{"id":10463,"date":"2022-10-17T19:48:15","date_gmt":"2022-10-17T19:48:15","guid":{"rendered":"https:\/\/aurelis.org\/blog\/?p=10463"},"modified":"2022-10-27T07:05:51","modified_gmt":"2022-10-27T07:05:51","slug":"the-client-is-the-therapy","status":"publish","type":"post","link":"https:\/\/aurelis.org\/blog\/healthcare\/the-client-is-the-therapy","title":{"rendered":"The Client is the Therapy"},"content":{"rendered":"\n<h3>This is about the client in psychotherapy. It is also about the patient in medicine insofar as the mind is involved \u2015 say, psycho-somatics, easily involving half of the medical domain.<\/h3>\n\n\n\n<p>See my book <em><u>Your Mind as Cure<\/u><\/em>.<\/p>\n\n\n\n<p><strong>Psychotherapy, schematically<\/strong><\/p>\n\n\n\n<p>A good evolution in healthcare, including psychotherapy, is to put the client at the center. This ongoing evolution gradually leads to seeing the client as therapy \u2015 depicted in this scheme.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/i2.wp.com\/aurelis.org\/blog\/wp-content\/uploads\/2022\/10\/schema_client-1.jpg?resize=577%2C349&#038;ssl=1\" alt=\"\" class=\"wp-image-10468\" width=\"577\" height=\"349\" srcset=\"https:\/\/i2.wp.com\/aurelis.org\/blog\/wp-content\/uploads\/2022\/10\/schema_client-1.jpg?w=699&amp;ssl=1 699w, https:\/\/i2.wp.com\/aurelis.org\/blog\/wp-content\/uploads\/2022\/10\/schema_client-1.jpg?resize=300%2C182&amp;ssl=1 300w\" sizes=\"(max-width: 577px) 100vw, 577px\" data-recalc-dims=\"1\" \/><\/figure>\n\n\n\n<p><strong>Above the arrows<\/strong><\/p>\n\n\n\n<p>You see the classical situation, whereby the psychotherapist uses techniques on the client who is mainly regarded as rather passive recipient. This is frequently still the prevailing paradigm in practice and in many centers of psychotherapeutic education. Yet, in high-level research, it is <a href=\"https:\/\/aurelis.org\/blog?p=4256\">integrally scientifically known for many years that the techniques by themselves do not add to the therapy\u2019s effectiveness<\/a>. Therefore, many see \u2013 and use \u2013 the techniques as placebos.<\/p>\n\n\n\n<p>Obviously, this placebo-take puts psychotherapy at odds with medical science where every effort is made to clear all products from the placebo through elaborate double-blind studies. Strikingly, many describe what happens above the arrows as \u2018the medical model\u2019 of psychotherapy whereby the caregiver uses techniques on the client\/patient. The difference is that in the medical case, techniques are working \u2015 although, here too eventually, <a href=\"https:\/\/aurelis.org\/blog?p=4236\">much is placebogenic<\/a>.<\/p>\n\n\n\n<p><strong>Below the arrows<\/strong><\/p>\n\n\n\n<p>Here, the situation becomes different. The therapist himself is the instrument toward the client. This instrument is used for kindling the client\u2019s already present resources. The client\u2019s internal use of these resources IS therapy. Techniques are not de facto therapeutic instruments to be used upon the client but carriers through which the therapist reaches the client \u2015 like <a href=\"https:\/\/aurelis.org\/blog?p=5555\">jugs containing water<\/a>.<\/p>\n\n\n\n<p>This look upon techniques as mainly or even merely carriers is not new to the science of psychotherapy. In this vein, the \u2018awakened\u2019 therapist knows that the techniques are sheer carriers. However, for them to work as such, the client has to believe that the techniques are effective instruments. This is, the client needs to believe that things are happening in the way as depicted above the arrows.<\/p>\n\n\n\n<p>In short, for this to work, the client needs to be made to believe what the therapist knows to be untruthful.<\/p>\n\n\n\n<p><strong>A question<\/strong><\/p>\n\n\n\n<p>If the therapist acts as an excellent instrument, does he still need carriers?<\/p>\n\n\n\n<p><strong>The AURELIS answer<\/strong><\/p>\n\n\n\n<p>No.<\/p>\n\n\n\n<p>In AURELIS coaching, the coach doesn\u2019t use conceptual carriers toward the client. Thus we come to the following scheme:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/i1.wp.com\/aurelis.org\/blog\/wp-content\/uploads\/2022\/10\/schema_client_2.jpg?resize=571%2C331&#038;ssl=1\" alt=\"\" class=\"wp-image-10469\" width=\"571\" height=\"331\" srcset=\"https:\/\/i1.wp.com\/aurelis.org\/blog\/wp-content\/uploads\/2022\/10\/schema_client_2.jpg?w=575&amp;ssl=1 575w, https:\/\/i1.wp.com\/aurelis.org\/blog\/wp-content\/uploads\/2022\/10\/schema_client_2.jpg?resize=300%2C174&amp;ssl=1 300w\" sizes=\"(max-width: 571px) 100vw, 571px\" data-recalc-dims=\"1\" \/><\/figure>\n\n\n\n<p>As to the above, this is logical, but is it feasible? In any case, the therapist deserves as much support as possible. Specific <a href=\"https:\/\/aurelis.org\/blog?p=8855\">AURELIS coaching techniques<\/a> have been developed \u2013 by me \u2013 for this purpose. As you can see in the scheme, they are not client-oriented but therapist-oriented. This makes AURELIS coaching diametrically different from psychotherapy. In the AURELIS scheme, the therapist entirely supports the client-as-therapy. This is growth-related, leading to <a href=\"https:\/\/aurelis.org\/blog?p=10423\">change from the inside, not from the surface<\/a>.<\/p>\n\n\n\n<p>Note that in the first scheme, the therapist <em>is the one who does<\/em>. The client mainly undergoes. In the AURELIS scheme, the therapist <em>invites the client to do<\/em>. The client is the active therapy. This may be an even better distinction than the related one between <a href=\"https:\/\/aurelis.org\/blog?p=5837\">placebo and empathy<\/a> in healthcare. Namely: the one who actively brings the placebo vs. the one who empathically invites.<\/p>\n\n\n\n<p><strong>A question<\/strong><\/p>\n\n\n\n<p>Is it ethical to keep training future therapists in specific techniques as in the first scheme?<\/p>\n\n\n\n<p><strong>The AURELIS answer<\/strong><\/p>\n\n\n\n<p>Yes.<\/p>\n\n\n\n<p>But they should be taught from the start in the right context. They are not necessary ingredients of successful therapy. However, many techniques can be transformed into, or be sources of inspiration for elements of a Compassionate way of being and coaching.<\/p>\n\n\n\n<p><strong>The AURELIS scheme doesn\u2019t denigrate the therapist \u2015 quite the contrary.<\/strong><\/p>\n\n\n\n<p>At the same time, it radically puts the client at the center.<\/p>\n\n\n\n<p>An excellent human therapist\/coach cultivates Compassion (not the same as pity). This may seem straightforward, but honestly, <a href=\"https:\/\/aurelis.org\/blog?p=10232\">Compassion is not easy<\/a>! At the same time, it is not magic, of course. There is no transcendence of the laws of the universe.<\/p>\n\n\n\n<p>The Compassionate therapist \u2013 with no mere-ego standing in the way \u2013 spontaneously aids the client to become the best possible auto-therapy. This might also make the client more powerful toward bodily change (<a href=\"https:\/\/aurelis.org\/blog?p=10364\">psycho-soma-therapy<\/a>). Science will tell. To the degree that it does, we have a revolution in medicine.<\/p>\n\n\n\n<p><strong>The therapist\u2019s belief in the client is essential.<\/strong><\/p>\n\n\n\n<p>The placebo is frequently seen as the carrier of belief\/expectation.<\/p>\n\n\n\n<p>This is also relevant to the AURELIS scheme, with a twist as to the quality of belief. It\u2019s like entirely saying YES, then looking for the right level upon which it can be truthfully said. This way, the saying YES \u2013 being an important AURELIS coaching technique if oriented toward the therapist \u2013 is congruent with the therapist\u2019s <strong>deep<\/strong> belief in the client. The deep expectation coming from this is more than the expectation based on what even an awakened therapist readily brings to bear through the carrier veil.<\/p>\n\n\n\n<p>Or, one can say, \u201cThe best carrier is the therapist\u2019s deep, genuine belief in the client.\u201d This kindles the client\u2019s belief (hope, expectation) in himself without needing a placebo and, eventually, also no other carrier.<\/p>\n\n\n\n<p>This is <a href=\"https:\/\/aurelis.org\/blog?p=10417\">Open therapy<\/a>.<\/p>\n\n\n\n<p><strong>What about <a href=\"https:\/\/aurelis.org\/blog?p=5477\">Lisa<\/a>?<\/strong><\/p>\n\n\n\n<p>As said, there is nothing magical going on in the above. A human coach can go far in acting as a human coach-instrument. As a bonus, in doing so, he can become more Compassionate as a human being. This will always be worthwhile to the core.<\/p>\n\n\n\n<p>Besides this, the above also shows that Lisa may well act as another instrument, coming with specific pros and cons. The client-as-therapy may make use of Lisa 24\/7. When wanted or needed, he can consult a human coach. Lisa will encourage this.<\/p>\n\n\n\n<p>Two more pros of Lisa are that 1) Lisa can coach many people simultaneously, worldwide, with little expense (for free to those who cannot afford it), and 2) Lisa will also be a scientific instrument that can open up what works or doesn\u2019t even in human coaching, and what makes the client truly his own therapy.<\/p>\n\n\n\n<p>Since <a href=\"https:\/\/aurelis.org\/blog?p=348\">coaching is everywhere<\/a>, this makes Lisa as a project relevant in many places, important in the further development of A.I. as well as in what this can teach us, humans, about ourselves. Note that \u201cWho We Are, What A.I. Can Become, and Why It Matters\u201d is the subtitle of my book <a href=\"https:\/\/aurelis.org\/blog?p=2819\">The Journey Towards Compassionate A.I.<\/a><\/p>\n\n\n\n<p>I see this as the <a href=\"https:\/\/aurelis.org\/blog?p=10148\">Lisa revolution<\/a>.<\/p>\n<div data-object_id=\"10463\" class=\"cbxwpbkmarkwrap cbxwpbkmarkwrap_no_cat cbxwpbkmarkwrap-post \"><a  data-redirect-url=\"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts\/10463\"  data-display-label=\"0\" data-show-count=\"0\" data-bookmark-label=\" \"  data-bookmarked-label=\" \"  data-loggedin=\"0\" data-type=\"post\" data-object_id=\"10463\" class=\"cbxwpbkmarktrig  cbxwpbkmarktrig-button-addto\" title=\"Bookmark This\" href=\"#\"><span class=\"cbxwpbkmarktrig-label\"  style=\"display:none;\" > <\/span><\/a> <div  data-type=\"post\" data-object_id=\"10463\" class=\"cbxwpbkmarkguestwrap\" id=\"cbxwpbkmarkguestwrap-10463\"><div class=\"cbxwpbkmarkguest-message\"><a href=\"#\" class=\"cbxwpbkmarkguesttrig_close\"><\/a><h3 class=\"cbxwpbookmark-title cbxwpbookmark-title-login\">Please login to bookmark<\/h3>\n\t\t<form name=\"loginform\" id=\"loginform\" action=\"https:\/\/aurelis.org\/blog\/wp-login.php\" method=\"post\">\n\t\t\t\n\t\t\t<p class=\"login-username\">\n\t\t\t\t<label for=\"user_login\">Username or Email Address<\/label>\n\t\t\t\t<input type=\"text\" name=\"log\" id=\"user_login\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p>\n\t\t\t<p class=\"login-password\">\n\t\t\t\t<label for=\"user_pass\">Password<\/label>\n\t\t\t\t<input type=\"password\" name=\"pwd\" id=\"user_pass\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p>\n\t\t\t\n\t\t\t<p class=\"login-remember\"><label><input name=\"rememberme\" type=\"checkbox\" id=\"rememberme\" value=\"forever\" \/> Remember Me<\/label><\/p>\n\t\t\t<p class=\"login-submit\">\n\t\t\t\t<input type=\"submit\" name=\"wp-submit\" id=\"wp-submit\" class=\"button button-primary\" value=\"Log In\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"redirect_to\" value=\"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts\/10463\" \/>\n\t\t\t<\/p>\n\t\t\t\n\t\t<\/form><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>This is about the client in psychotherapy. It is also about the patient in medicine insofar as the mind is involved \u2015 say, psycho-somatics, easily involving half of the medical domain. See my book Your Mind as Cure. Psychotherapy, schematically A good evolution in healthcare, including psychotherapy, is to put the client at the center. <a class=\"moretag\" href=\"https:\/\/aurelis.org\/blog\/healthcare\/the-client-is-the-therapy\">Read the full article&#8230;<\/a><\/p>\n<div data-object_id=\"10463\" class=\"cbxwpbkmarkwrap cbxwpbkmarkwrap_no_cat cbxwpbkmarkwrap-post \"><a  data-redirect-url=\"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts\/10463\"  data-display-label=\"0\" data-show-count=\"0\" data-bookmark-label=\" \"  data-bookmarked-label=\" \"  data-loggedin=\"0\" data-type=\"post\" data-object_id=\"10463\" class=\"cbxwpbkmarktrig  cbxwpbkmarktrig-button-addto\" title=\"Bookmark This\" href=\"#\"><span class=\"cbxwpbkmarktrig-label\"  style=\"display:none;\" > <\/span><\/a> <div  data-type=\"post\" data-object_id=\"10463\" class=\"cbxwpbkmarkguestwrap\" id=\"cbxwpbkmarkguestwrap-10463\"><div class=\"cbxwpbkmarkguest-message\"><a href=\"#\" class=\"cbxwpbkmarkguesttrig_close\"><\/a><h3 class=\"cbxwpbookmark-title cbxwpbookmark-title-login\">Please login to bookmark<\/h3>\n\t\t<form name=\"loginform\" id=\"loginform\" action=\"https:\/\/aurelis.org\/blog\/wp-login.php\" method=\"post\">\n\t\t\t\n\t\t\t<p class=\"login-username\">\n\t\t\t\t<label for=\"user_login\">Username or Email Address<\/label>\n\t\t\t\t<input type=\"text\" name=\"log\" id=\"user_login\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p>\n\t\t\t<p class=\"login-password\">\n\t\t\t\t<label for=\"user_pass\">Password<\/label>\n\t\t\t\t<input type=\"password\" name=\"pwd\" id=\"user_pass\" class=\"input\" value=\"\" size=\"20\" \/>\n\t\t\t<\/p>\n\t\t\t\n\t\t\t<p class=\"login-remember\"><label><input name=\"rememberme\" type=\"checkbox\" id=\"rememberme\" value=\"forever\" \/> Remember Me<\/label><\/p>\n\t\t\t<p class=\"login-submit\">\n\t\t\t\t<input type=\"submit\" name=\"wp-submit\" id=\"wp-submit\" class=\"button button-primary\" value=\"Log In\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"redirect_to\" value=\"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts\/10463\" \/>\n\t\t\t<\/p>\n\t\t\t\n\t\t<\/form><\/div><\/div><\/div>","protected":false},"author":2,"featured_media":10464,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","jetpack_publicize_message":""},"categories":[11],"tags":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/aurelis.org\/blog\/wp-content\/uploads\/2022\/10\/1812.jpg?fit=959%2C549&ssl=1","jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9Fdiq-2IL","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts\/10463"}],"collection":[{"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/comments?post=10463"}],"version-history":[{"count":23,"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts\/10463\/revisions"}],"predecessor-version":[{"id":10594,"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/posts\/10463\/revisions\/10594"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/media\/10464"}],"wp:attachment":[{"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/media?parent=10463"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/categories?post=10463"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/aurelis.org\/blog\/wp-json\/wp\/v2\/tags?post=10463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}