Progression

Question 1

DEFINITIONS

Answer 1

**1. building ever increasing gains from small beginnings

**2. the introduction of immediate success experiences that are designed to persist far into the future

**3. building upon gains and creating hope for continued accomplishments

**4. increasing the amount or frequency of a desired behavior, works best when progress starts slowly and with infinitesimal small steps

**5. the gradual extinction of a problem behavior via minute exposures in a safe environment

**6. a progression of meaningful steps towards what the C recognizes as success

**7. a step-by-step approach that does not promise great an immediate change, rather emphasizes the importance of the C accepting rather a degree of change so that fluctuations in the problem can be interpreted as evidence of improvement

**8. an approach that attempts to mitigate negative expectations and fear of failure by emphasizing the importance of taking small tempts towards goals, as progress is unlikely when the goal/objective is so out of reach

**9. encouraging C to take a small step at a time towards what they recognize as success

Question 2

When to use

Answer 2

when goal/objective seems out of reach

when negative expectations/fear of failure have stalled any attempts at progress

handling fear/decreasing something’s valence (like pain)

Question 3

geometrical success

Answer 3

start w a step that is microscopically small, then doubling gains: communicates idea that small steps can be of great value

introducing some small step towards progress that is so ridiculously small that it can’t be rejected–> doubling gains; small, simple steps can be of great value

EX: the man with intractable neurodermatitis: Erickson met man’s need to have condition escape detection by offering that progress would be unnoticeable; use GS to turn neurotic pattern on its tail by distracting the man with happy expectation of unnoticeable progress

Question 4

progressive desensitization

Answer 4

do not experience immediate relief–process begins in one small distant part, then slowly moves along piece by piece until entire entity is overcome

bring a painful event consciousness–> think about problem with a different frame of reference–> talk about event–>loses power over time

EX: woman who was slapped by the dentist: the women’s movement across space and time= initial progressive technique, literally allowed to take own step at a time and delay procedure

Question 5

pattern interruption

Answer 5

(not therapeutic unless its tied to progression)
-introducing a minor change into the behavior sequence–> collapse of symptom complex

Doesn’t require a full cessation of behavior, encouraged to keep doing what they’re doing but with some alteration

Over time–>alterations get bigger and bigger until pattern is transformed

EX: man who had to urinate through a tube: man was given the opportunity to progressively alter his pattern by marking the tube at quarter inch intervals, progress was inevitable as long as new therapeutic direction was maintained (E interrupted pattern by instructing him to urinate through a tube, but not the one he was accustomed to, introduced a bamboo tube that was LONGER than his old tubes)

Question 6

cognitive progression/ seeding

Answer 6

acquisition of new cognitive constructs requires prep of mind’s receptive abilities by starting with familiar background knowledge–employ events from past experiences and use individual pieces of life learning to progressively construct new understandings

introducing a new idea using concepts that are familiar to the person= form of progression in which recognition of background knowledge becomes important

importance of verbal priming

seeding: lay the foundation for an important therapeutic idea by casually inserting related concepts in session or prior

EX: Maw being taught to read and write: all of the new activities were provided within the context of her experiential learnings and introduced in a slow progressive manner

Question 7

forward progression in time

Answer 7

mentally forward in time to recognize some desired outcome

EX: woman who was considering an affair: hypnosis used to allow access to a different emotional state, in future after revenge achieved, she would no longer have the feelings of age that were currently clouding her judgement and decision of what to do came from her self-understandings, not the clinician’s= set proper conditions for her to maintain responsibility for her behavior

Question 8

scaling

Answer 8

assign a number to a subjective reality= slow progression forward as the Pt imagines the possibility of experiencing slight improvement