'I'm Angry!' Supporting a young person via Have a the Go Spaghettio! approach

Children can express anger through ‘meltdowns’, aggressive behaviour which indicate difficulty in regulating their emotions. The child is attempting to interpret/make sense of what’s happening around them, learning to self-regulate hopefully in time. They are learning to manage their emotions and Have a Go Spaghettio! can help!

The Angry Man

And the world continued to turn. His world turned within that world. In his world everything was neat, tidy, symmetrical, clean, and predictable. This was his template for ‘normal,’ the way things 'should' be. Ordered. His world was the way it 'must' be and the big world beyond was anything but. The tension between what he demanded of the world and how things were in reality was always close to breaking. Taut. Tense. 'The Angry Man.'

We might talk of one world but there are many individually constructed worldviews. Mental health according to Albert Ellis is when we best align our own expectations and demands of self, others and life in general based on what we are most likely to get. If we don't want to feel uncomfortable and if we believe the world should give us what we want and it doesn't there is a disparity between what we want and what we receive! As Ellis reminds us:

'The world isn't for us or against us. It doesn't give a shit!'

The 'Angry Man' had a 'mindmap' of the world that didn't change. Over the years whilst the terrain had continued to modify his map did not accommodate these adjustments. He would demand that the world should be as he demanded it to be to agree with his map, but when his demands were not met he would erupt and cry foul!

He would blame everyone and everything for his anger. He was being done to, the world was against him; he was a victim. His self pity took precedence over everyone else's needs and sensibilities and he would demand that they would deliver what he wanted nay what he must have to feel OK again. His black and white views couldn't allow for any grey or reasonable assessment of situations. He couldn't bring himself to changing his own expectations of how things could be.

The 'Angry Man' in his position of workplace leader would target individuals who would not deliver what be believed he must have. His philosophy of:

 'I must absolutely always get what I want and if I don't the world is a terrible place and these people must be punished!'

Albert Ellis calls this 'musturbatory' thinking where the 'musturbator' thinks in oughts, musts and shoulds. Those who don't provide what he must have are often the target of bullying. The bully believes the victim makes him angry and she therefore deserves to be bullied! His toxicity is palpable and he will go to all lengths to get what he must have!

The 'Angry Man' would never concede that he is responsible for how he feels and behaves because he 'knows' this is not so. 'If only 'they' could see what 'they' are doing. If only 'they' would give me what I want!' is his internal dialogue, on continuous loop in his head. He programs and reprograms what he 'know's' is true by constantly practicing and reinforcing this irrational reality he has constructed.

His world turns within a world that can never give him what he believes he must have, a mismatch of realities that the 'Angry Man' can't understand as he stresses and strains to demand a world that will never (can't) match his own constructed reality.

The Construction of Brain Bully - It'll do your head in!

My name’s Brain Bully and you most probably don’t know me and that’s a problem for you. Why? Because I am a major player in how you might feel about yourself, others and the world in general. The extreme negative emotions you may experience are always accompanied by an action or actions, which contrive against you. Yes I’m Brain Bully and I really can ‘do your head in!’ You might ask yourself at times ‘why did I do that? Or ‘why do I feel so angry when things don’t go my way?’ These questions largely go unanswered because you don’t know about me and you won’t know unless you find out. Some find out by reading and talking to others about how they might feel about things and an attentive ear may pick up on little snippets of tell-tale signs that I am somewhere lurking deep within you. This insight can be the beginning of a self-help journey that may in time purge your mind of me, an alien menace that resides in your deep and dark subconscious self. But it isn’t exactly accurate to suggest that I am something separate from you. Rather than to describe me as a parasitic alien thing, it would be more apt to say that I am you! Wasn’t it Rene Descartes who said:

‘I think therefore I am!’

I am you in this sense because I am the thinking that undermines your ability to achieve your goals and meet your wants and desires; to acquire happiness and success. So I am you and you are me and we work together to make your life a misery unless you do something about it of course.

I am you

You are me

We work together

To make your life

A misery!

You have constructed me over time. You have observed your world and listened to others around you to work out how this game of life is played; what are the rules, how do you get what you want, how do you relate to others and what you think about yourself. Voila!

 

You think you are dumb and hopeless; you believe this to be true about you and you say to yourself often, ‘what’s the point in trying I can’t do this. I’ll never be any good.’ This is your self-talk, how you talk to yourself and this is played on a loop in your head ad nauseum. This inner chat reinforces your belief that you are what you say you are. How you feel and act is attached to this self-talk. But where is this self-talk coming from? I am the self-talk generator buzzing away within you and until you find me you are stymied! I will get stronger and stronger if you don’t locate me and end my tenancy in your head.

I am linked to the feelings you experience and the actions you take which are symptoms of something that’s not quite right for you. I am dangerous because you are not happy with your lot and you think this is the way it will always be! And that’s the way it will be if you allow me to continue on my merry way. Henry Ford once said:

‘If think you can or you think you can’t you’re right!’

What thinking rules have you constructed, your habits of thinking that lay deep down within you? If you can find out what they are you are then in a position to do something about it. Remember you have constructed these rules and you can deconstruct them and relearn new, healthy habits of thinking. You made me and you can unmake me but you don’t know that yet.

‘It’s all my fault’ you declare ‘that my life is a misery and I feel so down and aimless.’ You are right up to a point but don’t flog yourself for this because to this point you did so in ignorance. You are now becoming more aware of the idea that the beliefs you have constructed are linked to the emotions you experience and the actions you take. I am the unhelpful beliefs which underlie your feelings of unworthiness but where do they come from? It’s all to do with your story, the distance you have travelled to now. You made me remember?

As a young person you were told what to do. If you did what you were supposed to you were a ‘good girl.’ If you did badly, or made a mistake, you were chastised so you believed you were a ‘bad or naughty girl. ‘You were exposed to this kind of interaction from an early age and because you were a smart kid you deduced that if you did OK you were good and if you made a mistake you were bad. This led you on a path to seek and to need the approval of others. You would try so hard yet often you couldn’t please significant others enough which you always construed as meaning ‘you are a bad girl!’ I was born when you decided you were only worthwhile if other people gave you permission to be. Mission accomplished!

I was doing OK until some smart teacher you had in year 4 told you how you created me, and what you could do about it. This was my undoing, the beginning of my end but I didn’t go away easily. I put up a fight but to your credit you worked hard to get rid of me.

Your teacher said to you ‘your thinking is a bit crooked. You believe that you are worthwhile only if other people think you are. You have learned to believe this and it makes you sad a lot and it stops you from trying because you are too concerned about how others might judge you. This kind of thinking is called Brain Bully thinking and it is unhelpful and we are going to get rid of it before it does any more damage.’

It took a while of solid work but you were determined and though I tried hard not to I began to lose my grip on you. Something had infected my robust irrational self and you no longer tolerated me. I was like a flickering light bulb nearing the end of its life. I was no longer you and you were no longer me and in time you let go of your misery. You had worked me out, found where I lived and gave me my notice to vacate.

I am no longer you

You are no longer me

You have let go

Of your misery!

It wasn’t long before the vacancy sign had gone and you had a new tenant. You began to feel better and others noticed how you would set yourselves achievable goals and work hard to realise them. You were more adventurous in trying new things and it wasn’t such a catastrophe when things didn’t go your way. You were less reliant on how others viewed you because your approval of you was more important than others approval of you. You began to feel more comfortable around others as people began to seek out your friendship. Bugs Bunny would approve!

 

What had happened? How did this transformation come about? Well that’s another story. Stay tuned!

Building Confidence - accepting oneself unconditionally

Even the most competent and composed amongst us will say how we have battled or continue to battle our inner demons of self-doubt and low self-worth. Some would measure their self-worth against goals achieved and how popular they are with others. This kind of ‘confidence glow’ can be temporary if one is inclined to put all of their psychological well-being eggs in the same ‘self-esteem’ basket. Albert Ellis, creator of Rational Emotive Behaviour Therapy, famously stated:

‘Self-esteem is the greatest sickness known to personkind because it’s conditional.’

We condition ourselves when we rehearse and re rehearse certain ingrained thought constructions that are unhelpful or helpful to us. Ellis claims, and I agree, that if a person’s self-worth is contingent on how others regard them or how well they do at tasks it can be very harmful. They will feel OK or not OK depending on which way the self-esteem winds blow! This is what Ellis called conditional self - worth, how one esteems oneself when they are approved of and when they do well; self-esteem.

What then is the psychological antidote to the self-esteem scourge? How do we start to help those students whose confidence waxes and wanes in response to the approval of others?  Perhaps it would be useful to note some of the consequences of coming down with a bout of the dreaded self-esteem bug – approvalitis!

People who conditionally accept themselves are much more likely to experience mental ill health than not. Why? They tend to put all their faith in how others value them and if this isn’t forthcoming they feel down, undervalued, and disapproved. They might say to themselves:

I’m worthless.

No one likes me.

I’m a failure

… Etc.

If a person’s significant other withdraws her friendship and approval this can have an adverse impact on her. The fact that she has been unfriended is a fact, there is evidence to support this conclusion. However the belief that this then means she is worthless is a position that can be challenged. It is here that the teachers and counsellor’s work begins because the goal is to help her understand that her worth was never given to her in the first place so it can’t be taken away. She has constructed these ‘thinking rules’ so she can deconstruct them if she works hard at it. The question is how? As Eleanor Roosevelt said:

‘No one can make you feel inferior without your consent.’

Another question is if she gives another person consent to make her inferior how does she know she is doing this? The job is to help her understand that whilst others may reject her in fact, it is a myth to then believe she is worthless because she has been rejected. It is the goal of the educator to help her replace her fragile self-esteem belief with the more robust and evidence based unconditional self-acceptance habit of thinking. This will not change how life unfolds but it will lessen the impact of unwelcomed events will have because she is more psychologically robust. Dr. Jonas Salk who developed the polio vaccine talked about the idea of psychological immunisation:

“If I were a young scientist today, I would still do immunisation. But instead of immunising kids physically, I’d do it your way. I’d immunise them psychologically. I’d see if these psychologically immunised kids could then fight off mental illness better. Physical illness too.”

Constructivism explains how people acquire knowledge when they interact with their environment. Knowledge doesn’t exist somewhere outside the individual to be absorbed but rather it is co - constructed between the subject and others in various contexts. The idea is to acquaint the student with this idea; that they have constructed the beliefs that inform what they do and how they feel in response to life’s challenges. If they feel anxious or down then they may well be tethered to a self-esteem belief i.e. conditional self – acceptance. I will refer to one who thinks this way as a ‘self - esteemer.’ We want to challenge and change this ‘thinking rule’ to unconditional self-acceptance (USA), a ‘self-accepter’ rule.

I have posted many blog posts which suggest ways in which we can assist students develop unconditional self - acceptance e.g. Psychological Immunisation and Little Jack Horner and here I offer another suggestion. This is a lesson I developed to teach students about constructivism and how it relates to USA. These ideas can be used with students from mid – primary onwards.

First establish what unconditional self-acceptance is e.g.

When we accept ourselves unconditionally it means that anyone’s opinion of us (good or bad) is just that, an opinion and cannot define our ‘total’ selves because we are made up of maybe hundreds of different traits, qualities and characteristics none of which alone can describe us totally. We all make mistakes but we are not totally bad. The positive qualities still remain. In other words we are not our mistakes just as we are not our successes. We are just worthwhile no matter what! We want to help our students develop the ‘thinking rule’ that; ‘what I think of me is more important than what you think of me.’ This is not an arrogant position but one which is supported by what we know about ourselves and how well we accept what we know about ourselves to be true and factual.

Next hand out enough white and yellow Lego blocks to groups of two or three to construct a small wall.

Ask the students to do the following:

Please build a wall that best reflects what we know unconditional acceptance to be. Remember we can make mistakes and we may have qualities that aren’t perfect but in the main we are all OK. The white blocks represent our positive qualities and capabilities and the yellow represent those things we can work on if we choose.

•  Some may construct a wall predominantly of white bricks and a few scattered yellow ones.
• Others may have different ideas e.g. a wall constructed solely of yellow
• Others may construct ones completely white.

Encourage the class to consider the various construction’s and ask them to explain why they have made their walls as they have e.g.

Which wall best represents the idea that we are not perfect but that we are always worthwhile?

If yellow bricks represent things that we are not so good at what does a wall made of all yellow bricks mean? Is this true?

What are we thinking if our wall is made entirely of white bricks? Is this possible? Can this be true?

We want our students to see what ‘worthwhile’ looks like. If they accept what is represented by the wall constructions they can see that no matter what they are always OK (represented by option 1 above). They can then start to practice the belief of unconditional self-acceptance. It may just be a daily reminder to think e.g.

‘I will make mistakes but I am not a mistake.’ Or

‘People may not like something about me but I have hundreds of good qualities. I am not their opinion.’ Or

‘What I think about me is more important than what others think about me.’

Option 1 indicates a healthy appreciation that a person has many more positive qualities and attributes than negative ones and may regard those as areas for improvement. This reflects a rational view that even when we make mistakes or others think ill of us we are always OK. This is the hallmark of the ‘self-accepter.’

Option 2 represents a view that ‘I am not OK. Most or all of me is not good, therefore I am not good.’ This wall construction is an irrational idea because it denies the preponderance of positive qualities that a person has. It is important to provide evidence to a person thinking this way that this is not a true and accurate self-worth picture. This self-view represents the beliefs of a ‘self esteemer.’ This belief underpins a tendency to feel down often and/or anxious because this person believes that she’s bad/hopeless/unlovable.  

Option 3 suggests that there are people in the world who are perfect. This is an errant perspective that cannot be supported with evidence. Is there a person for instance who has never made a mistake? This belief causes anxiety and depression if such a view is held by a person who strives to always e.g. get 10 out of 10 for a test or who could never handle any kind of constructive advice because this would mean that she wasn't 'perfect' and then others would see how 'bad' she is and that would be a 'catástrophe!

Remind your students that we construct our beliefs just like we construct a wall. Our ‘thought walls’ are made with the bricks we think are the right ones. What we believe to be true can be helpful or unhelpful and believing that we are always worthwhile is true and if we don’t believe this we can mentally deconstruct the old wall and build a new one that best represents who we are!

We are ‘self-accepters’ and we build strong and powerful ‘thought walls!’

Not perfect but strong!

The Rules That Guide Us

We have rules that guide our behaviour many (if not all) of which we are unaware! Psychologists tell us that we behave as we do because of certain rules we have constructed over time. These rules are so deeply ingrained in our subconscious that we would find it hard to articulate the rationale for doing what we do or feeling how we feel. The great Albert Ellis said:

“Too many people are unaware that it is not outer events or circumstances that will create happiness; rather, it is our perception of events and of ourselves that will create, or uncreate, positive emotions.” Albert Ellis Quotes

Where do these rules come from? Do we learn them from others and if they are unconscious ‘belief rules’ how can we get to know them? I think it’s true to say that our ‘rules of engagement’ with the world around us are indeed learned but what’s the likelihood of ever learning what they are? This would be insightful, new knowledge which would have benefits for the learner. What if some or most of these ‘thinking rules’ were unhelpful or self-defeating? Knowing this we could then, if we so chose, find better ways of seeing the world; perceiving it in a different way.

Our reality is forged within the contexts in which we are socialised. Every interaction we have with others and with our environment, our ‘habitus,’ will determine how we view ourselves, others and the world in general.

‘Habitus is one of Pierre Bourdieu’s most influential yet ambiguous concepts. It refers to the physical embodiment of cultural capital, to the deeply ingrained habits, skills, and dispositions that we possess due to our life experiences.’ Habitus

Our learning within our ‘habitus’ is connected to events and happenings but do they themselves constitute our experience of them or is there other things to factor into the equation? When we are subject to an event or happening we are called upon to assess that happening. What does it mean? If a young person (let’s call her Sally) consistently sees positive examples of interaction between others and herself where each player shows respect and kindness to each other she will draw certain conclusions about what she experiences, she will attach meaning or meanings to those events. These meanings are constructed by the individual in relation to what is happening around her.

‘People construct their own understanding and knowledge of the world, through experiencing things and reflecting on those experiences.’ Constructivism

What kind of ‘thinking rules’ might the young person have constructed which will inform and direct the choices she will make in various situations? According to Rational Emotive Behaviour Therapy (REBT) theory created by Dr. Albert Ellis in the 1950’s we construct ‘habits of thinking’ that can be either helpful (rational) or unhelpful (irrational) in pursuing the goals we set ourselves. Those that are helpful to us are characterised by attitudes that accommodate the unfairness and unpredictability of life. For example when confronted with a problem, the resilient person may feel disappointed/inconvenienced. Another person who is less resilient may experience extreme anger and embitterment. These contrasting dispositions are linked a particular mindset of each individual which each has constructed and which guide how each feels and behaves.

Sally would believe that:

She doesn’t expect things to always go her way and when problems arise she can handle the inconvenience. The situation is not catastrophic, there are many more issues that cold be worse than this. Life can be unfair but she expects that his can be so!

Another might believe:

Things must be the way she wants them to be. This should not happen and she can’t stand this big imposition. Life is unfair and bad things always happen to her! This is the worst thing that can happen!

Each perspective or estimation of the event will result in different behavioural and emotional consequences for each. The event is not entirely to blame for the behavioural and emotional outcomes experienced by the person. According to Marcus Aurelius:

“If you are distressed by anything external, the pain is not due to the thing itself, but to your estimate of it; and this you have the power to revoke at any moment.” Marcus Aurelius 180AD

Stoic Philosopher Marcus Aurelius

These ideas have been around for millennia and Albert Ellis incorporated this philosophy in his Rational Emotive Behaviour Therapy counselling/psychotherapy model. Can these principles be conveyed to students in the school setting?

They can and have been introduced to students in many schools (preschool – year 12) around Australia very successfully. Giulio oversees the implementation of Rational Emotive Behaviour Education in his school in South Australia. This is the fourth year this whole school mental health education/promotion/prevention program has been in place and outcomes have been very positive to date for students. He has set up the Centre 4 Rational Emotive Behaviour Education which provides free professional learning to educators, counsellors and allied agency workers. This is the third year of its operation and feedback is always very positive in terms of its usefulness to participants who attend the ten workshop program.

The workshops cover the understanding and application of REBT in the school setting. The application of REBT in daily teaching practice is called Rational Emotive Behaviour Education. For more information about workshops and other questions regarding REBE please contact Giulio on lozzog@gmail.com.

You can also visit his blog REBTOZ for more information and blogs about REBT/REBE. You might find this article about how to teach REBT using Shakespeare’s Hamlet useful CBT Today, Volume 43 Number 1 or using nursery rhymes to illustrate REBT principles here Psychology Today.  

Nice and Too Nice - what's the difference?

What is nice? One person’s nice is not necessarily another person’s nice. How do we know we are nice is another consideration. People might comment on how obliging so and so is, that they are always available and seem so selfless and caring. This feedback either directly or via others might be comforting or assuring; it may also be affirming. Is this healthy? 

Niceness can be healthy if there is no sense of unreasonable obligation to general others attached to it. That is, one has a healthy dedication to one’s own needs and wants. She knows what these are and tends to them without fear or favour. She is not addicted to the needs, demands and appraisals of others. She intuitively understands that her worth is not dependent on others (unless allowed!). As Eleanor Roosevelt said:

If we worry about how others view us and we learn to need the affirmation of others we put ourselves at risk. What happens when we don’t get the acknowledgement we seek? What happens when our niceness isn’t rewarded? What happens when we don’t get what we have learnt we must have, the affirmation of our niceness; of us? Michelle Martin would say that we would be living in the realm of the overly nice; where we are too nice. 

Self-esteem is a concept that is used in many contexts when discussing mental health and well being. It is used to describe how a person views oneself. She makes estimations of her worth and usefulness; she makes assessments of her deeds and accomplishments and may ascribe a grade to her total efforts.

Some like Dr Albert Ellis who created Rational Emotive Behaviour Therapy regards self-esteem to be detrimental to our mental health because it is conditional. How one esteems oneself is variable and can wax and wane depending on circumstances. This is self-defeating according to Ellis who asserts:

Ellis’ REBT talks about unconditional self-acceptance, the belief that our worth is not negotiable and can’t be attached to others assessment of us or how well or badly we may perform at tasks. This idea is taught to students in many schools and of course in the counselling context to help people develop a kind of ‘psychological muscle' or immunity to help deal with failure and rejection. Jonas Salk (creator of the polio vaccine) to Martin Seligman said:

"If I were a young scientist today, I would still do immunisation. But instead of immunising kids physically, I'd do it your way. I'd immunise them psychologically."

So are you a 'self esteemer' or a 'self-accepter' and how do these relate to niceness? Is there a healthy nice and an unhealthy nice?

Self esteemers may get caught up with pleasing others and ascribing self-worth to personal achievement. One may seek the approval of others and in doing so will ignore personal wants, needs and aspirations. This may in turn cause anger, anxiety, resentment and depression so strong is the need to please.

Self-accepters will not feel so obliged to others. They will consider their own needs and desires which reflect a healthy and unconditional sense of self-worth. They will not need (though they may desire/prefer) the approval of others nor will they always have to succeed at tasks (though they may want to) because they understand that their worth is inviolable and will remain intact even when things don’t go so well.

Are you a nice 'self accepter' or a too nice 'self esteemer?'

When You Have the World at Your Feet - REBT and feeling OK

Delilah Types shares some thoughts about depression. It was prompted by recent media reports about swim Olympian Grant Hackett and his ongoing struggle with his mental health. 'Delilah' has had her own challenges which she has shared with us in her blog.

Some reports seem to express surprise that someone so talented and gifted and who presumably has substantial material wealth could possibly fall victim to depression. Others will say that depression will strike anyone any time no matter what their personal circumstances, material or otherwise. When the world is (seemingly) at their feet!

Dr. Albert Ellis (creator of Rational Emotive Behaviour Therapy) said that as constructivists we actively create our own habits of thinking. He maintains that our personal beliefs (knowledge) about ourselves, others and life (our personal philosophies) in general will affect how we respond emotionally and behaviourally to challenging events.

If we accept this theory then we can argue that any 2 people who have e.g. performed badly at a job interview, will experience the situation differently.

Event:

Poor interview performance

Thinking reaction:

Person 1: That was a shit interview. I'm a hopeless twat. What's the point!

Person 2: That didn't go so well. I may have to lift my game. Back to the drawing board.

Feelings/behaviour reaction:

Person 1: Depressed, angry and ashamed - excessive drinking, self harming

Person 2: Disappointed, annoyed - life as usual, review past performance and refine, fine tune

The same event is experienced differently by these two people. Why? Because they have constructed different 'belief rules,'  i.e. personal philosophies that are linked to how they feel and how they behave in response to life's happenings.

I don't know Grant Hackett but I can suggest an explanation as to why he may be feeling depressed and angry according to REBT.

He has been conditioned from an early age to hone and develop his athletic capacities to an elite level. He has learnt that his worth is linked to his and others high expectations of him. He has learnt to expect nothing less than his best times and performances and he believes that people rely on his prowess and achievements to feel good about themselves. He doesn't want to let them down. Their view of him becomes his main motivation for his drive to be consistently excellent. He doesn't just desire others approval he needs it. He will as a fallible human being fall short of his own high expectations and it is how he responds to these disappointments which is key to his well being.

Unconditional self acceptance is the antidote to self downing and feelings associated with low self worth. The hallmark of the perfectionist is to put all her self worth eggs in the same self worth basket which puts her on track to be the proverbial basket case! (I must do well. People should always think well of me). 

Developing and cultivating unconditional self acceptance is the goal. It can be a long road to wellness but it can be achieved by working hard at it.

In a sense we are the architects of our own depression; no one or nothing makes us feel as low as we get. It is how we estimate our worth as human beings that determines how we respond to failure. Can we be good? Can we be bad? Are not being and doing different? What's the difference between I am bad and I've done badly? If I am not what I do how can I be a failure for not doing well at that interview? Or If I am what I do then failing at an interview will mean I am a failure (I am what I have done ie a failure)!

These are the philosophical questions that we can choose to engage with because only in doing this will we be able the challenge and change those unrealistic and irrational ideas about ourselves and consequently we will feel better and act more self helpfully.

A Girl Called Sharon - when 'being good' is self defeating!

I believe that our emotional and behavioural dysfunction is linked to the philosophies we have constructed over time and which we practise and reinforce unconsciously. Albert Ellis and others assert that our anger, anxiety and other emotional ills are constructed ergo they can be deconstructed.

“If you are distressed by anything external, the pain is not due to the thing itself, but to your estimate of it; and this you have the power to revoke at any moment.” Marcus Aurelius

 

Marcus Aurelius

Why does Sharon feel so sad and aggrieved? Where does her own personal beliefs come from? This fictitious account of Sharon's early learning might shed some light on this.

Little Sharon was taught that she should always use her manners and that others should too. If she waved to someone who waved at her ‘that was good’, she was a ‘good girl’ to do this. Her parents said ‘good girl.’ Her parents would say how rude it was when others didn’t show the same standard of manners and that they should always be well mannered. Sometimes her dad would say how terrible it was that people weren’t as well-mannered as they should be.

At school Sharon tried very hard to be ‘good’ at all times.  Sometimes she would ask the teacher, ‘am I a good girl?’  She would try hard to get stickers and she felt bad when the teacher was angry about something.  She thought it was her fault.

When she was in high school she worked hard to be liked by others. She would buy things for her friends and offer to do things for them. If they seemed unhappy she would worry that she had done something bad. If she wasn’t included she felt very sad and thought no one liked her.

When she was an adult she found she often felt angry when people didn’t do what she thought they should do.  She would help people, buy them things and go out of her way to do for others. Instead of feeling good she felt bad.

‘Why don’t they do things for me,’ she would think. ‘Why don’t they buy things for me? Shouldn’t they treat me the same way? Perhaps I should try harder,’ and then they will like me and think I’m cool. Perhaps I’m not trying hard enough.’

Years later.

When she was driving in town one day another driver let her in and Sharon waved to her. The other driver didn’t wave back and she felt the anger rise inside her…  

  

Sharon with a friend

An Anxious Adolescent - part 2

This 14 year old student has had a reasonable week. He has been aware of how his anxiety has ebbed and flowed in his interactions with others and is monitoring his self-talk. He is very careful about what he says and how he says it and is quick to help and encourage others with enthusiasm. Other students have commented that he is ‘overly helpful and encouraging’ at times and would prefer he ‘relax a bit.’

Counsellor: G’day. How’s it going?

Student: I’m fine. I’ve been thinking about our last chat and I think it’s true that I worry too much about what others think.

Counsellor: You’re not alone, and it’s useful that you have been thinking about your anxiety and what might be causing it. Last time we spoke we talked about ‘needing the approval of others.’ Do you recall?

Student: Yeah. I’ve been thinking a lot about this. I do want to be liked by others. Isn’t it OK to want be liked by everyone?

Counsellor: Can you be liked by everyone? Do you think this is a reasonable expectation to have of others?

Student: I try hard not to offend anyone so shouldn’t they think well of me?

Counsellor: Want and need are interesting ideas. Can you see a difference between the two?

Student: Yes I think need is stronger than want, like you need water to survive but you don’t need to have chocolate. Without water you will die but without chocolate you can still survive!

Counsellor: Well explained. What is the difference between wanting to have others like and respect you and needing others to like and respect you?

Student: I get what you mean. I’m into needing others to like me, like I will die if they don’t! That’s what’s going on with me, that’s why I feel so bad when other people seem not to like me. That’s why I try hard to please them!

Counsellor: I think you are working it out pretty well. You have identified a belief or rule that you have that is not helpful to you because your anxiety is linked to this rule. Do you know what your rule might be?

Student: I have an idea that it’s something to do with my need for others to approve of me. Am I warm?

Counsellor: You are very warm, hot even. Can you begin saying your rule with: ‘I need the..

Student: OK. I need the approval of others.

Counsellor: Yes but why?

Student: I need them to like me so I can feel good about myself.

Counsellor: Yes indeed. Well done! And when you don’t get the recognition or approval you ‘need’ how do you feel? And how does this effect your life?

Student: I feel really anxious and I can’t concentrate on anything because I have made someone upset.

Counsellor: Well done! You’re beginning to understand where your anxiety comes from. You have worked out what your feelings and behaviours are connected to. What would that be?

Student: That would be my rule wouldn’t it?

Counsellor: Yes or belief. Tell me what your rule is but instead of beginning with ‘my rule is’ use ‘I believe that’ instead.

Student: OK. I believe that I need the approval of others for me to feel OK. How’s that?

Counsellor: So who or what is ‘making’ your anxiety?

Student: I think my rule or belief makes my anxiety. Would that be right?

Counsellor: Yes I agree that you have developed a MUST belief. People you like and respect MUST like and respect you but ‘must’ they? Can they?

Student: I’m beginning to understand that I can’t expect everyone I like to like me but it’s hard for me to accept this. But it makes sense.

Counsellor: It might make sense but you have been practicing this MUST rule all your life and it will be difficult to replace it with a healthier more sensible rule.

Student: What would that be?

Counsellor: You might want chocolate but you don’t have to have it. You might want their approval but you don’t have to have it to be OK. How could you express the notion that you might want chocolate but you don’t absolutely need it? Clue - use ‘prefer’ in your sentence!

Student: OK. I would prefer to have some chocolate but I don’t have to have it. I prefer people I like to like me but they don’t have to.

Counsellor: Will you die of you don’t get any chocolate? Will you die if someone you like doesn’t like you? Would it be so awful that you couldn’t stand it?

Student: No I wouldn’t die and I could stand it but I wouldn’t like it, I still wouldn’t like it!

Counsellor: No it would be bad but not so bad that you couldn’t stand it. You can’t always get what you want and that’s true don’t you think? You might not get what you want (them to like you) but you are still OK even if they don’t. We will talk about this further in the next session. Well done.

I had intended to talk about Unconditional Self-Acceptance (USA) but I have taken a while to get to this point. The student has shown considerable insight into what he believes (his philosophy) and how this drives his anxiety. Intellectually he understands what’s going on, he can talk the talk. But it will be a while and take a lot of hard work before he will automatically walk it. This is called emotional insight and we will continue with this case study in the next post. This is Rational Emotive Behaviour Education at work. Good one Dr. Ellis!