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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
The theoretical approach developed by Robert W. Firestone represents a broadly based, coherent system of concepts and hypotheses that integrate psychoanalytic and existential systems of thought. The theory explains how early interpersonal pain leads to defense formation and how these original defenses are reinforced as the developing child gradually becomes aware of his or her mortality. This approach is referred to as "separation theory" because it focuses on breaking with negative parental introjects and moving toward individuation. "Separation" as conceptualized here is different from "isolation," "defense," or "retreat;" it involves the maintenance of a strong identity and distinct boundaries at close quarters with others. Indeed, without a well-developed self-system or personal identity, people often distort, lash out at, or withdraw from intimacy in interpersonal relationships. The therapeutic approach emphasizes the exposure of destructive fantasy bonds (i.e., imagined connections) as externalized in interpersonal associations or internalized in the form of object representation (i.e., parental introjects). Dissolution of these bonds and movement toward separation and individuation are essential for the realization of one's destiny as a fully autonomous human being. Major Concepts The "fantasy bond" is an imagined connection with another person that is used to alleviate the emotional pain of rejection and the fear of separation and aloneness (Firestone, 1985). Paradoxically, the imagined fusion that provides relief for the infant or young child later restricts his or her adult life to a significant degree. As such, the term is used to connote bondage or limitation of freedom. The concept of the fantasy bond also refers to the transference of the original fantasized connection to a romantic partner in one's adult life. Firestone and Catlett (1999) described it as follows:
The couple interviewed by Dr. Firestone exemplifies numerous manifestations of a fantasy bond in the partners' style of interacting. For example, in such couples, the partners' communications tend to become less honest and more duplicitous and are characterized by small talk, bickering, speaking for the other, interrupting, criticizing, and speaking as a unit. Both partners may manipulate by playing on the other's guilt or provoking angry or parental responses. Self-doubts and self-critical thoughts are often projected onto the mate, leading each person to complain about the other's traits, habits, and behaviors. In relationships characterized by a fantasy bond, both partners, more often than not, are listening to the dictates of their respective voices. The term "voice" in this context refers to a systematized pattern of destructive thoughts that is the basis of an individual's maladaptive behavior (Firestone, 1988). Communications are filtered through a biased, alien point of view that distorts a partner's real image. Both parties ward off loving responses from the other, using rationalizations—promulgated by the voice to justify their anger—and distancing behavior. As noted, they often project their specific self-attacks onto one another and respond inappropriately—that is, as though they were being depreciated by their mates (Firestone & Catlett, 1999). Voice Therapy "Voice therapy" is a cognitive–affective–behavioral methodology that brings internalized negative thought processes to the surface with accompanying affect in a dialogue format so that a client can confront alien components of the personality. It is referred to as "voice therapy" because it is a process of giving language or spoken words to destructive thoughts, attitudes, and beliefs that are at the core of an individual's maladaptive, self-destructive behavior. The methods are varied; however, the primary technique consists of asking clients to verbalize their negative thoughts toward themselves in the second person, "you," as though they were talking to themselves, instead of the first-person, "I," which are statements about themselves. Putting self-attacking statements in this form often releases strong feelings followed by spontaneous insights. Next, clients develop insight into the origins of their voice attacks, thereby regaining feelings of compassion for themselves in relation to childhood experiences. Finally, in collaboration with the therapist, clients plan corrective measures to change self-limiting, self-destructive behaviors that are influenced or controlled by the voice. The goal of voice therapy with couples is to help each individual identify the voice attacks that are influencing distancing behaviors and creating conflict in the relationship. The therapeutic process consists of four steps:
For couples experiencing difficulties in their sexual relating (as illustrated in the video), there may be two additional steps:
The results of these suggestions are discussed with the therapist in subsequent psychotherapy sessions. |
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