Wednesday, 11 February 2009
Thought management - Part 3
Fantasy or day dreams as a means of thought substitution or thought management.
A great deal, particularly in the psychoanalytic literature has been written about fantasy and it is indeed included in the list of defence mechanisms. However there is also many ‘normal’ types of fantasy as well.
Comment made:
“When I had a more agile body, then I would be athletic like lara croft...As I get older, well tonight I spent the drive home from work enacting out a plane crash. Trying to understand what I would feel, think etc. Whiled away the time. I hate driving; so boring.” (end quote)

Home wrecker!
Here we have a description of two types of fantasies. Firstly the heroic or the megalomaniacal fantasy. This includes heroic fantasies like Lara Croft and other fantasies of great achievement, heroic displays, attaining world peace, great wealth or power and so on. It only becomes a problem when it is over used and thus one gets a Walter Mitty situation where the fantasy is used as a means to compensate for a flagging self esteem. But I think it is safe to say that many have this type of fantasy and it is not indicative of any sort of problem
Also described is the stimulation type fantasy in this instance to deal with boredom. The sexual fantasy would also fit into this type of thought management. One picks a situation that is highly stimulating for them and then fantasises about that as a thought management technique
Another type of fantasy is the masochistic fantasy. I am reminded of one fellow who I treated for a long time who would have very such vivid fantasies. He would fantasise himself being hit, beaten up, stabbed, burned and so on. Very vivid and quite elaborate fantasies which he often had as he was in bed going to sleep. These disturbed him quite a lot as he did not know what they meant. He also felt quite embarrassed about them, however they also gave him a sense of relief and solace and hence he continued to do it. He tended to do it when he was feeling particularly bad about himself and he just felt he deserved it so it is the right thing to fantasy. I tended to view it as a kind of self harm that was all in fantasy. I would also suggest that it is not a particularly good sign and may be indicative of quite significant maladjustment.

Then one can have fantasy on a much more personal level often involving personal relationships. These can be either realistic or imaginary fantasies. About how things are or about how one would wish them to be.
Thought management and one size fits all.
Comment made:
“I debated for a while whether or not to comment on this at all because it makes me feel sad and defeated that 'normal' solutions do not work for me. Not only do they not work, but they were quite destructive. Thought stopping and 'changing the channel' and all of that sort of thing only fed my dissociation and helped me find new ways to keep it propped up a little longer. That fact that therapists were unwittingly helping me to do it also fed my belief that my thoughts and feelings were not okay and were something to be gotten rid of at any cost. . Unfortunately, when the walls finally began to crumble, it was a terrible shock to say the very least. And now that I know what I know, I think all those techniques that were applied to my secret 'habit' of forgetting made it so that full-blown flashbacks were the final recourse of a most desperate unconscious. I really think therapists should try to find out if there is existing trauma and dissociation before they get too carried away with helping people find ways to escape themselves.”(end quote)

This is an interesting comment indeed. One sees thought management and thought substitution mentioned a lot in the literature. It is one of the key parts of a widely accepted approach. I can not recall ever seeing a comment made about the contraindications of thought management. Statements made about how thought management for some can in fact detrimental. Again there is a belief that in counselling one size fits all when it never does. So this is a most pertinent point and when it is contraindicated obviously has to turn to Plan B. That is not hard for me to do as I can simply change to some kind of regressive technique. However those who use the CBT model solely would not tend to do such a thing and thus they may struggle to find a Plan B. An interesting area that needs to be elucidated by defining when thought substitution is contraindicated.
Thought management and going with what the client presents:
Comment made:
“Tony suggested that a good way to deal with your internal critic and to stop harassing yourself is to have a sexual fantasy....I eased back into traffic and felt myself getting very anxious and panicky and starting to want to cry.
But I remembered Tony’s advice to have a sexual fantasy. A-ha, I thought, this is a good time for that. So I started thinking about Brad Pitt, he was the first one to come to mind, but then I realized that I would never let Brad Pitt see me naked, so this wouldn’t work. George Clooney? Same problem. How about someone older? Clint Eastwood? Ugh - he’s sexy, but he’s my father’s age. Adam Sandler would have worked, but he reminds me too much of someone I know in real life. Bruce Willis? Bruce might work, let me think about this. Bruce is older than me, but he has an amazing body and I don’t think he would appreciate my flabby middle aged body especially after he’s had Demi Moore. I’m thinking and thinking, and I got to the train station, but never started the fantasy. My anxiety did go away due to all of this deliberation about who should be in my fantasy. I mean, I wanted my fantasy to be romantic and sexual, not to have a guy be grossed out by me and run away screaming.” (end quote)

A good example about letting people find their own thought management techniques rather than imposing one on them. There was no actual fantasising done and yet the anxiety was avoided due to changing from the usual thoughts. As mentioned this example involved thinking about the construction of the fantasy rather than having the fantasy itself.
If this was in a counselling setting I probably would say nothing and see if the actual fantasy was used next time. Or did the individual again think about the construction of the fantasy rather than having the actual fantasy. It should be noted that the actual person for the fantasy was never selected, they are all ruled out for some reason. So the next time there is still no one for the actual fantasy to occur.
But of course that does not matter. All that matters is this person has discovered a way to avoid anxiety by using thought management. So I would suggest that in the future this person use fantasy construction rather than having the actual fantasy. We know she can make that work.

The other interesting point about this is how the internal critic was used for the fantasy construction. There is quite a lot of Critical Parent ego state used in it. The stated goal is to use fantasy to avoid the internal critic and thus the resultant anxiety. As I keep banging on about, in counselling it is always better to work with the pathology than to fight against it. No one ever wins wars weather they be between nations or between different parts of an individual’s personality.
So my suggestion in counselling would be in the future to use the internal critic (Pathology) in the fantasy construction to avoid the internal critic generating anxiety in the person. Working with the pathology. Both the person’s eros and thanatos are satisfied in the same single act. That is far more likely to be successful than trying to get eros to triumph over thanatos. Lillith never looses a fight in the long run.
Graffiti
19:22 Permalink | Comments (22) | Email this



Comments
You're a smart guy Tony. Maybe next time I'll actually have my fantasy.
I'm not crazy about the word pathology however.
Posted by: Harriet | Wednesday, 11 February 2009
Even though my fantasy world could be violent - usually towards myself or other family members, the outcome would be that I would get the caring and comfort I couldn't get in real life. My fantasies revolved around myself being hurt usually, which would result in others caring about me and getting the attention I wasn't getting otherwise. Never from family members tho, always others. I started using fantasies from about the age of 13 and always before I went to sleep I'd have a scenario in my head. It was always comforting for me and I'd go to sleep halfway thru my imaginings. I still do it, especially if I need comfort or as a way to go to sleep.
Posted by: KazzaB | Thursday, 12 February 2009
Hi Harriet,
I promise to use a different word next time and I look forward to an update on your blog
Tony
Posted by: Tony | Thursday, 12 February 2009
That is very interesting KazzaB about the masochistic fantasy.
I am writing on this topic and would be interested in some specific details of the violent fantasies. You could email them to me if you felt so inclined and of course your identity would be disguised
Cheers
Tony
Posted by: Tony | Thursday, 12 February 2009
Fantasy is nice. I don't need spacific people or things or even places - worlds. It's like turning on the Telly and watching a movie. Wallah - its just running and its up to me whether i want to watch it or not.
But there are the fantasies that i need to use to understand things though. It helps me to make things make sense. Like a sound or a thing.
The imagined 'thing' can be pretty close to the real thing but it all depends on how close i am to the person doing the describing. I don't know why - it makes a difference some how. Hmm, that's a tad strange. Never noticed that before. I wonder what that's about. Probably a communication thing.
TA training is a no go for me apparently. I've cried so much. Poor hubby - he's coping quite well. I called you to ask some advice but i think i'll go another way. I'm sitting on a decision for a couple of days - just to let it mature a bit. Monday i'll enrol and pay. It'll take atleast 2 years to complete but it will get me somewhere i think. I don't know what else to do. Its something i guess.
Yeah - i'm all sad sack. Hope your day treats you like a human being - some days forget that we're human and have needs and wants.
Posted by: roses | Thursday, 12 February 2009
I guessed it might have been you Roses who left that message on my answering machine. How did you get my number I thought? But I did think it might be you.
Hope you had a good cry and then did some thinking and come to some conclusion?
Cheers
Tony
Posted by: Tony | Thursday, 12 February 2009
Hi,
Aint fantasy great!
Yea to fantasy.
Guess as a counsellor you get to hear all about peoples fantasies. The thing I realised over the last few years are that what I think about is the same thing as everybody else thinks about I guess.
We are not unique.
I reckon you must have people really worried to say things to you, they tell you what they are thinking, and you think to yourself, I have heard this a trillion times before!
Anyway, off to read my book.
Adious!
Posted by: Kahless | Friday, 13 February 2009
Hello Kahless,
I am not sure that people will be worried about telling me things I have heard many times before. Yes people do tell me similar things but the same would happen if I was a accountant, doctor, physiotherapist, lawyer and so forth.
Hope you enjoy your book
Tony
Posted by: Tony | Friday, 13 February 2009
Yeah - i had a good cry. *Sigh* ahh that's better.
I'm thinking of doing a counselling course. Its APA approved - the course that is - and it should take me approx 2 years to complete. So together with the BA, i should be a bit busy.
Have a lovely weekend. I hope you get to come up for some air (so to speak) from the consistancy of work. Cheers...
Posted by: roses | Saturday, 14 February 2009
Hi Tony,
What I meant to say in my prior comment was that us human beings struggle to say some things - our secrets - yet what we have to say isnt so unique afterall.
Or bad.
Posted by: Kahless | Sunday, 15 February 2009
{{{{{{{{Tony}}}}}}}}
Posted by: Lynn | Sunday, 15 February 2009
So... have you been on some kind of a hot romantic weekend away with a very special person or something? If so, are you smiling a lot? And if so... i hope you sleep well tonight. Pleasant dreams.
Posted by: roses | Sunday, 15 February 2009
Why do we change to suit others?
If someone doesn't like the way we are, why is there a need for us to change?
And why is that even more important for business or work?
I watched something when i went to TA 101. How it was crucial for something to be righted and an appology to be pressed out of someone in one situation. But during another situation where the exact same thing occured - a simple shrug and 'sorry' sufficed.
I don't understand why things are different depending on the 'who' something may have happened to.
I don't understand what social development has to do with other people around us. It doesn't make sense when someone has to change for one person when that person doesn't need to change for anyone else.
Society sucks! It's not even real for goodness sakes. Its just an idea that we're all trained to behave in. It certainly isn't fair and definately isn't just. Why are we be so willing to allow such a thing to mold us the way we do?
Why don't i understand this stuff? I think there needs to be boundries and order of a kind - but who's boundries and order are we being trained to believe?
Who's the person calling all the shots?
It's not me and i don't think it's you either. Why do we allow ourselves to be 'broken in' by someone we don't even know or trust? Obviously the system is destructive - just look around - it's obvious the system is toxic to most of us.
I don't understand. Do you?
Posted by: roses | Monday, 16 February 2009
Do therapists go down to the fires in Victoria to help?
I hope so. It's got to be tough to re schedule everything but is it acceptable?
I hope people can be freed up to do stuff like that. I think it matters.
Posted by: roses | Monday, 16 February 2009
Roses,
In situations like that there is usually a tsunami of therapists that all of a sudden appear. Good to provide such a thing but surprisingly few are used at any great length
Graffiti
Posted by: Graffiti | Monday, 16 February 2009
Hi Tony
What an interesting series of posts!
In particular, I was struck by the comment that 'therapists should try to find out if there is existing trauma and dissociation [that needs dealing with] before they get too carried away with helping people find ways to escape themselves'. This reminded me - in a different context - of the potential failure of some therapists to distinguish between depression and despair, and to 'treat' accordingly, which you discussed in your podcast. I guess ithis requires highly attuned assessment skills from a therapist.
What strikes me here is the enormous ethical responsibility that therapists take on. I can't imagine that one goes through a whole career without inadvertantly 'damaging' some vulnerable souls (even if this is by default). Still, the fear of that shouldn't stop practioners acting in good faith, in order to help and 'heal'.
I also see your point about the 'pure' CBT approach being a busted flush where there are contraindications. The point, I guess, is to 'read'/assess the signals.
I'm glad I'm not a therapist!
Cheers
~ Colin
Posted by: Colin | Tuesday, 17 February 2009
Hi Colin,
Good to hear from you.
yes I agree that there is a degree of responsibility that falls on a therapist's shoulders.
Generally speaking it is not too hard to do no good (or bad) in counselling. To actually damage someone in a significant way is not all that easy and you usually have to do something quite wrong.
This does happen but from what I have seen not all that often. Yes people's feelings get hurt and therapists (and clients) can get stuck because of their own issues. But to actually damage someone you have to do something very dumb
Hope its not too cold over there at this time
Cheers
Tony
Posted by: Tony | Tuesday, 17 February 2009
Hello Lynn
And a big bear hug back to you
Tony
Posted by: Tony | Tuesday, 17 February 2009
Hi Tony
I am comforted that it is difficult to actively do damage.
It's not so much cold, as drab... grey and drizzly mostly.
Cheers
~ Colin
Posted by: Colin | Wednesday, 18 February 2009
Well over here Colin,
It is Hot, hot, hot!!
Regards
Tony
Posted by: Tony | Wednesday, 18 February 2009
That is beyond my ability to imagine right now Tony ;-)
Posted by: Colin | Wednesday, 18 February 2009
i think i like the show 'heroes' because i've always had superhero fantasies... i think the archetype is big for me... this was fun to read, thanks
Posted by: chery | Friday, 20 February 2009
Post a comment