Toward effective service to individuals, divorcing families, and stepfamilies

Basic Premises Underlying this
Clinical Model -
p. 1 of 2

By Peter K. Gerlach, MSW

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The Web address of this two-page article is http://sfhelp.org/etx/premises.htm

        Clicking any link in these pages will open an informational popup or new window, so please turn off your browser's popup blocker or accept popups from this nonprofit site.

        This research-based Web site exists to...

  • motivate people to stop the toxic [wounds + unawareness] cycle

  • improve the nurturance level of typical families, and...

  • reduce epidemic American divorce.

        This article is one of a series on effective professional counseling, coaching, and therapy with (a) these families, and with (b) typical survivors of childhood neglect and trauma.

        In these articles, "co-parent" means any part-time or full-time caregiving adult in a divorcing family or stepfamily. The "/" in re/marriage and re/divorce notes it may be a stepparent's first union.  These articles for professionals are under construction.

        Before continuing, pause and reflect - why are you reading this article? What do you need?

       The contents of this nonprofit, divorce-prevention Website are based on a set of experience-based premises. How well these premises match your own will shape how useful you find these resources. This article summarizes core premises about human behavior and effective clinical service. It also links to other premises in this site about effective communication, grieving, co-parenting, relationships, and problem-solving. You may find many of these premises unconventional, because they're based on the primary premise that normal (vs. "pathological") human personalities are composed of semi-independent subselves, or "parts."

        Use this article to clarify and affirm what you believe, and discover how open you are to experimenting with new premises. 

       Options - asterisk, check, or hilight any premise below that you're ambivalent or confused about or disagree with. Then use the results to form a self-study plan to investigate whether changing selected premises would be useful. Consider discussing this article and/or your results with your peers, trainers, and co-workers.

Premises About Human Behavior

        Get undistracted, adopt the open curiosity of a student, and compare these beliefs to yours, one at a time. Take your time. If you can tell whether your true Self is guiding your other subselves, do so. If s/he isn't guiding, expect your responses to these premises to be biased.

1) All human behavior is caused by trying to reduce ("fill") current needs - physical, emotional, and spiritual discomforts. Needs range from surface (symptoms) to primary, situational to chronic, and current to long-term.

2) All personal and social "problems" are unfilled primary needs. Our culture currently does not teach people to (a) value self-awareness and to (b) identify, validate, assert, and fill their and other people's primary needs well enough, in mutually-acceptable ways.

Implication - a core goal of effective clinical service is to encourage clients and co-workers to want to become aware of (a) their awareness, (b) how they try to fill their and others' needs (how they "problem-solve"), and (c) what usually results. Few clients will ask for this.

3) All persons, relationships, and families (including yours) evolve through predictable developmental stages. Adults, kids, and infants have different need-profiles at different stages.

Implication - effective clinicians know how to (a) differentially assess for these needs and how well-filled they are, and to (b) promote practical client strategies to fill their needs well enough.

Premise 4) Families exist to nurture - i.e. to fill the local and long-term primary needs of their young and adult members. By assessing some key factors, any family (or other human group) can be judged to have a low to high "nurturance level." With adult knowledge, dedication, and healing, low nurturance levels can be improved. This is an implicit goal of effective clinical service with any client, tho they won't ask for it.

5) Young children raised in low-nurturance families don't get their developmental and situational needs met well enough. Their unaware caregivers can't teach them how to (a) recognize, validate, and assert their needs and (b) how to problem-solve effectively. This is unintended parental neglect, currently sanctioned - and denied - by our society.

Implication - effective clinical work with any client will include teaching family members (a) how to recognize, validate, and assert their needs, and (b) how to problem-solve (fill needs) effectively. Typical clients won't ask for this.

6) Children raised in low-nurturance families automatically adapt (survive) by evolving personalities composed of semi-independent subselves or parts. These subself-systems are often chaotic and conflictual because (a) their environment is chronically stressful, and (b) the resident true Self (natural inner leader) is undeveloped, untrusted, and disabled by other subselves. These controlling subselves silently become a "false self," which causes predictable behavioral traits and psychological wounds.

        Until such a child (a) understands and accepts his or her subselves, and (b) works to patiently retrain and harmonize them under the expert leadership of their Self (capital "S") and Higher Power, they (a) will have chronic trouble filling their primary needs, and (b) may live well below their potential and die prematurely. Our unremarked divorce epidemic is one sign of how pandemic low-nurturance families and chaotic subselves (personalities) are in America. This has major implications for clinical service with all clients. 

7) Adults with disorganized, conflictual subselves (personalities) may be called Grown Wounded Children - GWCs. "Wounded" means having some mix of up to five related toxic psychological conditions that steadily (a) inhibit personal growth, productivity, and wholistic health; and (b) combine with unawareness, to steadily cause stressful, toxic relationships with adults and kids.

Implication - any clinical service that doesn't strategically promote (a) professional and client awareness and acceptance of these "false-self" wounds and their effects, and (b) proactively reducing the wounds, will be ineffective or harmful. The essential first step in toward serving client families effectively is learning how to assess (a) yourself for wounds and ignorance, and (b) your work-environment's nurturance level. :

Premise 8) Low-nurturance families are created and led by adults who are unaware that they have inherited (a) significant psychological wounds and (b) ignorance of some essential concepts. Until they become aware of this and assign high priority to intentionally reducing their wounds and ignorance, they will pass them on to their descendents. This increasingly stresses their family and our society over time.

Implication - Effective clinical service will promote (a) clinician's own family members and (b) every client adult and co-worker understanding and recognizing the [wounds + unawareness] cycle and its effects, and becoming motivated to break the cycle in their family and society. Project 1 in this Web site and its guidebook offer practical ways to identify and reduce false self wounds and break the cycle. These ways include an experience-based framework for effective inner-family systemic therapy.

        Notice your thoughts and feelings now. How do these premises compare with what you believe? Do you need a stretch / refreshment break before continuing?

Premises About Effective Clinical Service

        Your beliefs about your professional role and practice will affect the effectiveness of your work as much as your premises about human behavior. Clarify your beliefs by comparing them to these proposals...

        9) Professional "clinical service" (therapy, counseling, and coaching) exists because clients don't know how to fill their situational and primary needs well enough. Implication - the effectiveness of clinical service is determined by how well clinicians are able to teach and motivate clients to identify and fill their and any dependents' needs well enough.
 

       10) To consistently provide effective service to others, clinicians need to be able to steadily fill their own primary needs well enough. This requires (a) that their true Self usually guides their other subselves, and that (b) the clinician knows how to _ identify what blocks clients from filling their own needs, and how to _ teach them to dissolve these blocks permanently.

        11) To promote effective service, the clinical metasystem serving each client needs to meet premise 10. This is rarely true, at present.

        12) Typical clients don't know these premises, which implies that they don't know how to choose effective clinicians and programs. Implication   ethically, mental-health professionals need to educate the public on how to choose effective clinical programs and services for themselves and their children.

        13) Clinical schools and licensing and evaluation agencies should be aware of - and adopt - these premises to promote effective clinical training and service to clients. This is currently not the case, so most clinicians are unprepared to provide fully-effective service. This also applies to the U.S. judicial, medical, clergy, and social-service professions. For options on reducing this epidemic social problem, see this.

       Premise 14) Each adult client is responsible for wanting to learning how to identify and fill their own needs (solve their own problems). Clinicians who feel responsible for solving a client's presenting problems (a) are probably ruled by a false self, (b) may have the wound-symptom of codependence, and (c) are inherently promoting one or more toxic relationship triangles in the clinical metasystem by choosing the role of Rescuer. This is also true of case consultants, clinical supervisors, and program directors who allow this or do it themselves.

        15) Clients seek professional help to fill one or more surface needs. Their dominant subselves need...

  • to vent - i.e. to feel empathically heard and accepted. They don't need to change anything. This implies the client is unable to find non-professional people who will listen empathically to them without trying to "fix" and/or judge them. This lack of empathic social support is often a covert symptom of wounds and ineffective communication skills, because wounded people tend to choose each other or to isolate; and/or....

  • to get an authority to affirm that someone else is responsible for their distress, not them. A version of this is needing an authority to join them in getting someone else (like a mate) to change. This usually indicates an unrecognized dominant false-self and excessive shame, guilts, fears, and reality distortions; and/or clients need... .

  • to have a surrogate good parent (the clinician) care enough to tell them what to do to reduce local stress, rather than teach them how to reduce their stress themselves; and/or...

  • to understand ("figure out") why they're experiencing stress ("I want to know why I'm so apathetic and depressed."), but not necessarily to take responsibility for reducing the stress. This provides the illusion of self care without risking core changes.

        And typical unaware, wounded clients seek professional help to...

  • identify, understand, and fill their spiritual needs - e.g. to clarify and deepen their spiritual awareness and relationship with an attentive, caring Higher Power, and/or perhaps with their "higher self"; and/or typical clients seek help to...  

  • generate credible hope that they can improve their mix of discomforts; and/or to...

  • break an unendurable impasse in themselves and/or in a relationship or family; and/or to...

  • learn how to reduce the suffering of an adult or child they care about and/or feel responsible for; and/or clients need to...

  • gain the courage and motivation to make a painful, necessary second-order (permanent core attitude) change - like shifting careers, admitting a crime, grieving major losses (broken bonds), accepting an addiction or incurable illness, or ending a toxic  relationship; and/or to...

  • empower their true Self to guide their personality more often (i.e. to harmonize their subselves), and to their reduce false-self wounds; and/or to..

  • clarify and gain direction on their life purpose (personal mission); and/or clients seek help to ...

  • fill some other needs.

        16) Typical clinicians' dominant subselves need...

  • to feel professionally competent, useful, and respected by themselves, their family, their clients, and their co-workers; and...

  • to feel secure in their family relationships, professional roles, employment, finances, and career; and...

  • to feel steadily balanced (vs. overwhelmed) personally and professionally; and typical clinicians need to...

  • feel supported well enough, when confused, overwhelmed, or stymied; and clinicians need..

  • trustworthy, effective guidance and practical options when they're baffled by a given client; and...

  • genuine (vs. dutiful or political) forgiveness from themselves, clients, and co-workers when they make significant errors; and...

  • to feel they are growing in their chosen field and area of competence; and/or typical clinicians need...

  • freedom from transference distortions with a given client; and/or typical clinicians need...

  • a mix of these, and/or something else.

        Pause, stretch, and breathe. Have you ever seen premises like these listed in one place? Have you ever seen inventories of typical client and clinician needs like this before? Note with interest what your subselves are saying and feeling. 

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Continue with links to more premises underlying this clinical model and series of articles...

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Created October 13, 2008