Nov 25, 2008

Manipulation in Therapy

When you're helping someone solve an issue...

1. Contrast principle
* Easy Solution: First suggest a solution A that you know the patient is incapable of completing. Then give them the real solution B and now it's gonna seem much more achievable to them.

* High Expectations: Warn patient that the solution is going to be extremely difficult for them. Next, give them a task that's actually achievable. Be careful not to create a self-fulfilling prophecy, though.

* The Bait: Suggest 3 possible choices to patient: first one (8) is that they solve the problem by doing something unacceptable. The second one (A) is that they cope with the problem and face the negative consequences. The third choice (B) is that they solve the problem by doing something acceptable.
2. Consistency Principle
* Public Commitment: Make patient promise in front of a group of people that they're gonna complete the steps to solve their problem. It's important that the steps are within their range of comfort.

* Written Commitment: Make patient write the things they can do to improve their situation, and what they want their behavior to be, on pieces of paper and stick them to the wall. Before that, do an ecology check.

* Self-Fulfilling Prophecy: Congruently state repeatedly that your patient's behavior is already what they want it to be and their problem is already solved. Another way to use this technique is to state that the solution to the problem is going to be very easy.

* Leading: Congruently state that you have the answer to patient's problem. Each time you meet the patient, give them a small task to do. That's gonna make them come back for more and commit to solving their problem step by step.

* Priming: Ask patient if they are willing to do anything you ask them to in order to solve their problems. That's gonna remove some of their boundaries later when you suggest they do something that they might perceive as embarrassing or silly.

* Pygmalion Effect: Find out what patient likes (X). Find a way to relate X to the solution of their problem. Label the patient as the highest ranked individual in the context of X. Reframe the solution in that context and give the patient a Cause to follow, within this frame.

* Low Balling: Suggest that the solution is going to take the patient very little effort. Next, go on talking about the small details. Finally, drop the bomb and suggest the difficult task to solving their problem. They would be willing to try it out, no matter how hard it is.
3. Reciprocity
* The Gift: Before you suggest a solution to the problem, give the patient a small gift that looks expensive. If they resist, tell them you already have one yourself, you don't wanna throw it out, you've already spent the money, etc. Tell them you want them to follow your instructions in return and that's all you want. Emphasize on that, and warn them you'll be mad if they buy you something in return. Now they'll be more than willing to commit to the solution, because they owe you something in return.

* Stacking Favors: Every time your patient visits, give them seemingly expensive drinks, cookies, snacks, etc. Do it in such a way that consciously they won't feel like they owe you something back. The trick is to be subtle with this technique.

* The Concession: Make your patient do a difficult task that you know is impossible for them to complete. When they come back disappointed, give them the real task to complete as a concession. That's also gonna make the real task seem a lot easier to do.
4. Scarcity
* Deadline: Tell patient that now is the perfect time for them to solve their problem and not to waste away the awesome opportunity. That would motivate them to manage their time better in favor of the solution.

* The Secret: Tell patient that the solution is exclusive and you're working outside of the box. Tell them your techniques are often avoided by therapists because the patients get well too soon and usually don't come back.

* Price: Charge a lot of money for your services. Great motivation for both you and the patient to perform at each one's best.
5. Social Proof
* Uncertainty: Confuse subject about their problem until they're overwhelmed. Then congruently suggest the solution, or even better, suggest that the problem has disappeared.

* Similarity: Tell a story about a fictional character (X) who is similar to the patient, without being too blatant. Describe how X used to have the same problem and give them the solution that X has found. If you have a really good rapport with the patient, you can talk about yourself instead of X.

* Credibility: Talk about many specialists who have found your solution to be the most effective. Even better, bring a friend who would act as an authority figure to approve of your suggestions. Show written testimonials from other people who have already solved a problem similar to that of the patient.