp;</p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/valuesclarification1.gif" alt="" width="126" height="153" /></p>
<p>&nbsp;</p>
<p>In <strong>Figure 1 </strong>the circle , representing 24 hours a day, may be divided into various activities. One third of the day &#8211; that is 8 hours &#8211; is devoted to sleep. Another third is spent working, and the last 8 hours may be used up in leisure time.<br />
Studies have shown that about 80% of people do not enjoy their work, yet most keep on working year after year. Work appears to be a means to an end satisfying their needs for pleasure, and other interests. These in fact constitute important values, for example those related to family and children. The acceptance of work conditions is also bound up with their personal relations with fellow workers, which depend on social abilities and in turn on the self-image.</p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/valuesclarification2.gif" alt="" width="126" height="161" /></p>
<p>&nbsp;</p>
<p>In <strong>Figure 2 </strong>we have an example where a person devotes a lot of time to his work. The question is: “Is he a workaholic?” and why? His values seems to be centered on his work situation.</p>
<p>On the other hand we have people, whose daily activities pies would look like that given in <strong>Figure 3.</strong></p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/valuesclarification3.gif" alt="" width="130" height="164" /></p>
<p>&nbsp;</p>
<p>Obviously such a person places a important value on his leisure time. The wealthy and the rich are likely to show such charts. But what about the person without an independent income? He may well be depending on others, and his values would suggest a strong belief in the “support culture” or the welfare state. Or again such a person values freedom highly so that he can fulfill perhaps his artistic or creative abilities and needs.</p>
<p>These Daily Activities Pies do not necessarily reflect value preferences, they could result from uncontrollable circumstances, personal disabilities, work pressures, the necessity to pay off mortgages. However if these activities are <strong>chosen</strong>, they do reflect values.</p>
<p><strong>Values satisfy needs</strong></p>
<p>The word “value” comes from the French “vouloir” which means wishing or wanting. Wanting food, shelter, or wanting a close human relationship, security, wanting respect, or wanting to help others seem to point to needs operating at different levels.</p>
<p>This is illustrated in <strong>Figure 4</strong></p>
<p>&nbsp;</p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/valuesclarification4.gif" alt="" width="216" height="238" /></p>
<p>&nbsp;</p>
<p>It is clear that one’s needs and therefore one’s important values lie at different levels depending on circumstances often beyond the control of the individual. In poorer countries the needs for food, clothing and shelter may override all other values. In fact, values and customs at the social level may be subordinate to these basic needs. Marriage arrangements may fulfill economic necessities. There is a different priority of values.</p>
<p><strong>Values orientation</strong></p>
<p>Values can also be looked at from the point of how it affects our behaviour. For example, when values are positive we tend to act, when these values are negative we tend to avoid. This is illustrated in <strong>Figure 5.</strong></p>
<p>&nbsp;</p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/valuesclarification5.gif" alt="" width="383" height="331" /></p>
<p>&nbsp;</p>
<p>Let us take an example of attitudes towards women.</p>
<p>When a person attaches positive values to women, he may either approach them or avoid them. If he tends to approach women for whom he has a positive regards, his values would likely be in the area in the graph anywhere marked “PAP Values”. (“PAP” stands for Positive + Approach.) He probably will be kind and considerate towards women.<br />
If he has a high regard for women, but fears them, he is most likely to put them on a pedestal, but avoid them. That would place his values in the area of “PAV Values”. (PAV stands for Positive + Avoid).<br />
If he harbours negative values about women and still approach them, his behaviour may be fraught with contempt or aggression and his values would be in the “NAP Values” part of the diagram.</p>
<p>If he has negative feelings towards women and avoid them he would be in the “NAV Values” area.<br />
People &#8211; such as many alcoholics and drug addicts &#8211; reside in the NAV area and are generally negatively motivated.</p>
<p><strong><em>They know exactly what they don’t want, but have no idea what they do want. </em></strong>We say they are not motivated at all.</p>
<p>The values clarification program helps these people to get out of the NAV area and to place them in the PAP area of the program.</p>
<p><strong>The systematic clarification of values.</strong></p>
<p>The aim is to bring positive values to consciousness, although these values may be expressed in negative terms. There is an important principle in values clarification that says that negative values can be expressed in a positive manner, which is the equivalent of the negative.</p>
<p>Example: Fear of prison &#8211; a strong motivation in behaviour &#8211; may mean love of freedom. However the question is freedom for what?</p>
<p>I will describe a favoured technique often used in my therapy group in four steps.</p>
<p><strong>Step 1: Generate positive and negative adjectives or clauses</strong></p>
<p>Members are asked to complete the following sentence:</p>
<p>“I want my wife to be&#8230;&#8230;, and that is important to me!”</p>
<p>I then ask members to generate as many adjectives as they can. If nothing comes to mind I will ask them to think in negative terms (which some people find much easier to do).<br />
Thus:</p>
<p>“I don’t want my wife to be&#8230;&#8230;, and that is important to me!”</p>
<p>I then draw two columns on the board, one headed ‘Positive’ and the other ‘Negative’. The results might look as follows:</p>
<p><img src="http://curezone.com/upload/PDF/Articles/jurplesman/valuesclarification6.gif" alt="" width="245" height="144" /></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>In this first step of values clarification much is be revealed about the person. Some cannot think of anything, indicating that they have not given much thought on at least this topic. Few adjectives are generated. Others may emphasize the physical features of women &#8211; the concrete thinkers &#8211; describing them as “sexy”, “beautiful”, “blond with blue eyes”, “slim”, “attractive”. Others can only think of negatives.<br />
Fortunately, through values clarification most of them graduate quickly to more abstract thinking such as they prefer a woman to be “understanding”.</p>
<p>In <strong>Step 2 </strong>we <strong>translate negative adjectives into positives</strong>.</p>
<p>Remember that only positive values will tend to mobilize people into action. The art of translating negatives into positives requires some thinking. We are talking about popular opposites and not “logical” opposites. When people look for the opposite of “nagging” they might suggest, “always putting you down” or “not being helpful” and very soon a person comes up with the idea of “being helpful”, “being supportive”, “encouraging”. “Addicted to drugs” becomes “straight”, “in control”, “normal”.<br />
“Lazy” becomes “not willing to work” which soon suggests “willing to work”, “not shy of work”, “hard worker”.<br />
The opposite of “Slovenly” becomes “having self-respect”, “pride in the way she dresses” “proud”, “good sense of dress”, “well-dressed”.<br />
“Hates going out” is translated into “loves people”, “loves socializing”, “easy to get on with”, “loves mixing with people”.<br />
It helps consulting a thesaurus or a dictionary of synonyms &#8211; words with similar meanings.</p>
<p>The resulting list of positive values is now:</p>
<p>beautiful<br />
considerate<br />
loving<br />
good cook<br />
loves children<br />
clean<br />
well-dressed<br />
friendly<br />
supportive<br />
easy going<br />
hard working<br />
loves people<br />
likes going out</p>
<p>In <strong>Step 3: we define and eliminate synonyms (same meanings) by means of “W” questions.</strong></p>
<p>We have explained elsewhere that the “W” questions are questions that begin with a ‘w’, in it: “Why, What, When, Where, Who and How?”</p>
<p>What do we mean by ‘beautiful’, ‘considerate’, ‘loving’, and so on. “Why should we believe this to be important?”, “When or where did this occur to me?”, “How would that affect me?” are the kinds of questions that forces us to think in the ADULT ego state, and to become clear as to what we mean. One way of clearing up meanings is by deliberately generalizing (also known as universalizing) the meaning of a word. For example: “Do you want your wife to love <strong>all</strong> children?” “be friendly with <strong>all</strong> people?” “If not, what kind of people then?”<br />
“Do you want your wife to be considerate, even if you hit her, or if you go out with another woman?”<br />
When you use <strong>“always”</strong>, <strong>“all”, “every” “at any time”</strong>, etc. you tend to extend the question to situations that in fact you want to exclude. You don’t want your wife “to be lovely to every man”, “helpful to everybody”, “attractive all the time”. Thus your positve clauses have limits, and the question is where are the limits?<br />
Here one has to think and refine meanings and point to actual circumstances and situations that delineate your meanings and needs. Having a low-esteem may lower your criteria by not insisting on qualities we feel are important, if we want to be happy.</p>
<p>in <strong>Step 4 a person is asked to rank-order his adjectives.</strong></p>
<p>Again,the person is asked to carefully think about his values. The question basically is: “Which of the qualities are more important to one’s happiness?” “Is it more important for a wife to be beautiful or considerate?”<br />
Rank-ordering is carried out by giving each adjective or quality a number in terms of importance and then placing them in numerical order. This may be done on a white board in the group.<br />
An excellent way of rank-ordering is by using small cards. Members are asked to generate positive and negative adjectives on a topic and to write them on the cards. First, the negatives are translated into positives and written on the other side of the cards. The cards are laid in front of the person and he is then asked to define the qualities. Then he is to rank-order them by placing the most important qualities at the top.<br />
The use of cards is an easy way of understanding the method of values clarification: it is on on-going process and we also discover that we change our values each day, sophisticating them and refining them.</p>
<p><strong>An anecdote</strong></p>
<p>The power of values clarification is illustrated by an experience of a young girl, who was severely brain-damaged after long period of drug-abuse. She was at one time a qualified dental nurse, when she started using first marijuana, then heroin. Her mother told me that she found her daughter lying on the lounge room floor with cards in front of her. She was writing things on cards, turning them around and putting them in some sort of order.<br />
One day the young lady came to the group with a new boyfriend. The boy friend was ‘straight’ and she explained to the group that according to her exercise in values clarification at home she had placed ‘honesty’ on top of the list. Also her boy friend <strong>had to be straight</strong> that is not using drugs.<br />
She had an agreement with her boyfriend to get off drugs and “please would the group accept her boy friend as one of the members”.<br />
I met her mother a few years later and she told me that her daughter was married to the ‘boy friend’, they had a baby and she was an excellent mother!!</p>
<p><strong>Matching couples</strong></p>
<p>Another useful application of the values clarification is to assess how compatible two people are in their values; an important factor that would affect their relationship.<br />
A married couple &#8211; parents of a group member &#8211; was asked to values clarify their ideal partner. They were required to do this separately. The results could then be compared. The group was astounded about the similarity of responses. Thus values clarification helps two people to ascertain whether they have compatible values. How often do two people meet, fall in love and then after a while split with traumatic consequences to either one or both partners. They did not realize that they had different expectations in their relationship; one was interested to travel around the world, the other wanted to settle down in a job and a home!</p>
<p><strong>Creating a shopping list</strong></p>
<p>A married couple can go through a series of crisis situations. Personalities are dynamic &#8211; not static &#8211; one partner may finally outgrow a low self-esteem, or may develop a new interest in life. They are then said to pull into different directions, yet the bonds of love are strong. Often children become victims. Conflict may rekindle a fragile self-image in one or both partners. Communication breaks down.<br />
In such a situation <em>‘creating a shopping list’ </em>may be of assistance to sort out the problems.<br />
Each partner is asked to ‘list’ the things they want out of a relationship.</p>
<p>“I want &#8230;&#8230;&#8230;&#8230;&#8230; and this is important to me!” or</p>
<p>“I don’t want &#8230;&#8230;&#8230;&#8230;&#8230; and this is important to me!”</p>
<p>Again the ‘clauses’ are 1) listed under ‘postives’ and ‘negatives’ 2) negatives translated to positives, 3) defined and evaluated, 4) Rank-ordered.</p>
<p>These are then compared. Then, negotiations and compromises are discussed between the partners.</p>
<p><strong>Filling up value sentences</strong></p>
<p>There are many ways of tapping into one’s values, by simply completing sentences:</p>
<p>I have learned that&#8230;&#8230;&#8230;&#8230;..<br />
I have discovered that&#8230;&#8230;&#8230;&#8230;..<br />
I now know that&#8230;&#8230;&#8230;&#8230;.<br />
I was surprised to find that&#8230;&#8230;&#8230;<br />
My hero is&#8230;&#8230;&#8230;&#8230;&#8230;.<br />
One day I hope to&#8230;&#8230;&#8230;&#8230;.<br />
My greatest ambition is to&#8230;&#8230;&#8230;&#8230;<br />
My favourite place in the world is&#8230;&#8230;&#8230;&#8230;.<br />
My goal is life is&#8230;&#8230;&#8230;&#8230;&#8230;<br />
My father always taught me that&#8230;&#8230;&#8230;&#8230;..<br />
My family likes to&#8230;&#8230;&#8230;&#8230;&#8230;..<br />
My greatest wish is &#8230;&#8230;&#8230;&#8230;</p>
<p><strong>Evaluate your friends</strong></p>
<p>Think of your friends and ask yourself a series of value laden questions;</p>
<p>Would this person keep a secret?<br />
Does this person always keep appointments?<br />
Could you tell your friend about your problems? What kind of problem?<br />
Would you ask this person for advice in respect of what&#8230;.?<br />
How does your friend relate to other friends?<br />
What do my friends have in common?<br />
What do I expect from friends?<br />
Friends are for &#8230;&#8230;&#8230;.</p>
<p><strong>Fantasy trips</strong></p>
<p>Another favourite technique to uncover your values is by going on what I call FANTASY TRIPS.<br />
They are all of the form: “If I am&#8230;.. then&#8230;&#8230;.”.</p>
<p>What would you do if you were a billionaire, if your were a dictator, the director of a big corporation, etc.</p>
<p>By allowing a person to dream the impossible, very often what appears to be impossible becomes achievable with a few compromises.</p>
<p><strong>An anecdote</strong></p>
<p>One client was a fervent surf-board rider. He spent most of the day on the beach. He was on welfare and had no idea what he wanted to do with his life. So now and again he applied for jobs in a factory, and frankly was glad when unsuccessful.<br />
Asking him what he really was interested in he said, surf boards!!<br />
He knew all about surf boards, what shape they should have, how they were built and so on. He was proud of his knowledge about surf board.<br />
I ask him whether he would be interested in selling surf boards.<br />
Would he ever!<br />
So instead of applying for advertised jobs we made up a list of all firms selling surf boards. We collected some 20 firms. His job was to visit these firms daily and talk to the managers. He was to sell his skills and knowledge about surf boards. If the result was negative he would ask the person if he knew of any other firm that would be interested in employing him as a salesman. He was instructed to get the personal names and telephone numbers of potential employers!<br />
It was not long and he landed himself a job in a shop selling sports equipment. He sold a few surf boards and his boss was very happy. But he had to learn about other sports products available in the shop. He gradually became an expert in most of the equipments for sale. He was happy to meet young people of his own kind, the same language, the same enthusiasm. I met him a few years later in the street, and yes&#8230;.he was now a manager of one of a department stores, charged with increasing the sale of all sorts of sports equipment and &#8230;&#8230;. he had just finished a tech course in management! He was now learning about accountancy. He had a girlfriend. He was as happy as Larry.</p>
<p><strong>Conclusion</strong></p>
<p>Values clarification helps you to get a clear picture of where you are going, what choices to make, what friends to have or avoid, what to look for in relationships and what career to choose and how to get there.<br />
Values are closely related to motivation. Counsellors avoid the danger of passing on a his/her own values on to their clients when teaching the values clarification program &#8211; clients discover their own values.<br />
Most important of all, values clarification helps a person to fulfill his needs and find true happiness.</p>
<p><strong>Further reading</strong></p>
<p>Ayer,A.J.(1958), LANGUAGE,TRUTH AND LOGIC, Victor Gollancz Ltd.,London<br />
Berofsky,B.(Ed.)(1966), FREE WILL AND DETERMINISM, Harper &amp; Row,Pubs,N.Y.<br />
Feinberg,J.(1969), MORAL CONCEPTS, Oxford University Press<br />
Fletcher,J.(1967), MORAL RESPONSIBILITY, SCM Press Ltd.,London<br />
Foot,P.(Ed.)(1967), THEORIES OF ETHICS, Oxford University Press<br />
Hare,R.M.(1952), THE LANGUAGE OF MORALS, Oxford University Press<br />
Hare,R.M.(1963), FREEDOM AND REASON, Oxford University Press,London<br />
Hemming,J.(1969), INDIVIDUAL MORALITY, A Panther |Book,London.<br />
Kirschenbaum,H.(1977), ADVANCED VALUE CLARIFICATION, University Associates, Inc. La Jolla, Calif.<br />
Margolis,J.(1966), CONTEMPORARY ETHICAL THEORY, Random House, N.Y.<br />
Maslow,A.(1971), THE FARTHER REACHES OF HUMAN NATURE, Penguin Books<br />
Maslow,A.H.(1970), NEW KNOWLEDGE IN HUMAN VALUES, Henry Regnery Co.Chicago<br />
McCance RA (1994), THE COMPOSITION OF FOOD, The Royal Society of Chemistry and Minister of Agriculture, Fisheries and Food<br />
Moore,G.E.(1968), PRINCIPIA ETHICA, Cambridge University Press<br />
O&#8217;Dell BL, Sundle Ra (1997), HANDBOOK OF NUTRITIONALLY ESSENTIAL MINERAL ELEMENTS, Marcel Dekker Inc NY<br />
Peters,R.S.(1966), ETHICS AND EDUCATION, George Allen &amp; Unwwin Ltd.,London<br />
Piaget,J.(1932), THE MORAL JUDGMENT OF THE CHILD, Routledge &amp; Kegan Paul,London<br />
Plesman, J (1986), GETTING OFF THE HOOK, Shepson Printing, Sydney<br />
Rath,L.E.(1978), VALUES &amp; TEACHING: WORKING WITH VALUES IN THE CLASSROOM, C.E.Merril Books<br />
Reid,L.A.(1962), PHILOSOPHY AND EDUCATION, Heinemann,London<br />
Roubiczek,Paul,(1969), ETHICAL VALUES IN THE AGE OF SCIENCE, Cambridge University Press<br />
Smith,B.O. &amp; Ennis,R.H.(1961), LANGUAGE AND CONCEPTS IN EDUCATION, Rand McNally &amp; Co. Chicago<br />
Smith,M. (1977), A PRACTICAL GUIDE TO VALUE CLARIFICATION, University Associates,Inc. La Jolla, Calif.<br />
Steele,S.(1979), VALUES CLARIFICATION IN NURSING, Appleton-Century-Crofts, N.Y.<br />
Warnock,G.J.(1967), CONTEMPORARY MORAL PHILOSOPHY, St.Martin&#8217;s Press,London<br />
White,A.R.(1968), THE PHILOSOPHY OF ACTION, Oxford University Press</p>
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		<title>On Being Assertive</title>
		<link>http://www.hypoglycemia.asn.au/2012/on-being-assertive/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/on-being-assertive/#comments</comments>
		<pubDate>Sun, 04 Nov 2012 10:08:28 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3102</guid>
		<description><![CDATA[By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr &#160; To benefit from this program it is essential that the reader is familiar with “Transactional Analysis” and “How to Improve One’s Self-image” listed in the “Psychotherapy” section. Awareness of a possible underlying metabolic disorder that may affect behaviour should first be attended to. People with<a href="http://www.hypoglycemia.asn.au/2012/on-being-assertive/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr</p>
<p>&nbsp;</p>
<p>To benefit from this program it is essential that the reader is familiar with “Transactional Analysis” and “How to Improve One’s Self-image” listed in the “Psychotherapy” section. Awareness of a possible underlying metabolic disorder that may affect behaviour should first be attended to.</p>
<p>People with a negative self-image are at risk to use this assertiveness program in a manipulative way &#8211; if they aim at playing the game: “I win, you lose”. Reading Eric Berne&#8217;s book &#8220;Games People Play&#8221; will also be helpful.</p>
<p>Assertiveness training strives to resolve conflict between people, unlike the conflicts within the self characteristic in people with a negative self-image.</p>
<p>Social conflicts are more likely to arise among the more intimate and significant relationships, such as among friends, lovers and family members, than with strangers. Much of this is related to one’s self-image. Thus people with a low self-esteem are more likely to experience social conflict, whilst people with a positive self-image are better able to succeed is satisfying other people’s basic needs in close relationships. The aim in assertiveness is finding a solution to conflict that is satisfactory to both parties: the ‘Win Win’ situation.</p>
<p>The principles of assertiveness training falls neatly within the boundaries of what is known as Rational Cognitive Therapy.</p>
<p>This is explained in the following illustration.</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p><img alt="" src="http://curezone.com/upload/PDF/Articles/jurplesman/assertiveness1.gif" width="386" height="136" /></p>
<p>Some psychologists, known as behaviourists, view human behaviour as a series of stimulus-response reactions whereby certain specific responses take precedence over other responses through a process of learning. Certain reactions are established because they were rewarded. Most of these learned responses &#8211; or behaviour &#8211; become habitual and automatic.</p>
<p>Just as well: our daily activities would be burdened with constant mental exercises, if we were to figure out every move we made.</p>
<p>This is obvious when we look at our daily routines; we tend to unlock a door with either the right or left hand, we tend to shave first the right cheek and then the chin, or write letters with the right or left hand. All this takes place without much conscious awareness. Behaviourists tend to overlook the intervening mental variables between stimulus and response as shown in the above illustration.</p>
<p>In cognitive therapy the kind of automatic responses we make depend very much on the attitudes and beliefs we have within our mind. An attitude is defined as a semi-permanent response or a tendency to act or feel in response to a stimulus. Thus a person with a negative self-image &#8211; a person having a constant stream of negative thoughts about oneself &#8211; is more likely to suffer from depression. A person ‘who hates women’ is likely to react to women in a different way from people who regard women more kindly. Racist reactions, or judgments towards certain classes of people are determined by stereotypical attitudes held within the little blue box of the mind.</p>
<p>Cognitive therapy (also called Rational Emotive Therapy) applies particularly to the problem of endogenous depression. Endogenous depression &#8211; caused from ‘within’ &#8211; must be distinguished from the kind of depression caused by some external event, such as the loss of a loved one. It is when the sufferer cannot identify the cause of his depression with anything in his environment that we are probably dealing with endogenous depression. This is a serious disorder and should be discussed with a health professional. The metabolic aspect of such depression must be a first consideration: it could be related to Hypoglycemia, Chronic Fatigue Syndrome, Coeliac Disease, Hypothyroidism, malabsorption of some vital vitamins and minerals, such as B12 or folic acid. It is only then we should consider the series of negative thought processes that may intervene in our reactions to the environment. Foremost among these is our negative self-image which appear to be the root cause of such depression.</p>
<p><strong>THE PRINCIPLE OF IMPERFECTION</strong></p>
<p>This is clearly demonstrated when people hold the belief that they should be perfect in whatever they do. They are usually called ‘perfectionists’. Perfectionism could be traced back to a negative self-image, which says that “I should be better than what I am”. Nevertheless, the world may be thankful to the perfectionists in mathematics and science.<br />
Perfectionists often are not only critical of themselves, but tend to transfer this to others as well, leading to perhaps intolerance of other people’s foibles.</p>
<p>The belief: “I am entitled to be imperfect as a human being” is important in assertiveness training as will become clear later on. Perfectionism stems from the belief “I should be perfect”, which implies that “we can be perfect”. But the possibility of “I am perfect” is nonsense. If we humans were perfect, than all humans should be the same, we should be clones of one another. So we are all Gods! As this is obviously false it must be the case that we are all different from one another. In fact this leads to a healthy belief that we HAVE A RIGHT TO BE IMPERFECT!<br />
If true, then we also have a right to have problems and a right to be different. The human quality of tolerance &#8211; acceptance of differences among our fellow creatures &#8211; is characteristic of civilization. Without this tolerance, modern democratic societies would not be possible. Nor would intimate social relations.</p>
<p>In fact, Thomas Hobbes’ belief that men are basically &#8220;poor, nasty, brutish, and short&#8221; &#8211; a very negative view of humankind &#8211; lead him to accept that humans could only be happy if they lived under a dictatorship.</p>
<p>A dynamic society consists of the robust, the shy, the sensitive, the creative, the inventive and entrepreneurial &#8211; all of whom have intrinsic values.</p>
<p>The acceptance of uniqueness of individuals &#8211; stemming from the principles of imperfection &#8211; becomes important in such significant relationships as marriage. The belief that “You should be like me” denies the unique identity of partners in marriage. The same happens when we depersonalize partners by assigning roles to individuals, such as “As a husband you should&#8230;&#8230;” and as “As a wife you should&#8230;&#8230;.”. Notice that such notions derive from the PARENT EGO STATE, thus they are PC messages!</p>
<p>The aim of assertiveness training is either to replace negative PARENT messages with more positive ones, or channel communication to the adult level &#8211; thus AA transactions!<br />
In summary, we must learn to assert our right to be imperfect by abolishing &#8211; by constant repetition and supported by logic &#8211; the habit of thought that somehow we should be perfect. This fundamental right of imperfection does not conflict with our endeavours to IMPROVE ourselves.</p>
<p><strong><a name="TheOO"></a>The “O-O” LINE</strong></p>
<p>In the article “How to Improve One’s Self-Image” it is claimed that you can change one’s self-image in a relatively short period of time. However, unforeseen problems may arise, because significant others usually have a well-defined image of you &#8211; negative or positive &#8211; based on your past behaviour. This is shown in the following illustration:</p>
<p><img alt="" src="http://curezone.com/upload/PDF/Articles/jurplesman/assertiveness2.gif" width="417" height="218" /></p>
<p>&nbsp;</p>
<p>Thus others may continue to react to you, arising from their experience of you in the past.<br />
Generally, a negative experience has a more lasting imprint on a person’s mind than a positive experience. You may be considered a nice guy in a work situation, but one slip of behaviour, one bout of unexpected aggression, one session of drunkenness is sometimes very difficult to erase from your reputation.</p>
<p>The “O” refers to the “old self-image”, which is projected into the future on the horizontal line from left to right.</p>
<p>The “now” refers to the present situation, the point when you have learned a new image &#8211; new behaviour &#8211; whilst significant others still have you on the “O-O” line.</p>
<p>The strategy is to get people to think in the here and now, and into the future. Try to get people to think of what is going on <strong>now</strong>.</p>
<p>For instance: “ If you want to criticize me, please criticize me for what I do now, and not for what I might have done in the past.” Try to get an agreement with significant others to stay in the here and now, although it would be difficult for most people to get off the “O-O” line.</p>
<p>Watch out for the words <strong>‘always’</strong> and <strong>‘never’</strong>, as in “you always do&#8230;.so and so”. These are reminders for unresolved grievances.</p>
<p>It is not surprising that many recovering alcoholics and drug-addicts escape from the present conflict situation by <strong>“doing a geographical”</strong>. This may be helpful in therapy, whilst new more beneficial habits of thoughts are being established in a different environment. Many rehabilitation centres insist on a temporary separation of their clients from their family members. Others bring in the family members to participate in therapy. This usually was encouraged in my therapy group sessions when some members of the family or other significant others were keen to join the group.</p>
<p><strong>PRINCIPLES OF RESPONSIBILITY</strong></p>
<p>Assertive people firmly believe that they alone are responsible for their own happiness, thus:</p>
<p>“I am responsible for my happiness and feelings”</p>
<p>from this it follows:</p>
<p>“Nobody in the world can make me either happy or unhappy”<br />
Therefore, it would not be difficult to adopt the principle that “I should not have to depend on other people to make me either happy or unhappy.”</p>
<p>“Only if I am happy, then I can be response-able (able to respond) to the needs of other people”</p>
<p>Understanding this principle requires some thought. They need to be ‘tossed about’, criticized and justified before you can adopt them as your own. The more time your give yourself to think about them, the more you will start to accept them as your own, though perhaps in a slightly different version. In the end, this meditation becomes an automatic thought process, and as a result you will become more assertive automatically.<br />
Thus a responsible and mature person relies on his own social skills to satisfy his basic physical and social needs.</p>
<p>Many parents feel guilty when they see their teenagers go off the rail; get involved with drugs or come into conflict of the law. Under the influence of psycho-analysis which states that behaviour is mainly determined by the family upbringing they have come to believe that they &#8211; as parents &#8211; are responsible for their children’s behaviour. Their feelings of guilt will only serve to reinforce the child’s conviction that they are not responsible for their behaviour. “What do you expect with parents like that?”</p>
<p>Parents will just have to learn that their parental influence is ineffective after a child reaches a certain age. They could have been worse parents, and the teenager is still responsible for their behaviour, despite the parents.</p>
<p>At the more extreme end of the spectrum we find some individuals, who depend entirely on others for their ‘happiness’. This is natural among children who depend on parents for their basic needs. It becomes pathological when a person with the maturity of a six year old child walks around in the body of a grown-up man and is faced with the loss of his wife. This may have disastrous consequences with a threat of suicide, placing others at risk as well.</p>
<p><strong>Manipulation</strong></p>
<p>Non-assertive people have to learn how to deal with manipulative people. A manipulative person is primarily a nonassertive person and not a ‘straight-talker’.<br />
Here is a definition:</p>
<p><strong><em>Manipulation</em></strong><em> means getting another person to do things against their will, by making them feel wanting to be loved,  feel guilty, stupid, silly or by assigning a role to them.</em></p>
<p>In other words if you have hang-ups you can easily be manipulated. If you are in dire need of love and affection, common to many people with a low self-esteem, you could be made to do things that you might regret later on.</p>
<p>Depersonalization &#8211; dropping a label on somebody &#8211; refers to you being classified into a role, which puts cultural pressures on you to act in a certain way.</p>
<p>“Paul, as a husband, you should buy flowers for your wife”, where Paul is now classified into a husband, and we all know that all good husband always buy flowers for their wife!</p>
<p>Think of the roles we play: husband, wife, son, daughter, grand-mother, uncle, schoolteacher, professor, lawyer, doctor, women, men, supervisor, boss and worker, manager, friend&#8230;.and the list is unending. Each role seems to have a complementary role; for example “teacher and student”, “doctor and patient” “husband and wife”, “counsellor and client” and so on.</p>
<p>All these roles carry with them some expectation of “appropriate’ behaviour that require us to behave in a certain way.</p>
<p>Notice that the message “As a husband, wife etc you should&#8230;” all derive from the PARENT EGO state.</p>
<p>Playing roles in in organisations with an hierarchical structure as in most work situations or the army may have its advantages. It provides a strict sequence of commands from the top to the bottom and contributes to cohesion. However, edicts emanating from the top can be also be misinterpreted down the line. When Stalin ordered to crush the kulaks’ resistance to his agrarian policies, soldiers down the line could well have understood this to mean executing them.</p>
<p>Manipulation by way of role playing is sometimes difficult to resist:</p>
<p>“As a s friend you ought to lend me your car” is a familiar manipulative situation, especially if you don’t want to lend your car to anybody.<br />
The strategy is to get the manipulator to express <strong>what he wants from you</strong>.<br />
If the manipulator would have been assertive he would say: “I would like you to lend me your car”.</p>
<p>We simply have to learn to say <strong>“NO”.</strong></p>
<p>A manipulator would probably try: “Why not?”.</p>
<p>He puts pressure on us to explain in a way that assumes that we actually know and understand our feelings at all times. But being imperfect we have <strong>a right</strong> <strong>not</strong><strong> to know everything about ourselves. </strong>The truth is much of our feelings cannot be explained and we could simply answer: <strong>“I don’t know why”.</strong></p>
<p><strong>HOW TO HANDLE CRITICISM AND OTHER DIFFICULT SITUATIONS</strong></p>
<p>Please have in mind that assertiveness training aims at resolving conflict situations between significant people who want to live in peace and harmony. As mentioned before, many of the techniques mentioned here can be abused by people who like to play games: “I win, you lose!”, which derive primarily from a negative self-image. These unfortunate individuals will probably make more enemies out of these games, thereby reinforcing their hang-ups.</p>
<p>If you have an attitude: “I win, you win”, you will be truly assertive and enjoy satisfying relationships.</p>
<p><strong><em>Negative emotive terms</em></strong></p>
<p>One way of putting people down is by using what I call <em><strong>negative emotive terms</strong></em>. Most adjectives carry with them either “good”, “neutral” or “bad” feelings. For example: “You are lazy” carries negative feeling whereas “You are brave” sounds warm and cuddly.</p>
<p>Thus:</p>
<p><strong>Positive</strong> “You’re a victim of economic circumstances”<br />
<strong>Neutral </strong>“You are unemployed”<br />
<strong>Negative </strong>“You are a dole-bludger”</p>
<p>These sentences express the same idea of unemployment, but each has a an emotional flavour colouring the feelings of the speaker. Obviously, his moral super-ego (his PARENT) is involved.</p>
<p>One can practise recognizing “negative emotive terms” by reading newspapers, or listening to the debates in parliament, by underlining or ticking off negative emotive terms used in articles and debates. If you are not certain that a person uses negative emotive terms, add the rider: “and you don’t approve!!”.  This is also known as <a href="http://en.wikipedia.org/wiki/Ad_hominem">Ad Hominem Arguments</a>, a technique of diverting attention away from the real debate and attacking the author instead of the subject matter.</p>
<p>The strategy in discussion is to translate the negative emotive terms into a neutral one or else by pointing out that the speaker does not like or approve of the event being described.<br />
The use of negative emotive terms in disputes between loved ones can be devastating and usually cannot be resolved until such times as the parties learn to use more neutral and accurate descriptions of behaviour that cause the conflict.</p>
<p><strong>“FOGGING”</strong></p>
<p>A major technique of dealing with a criticism isto create a fog &#8211; a white cloud &#8211; that is difficult to target to hit. Some of the terms used are borrowed from Smith, MJ (1975), <strong>WHEN I SAY NO, I FEEL GUILTY,</strong> A Bantam Book, a very readable book.<br />
For example:</p>
<p>“Paul, your shirt is dirty”<br />
Paul: “Maybe you are right”<br />
“Probably true”<br />
“Perhaps I could improve”<br />
“Sometimes this happens to the best of people”</p>
<p>Paul is neither agreeing, nor disagreeing, in fact he is saying nothing. Perhaps he is asserting his right to be imperfect!<br />
When you listen to a scientific debate opponents regularly fog, neither agreeing or disagreeing with a proposition and often followed by a “but&#8230;”.</p>
<p><strong>“Super-fogging”</strong></p>
<p>This is an extension of fogging. When your critic really intends putting you down, to vent his anger about something, you could take the wind out of his sails by super-fogging:</p>
<p>“Paul, your shirt is dirty”<br />
Paul: “Perhaps you may have a point (fogging), but if you look at my trousers (shoes or whatever), they could also be a little dirty”.</p>
<p><strong>Inviting criticism</strong></p>
<p>He could go even further by actually asking the critic:</p>
<p>“Is there anything else about me that worries you?”</p>
<p>If you feel that your critic harbours some grievances that he seems reluctant to express it may be worthwhile to bring this into the open, so that it could be resolved through further discussion. Asking your critic straight out what worries him about you.</p>
<p><strong>Broken Record</strong></p>
<p>Sometimes people won’t listen to you as to what you want. This can be very frustrating and sometimes you become very angry, and bang! They got you. Now you are the unreasonable person and you can be ignored!<br />
‘Broken record’ comes from the idea when a needle in a gramophone record is stuck in the groove and it keeps on repeating endlessly. By repeating calmly your request the other person is bound to listen. For example:</p>
<p>Paul: “I would like to have my car repaired”<br />
Mechanic: “We have no time to-day”<br />
Paul: “May be you have no time to-day (fogging), but I would like to have my car repaired”.<br />
Mechanic; “The suppliers have not sent the parts for your car” (Passing the buck).<br />
Paul: “May be the suppliers have not sent the parts, but I would like to have my car repaired”.</p>
<p><strong>Playing back a tape</strong></p>
<p>This powerful technique helps you to get people to listen to you, when somehow the message gets lost in the debate. Imagine your are two tape-recorders and one tape recorder says to the other: “Please play back your tape?” so that you can check whether the message has been received. For example:</p>
<p>A husband might say to the wife:<br />
Paul: “I love you”<br />
Wife: “But you always go to the pub”</p>
<p>The wife refuses to hear the message and all too often the husband may storm out and actually go to the pub, frustrated and angry.</p>
<p>This is called a rejection game, which was discussed previously in the section dealing with “Transactional Analysis” where one party to a dispute elicits the kind of reaction in the other, that “proves” the very thing that is complained about.</p>
<p>Often by asking the other person to repeat an actual message, may resolve that problem. Thus:</p>
<p>Paul: “I get the impression that you did not hear what I said to you. Could you please repeat what I said?”</p>
<p>The wife may have got it right and say:<br />
“Yes, you said you love me”.<br />
Paul: “Do you believe it?”<br />
Wife: “NO!”</p>
<p>And this is exactly where the problem is!</p>
<p><strong><a name="Shooting"></a>Shooting the messenger</strong></p>
<p>A popular technique among politicians is to attack the messenger instead of considering the issue under discussion. This is not uncommon in a closely knit community or group such as a family, especially when emotions run high. It is easy to dismiss an argument by demeaning a person in a debate. Some messages may be dismissed because the messenger has not got the qualifications &#8211; the expertise &#8211; entitling him to express an opinion, as if only qualified people can give opinions. Here “fogging” could be an appropriate strategy, followed by a repetition of the original message. &#8220;Shooting the messenger&#8221; is usually a sign that the opponent cannot accept the fundamental assumption (major premise) of he messenger.</p>
<p><strong>Using the pecking order in an organisation</strong></p>
<p>It is often frustrating dealing with members of a large organisation, where your request is being passed on from one to another in that organisation. This is particular so in the public service where officials may treat you just one of the numbers. They have unlimited control and power over you because of the position they hold. But each organisation has a ‘pecking order’, whereby the person you are dealing with is answerable to a person in higher authority.</p>
<p>Thus:<br />
• Ask the name of the person you are dealing with. This alone may be a threat.<br />
• Ask the name of the person one rank above.</p>
<p>As in:</p>
<p>“May be you do not have the authority to make a decision in my case. Perhaps I should speak to your superior who might have the authority. Could you please give me his/her name?”</p>
<p>Other strategies might be to contact the ombudsman, parliamentary representative etc.<br />
Remember most authority figures are in a hierarchical power relationship with other authority figures. A strict pecking order as in a brood of chicken provides a sense of security among its members. It is a question of climbing the ladder and finding the person with power who can help you with your problem. Writing a letter to the Queen may be the wrong person in this hierarchical structure. But you local parliamentary representative may be the right one. It is a question of finding the person who has political control over the organisation: either a member of the government or one of the opposition!</p>
<p><strong>The “Why” technique</strong></p>
<p>A criticism is often an expression of personal taste or of disapproval. Your critic sits in his judgmental PARENT EGO and our job is to get him back into his ADULT. Questions like: “Why do you think so?” often forces him to go into his rational ego state (ADULT).</p>
<p>Opponent: “Paul, your shirt is dirty”<br />
Paul: “Why do you think so?”<br />
Opponent: “Because you have spots on your shirts”<br />
Paul: “Why do you think this makes my shirt dirty?”<br />
and so on.</p>
<p>Other questions all starting with words containing the “W” do the same job.<br />
The “W” questions are”<br />
“Why, What, When, Where, Who and How?” are the kind of questions that forces people to get out of their moral ego state and into their ADULT.</p>
<p>This technique is also used in counselling when a person expresses a feeling emanating from either his PARENT or CHILD, and the counsellor asks for further clarification which will help not only the counsellor but also the client to analyze the feeling under question. In non-directive counselling probing the underlining meaning of feelings, often helps to shift a person’s view leading to a different solution and different actions.</p>
<p>Nevertheless, the “Why?” can also mean different things, as when a father asks his daughter to wash up the dishes, and the daughter keeps on asking “why” to every explanation that the father offers. She actually telling the father to get lost!</p>
<p><strong>Mind reading</strong></p>
<p>It is often frustrating to hear other people tell us what we really feel, what we think and really mean. There is a profession that makes a living by telling people what we really mean in the name of psycho-therapy. Once you accept that you have a “subconscious mind”, which by definition we cannot be aware of, we are ready to accept anything a ‘therapist’ might suggest.</p>
<p>“Our problems really stems from our relationship with one’s father or mother&#8230;.to our Oedipus Complex”.</p>
<p>Forgotten experiences in the past become root causes of our behaviour and &#8230;. emotional problems according to that theory.<br />
Non-professionals may play the same ‘mind-reading’ game, as when your husband suddenly tells you: “I have known you for the last ten years, and I know you don’t love me!”</p>
<p>Or the wife might say: “I know you don’t love me”&#8230;.or “I know you love the other woman!”</p>
<p>The rule is: Don&#8217;t allow other people to read you mind!</p>
<p>Here the “W” questions become useful:</p>
<p>“How do you know that I feel&#8230;..?”</p>
<p>Equally, there are situations that you will be mind-reading another person, which will inevitably arouse a negative response. Sometimes we would like to know how another person feels about you. Or you may assume that another person really harbours negative feelings towards you, but you are not sure. It is then important to let the other person know that you are not telling them how they feel, but rather how you yourself feel. For example:</p>
<p>“I get sometimes the impression that you don’t love me. Is this true?”</p>
<p>Therefore you acknowledge that the problem is with you and not the other person.</p>
<p><strong><a name="Theyes"></a>“The yes&#8230;but argument”</strong></p>
<p>Sometimes people ask you for advice and feeling pleased and honoured you may fall into a put-down trap.</p>
<p>Worker: “Can you tell me where I can find a job”.<br />
Paul: “Perhaps you should contact the employment agency”<br />
Worker: “Yes, but they cannot find a job that I like”<br />
Paul: “Then tell the people at the agency the kind of job you do like”<br />
Worker: “Yes, but they say that I have no experience as a gardener”<br />
Paul: “Perhaps you should tell them that you are willing to learn”<br />
Worker: “Yes, but they tell me I am too old to learn”.</p>
<p>Whatever the answer, it is rejected. This can go on indefinitely, until you realize that the worker is playing the “Yes..but” game. He really does not want to listen to you and is pleased to have found somebody who confirms that there is no solution to his problem, and so he can continue to do whatever he was doing before. It also serves as a subtle put-down to a counsellor for not being able to answer questions. It is easier to be negative than positive and it says &#8220;I don&#8217;t need to change&#8221;.</p>
<p><strong>The “I” statement</strong></p>
<p>When you are angry, you often are inclined to blame somebody else: “You make me angry”, “You annoy me”, “You upset me” are expressions that points the finger to another person for feelings that you yourself are responsible for.</p>
<p>To own that responsibility you could start off the statements by “I”, as in:</p>
<p>“I feel angry with you”<br />
“I am upset, I am annoyed, I am frustrated, I am disappointed, etc.”</p>
<p>These are more likely to be registered with the other person.<br />
This is a classic ploy by the headmaster at an assembling when he said: “I am deeply disappointed to find that someone has written filthy words in the boys’ toilet”.</p>
<p><strong>An apology</strong></p>
<p>Sometimes we can appease an opponent’s anger by simply apologizing when this is appropriate. It simply derives from a belief that we are entitled to be imperfect. This involves an appeal to an opponent’s nurturing PARENT. However, <strong><em>the rule is that you apologize only once!</em><br />
</strong>There are people who keep on apologising as a ploy for continuing to behave in an annoying way.<strong><br />
</strong>It is no good apologizing to a person who has no nurturing parent or the capacity to sympathize. It does not help apologizing to Hitler, just before he is about to shoot you!<strong><br />
</strong>Sometimes people use an apology for attack, when they deliberately spill a cup of coffee over you and say “sorry”.</p>
<p><strong>Throwing the ball in the other court</strong></p>
<p>Looking back at the principle of personal happiness we know that we are mainly responsible for most of our own problems. But so is your opponent.</p>
<p>Typically we hear: “But this is <em>your</em> problem!”</p>
<p>A more gentle way of expressing this would be:<br />
“I get the impression that you are upset with me. Why don’t we try to resolve this problem?” (of yours).</p>
<p><strong>Daddy says&#8230;</strong></p>
<p>People often try to tell you, to convince you, to manipulate you by appealing to an authority figure.</p>
<p>“The psychiatrist said that you have a lot of problems”.</p>
<p>The speaker hasn’t got the courage to tell you what he thinks. He uses an authority figure to express his opinion. The answer is:</p>
<p>“Maybe the psychiatrist thinks so, (fogging), but I am really interested in what you think about me.”</p>
<p>There is an infinite variety of “Daddy says so&#8230;”; the Pope says, the Doctor says, The Law states, The experts say&#8230;”.and so on.<br />
To get an opinion across we use the Bible or the Koran. Eminent professors are now employed by influential corporations to put forward ‘scientific’ views favouring the activities of these corporations.</p>
<p>Thus get the speaker to express HIS opinion, and not someone else’s.</p>
<p><strong>What will the neighbours think?</strong></p>
<p>Closely related to “Daddy says&#8230;” is the worry what neighbours might think about your behaviour.</p>
<p>“Don’t raise your voice. The neighbours might think you are mad!!”</p>
<p>Here the wife uses the neighbour to tell her husband what SHE thinks.<br />
You may go to a party and feel tired. So you don’t say much and sit in a corner. On the way home your wife or husband might say:</p>
<p>“Gee, people must think that you are a very dull person. You hardly said a word”</p>
<p>The answer to this is:<br />
“Darling, I hope you told them differently, and explained that I was a good listener.”</p>
<p>Assertive training aims at resolving conflicts and gaining friends. The most direct way is to find out what other people want and then tell them what YOU want.<br />
In the next session called <strong><em>“Values Clarification” </em></strong>we are going to look at the values we hold and cherish, that motivate us to pursue our objectives. These values are mainly things we “want” out of our lives. The goal of assertiveness is the “win, win” situation that will satisfy the needs of all parties concerned.<br />
When “wants” do not match, start negotiating a workable compromise.</p>
<p><strong>Workable Compromise</strong></p>
<p>You can usually recognize a workable compromise when someone says:</p>
<p>“What about, if we&#8230;..?”</p>
<p>and suggests a solution.</p>
<p><strong>How to practise assertiveness</strong></p>
<p>We cannot become assertive overnight. We need to practise assertiveness either in private or with friends. There are several methods by which you can practise being assertive.</p>
<p><strong>The two chair approach</strong></p>
<p>Imagine you have two chairs facing one another. You sit in one chair and face the other empty chair. Place an imaginary opponent sitting opposite &#8211; preferably somebody in your real life with whom you experience a lot of problems. Then tell him/her that you would like to resolve that conflict between you two. You would not mind knowing how your opponent really feel about you.<br />
Before you do so have a brief list of assertive principles as describes above in front of you for reference.</p>
<p>“What in fact do you think of me?”</p>
<p>Now imagine that your opponent expresses the worst possible judgments about you.</p>
<p>Whatever may be said look at all the techniques (or strategies) we have been discussing, pick the one that is most suitable to answer. Give your reply!<br />
Now imagine what your opponent would say to that. Again whatever horrible thing comes back, pick one of your principles and again reply!<br />
Imagine the worst possible putdown, the one thing you find hard to handle.<br />
Keep this debate going until in the end you cannot think of anything else your opponent would attack you with.</p>
<p>Next try having a debate in your imagination with your boss and ask for a raise in salary. The boss may argue it is the wrong time to ask for a raise (an opener for “fogging&#8230;but”) or accuse you of laziness. “Perhaps I could improve my performance, but I would still like to have a raise in my salary!” and so on.</p>
<p>You could practise imaginably to approach a friend asking him/her to pay back moneys he/she owes you.</p>
<p>If people find you jumping from one chair to another, they may indeed think you are goofy.<br />
Practising two-chair work can be done in complete privacy; in your car whilst driving home, or in the bathroom, and better still within the confines of your private thoughts before you go to sleep. The emphasis is on practice and practice&#8230;to prepare yourself for suitable defenses against attacks, without putting other people down, or up, but aiming to remain in the A-A transactions at all times.</p>
<p><strong>The fun practise</strong></p>
<p>You can have assertiveness training session with your partner or close friend. You ask your friend &#8211; who is familiar with this assertiveness training program &#8211; to take the role of your opponent, the person you find difficult to handle. Ask him to put you down the way your opponent would. See how you would handle this using some or all of the above strategies.</p>
<p><strong>Reverse role playing</strong></p>
<p>A more powerful exercise is when a person &#8211; preferably one who is familiar with this program &#8211; to play the role of the ‘client’. The real client is then ask to act out his opponent &#8211; for example his/ her boss, father, mother, lover, husband, whoever pose a threat to the ‘client’.<br />
It is often the case that the opponent is perceived by the client to be worse than in real life. Reverse role playing was a popular exercise in our group sessions where members took up the role of ‘therapist’ and another member was asked to act out their opponent in the way they perceived them.<br />
The member would then have an opportunity to learn from his friend (the therapist) how to be assertive, without putting the opponent up or down; and how to come to a resolution of that conflict situation.</p>
<p>Again and again a member would report to the group how he encountered his father (or other ‘opponent’) and how he discovered that his father was in fact a nice fellow. They had become friends in the ensuing encounter. In other words it is not the father, but one’s perception of the father &#8211; the demon floating around in our mind &#8211; that comprise our enemy in human relationships.</p>
<p>&nbsp;</p>
<p>After you feel you have mastered this section of the program, you are ready to establish more significant or more intimate relationships with the help of <a href="http://www.hypoglycemia.asn.au/2012/communication-and-counselling/">&#8220;Communication and Counselling Training Course&#8221;</a></p>
<p><strong>Further Readings</strong></p>
<p>Alberti,R.E. &amp; Emmons,M.(1975), STAND UP,SPEAK OUT,TALK BACK., Pocket Books N.Y.<br />
Bach,G.R. &amp; Wyden, P.(1968), THE INTIMATE ENEMY;HOW TO FIGHT FAIR IN LOVE AND MARRIAGE, Avon Books, N.Y.<br />
Baer,J.(1976), HOW TO BE AN ASSERTIVE (NOT AGGRESSIVE) WOMAN IN LIFE, IN LOVE, AND ON THE JOB, A Signet Book,N.Y.<br />
Dyer,W.W.(1976), YOUR ERRONEOUS ZONES, Sphere Books Ltd.London<br />
Dyer,W.W.(1977), PULLING YOUR OWN STRINGS, Avon BooksN.Y.<br />
Fensterheim,H. &amp; Baer,J.(1975), DON&#8217;T SAY YES WHEN YOU WANT TO SAY NO, Futura Pubs.Ltd.London<br />
Gordon,T.(1975), P.E.T.PARENT EFFECTIVENESS TRAINING, A Plume Book,N.Y.<br />
Kassorla,I.(1973), PUTTING IT ALL TOGETHER, Circus Books Melbourne<br />
Maltz,M.(1960), PSYCHO-CYBERNETICS, Pocket Books N.Y.<br />
Maltz,M.(1974), PSYCHO-CYBERNETIC PRINCIPLES FOR CREATIVE LIVING, Pocket Books<br />
Ringer,R.J.(1973), WINNING THROUGH INTIMIDATION, Circus Books,Melbourne<br />
Ruben,H.L., COMPETING: UNDERSTANDING AND WINNING THE STRATEGIC GAMES WE ALL PLAY, Harper &amp; Row,Sydney<br />
Smith,M.J.(1975), WHEN I SAY NO, I FEEL GUILTY, A Bantam Book</p>
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		<title>How to Improve One&#8217;s Self Image</title>
		<link>http://www.hypoglycemia.asn.au/2012/how-to-improve-ones-self-image/</link>
		<comments>http://www.hypoglycemia.asn.au/2012/how-to-improve-ones-self-image/#comments</comments>
		<pubDate>Sun, 04 Nov 2012 09:56:29 +0000</pubDate>
		<dc:creator>Jurriaan Plesman</dc:creator>
				<category><![CDATA[Psycho-nutritional issues]]></category>

		<guid isPermaLink="false">http://www.hypoglycemia.asn.au/?p=3113</guid>
		<description><![CDATA[By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr &#160; As we have seen in the article on hypoglycemia the first consideration in the treatment of any ‘psychological’ problem is the person underlying health. Many physical problems contribute to a low self-esteem. The next step looks at a person’s self-image, which is at the base<a href="http://www.hypoglycemia.asn.au/2012/how-to-improve-ones-self-image/"> <br /><br /> (Read More...)</a>]]></description>
				<content:encoded><![CDATA[<p>By Jurriaan Plesman BA(Psych), Post Grad Dip Clin Nutr</p>
<p>&nbsp;</p>
<p>As we have seen in the article on hypoglycemia the first consideration in the treatment of any ‘psychological’ problem is the person underlying health. Many physical problems contribute to a low self-esteem.</p>
<p>The next step looks at a person’s self-image, which is at the base of most if not all psychological problems.</p>
<p>The basis of any human relationship is very closely related to one’s self image. A negative self-image, sets up all sorts of defences that may in fact create a negative image of you in another person. This is called a self-fulfilling prophesy.</p>
<p>It is not going to help you to believe that your upbringing, your relationship with your own parents is the cause of your negative self-image.</p>
<p>You need to take control of your own self-image and change it by mental practice. I am going to give you the basics of “Positive Ego Training Program” as explained in my book <strong>“<strong>“<a href="http://www.google.com.au/books?vid=ISBN1862525919&amp;id=cIbpj59s-KAC&amp;pg=PR3&amp;lpg=PR3&amp;ots=raIs2LZ1Xy&amp;dq=Getting+off+the+Hook+Foreword&amp;sig=c8n90fzLjpOj46KNhPpHgpsvXRw#v=onepage&amp;q=Getting%20off%20the%20Hook%20Foreword&amp;f=false" target="_blank">Getting Off the Hook</a></strong></strong><strong>”</strong> by Jurriaan Plesman. I am willing to donate this book to any library free of charge, provided they send me a self-addressed envelope. Any librarian should be able to trace that book from the internet. My book is available in most Australian libraries.</p>
<p>Although not essential a better understanding of the following will be gained by reading the article:  <a href="http://www.hypoglycemia.asn.au/2012/what-is-transactional-analysis/"><span style="color: #0000dd"><strong><span style="text-decoration: underline">What is Transactional Analysis?</span></strong></span></a></p>
<p>A self-image is fundamentally a self generated statement that floats around in your head such as “ I am &#8230;&#8230;(adjective)”. Let us suppose you are by yourself in a room and ask yourself “Who am I?”</p>
<p>You will hear something like “I am&#8230;..(adjective)” and that adjective is either positive, negative or neutral. I am interested in the negative adjectives that you conjure up. The most common negative self image is “I am stupid” “I am unlovable”, I am a jerk” “I am a failure”. I will take these as an examples of a negative self image or hang-up.</p>
<p>Before we can get rid of a negative self image we must own it, that is recognized that it is you and nobody else that is putting you down.</p>
<p>For instance one way of getting hold of your hangups is to go on what I call a PARANOID TRIPS. Start off with strangers.</p>
<p>You sit in a bus or anywhere and then imagine that you have the power to read people’s mind about you.</p>
<p>Say to yourself: “He/she/they really think that I am &#8230;&#8230;&#8230; and that is awful”.<br />
Fill up the sentence. You probably finish up with he thinks that ”I am stupid”. You know that strangers really don’t think of you. You have created the self image yourself.<br />
There are a lot of other techniques to find your hang-ups.</p>
<p>For example: Say to yourself: “He/She treats me as if I am &#8230;.. and that is awful”.<br />
“He/she looks at me as if I am&#8230;&#8230;&#8230;&#8230;&#8230;.”</p>
<p>Imagine two people talking and suddenly you say to yourself “They are saying that I am &#8230;&#8230;.”</p>
<p>If you come up with negative adjectives, than you have generated your own negative self image. Your imagination used other people to reveal your negative self image or hang ups.</p>
<p>Another way is even more interesting: I call them proving trips.</p>
<p>“I am trying to prove to him/her/them that I am&#8230;..”</p>
<p>Now you probably thought of something positive like “intelligent” or “smart”, “clever” “lovable, “gentle”.</p>
<p>Take the opposite of these adjective and presto you have hold of your negative self-image.</p>
<p>Say: “He/she is trying to prove to me&#8230;..trying to impress me that he/she is&#8230;&#8230;&#8230;..”</p>
<p>Fill up the sentences and take the opposite and you probably can figure out the hang-up of the other person.</p>
<p>If I have a need to impress you that “I am clever”, I must have a hang-up that says “I am stupid”, or you might think that “I am stupid” and how awful would that be!!!</p>
<p>People with a positive self image, don’t have a need to prove anything to anybody. Take or leave them as they are!!!!</p>
<p><strong>The <a name="wooden"></a>wooden leg argument</strong><strong><br />
</strong>Some pernicious hang-ups are in the form of a physical descriptive put-down such as “I am ugly”, “I am fat”, or “I have a wooden leg”.<br />
If you add “and therefore&#8230;..” and then complete the sentence the true nature of the negative self image comes to the surface. For example:</p>
<p>“I have a wooden leg and therefore women/men don’t like me”</p>
<p>The unstated belief &#8211; the major premise in the logical syllogism &#8211; is shown in the first premise in the following argument:</p>
<p>“People with wooden legs are unlovable”.<br />
&#8220;I have a wooden leg&#8221;,<br />
therefore “I am unlovable”.</p>
<p>Although perfectly logical, the problem is that the major premise is false. Not all people with wooden legs are unlovable.<br />
It is very difficult to get rid of the wooden leg which adds punch to the hang-up.</p>
<p>People who bemoan that they are fat, thin, tall, ugly, small, or have too many freckles may use these features to put themselves down; they use the wooden leg argument.</p>
<p>This obsession with physical features may lead to anorexia and/or bulimia among young girls and the use of anabolic steroids among boys who want to look like TARZAN.</p>
<p>It is not surprising that changing one&#8217;s physical appearance in anorexia through starvation, does not alter one&#8217;s underlying self-image one iota. It only reinforces the idea that the wooden leg is the cause of our battered self-esteem.</p>
<p><strong>HOW TO GET RID OF HANG-UPS</strong><strong><br />
</strong>We are creatures of habits and once we have learned to believe that we are stupid, it is activated automatically. But what we have learned we can unlearn by practice and sheer repetition. That part of the mind, that Freud calls the super-ego, and Eric Berne calls the “Parent Ego” or the critical parent within us, is an automatic thinker.</p>
<p>You do most of your mind training at night or when you are by yourself. You think of a scene when you got upset, because the boss talked to you or treated as if you are stupid.</p>
<p>You now have to learn a new lesson:</p>
<p>“Isn’t stupid to think I am stupid”.</p>
<p>Many clients started off by training themselves to believe “I am smart, I am intelligent” etc. This seems to be the opposite of the hang-ups. But unfortunately, when you do that you may finish up being very arrogant and self-opinionated. In other words you finish up in the “I am right” position. People in that position are usually authoritarian, arrogant, critical of other people, knockers and they are usually difficult to handle. But there are ways of handling them.</p>
<p>Let us stick to getting rid of our negative self image.</p>
<p>What ever negative you are saying about yourself, try to use the formula:</p>
<p>“Negative” + “negative = neutral.</p>
<p>“Isn’t stupid to think I am stupid”<br />
“Isn’t silly to think I am silly”<br />
“Isn’t unlovable that I am unlovable.”<br />
“You did it again by thinking you are a failure”<br />
“I will watch out next time I think this silly thing about me”<br />
“Stop it, you did it again”</p>
<p>In other words you are neutralizing you negative self-image, without falling into the trap of the “I am right” position.</p>
<p>Simply don’t allow yourself to think negatively about yourself whenever you catch yourself doing so. This is done through private meditation and may take some time. Go through the paranoid trips of the day, neutralize the negatives and be prepared for the next put down you might encounter the following day.</p>
<p>This program takes between one and two month of mind-training. Some client learned it in two weeks. Think as though you are training a little poodle in your head to behave the way you want. It takes some time, but very soon you get the hang of it. Once you become automatically positive, you will experience a sense of relief, as if a load falls from your shoulder.</p>
<p>Next time a guy/girl rejects you you might hear yourself say” Gee that is awful, but it is not a disaster. That guy/girl misses out on a beautiful person like me. I am worth more than that. And the next time I have a look at a possible partner he/she HAS TO BETTER and WILL BE BETTER than the previous one, because I am worth more than that!!!!” “In the end I am going to be better off”.</p>
<p>Get to know your self talk, and when you start to laugh at what you hear and how you can put yourself down, you are cured!!</p>
<p><strong>The Internal Debate Approach</strong><strong><br />
</strong>Sometimes we need a more powerful approach to get rid of hang-ups. This is done by having internal mental debates between the PARENT and the ADULT within us.</p>
<p>Gestalt therapy has left us with the concept of &#8216;two chair work&#8217;. What happens in &#8216;two chair&#8217; work is that a person hops from one chair to the other, playing the role of his opponent and himself. The aim is to get an agreement between the person and his opponent.</p>
<p>You can apply this technique to yourself by imagining that your opponent is the PARENT within you and is putting you down. You can do this in the privacy of your imagination. By learning by heart the strategies of Assertiveness Training Program &#8211; in the next chapter &#8211; you learn to defend yourself against any possible negative remark that the PARENT figure is throwing at you. Your opponent could be any person in real life who is upsetting you by his put-downs.</p>
<p>By learning to be assertive by means of the Assertiveness Training Program, you learn how to make your ADULT ego the dominant ego in your personality. By mental exercises and repeated mental practice session your become assertive automatically, and this is an other powerful technique to get rid of internal hang-ups.</p>
<p>When you start to feel confident, you can now face real life situations</p>
<p>Once you can improve your self image the world will open up to you, you won’t put up with nonsense anymore. You are now ready to do a assertiveness training program and this is another matter.</p>
<p>The  <a href="http://www.hypoglycemia.asn.au/2012/on-being-assertive/"><span style="color: #0000dd"><span style="text-decoration: underline">Assertiveness Training Program</span></span></a> is the next step in your own psychotherapy.</p>
<p>&nbsp;</p>
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