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Gestalt psychotherapy

Gestalt psychotherapy. Presented by: Noor Al- Modihesh Dr. Mayada Banaja team. History . Purpose. Theoretical concepts. Skills in Gestalt. Assessment. Treatment phases. Who is Gestalt ?. So , what's the meaning ?. Gestalt BY ; Frederick (Fritz) and Laura Perls in the 1940s

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Gestalt psychotherapy

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  1. Gestalt psychotherapy Presented by: Noor Al-Modihesh Dr. MayadaBanaja team

  2. History . • Purpose. • Theoretical concepts. • Skills in Gestalt. • Assessment. • Treatment phases.

  3. Who is Gestalt ? So , what's the meaning ?

  4. Gestalt BY ; Frederick (Fritz) and Laura Perls in the 1940s seems to be more “animated” than mere form or object, implying a sort of "reaching out" to its environment

  5. knowledge of an "other,” a sort of "dialogue" between me and that "other," and a sort of connection that draws me into that "dialogue.“ •   A presentation of a "Gestalt" suggests the involvement of my perception and awareness in an act of identification of reality.  A Gestalt can thus be identified as a kind of knowledge.

  6. Gestalt is A structured entity that is more than & different from its parts. It is the foreground figure that stands out from its ground, it exists” Laura Perls

  7. It encompasses existential & person-centered. • Promotes awareness in HERE & NOW • The present receive more attention than past • Exploring & experiencing emotions are integral to treatment.

  8. Purpose : • To help people got aware about those neglected parts & restore wholeness, integration & balance .

  9. Important theoretical concepts: • View of humankind : people are basically good & had capacity to cope with their lives BUT !! At times need help. • Wholeness & integration : we are not a summation of parts BUT !! coordination.

  10. 3.integrating polarities : need for homeostasis viewed people &their world either good or bad. what is important is integrating body & mind. 4.Integrating figures & ground : the world around us is ground.

  11. 5. Ego boundary : definition in relation to environment (in relation to situation) 6.Awareness : Awareness is a form of experience that may be loosely defined as being in touch with one's own existence, with what is

  12. The person who is aware knows what he does & how he does it, that he has alternatives and that he chooses to be he is. • As its best , non-verbal knowing what is happening HERE & NOW. • Self awareness .

  13. exercise

  14. 7.Responsibility : accepting responsibility for our own lives , people must make their own choices rather than allowing others.

  15. Theraputic alliance : • I-thou relationship. • Both fully present in here & now. • Paradoxical principle of change: change occur when one becomes what he is & not when he tries to become what he is not. • Observation without judgment. • Listen & help to find own way.

  16. Assessment : • Not diagnosis. • Process of how he is behaving now. • Client in process. • Clients relational patterns. • Field condition.

  17. Client in process: • Embodied process : description in room including movement , voice…. • Support system; his setting in room & confidence. • Belief system ; introjects , meaning of circumstances..

  18. Client relational patterns: • Describe his way in relating to you . • Note any transferential response. Field conditions; Cultural factors,race….

  19. So in conclusion , Gestalt diagnosis is an understanding or assessment of all ways that client makes meaning or contact with his world.

  20. Treatment phases: • Beginning : • Working alliance. • Awareness • Dialogic relation. • Cultural differences. • Planning for special conditions.

  21. Clearing the ground: • Introjects. • Unfinished business. • Self-expression • Experiment with new behavior.

  22. Existential encounter: • Re-owning lost parts, • Live & move. • self-limiting core beliefs. • Live with courage of uncertainty • Spiritual meaning.

  23. Integration : • Re-organize with new insights • Improve relational contact • Connecting to community • Accepting anxiety with newness • Responsibility for choices.

  24. Ending ; • Loss of relation • Re-cycling of issues • Celebrating what achieved • Accepting things not achieved • Planning for future crises

  25. Experimenting : • Identifying emerging figure or theme. • Suggesting: (safe emergency) , has right to refuse. • Grading amount of challenge.

  26. If difficult start with emotions • Remind of support • Change situation. RULE : convey non judgmental attitude to experiment & avoid being invested. No right outcome

  27. Use language carefully by emphasis on statements • Using what, how BUT never why? • ‘I’ statement . • The present tense

  28. Large Group exercise :

  29. Unfinished business; • Traumatic events not achieved resolution. • Need great awareness with enough support. • Examining the impasse ---reactivate. • Trace clearest memory. • Where is the maximum energy . • Encourage to bring feelings,thougths…. • Identify interruptions.

  30. Working with imagination. • Working with introjects : identify opposite polarity, two chair & role-play….

  31. Dreams: • Royal road to integration. • It is existential messenger. • Projections of some aspects of dreamer, or relation with therapist. • Ask to present it in present form.

  32. As a real story! • Express it non verbally( body posture , moving…. • Retell dream from other perspective.. • Create dialogues bet. Characters in dream • Use different outcome. • Is it a message about therapist?

  33. Fantasy : • Make people more aware. • Help to be more productive. • Represent projections or aspects of person. • Encourage people to be part of dream.

  34. Ending : Tasks for ending: • Raise awareness , remind what brought him . • Acknowledge & celebrate what has been achieved . • Acknowledge what hasn’t achieved yet. • Feed back.

  35. Conducting reviews : • Original contract. • Check if relevant . • New issues emerged. • What aspects helped him. • Any change in contract. • Offer f\u at least after 3-6 months.

  36. Summary : • Gestalt focuses on unification & wholeness of a person through feeling, senses & fantasies. • This awareness yields personality changes by means of problem solving & identifying impasses.

  37. It is a here & now experimental modality which is a process for individual to be in touch with him self. • Future & past important BUT their significance is in relation to their influence on present.

  38. Inquiry by how , what & NEVER why.. • It is when client assume responsibility for what they feel & think (the greatest value)

  39. Gestalt modality specify that person passes through 5 levels of neurosis: • Phony layer : not being them selves. • Phobic level : fear of seeing who one really is • Impasse level ; stuck in dependency position where he seek for others to make decision.

  40. 4.Implosive level: accept responsibility & develop courage to face their personal defenses as they come close to real selves ( full awareness) 5.Explosive level : letting go of the false image the individual has created.

  41. It promotes in dependence rather than dependence on therapist & the most provocative technique is Empty Chair.

  42. Thank you

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