Mr A presented with relationship problems. He feels he would really like to work on this issue now because all of his friends are now in committed relationships and feels as though he is the odd one out. During the initial consultation Mr A, aged 25 disclosed that he has few girlfriends and was lacking in confidence. He works part-time in a bakery/restaurant as a shop assistant. He has been working at the bakery for the last seven years since he left school and says even though he has worked full-time hours in the past, full time opportunities regularly arise but has never put himself forward to a full-time position. He admits he can be quite lazy at times and isn’t sure how much a full-time position would disrupt his life. He feels his grades were not good upon leaving school, went on to do a college course of which he didn’t complete. Further discussions revealed that Mr A fails at most things because he doesn’t push himself. When asked about his family he said that he lives with his parents and gets on with them fairly well but feels like they are moaning at him all the time about his untidy room and the fact he is still working part-time; he feels they do not have a positive word to say about him.
In this essay I will identify and explain Mr. A’s symptoms and devise a course of treatment for him which is grounded in recognised techniques and theory. I will attach a screed suitable for the client which will include relevant questions that the therapist would ask Mr A during the session.
The Initial Consultation
The initial consultation gives the therapist an opportunity to assess the suitability of Mr A for hypnotherapy and to decide whether the therapist is competent and has the skills and experience to help him.
The therapist should achieve an understanding of what Mr A wants out of the therapy The more understanding the therapist has regarding the causes of a problem, the better the therapist can define and resolve it .
During the first consultation the therapist should listen beyond what is being said to what the whole situation involves. The clues to the problem could be in the subconscious and Mr A may not be aware of them. The therapist needs to know as much as they can about Mr A and if there is a gap in the information will need to ask specific questions in order to fill the gaps and look for indictors of repression. Emotions that Mr A expresses when talking about these issues will give an indicator of where the problems lie.
The client’s issues and treatment
Following the first consultation, it seems that Mr. A has some deep –seated issues regarding low self esteem. It is important that before embarking on a course of treatment that Mr A is assessed accurately. The treatment could start with normal suggestive hypnosis and if it is indicated that Mr A cannot associate his behaviour with an event or course of events then hypnoanalysis can be used.
Hypnoanalysis is a combination of investigative analytical techniques and the hypnotic state. It is used to uncover incident and /or the emotions that have affected an individual in the past and are continuing to affect that person either consciously or subconsciously in the present. The client will not always consciously associate a behaviour pattern with the incidents that are the primary cause of that pattern. The therapist must be able to justify this course of treatment and have the consent of Mr A. after explaining about the process involved. Using hypnoanalysis can be very powerful and using this process inappropriately may damage the client.
If hypnoanalysis was the course of treatment for Mr A, the therapist would be looking for the Initial Sensitizing Event (ISE). The ISE may be made up...