So... What’s the solution... if everyone is different?
There’s got to be something else…. Driven by feeling stuck and multiple difficult patients. Every step of his career and every diverse client with different multiple issues meant coming up with new ideas constantly. How one develops their therapy practice is figuring out how clients are different and which therapy to use (if any).
For example, when Jeff began his own practice, he began meeting clients with multiple issues. One form of therapy that worked for depression was having little to no effect on a client with borderline or multi-personality disorder.
If someone has many schemas and is different every time they walk through your door, what can you do? Schemas were not enough for borderline patients. umping from one to the other because they have many schemas. Every time they come in they have a state shift, whether it be depressed, angry, or self punitive. So how do you help someone develop or heal when they’re jumping from one personality to the other?
Jeff realized he needed to do something with the model itself. It’s not just a technical change anymore but a model change. How are these clients different and how can he adapt?
So he began thinking of state changes. Not that there are merely other schemas from other patients but other states. Since the model was focusing on personality traits it doesn’t fit when clients flip from one state to another in each session. There would be no progression as there would be no constant growth.
So, if there are different modes within an individual... each mode should be thought of as individuals…. right? He began to give names to the different parts of an individual when the clients would come in.
He realized some clients would create similar modes of themselves. Instead of one little child as an average client may have, a borderline client may have four little inner children, of four different ages and four different experiences. When they would enter one mode, it was usually extreme, with no access to turn it on or off, or even switch to their other modes.
Whenever personality disorder clients shift states, from a depressed state to an anxious state, they’re partly dissociating other parts of themselves. The healthy or even punitive, or angry parts are pushed away, and then whatever state is in control of themselves predominates and takes over at that time. The question of how extreme these states may be, depends on each individual.
So all in all, different personalities disorders have different modes so they have to be treated as if they are individual people. So to adapt the model Jeff had to create more modes…. The child mode, the teenage, the adult coping mode etc. etc. to adapt to the needs of these clients and their different modes within their different schemas.