Help clients understand and break the lethal [wounds + unawareness] cycle

Options for Working with Wounded Clients

Practical Ways to Keep Centered and 
Provide Effective Service

By Peter K. Gerlach, MSW
Member NSRC Experts Council

colorbar

  • home > site overview > course outline or directory > clinical intro > clinical index or prior page > here

        Clicking links here will open a new window or an informational popup, so turn off your browser's popup blocker or accept popups from this nonprofit, ad-free site . If the windows distract you, read the article before following any links.

        This article is one of a series on effective professional counseling, coaching, and therapy with (a) low-nurturance (dysfunctional) families and with (b) typical survivors of childhood neglect and trauma. These articles for professionals are under construction.

        This series assumes you're familiar with:

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

+ + +

        Because you provide human services professionally, many of your adult and child clients, patients, students, and cases will be significantly (moderately to greatly) split, psychologically. That will have a major impact on what they need and expect from you, and how they relate to you and other providers. It also will shape how you and they evaluate the service you provide them. The less pleasant reality is that you also may be significantly split, and not know it. 

        What does "major impact" mean?


  Perspective

        A basic premise throughout this site is that all humans normally grow a "modular" personality, composed of many dynamic subselves. However - we're trained to experience ourselves in the world as me - one person. This is like viewing all the members of a sports team or orchestra as "me", the group. Our subselves act like a group of independent humans - they ally, fight, ignore, compete, care for, fear, enjoy, admire, communicate, manipulate, and dis/trust each other. Much of this happens out of our conscious awareness.

        Dominant subselves, or personality "parts" can influence the behavior of our whole inner family - i.e. most adults' and kids' behavior is strongly shaped by certain subselves who are the most opinionated and motivated. You probably someone who is "fear based" - who lives life anxiously or over-controlled, constantly waiting for the next painful thing to happen. Their inner family is dominated by one or more personality parts who (1) see the world (or certain situations) as a dangerous and painful, and (2) don't trust their inner-family's leadership to keep them out of danger.

        You probably know other people whose "modular mind" is dominated by extra-guilty and shamed subselves. These people relate to others in a characteristically defensive and subservient, or arrogant and egotistical, way. You know intellectual, creative, impulsive, driven, and angry people.  Others are playful, seductive, optimistic, aloof, clingy, single-minded, and so on. How would people who know you well describe your dominant subselves?

        If you haven't recently, read five Web pages now, and return. They describe your inner family of subselves. Note your reaction to what you read about your true Self and your false self, and then return here. From your life experience, see if this inner family concept is believable and credible ...

        Pause for a moment, and think of the spectrum of clients you've served. Now think of the array of colleagues you've worked with, over time. Were some "easier to work with" than others? Take a moment and articulate the traits of "an ideal client / patient / student / case". In round numbers, what percent of those you serve have most of those traits? Less than half? One out of five? How does working with "less than ideal" people affect your professional effectiveness, morale, and satisfaction?

        What if you had a way to work "better" with less-than-ideal and "troublesome" people?

 
  Premises

        Based on 62 years in the world, 20 years as a student, researcher, and practicing relationship therapist, and 15 years' recovery from major false-self dominance (splitting), I propose that ...

  • (  ) ... unless you've been in self-motivated recovery for some time, as a professional human-service provider you have an above-average chance of being unconsciously split - i.e. dominated by a false self - in high-stress or average work, social, and intimate situations. To investigate this, use these Lesson 1 resources; 

  • (  )  If you are significantly split, the subselves who dominate your personality will evoke certain patterns of behaviors in the people you work with. For instance, if your inner family is dominated by a protective People-Pleaser  subself, some others will unconsciously tend to put their needs ahead of yours. If your dominant parts are egotistical and judgmental of other people, other people (their inner families) will probably be moderately to highly guarded, alert, and defensive around you - and/or resent, avoid, and badmouth you to others. 

  • (  ) ... most or all of the troubled clients, students, patients, or cases you serve are significantly dominated by false selves, and don't know it. You (i.e. your inner family) reacts in un/conscious ways to their dominant subselves, as they do to yours; 

  • (  ) ... you may experience some "volatile" clients over time as several different people, depending on their or your joint situation. Your client Janice may be reasonable, respectful, and cooperative at times, and unreasonable, hostile, defensive, bull headed, and unrealistic at others. The effectiveness of your professional services is largely shaped by how your inner- family's leader/s react to each client's dominant personality parts - i.e. their false self;

  • (  )  ... when your true Self encounters a client or a colleague whose inner family is well-led by their true Self, both of you  know it intuitively - and you "communicate and work well together"; 

  • (  )  you (your true Self) can raise the long-term effectiveness of your service to significantly-split clients by consciously treating their different dominant subselves as you would separate people. If you treat "all people exactly the same", then the rest of this article probably won't be very useful.

        Notice your self-talk now. Where does your mind want to focus, and what are you feeling? What does that mean? 


  Two Themes ...

        Let's look at two decisions you have. First, you can choose to learn who comprises your inner family, who normally leads it, and who activates around "difficult" or split clients? One way of doing this, overt time, is to experiment with your version of "parts work". If you're controlled by a protective false self, your thoughts and reactions to this suggestion may be to discount, over-analyze, postpone, and/or avoid exploring it. 

        If your Driver/Achiever  subself is controlling you, you'll have thoughts like "Too busy. No time." Your dominant Skeptic / Pessimist  will guard you with thoughts like "Nah - stupid psychobabble. Another wild-eyed New Age idea. Forget it." Your Self might say "Well, I don't know... We sure have a lot to do already. This is a different way of looking at things. Might be useful or not. Let's keep an open mind, make a little time, and learn some more about this "inner family - false self idea before deciding to act on it or not."

        Secondly, you can group your recent clients by your stress level in working with them - e.g. low - moderate - high. Then learn (1) what specific traits in them cause your moderate or high stress, and (2) how your inner-family members and leader/s typically react to those traits. Then (3) intentionally build an inner family strategy for reacting to each "kind" of difficult client, to promote the most effective service outcome, long term. The underlying presumption is that you can intentionally flex somewhat to behave differently with certain clients - without losing your identity and integrity.  

        I suspect you have two kinds of "difficult" (moderate to high stress-producing) clients, students, or cases: 

1) those with key irritating or frustrating traits, like indecisiveness / over guilty / arrogant / over-angry / self-absorbed / needy-whiney / over-emotional / ...; and ...

2) those who often shift between being "several people" with you, so you feel "I never know who I'm dealing with". We'll call those folks chameleons

        You (your true Self) can tailor the inner-family concept to help you work more effectively with each situation. "More effectively" means (1) you and your client each get more of your current primary needs met, (2) in a way that feels good enough to you both. 


Working With Difficult Clients - Options

        Here, a "difficult client / patient / student / case" is some person or group who frequently raises your personal "stress" - i.e. evokes excessive frustration, anxiety or fear, guilt, confusion, boredom, lust, sadness, anger, and/or pity. You determine what excessive is. Note, incidentally, that "human nature" decrees that working with such people will reflexively raise your E(motion) level. That usually unconsciously impairs your abilities to maintain focus, keep a mutual awareness bubble, and hear the other person/s empathically.

        As all service-providers must, you've evolved a strategy to deal with clients who evoke these feelings in you. Your strategy is probably "by default" and semi-conscious, vs. consciously designed. Can you describe it now? What are the key goals of your "difficult-client" strategy? I'll guess at a couple ...

  • Preserve my own integrity - act on my main values, despite doubts and anxieties at times. This includes asserting and enforcing clear boundaries with myself and with them on what I will and won't do with or for them, how, and when; and ...

  • Do my best to respect my client's human dignity, even if I don't agree with, respect, or "like" some of their values, decisions, or behaviors; and ...

  • Act professionally and ethically in my relationship with them, and on their behalf, as judged by me, my client, and other involved professionals. 

        Whether true or not, here are some more options ... 

[  ]  1) Unconsciously or consciously, allow your difficult client to "upset you" - i.e. allow your false self to activate, and infuse ("blend with") your Self with a collage of anxieties, irritations, cynicism, impatience, frustration, numbing, and so on. One common reflex from this is to feeling resentful and blameful ("1-up") to some degree. Your behavior will unconsciously reflect that in small or obvious ways - which may well increase your client's "difficult" responses. Harmonizing your inner family, and developing your process awareness skills, over time, can help avoid that. 

[  ]  2) In your client's presence, focus mainly on your own needs, while pretending to attend to hers or his. Your client's inner family will sense this, and react 

Options for Working With "Chameleon" Clients

        Reflect for a moment on recent clients. Do any come to mind who seem to vary significantly in "mood", focus, or motives, within a session, and/or between sessions? 

+ + +

This article was very helpful  somewhat helpful  not helpful   

<<  Prior page  /  Add to favorites  /  Print page  /  Professional index  /  Email this article's address  >>

colorbar

site intro / course outline / site search / definitions / chat / contact

Updated September 30, 2015