Annotated Bibliography: The Shrinking Of America

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Self-Esteem THIRD EDITION MATTHEW MCKAY, PH.D. PATRICK FANNING New Harbinger Publications, Inc. Publisher’s Note This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assistance or counseling is needed, the services of a competent professional should be sought. Distributed in Canada by Raincoast Books Copyright © 2000 by Matthew McKay and Patrick Fanning New Harbinger Publications, Inc. 5674 Shattuck Avenue Oakland, CA 94609 Cover design by Amy Shoup Library of Congress Catalog Card Number: 99-75293 Paperback…show more content…
But a review of outcome studies led him to find that psychotherapy does positively affect self-esteem and that improved self-esteem “may be counseling’s most important outcome” (147). Clients come to therapy wanting help with anxiety, depression, eating disorders, sexual problems, relationship difficulties, and a host of other symptoms. Sometimes the symptoms improve; sometimes they persist despite years of intensive work. But most clients do get a sense of greater personal worth from therapy. While specific symptoms may or may not change, clients at least begin to see themselves as more OK, more deserving, more capable. The problem with therapy is time. Over the course of months, and often years, a client’s self-perception changes in response to consistent positive regard from the therapist. The sense of approval from an authority figure, particularly one who substitutes for…show more content…
Ask what he or she was thinking during a recent episode of self-reproach. Get as much detail as you can about the critical self-talk and then introduce the concept of the pathological critic (see chapters two and three, “The Pathological Critic” and “Disarming the Critic”). Encourage the client to develop his or her unique name for the critic as a way to begin to take ownership of the concept. Typical names are “the bully,” “the shark,” “my kicker,” “Mr. Perfect,” “Marsha (the client’s mother),” and so on. Personifying the critic helps the client begin to externalize the self-accusing voice. You want him or her to experience the voice as something coming from outside, rather than as a part of the normal flow of thought. It’s easier to fight something that is perceived as external. It’s also easier to make the critical voice ego dystonic, something the client eventually rejects as “not me.” At the same time that you are identifying and naming the pathological critic, you can also introduce the client to his or her “healthy voice.” The healthy voice is the client’s ability to think realistically. By emphasizing and strengthening this ability you are positioning the client to begin talking back to the critic. Names that are typically used for the healthy voice include “my rational part,” “my accepting part,” “my compassionate part," “my healthy coach,” and so on. Choose a name that fits the client’s self-concept (i.e.,

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