Module 12 Flashcards
What is the Personal Peace Procedure?
A list of memories of the causes or contributions that add to the current issues.
For example a client with depression that thinks he will never amount to much: what are the memories to back that up?
What is underneath the limiting beliefs?
A number of memories of emotional events that have caused or contributed to the limiting beliefs.
What can you do with the PPP?
You can make it into a treatment plan. Make it around 10 events per PPP. Just make a new one after that.
What can you tell a client that is pretty stable?
When you have them compile a list and sort it out by intensity levels, you can do the 10, 9, 8 in session, they can do the lower once themselves and you meet in the middle.
What do you do with lower functioning clients?
You make the PPP list in the office and you best don’t give them the list home. And maybe start with the lower rated events instead of starting with the higher ones.
What does sometimes happen when you give clients the instructions to tap themselves?
They flood themselves, they completely overdo it. Give the good functioning clients the instruction to just tap on one session a day.
Remember that a bothersome event…
… has caused an emotional response and still elicits one now.
What are the three ways in which clients can come up with the list for the PPP?
- Chronologically: start with the earliest bothersome memories. What significant events occurred in your life?
- Categorically: identify the table tops in your life (issues with parents, limiting beliefs, significant loss…) and recall specific events related to each category.
- Randomly: ask yourself what some of your bothersome memories are and see what comes up. (Journalling might be helpful.)
What are the 6 steps you can use to make the PPP into a Treatment Plan?
- Identify the symptom you want to reduce or a negative belief you want to modify. Ask how intense this problem is (SUD).
- Use the table top/table leg procedure to identify underlying structure of the problem, especially the specific events.
- Work with your client so that they are part of this process and have them create a PPP for each symptom/belief.
- Systematically go through each of those events (bring SUDs to a 0).
- Keep track of the intensity of the symptom/negative belief. You should see it weakening in intensity.
- Document this.
Example 1 of the PPP, the one about control with the temper.
Your client states that he is unable to control his temper. He reports that his wife and children are fearful of him once his angry outbursts begin.
1. Ask the client to rate the intensity of how problematic these angry outbursts (the presenting issue) are, generally, in his life. He says, “9.”
2. Ask the client what thoughts he has as the anger is building.
a. “No one listens to what I say.”
b. “I get no respect in this house.”
c. “All I’m good for is the paycheck I bring home.”
You now have three cognitions to work with. Each one of these is a Tabletop. You could choose any one to start with. Let’s start with 2a, “No one listens to what I say.”
3. “Can you think of a time, from earlier in your life, when it seemed that you weren’t being heard? Who in your life didn’t listen to you?” He says, “My parents never listened to what I asked for.”
Now, we’ve narrowed the global belief, “No one listens to what I say” down to his parents not listening to what he said. We’re getting more specific.
4. Ask, “Can you think of a specific time that you weren’t listened to?” “Yes, there was the time I told them I wanted to go to college.”
Here is where you will want to help the client give a title to the specific event that he is thinking about, being careful that he doesn’t launch into the telling of the story, just yet. “What movie title can we give to this event?” He says, “The Guidance Counselor.” This is a Table Leg that supports the Tabletop of “No one listens to what I say” that supports the presenting issue of angry outbursts. “The Guidance Counselor” goes on the Personal Peace Procedure.
For homework, you could ask the client to think about each of the cognitions revealed (2a,b & c, above) with the intention of recalling specific events related to each one to be added to his Personal Peace Procedure:
“Can you think of other times you weren’t listened to?”
Example 2 of the PPP, the one about events that inhibit positive behaviours.
Client states: “I can’t find the motivation to exercise. My weight is up, my cholesterol is up and my blood pressure is high. You’d think that would be enough to motivate me but it just isn’t.”
Ask: “What comes up for you as you think about exercising?” “I think that I won’t be able to keep it up.”
“I get discouraged before I start.”
“The thought of starting seems over-whelming.”
Here are three cognitions to work with. Choose one to start with. Let’s choose: “I get discouraged before I start.”
Ask: “Can you recall a time in your life when you started something and were unsuccessful?”
Continue, as above.
What can you do when a client doesn’t have early memories to work with?
- The patient may need more Phase 1 trauma work (see Module 6). Ask, “When I ask you to recall memories and you are unable to do so, what thoughts, emotions and bodily sensations come up for you?” Do palliative tapping, using this information for Setup Statements and Reminder Phrases.
- Get the patient tapping. Work with events more recent than childhood (still from, at least, 5 years ago) and see what else comes up.
Tapping on acupressure points seems to help get energy moving. When we start moving the energy, it can help to allow older memories to emerge.
