A multidisciplinary Approach
William C. Wester, ll, Ed.D.
Alexander H. Smith, Jr./ Ed.D.
In cognitive-experiential therapy, cognitive restructuring occurs within
the frame work of sex developmental stages. Originally postulated by
Quaranta (1971), the stages were modified and operationalized
by Tosi (1974, 1980) and Tosi and Marzella (1975) for the RSDH approach.
awareness, exploration, commitment, implementation,
internalization, and behavioural stabilization.
Within these stages, experiential themes-those integrated sets of functions
associated with points A, B, C, D, and E- are cognitively restructured along
the continua of time and awareness. A hypnotic-imagery modality is used,
which serves to amplify the cognitive restructuring process and permits
an intensification of a person’s experience in psychotherapy.
Under hypnosis, the person employs imagery to focus on negative states,
while at the same time learning to identify accompanying irrational ideas
or cognitive distortions. Next, the individual imagines a more favorable
or constructive emotional/physiological/behavioural sequence and concurrently
experiences more rational and realistic thoughts associated with the more
positive outcome states.
A person’s level of experience in psychotherapy needs to be balanced by
counterpart experiences I that person’s world outside of therapy.
However intellectually stimulating and emotionally evocative the therapeutic
relationship might be, it should not become a sanctuary for avoiding responsible behaviour.
Growth experiences that occur within the therapeutic context need to be translated
by way of concrete actions to meaningful situations outside the office door.
Razi Ghaemamgham Farahani