Advertisement

Teaching Emotional Self-Awareness and What to Do with It in Patient Encounters

  • Zimri S. YaseenEmail author
  • Sarah Bloch-Elkouby
  • Shira Barzilay
Chapter

Abstract

Effective treatment depends on effective relationships. Effective relationships must be tended. This tending requires attention to everyone involved. When we pay attention to our own experience, we become more aware of it. When we are aware of how we feel and what we do (including what we say and how we say it), we can begin to question how we are feeling and what we are doing; what is making us feel and behave this way with our patient. This is useful when things are not working, and we have to change what we are doing, but do not know what change to make or how to make it. When things work, it can help us recognize what makes them work. In this chapter, we describe ways to teach clinicians to become aware of their emotional responses to their patients and how to make good use of them. When empathy is understood as a relational process that aims to produce mutual recognition, the capacity to be aware of our own emotions can be seen as critical to empathic engagement; by seeing ourselves more clearly, we can better see our patients also.

Keywords

Emotional self-awareness Empathy Relational therapy Affect Mindfulness Circumplex model SASB 

References

  1. 1.
    Freud, S. (1957). The future prospects of psycho-analytic therapy. In The standard edition of the complete psychological works of Sigmund Freud, Volume XI (1910): Five lectures on psycho-analysis. Leonardo da Vinci and other works (pp. 139–152).Google Scholar
  2. 2.
    Winnicott, D. W. (1947). Hate in the countertransference. London: Tavistock Publications, Ltd.Google Scholar
  3. 3.
    Gelso, C. J., & Hayes, J. A. (1998). The psychotherapy relationship: Theory, research, and practice. Hoboken, NJ: John Wiley & Sons Inc.Google Scholar
  4. 4.
    Frijda, N. H. (1988). The laws of emotion. American Psychologist, 43(5), 349–358.CrossRefGoogle Scholar
  5. 5.
    Buber, M. (1970). I and thou (W. Kaufmann, Trans.) (p. 57). New York: Charles Scribner’s Sons.Google Scholar
  6. 6.
    Salten, F. (1950). In W. Chambers (Ed.), Bambi: a life in the woods/by Felix Salten; translated from the German by Whittaker Chambers; with a foreword by John Galsworthy. London: Jonathan Cape.Google Scholar
  7. 7.
    Russell, J. A. (1980). A circumplex model of affect. Journal of Personality and Social Psychology, 39(6), 1161.CrossRefGoogle Scholar
  8. 8.
    Posner, J., Russell, J. A., & Peterson, B. S. (2005). The circumplex model of affect: an integrative approach to affective neuroscience, cognitive development, and psychopathology. Development and Psychopathology, 17(3), 715–734.CrossRefGoogle Scholar
  9. 9.
    Ekman, P. (1992). An argument for basic emotions. Cognition & Emotion, 6(3–4), 169–200.CrossRefGoogle Scholar
  10. 10.
    Panksepp, J., & Watt, D. (2011). What is basic about basic emotions? Lasting lessons from affective neuroscience. Emotion Review, 3(4), 387–396.CrossRefGoogle Scholar
  11. 11.
    Bowlby, J. (1973). Attachment and loss: Vol. 2. New York: Basic Books.Google Scholar
  12. 12.
    Sullivan, H. S. (1938). Psychiatry: Introduction to the study of interpersonal relations. Psychiatry, 1(1), 121–134.CrossRefGoogle Scholar
  13. 13.
    Benjamin, L. S. (2003). Interpersonal reconstructive therapy: Promoting change in nonresponders. New York: Guilford Press.Google Scholar
  14. 14.
    Benjamin, L. S., Rothweiler, J. C., & Critchfield, K. L. (2006). The use of structural analysis of social behavior (SASB) as an assessment tool. Annual Review of Clinical Psychology, 2, 83–109.CrossRefGoogle Scholar
  15. 15.
    Critchfield, K. L., & Benjamin, L. S. (2010). Assessment of repeated relational patterns for individual cases using the SASB-based Intrex questionnaire. Journal of Personality Assessment, 92(6), 480–489.CrossRefGoogle Scholar
  16. 16.
    Benjamin, L. S. (1996). A clinician-friendly version of the interpersonal circumplex: structural analysis of social behavior (SASB). Journal of Personality Assessment, 66(2), 248–266.CrossRefGoogle Scholar
  17. 17.
    Benjamin, L. S. (1979). Use of structural analysis of social behavior (SASB) and Markov chains to study dyadic interactions. Journal of Abnormal Psychology, 88(3), 303–319.CrossRefGoogle Scholar
  18. 18.
    Muran, J. C. (2019). Confessions of a New York rupture researcher: An insider’s guide and critique. Psychotherapy Research, 29(1), 1–14.CrossRefGoogle Scholar
  19. 19.
    Muran, J., Safran, J., & Eubanks-Carter, C. (2010). Developing therapist abilities to negotiate alliance ruptures. In J. C. Muran & J. P. Barber (Eds.), The therapeutic alliance. An evidence-based guide to practice (pp. 320–340). New York: The Guilford Press.Google Scholar
  20. 20.
    Newhill, C. E., Safran, J. D., & Muran, J. C. (2003). Negotiating the therapeutic alliance: A relational treatment guide. New York: Guilford Press.Google Scholar
  21. 21.
    Kabat-Zinn, J., & Hanh, T. N. (2009). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta.Google Scholar
  22. 22.
    Rousmaniere, T., Goodyear, R. K., Miller, S. D., & Wampold, B. E. (2017). The cycle of excellence: Using deliberate practice to improve supervision and training. Hoboken, NJ: John Wiley & Sons.CrossRefGoogle Scholar
  23. 23.
    Safran, J. D., & Muran, J. C. (2000). Negotiating the therapeutic alliance: A relational treatment guide. New York: Guilford Press.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Zimri S. Yaseen
    • 1
    Email author
  • Sarah Bloch-Elkouby
    • 2
  • Shira Barzilay
    • 3
  1. 1.Department of Psychiatry and Behavioral HealthIcahn School of Medicine, Mount Sinai Beth IsraelNew YorkUSA
  2. 2.Icahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.MSBI Suicide Research Laboratory and Richard and Cynthia Zirinsky Center for Bipolar DisorderMount Sinai Beth Israel and the Icahn School of MedicineNew YorkUSA

Personalised recommendations