Gestalt Gestalt psychotherapy psychotherapy Presented by: Noor Al- Modihesh Dr. Mayada Banaja team
Gestalt Gestalt psychotherapypsychotherapy
Presented by: Noor Al-Modihesh
Dr. Mayada Banaja team
History .Purpose.Theoretical concepts.Skills in Gestalt.Assessment.Treatment phases.
Who is Gestalt ?Who is Gestalt ?
So , what's the meaning ?
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
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.
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
It encompasses existential & person-centered.
Promotes awareness in HERE & NOW
The present receive more attention than past
Exploring & experiencing emotions are integral to treatment.
PurposePurpose: :
To help people got aware about those neglected parts & restore
wholeness, integration & balance .
Important theoretical Important theoretical conceptsconcepts::
1. View of humankind : people are basically good & had capacity to cope with their lives BUT !! At times need help.
2. Wholeness & integration : we are not a summation of parts BUT !! coordination.
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.
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
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 .
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7.Responsibility : accepting responsibility for our own lives , people must make their own choices rather than allowing others.
Theraputic alliance :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.
AssessmentAssessment: : Not diagnosis.Process of how he is behaving
now.Client in process.Clients relational patterns.Field condition.
Client in process:Client in process:Embodied process : description in
room including movement , voice….
Support system; his setting in room & confidence.
Belief system ; introjects , meaning of circumstances..
Client relational patterns:Client relational patterns:
Describe his way in relating to you .
Note any transferential response.
Field conditions;
Cultural factors,race….
So in conclusion , Gestalt diagnosis is an understanding or assessment of all ways that client makes meaning or contact with his world.
Treatment phasesTreatment phases::Beginning :
Working alliance.AwarenessDialogic relation.Cultural differences.Planning for special conditions.
Clearing the ground:
Introjects.Unfinished business.Self-expressionExperiment with new behavior.
Existential encounter:
Re-owning lost parts,Live & move.self-limiting core beliefs.Live with courage of uncertaintySpiritual meaning.
Integration :
Re-organize with new insightsImprove relational contactConnecting to community Accepting anxiety with newnessResponsibility for choices.
Ending ;
Loss of relationRe-cycling of issuesCelebrating what achievedAccepting things not achievedPlanning for future crises
Experimenting :Experimenting :Identifying emerging figure or
theme.
Suggesting: (safe emergency) , has right to refuse.
Grading amount of challenge.
If difficult start with emotionsRemind of supportChange situation.
RULE : convey non judgmental attitude to experiment & avoid being invested.
No right outcome
Use language carefully by emphasis on statements
Using what, how BUT never why?
‘I’ statement .
The present tense
Large Group exerciseLarge Group exercise: :
Unfinished businessUnfinished 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.
Working with imagination.
Working with introjects : identify opposite polarity, two chair & role-play….
DreamsDreams::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.
As a real story!Express it non verbally( body
posture , moving….Retell dream from other
perspective..Create dialogues bet. Characters
in dreamUse different outcome.Is it a message about therapist?
FantasyFantasy: : Make people more aware.Help to be more productive.Represent projections or aspects
of person.Encourage people to be part of
dream.
EndingEnding: :
Tasks for ending:Raise awareness , remind what
brought him .Acknowledge & celebrate what
has been achieved .Acknowledge what hasn’t
achieved yet.Feed back.
Conducting reviews :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.
SummarySummary: : Gestalt focuses on unification &
wholeness of a person through feeling, senses & fantasies.
This awareness yields personality changes by means of problem solving & identifying impasses.
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.
Inquiry by how , what & NEVER why..
It is when client assume responsibility for what they feel & think (the greatest value)
Gestalt modality specify that person Gestalt modality specify that person passes through 5 levels of neurosispasses through 5 levels of neurosis::
1. Phony layer : not being them selves.
2. Phobic level : fear of seeing who one really is
3. Impasse level ; stuck in dependency position where he seek for others to make decision.
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.
It promotes in dependence rather than dependence on therapist & the most provocative technique
is Empty Chair.
Thank you