HUS 20 ALL INFORMATION INCLUDED Yalom Here-and-Now How to Use It The here-and-now refers to the immediate events of the therapeutic hour, to what i

HUS 20 ALL INFORMATION INCLUDED Yalom
Here-and-Now

How to Use It

The here-and-now refers to the
immediate events of the therapeutic
hour, to what is happening here (in
this office, in this relationship,
in the in-betweenness–the space
between me and you) and now, in this
immediate hour.

Does not negate the importance of
the patient’s historical past or
events of his or her outside life.

Why use the here-and-now?
1. Importance of interpersonal relationships –

throughout life our surrounding interpersonal
environment–peers, friends, teachers, as well as
family–has enormous influence over the kind of
individual we become. (OUR SELF-IMAGE IS FORMULATED
TO A LARGE DEGREE UPON THE REFLECTED APPRAISALS WE
PERCEIVE IN THE EYES OF THE IMPORTANT FIGURES IN
OUR LIFE)

Why use the here-and-now?

2. Therapy is a social microcosm–means that eventually
the interpersonal problems of the patient will manifest
themselves in the here-and-now of the therapy
relationship. Whatever emotions, attitudes, character
traits or behaviors have developed within will manifest
itself in the patient’s relationship with the therapist,
i.e., arrogance, fearful, demanding, seductive,
judgmental, etc.

Be Authentic and Admit Mistakes
According to Yalom, any attempt at covering the error up will
only backfire because the client will ultimately sense that you
are not being upfront with her/him. Hence, it will have a
negative impact on the therapy.

Conversely, admitting to the error is setting a positive role
model for the client and an indication that he/she matters to
you (an important ingredient of a good therapeutic
relationship).

Grow rabbit ears
WHAT DOES THIS MEAN?

GROW RABBIT EARS
LEARN HOW TO FOCUS ON THE HERE-AND-NOW

● How does the client greet you
● How do they sit
● Inspect surroundings
● How the session begins or ends
● Recount their history
● How do they relate to you

ONE MAIN PRINCIPLE: ONE STIMULUS, MANY REACTIONS

RABBIT EARS
THINK ABOUT THE FOLLOWING IN A GROUP SESSION

● CRYING
● CONFRONTATION
● LATE ARRIVAL
● NON-RESPONSIVE
● JUDGMENTAL
● DEMANDS ATTENTION

What To Do When Your Client Is Crying

● Contrary to what you do as a friend (attempt to console and
help your friend regain control and stop crying), Yalom
recommends that a therapist encourage the client to plunge
deeper so as to assist the client in exploring their
emotions.

● Yalom eloquently suggests asking the client, “If your tears
had a voice, what would they be saying?”

REMEMBER
EACH INDIVIDUAL HAS A
DIFFERENT INTERNAL WORLD AND
THE STIMULUS HAS A DIFFERENT
MEANING TO EACH.

WE MUST PAY ATTENTION TO OUR OWN FEELINGS
If you develop a deep knowledge of
yourself, eliminate the majority of your
blind spots, and have a good base of
patient experience, you will begin to know
how much of the boredom or confusion is
yours and how much is evoked by the
patient. (NEED A PERSONAL THERAPIST)

FRAME COMMENTS CAREFULLY
THERAPISTS MUST PACKAGE THEIR
COMMENTS IN WAYS THAT FEEL CARING
AND ACCEPTABLE TO PATIENTS.

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