Malan- Aspects of Therapy -Handling the Anxiety
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A brief look at how Malan's Triangles can assist in our understanding of Psychological Defences and their use when anxious
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Lecture 3 structural family therapy
Structural family therapy aims to change problematic family dynamics by altering the family structure. The therapist maps the family structure, including subsystems, boundaries, and hierarchy. Therapeutic interventions include enactments to observe family interactions and restructure boundaries and power dynamics within sessions. The goals are to establish clear generational and social roles and balance enmeshed or disengaged relationships. As the family structure changes through new interaction patterns, individual symptoms are expected to reduce. The therapist takes a directive role to transform the family structure through action-oriented strategies.
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Psychodynamic couple therapy is based on psychoanalytic theory and focuses on interpreting defenses and anxieties to foster change. The therapist aims to join with the couple at an unconscious level to provide emotional containment and interpret anxieties that previously overwhelmed them. Key theories underlying psychodynamic couple therapy include Fairbairn's model of psychic structures, Klein's theory of projective identification, and Winnicott's theory of the parent-infant relationship, which all view relationships and unconscious processes as central to understanding couples.
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Rational Emotive Behavior Therapy (REBT) was developed by Albert Ellis in the 1950s. Some key points:
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- Ellis was influenced by Stoic philosophy which held that people are disturbed not by events but by their views of events. However, REBT recognizes the healthy expression of emotions.
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psychodynamic psychotherapy
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Lecture 3 structural family therapy
Structural family therapy aims to change problematic family dynamics by altering the family structure. The therapist maps the family structure, including subsystems, boundaries, and hierarchy. Therapeutic interventions include enactments to observe family interactions and restructure boundaries and power dynamics within sessions. The goals are to establish clear generational and social roles and balance enmeshed or disengaged relationships. As the family structure changes through new interaction patterns, individual symptoms are expected to reduce. The therapist takes a directive role to transform the family structure through action-oriented strategies.
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Rational Emotive Behavior Therapy (REBT) was developed by Albert Ellis in the 1950s. Some key points:
- REBT is a form of cognitive-behavioral therapy that focuses on identifying and disputing irrational beliefs that lead to emotional distress.
- Ellis was influenced by Stoic philosophy which held that people are disturbed not by events but by their views of events. However, REBT recognizes the healthy expression of emotions.
- A core concept is the A-B-C model - that activating events (A) do not directly cause emotional/behavioral consequences (C) but rather the beliefs (B) one holds about the events.
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Object relations theory in psychoanalytic psychology is the process of developing a psyche in relation to others in the environment during childhood.
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Bowenian Family Therapy focuses on differentiation and reducing emotional reactivity. The therapist acts as a neutral coach and educator. Assessment involves a genogram to identify multigenerational patterns. Goals are to increase self-differentiation long-term by reducing reactivity and triangulation in the short and intermediate term. Interventions include the genogram, coaching, and education throughout therapy.
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Structural family therapy was developed by Salvador Minuchin at the Philadelphia Child Guidance Clinic. It is based on systems theory and focuses on structural change as the main goal of therapy. The therapist takes an active role in restructuring the family. Structural family therapy addresses problematic patterns of interaction within families. It uses techniques like joining, reframing, and enactment to restructure the family system and make interactions more flexible. The goal is to establish clear boundaries between subsystems like parents and children.
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She formulated the theory with Pine & Bergman on 1975.
➡️ Normal autistic phase – First few weeks of life. The infant is detached and self-absorbed. Spends most of his/her time sleeping.
➡️Normal symbiotic phase – Lasts until about 5 months of age. The child is now aware of his/her mother but there is not a sense of individuality. The infant and the mother are one, and there is a barrier between them and the rest of the world.
➡️Separation–individuation phase –
Separation refers to the development of limits, the differentiation between the infant and the mother, whereas individuation refers to the development of the infant's ego, sense of identity, and cognitive abilities.
Mahler explains how a child with the age of a few months breaks out of an "autistic shell" into the world with human connections. This process, labeled separation–individuation, is divided into subphases, each with its own onset, outcomes and risks. The following subphases proceed in this order but overlap considerably
Separation refers to the development of limits, the differentiation between the infant and the mother, whereas individuation refers to the development of the infant's ego, sense of identity, and cognitive abilities.
Mahler explains how a child with the age of a few months breaks out of an "autistic shell" into the world with human connections. This process, labeled separation–individuation, is divided into subphases
▶️Hatching / differentiation
▶️Practicing –
▶️Rapprochement-Rapprochement is divided into a few sub phases:
Beginning – Motivated by a desire to share discoveries with the mother.
Crisis – Between staying with the mother, being emotionally close and being more independent and exploring.
Solution – Individual solutions are enabled by the development of language and the superego.
Disruptions in the fundamental process of separation–individuation can result in a disturbance in the ability to maintain a reliable sense of individual identity in adulthood.
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Structural family therapy
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Hi!
I am SHIV PRAKASH (PhD Research Scholar),This slide presentation, I have created it for teaching purpose. I have used this slide to present the concept of CBT for Nursing Student in the department of psychiatry, I.M.S. Banaras Hindu University in Varanasi.
I hope this will be help full for everyone.
Thank you!Object relation therapy
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2) When a child's needs are not met by caregivers, their development becomes arrested as they suppress parts of themselves.
3) As adults, symptoms arise as veiled expressions of blocked aspects of the self.
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The document discusses how loss and interpersonal conflict can become dysfunctional in families. It covers developmental tasks like adapting to change and satisfying needs. Families accomplish these through roles, rules, boundaries and hierarchies. Triangles form to reduce anxiety, but can become rigid over time, with family members taking on problematic roles. Unresolved emotional pain from trauma can lead to symptoms like addiction if not treated. Bowen and Minuchin's theories on triangulation, projection, and detouring are referenced to explain how problems are transmitted between family members.
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This therapy was developed by Albert Ellis. It focuses on an individual's beliefs, whether rational or irrational, the emotions that they have due to these beliefs and the behaviour that they show based on both the beliefs and emotions.
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Theory of Object Relations was given by, M. Mahler.
Margaret Schönberger Mahler (May 10, 1897 – October 2, 1985) was a Hungarian physician, who later became interested in psychiatry. She was a central figure on the world stage of psychoanalysis. Her main interest was in normal childhood development, but she spent much of her time with psychiatric children and how they arrive at the "self". Mahler developed the separation–individuation theory of child development.
She formulated the theory with Pine & Bergman on 1975.
➡️ Normal autistic phase – First few weeks of life. The infant is detached and self-absorbed. Spends most of his/her time sleeping.
➡️Normal symbiotic phase – Lasts until about 5 months of age. The child is now aware of his/her mother but there is not a sense of individuality. The infant and the mother are one, and there is a barrier between them and the rest of the world.
➡️Separation–individuation phase –
Separation refers to the development of limits, the differentiation between the infant and the mother, whereas individuation refers to the development of the infant's ego, sense of identity, and cognitive abilities.
Mahler explains how a child with the age of a few months breaks out of an "autistic shell" into the world with human connections. This process, labeled separation–individuation, is divided into subphases, each with its own onset, outcomes and risks. The following subphases proceed in this order but overlap considerably
Separation refers to the development of limits, the differentiation between the infant and the mother, whereas individuation refers to the development of the infant's ego, sense of identity, and cognitive abilities.
Mahler explains how a child with the age of a few months breaks out of an "autistic shell" into the world with human connections. This process, labeled separation–individuation, is divided into subphases
▶️Hatching / differentiation
▶️Practicing –
▶️Rapprochement-Rapprochement is divided into a few sub phases:
Beginning – Motivated by a desire to share discoveries with the mother.
Crisis – Between staying with the mother, being emotionally close and being more independent and exploring.
Solution – Individual solutions are enabled by the development of language and the superego.
Disruptions in the fundamental process of separation–individuation can result in a disturbance in the ability to maintain a reliable sense of individual identity in adulthood.
▶️Object constancy or Consolidation phase-
Structural family therapy
Structural family therapy views problems as arising from dysfunctional family structures rather than individual pathology. Therapists work collaboratively with families to strengthen boundaries and restructure relationships. The goal is to bring families' dormant capacities to the surface by mapping structures like hierarchies, boundaries between subsystems, and enacting new interaction patterns. When new, functional structures replace old dysfunctional ones, symptoms typically reduce without ongoing support.
Bowen Family Systems: Model of Practice at www.Cunninghamtherapy.com
http://www.Cunninghamtherapy.com
2835 Camino Del Rio South, Ste. 120-C
San Diego, CA 92108
A Strength-Based Model of Therapy for Individuals and Couples!
Evening Hours
Affordable Rates!
Multimodal theraphy
This document outlines the principles and techniques of multimodal counseling. Multimodal counseling seeks to understand and intervene at all levels of a client's personality using seven modalities. Techniques described include role playing, sex therapy, assertive training, relaxation training, positive imagery, bibliotherapy, marital counseling, exercise, and behavioral rehearsal. The goal is to flexibly integrate theories and address symptoms at cognitive, behavioral, emotional, and physiological levels.
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Hi!
I am SHIV PRAKASH (PhD Research Scholar),This slide presentation, I have created it for teaching purpose. I have used this slide to present the concept of CBT for Nursing Student in the department of psychiatry, I.M.S. Banaras Hindu University in Varanasi.
I hope this will be help full for everyone.
Thank you!Object relation therapy
The key principles of object relations therapy are that:
1) Children form internalized representations of their relationships with early caregivers that shape their character structure.
2) When a child's needs are not met by caregivers, their development becomes arrested as they suppress parts of themselves.
3) As adults, symptoms arise as veiled expressions of blocked aspects of the self.
Object relations therapy aims to help patients understand defensive relationship patterns and facilitate insight into transference to create new, healthier object relationships with the therapist. This model expands psychoanalysis beyond a focus on discrete affects.
Lecture 6 Emotionally focused therapy overview
The document provides an overview of Emotionally Focused Therapy (EFT) for couples, describing its theoretical underpinnings in experiential and systemic approaches as well as attachment theory. EFT uses a three stage, nine step framework to assess negative interaction cycles, access underlying emotions, create new bonding experiences, and consolidate secure attachment between partners. The therapist aims to develop trust, soften rigid positions, and facilitate new solutions through enactments and emotional engagement.
Behavioral Therapy
This document provides information on B.F. Skinner, Albert Bandura, and behavior therapy. It discusses Skinner's contributions to behaviorism and radical behaviorism. It then covers Bandura's work in social learning theory and self-efficacy. The rest of the document summarizes principles and techniques of behavior therapy such as classical and operant conditioning, relaxation training, systematic desensitization, and cognitive-behavioral therapy. It emphasizes the empirically-supported, action-oriented nature of behavior therapy.
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With the right help, it can be eased and even overcome
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Structural family theory was developed by Salvador Minuchin, a pediatrician from Argentina. It focuses on the organization and structure of families, including subsystems, boundaries, roles and alliances. Problems arise when boundaries are too rigid or diffuse, or when members are disengaged or enmeshed. Assessment involves examining the family structure, and interventions aim to realign the structure through techniques like sculpting communication and role plays. The theory has been applied to families facing issues like poverty, illness, and substance abuse.
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Transference and counter- transference
This document discusses transference and countertransference in therapy. It defines transference as clients redirecting feelings from past relationships onto their therapist. Countertransference is the therapist's emotional response to the client. Both phenomena occur unconsciously and can help or hinder treatment, so therapists must understand and manage their own countertransference through self-reflection and supervision. The document provides examples of how transference and countertransference manifest and strategies therapists can use to address them, such as exploring the relationship dynamics in session and maintaining appropriate boundaries.
Chapter 9 powerpoint
This document provides an overview of various psychotherapy approaches, including psychodynamic therapy, psychoanalysis, client-centered therapy, gestalt therapy, cognitive therapies, behavior therapy, group therapy, couples therapy, and family therapy. It discusses techniques used in each approach as well as their effectiveness. Biomedical therapies like drug therapy, electroconvulsive therapy, and psychosurgery are also summarized. The document emphasizes that therapists today often use eclectic approaches and must consider diversity and ethics when working with clients.
The New Science of Love and Bonding: Creating Connection
Presented by Dr. Sue Johnson at our annual Women in Mind Conference.
Dr. Sue Johnson is the Director of the International Center for Excellence in Emotionally Focused Therapy and Distinguished Research Professor at Alliant University in San Diego, California as well as
Professor of Clinical Psychology at the University of Ottawa, Canada.
Therapeutic process in psychoanalytical theory
This presentation describes different Therapeutic process in psychoanalytical theory
Video link
https://youtu.be/ZZjiVNCJKmY
Communication Process zromba.ppt
Communication is essential for developing relationships. As a psychiatric nurse, effective communication is important to understand clients and help them feel understood. Communication involves both verbal and nonverbal elements. It is a continuous circular process of transmitting information between people and their environment. Therapeutic communication in particular focuses on the client's concerns in a meaningful way using specialized interpersonal skills.
Transactional analysis
The document provides an overview of Eric Berne's theory of Transactional Analysis (TA). It describes how TA views human behavior and interactions through three ego states - Parent, Adult, and Child. The Parent ego state represents learned behaviors from caregivers, the Adult represents rational thinking, and the Child represents emotions. Modern TA expanded on this model and now conceptualizes each ego state as having positive and negative aspects. The document recommends several books on TA and its applications in therapy, relationships, and organizational settings.
Effective Approaches to Helping Clients Who Hurt Themselves and Sabotage Coun...
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Etiology: "There could be many reasons for the intensification of clients' symptoms, relationship issues are only one of them. This is the focus of this presentation.
Compassion Focused Therapy
The video for this presentation is available on our Youtube channel:
https://youtube.com/docsnipes A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Using the compassionate mind to help clients who struggle with guild and self-criticism overcome
Attitude & BEHAVIOUR MODIFICATION THERAPY
This document discusses attitudes, theories of attitude formation and change, and behavior modification therapy (BMT). It defines attitudes as predispositions involving thoughts, feelings, and behaviors. Major theories discussed include Heider's balance theory, Festinger's cognitive dissonance theory, and the Yale attitude change approach. BMT techniques are described that are based on classical conditioning principles like systematic desensitization and flooding, operant conditioning using reinforcement, and cognitive therapies aimed at changing thoughts. Factors influencing attitudes include beliefs, social factors, personal experiences, and institutions.
Schema focus therapy
Schema focused therapy is a type of psychotherapy that combines cognitive behavioral therapy, experiential therapy, and interpersonal therapy. It aims to address maladaptive schemas, which are broad patterns of thinking and behaving. The therapy identifies 18 common schemas that can be harmful, such as defectiveness, failure, and dependence. Schema focused therapy uses techniques from other models to modify schemas, improve thinking patterns, and replace negative thoughts with more positive ones for better outcomes. It has been found effective for various disorders and issues.
Psychotherapy is the utilization of mental techniques, especially wh.pdf
Psychotherapy is the utilization of mental techniques, especially when in light of general
individual collaboration, to help a man change and conquer issues in coveted ways.
Psychotherapy intends to enhance an individual\'s prosperity and psychological well-being, to
determine or relieve troublesome practices, convictions, impulses, considerations, or feelings,
and to enhance connections and social abilities. Certain psychotherapies are considered proof
based for treating some analyzed mental issue.
1. Concentrate on influence and articulation of feeling. Psychodynamic treatment empowers
investigation
also, discourse of the full scope of a patient\'s feelings. The specialist helps the patient depict and
put words to emotions, counting conflicting emotions, sentiments that are upsetting or
undermining, and emotions that the patient may not at first have the capacity to perceive or
recognize (this remains rather than an intellectual concentration, where the more prominent
accentuation is on musings and convictions; Blagys and Hilsenroth,
2002) There is likewise an acknowledgment that scholarly understanding is not the same as
passionate
understanding, which resounds at a profound level and prompts to change (this is one motivation
behind why numerous clever and mentally disapproved of individuals can clarify the
explanations behind their dif-
ficulties, yet their comprehension does not help them overcome those challenges).
2. Investigation of endeavors to abstain from upsetting
considerations and emotions. Individuals do an awesome
numerous things, intentionally and unconsciously, to maintain a strategic distance from
perspectives
of experience that are disturbing. This evasion (in hypothetical terms, protection and resistance)
may take coarse structures, for example, missing sessions, arriving late, or being shifty. It might
take unobtrusive structures that are hard to perceive in normal social talk, for example,
inconspicuous movements of theme when certain thoughts emerge, concentrating on accidental
parts of an affair instead of on what is mentally significant, taking care of truths and occasions to
the rejection of effect, concentrating on outer conditions as opposed to one\'s own part in
forming occasions, thus on.Psychodynamic specialists effectively concentrate on and investigate
shirkings.
3. Distinguishing proof of repeating topics and designs. Psychodynamic advisors work to
distinguish
what\'s more, investigate repeating topics and examples in patients\' contemplations, sentiments,
self-idea, connections, and beneficial encounters. Now and again, a patient might be intensely
mindful of repeating designs that are agonizing or self-vanquishing yet feel not able to escape
them (e.g., a man who over and over finds
himself attracted to sentimental accomplices who are sincerely inaccessible; a lady who
consistently attacks herself at the point when achievement is close by). In different cases, the
patient might be unconscious of the exampl.
RESPONSE 1Respond to at least 2 colleagues by expanding on.docx
RESPONSE 1
Respond
to at least 2 colleagues by expanding on evidence in support of play therapy.
Colleague 1: Christine
There are many ways play therapy can benefit children and in this case 6 year old Claudia. As children experience trauma service providers may also have difficulty with young children and self disclosure. Here is the list that I came up with after reviewing this discussion resources in relation to how this approach can benefit:
1) Creating a safe space to explore with safety can hold children accountable for responsible behaviors while developing successful insight to harness positive strategies to cope.
2) Children can also benefit as they learn new solutions toward dealing with issues while learning skills to express new and old emotion.
3) There can be a gained awareness to self; understanding thoughts and emotions.
4) Children can learn new social skills as they work with their provider and how to relate to self through creativity. Also, gaining communication skills as they use various forms of play therapy.
5) Children may also develop an awareness toward new and old abilities using a strength-based approach toward therapy.
Another form of play therapy that I am fond of while working with children is storytelling. It isn't for all children specifically concentrating on those that feel comfortable opening up and speaking to others. Storytelling has been beneficial to me while working with children in the past as it has revealed fear and anxieties. Utilizing different platforms of storytelling, self disclosure can build various survival strategies in children as they explore different situations through actions, movements, and changes. (Chiesa, 2012, pp 5)
Overall I feel strongly play therapy in all forms whether it be art therapy, role playing, non-directive/directive play, can promote healing, through self expression of feelings. It can also encourage children to build creative ways to deal with current and future trauma, and allow the development of healthy decision-making.
Chiesa, C, (2012). Scripts in the sand;
Sandplay in transactional analysis psychotherapy with children. Transactional Analysis Journal.
pp. 5
Retrieved from Walden Library databases.
Colleague 2: Tiffany
Play therapy can be beneficial because Claudia is a young child who happened to be in the wrong place at the wrong time and saw a mugging which caused her to be fearful, and develop anxiety. Play therapy helps the child to relax and the child is interested in playing with the toys in the sand. The sand can help the child relax and the toys can help the child create her own world. Usually, children will repeat behaviors or experiences during play. This can help the social worker assess the magnitude of trauma or abuse the child has experienced. This also makes it easier for the child to talk about their trauma or experiences. Play therapy helps children address and resolve their own problems. Play therapy helps to communica ...
2021 Anna H Guidance and Counselling 2.pptx
The document discusses guidance and counseling approaches, specifically focusing on psychoanalytic theory. It provides an overview of psychoanalytic theory, developed by Sigmund Freud, which views unconscious motivations and early childhood experiences as influencing present behavior. The theory proposes that the mind is composed of three parts: the conscious mind which is aware thoughts; the pre-conscious which contains memories that can be recalled; and the unconscious mind which greatly impacts behavior. Psychoanalytic counseling aims to bring unconscious experiences into consciousness to rationally address them. The document also briefly outlines other counseling approaches that will be covered.
Rapport
Rapport is establishing a relationship based on confidence and influence through empathy and sympathy. It involves mirroring the other person's posture, words, and metaphors to build understanding. There are four levels of rapport: presence and partnership, posture and words, questions and patience, and understanding psychology and personality types using the PEMS model. Carl Jung's work on psychological archetypes and the Myers-Briggs Type Indicator influenced the PEMS model, which categorizes people as practical, emotional, mental, or spiritual based on their preferred psychological functions. Understanding these personality differences is important for building rapport.
Reply needed today by 4pmMarriageCouples’ Counseling1)Ps.docx
The document discusses three theories of marriage/couples counseling:
1) Psychoanalytic theory focuses on early childhood relationships with parents and how those bonds impact adult relationships. Therapy involves understanding each person's parental relationships.
2) Social learning theory views relationships as learning behaviors from others through modeling and imitation. Therapy aims to build communication skills.
3) Rational emotive behavior theory posits that irrational thoughts, rather than events, cause relationship problems. Therapy helps individuals change dysfunctional thinking patterns to improve the relationship.
The author finds rational emotive behavior theory most appealing as it addresses both individuals and the couple system.
Psychodynamic Approach of Counseling
The psychodynamic approach to counseling originated from Sigmund Freud's ideas of psychoanalysis. It focuses on helping clients gain insight into the underlying reasons for their problems and develop the ability to cope with future difficulties. Key concepts include the id, ego, and superego; defense mechanisms; and psychosexual stages of development. Techniques include transference, free association, dream analysis, and interpretation. The approach has evolved with object relations theory, attachment theory, and consideration of multicultural issues.
Innovation in mental_health_education_in_the_uk_
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Malan- Aspects of Therapy -Handling the Anxiety
- 1. THERAPIST TRAINING: Aspects of Relationships – Couples and Families © Peter Creagh 2010 Malan.doc Handling the Anxiety Defences - Hidden Feelings & Malan’s Triangle. INTRODUCTION This brief note will look at how we can relate the client’s anxiety with their defences and ( unconscious or unaware ) feelings. It will examine how we can relate these to the here and now; within us, towards others (both in the here and now and in the recent past ) and finally to major figures ( often parental ) in the distant past. These aspects are tied together by the concept of MALAN’s TRIANGLES. This is a schematic method, whereby we can relate the above to other concepts using two triangles. These will now be ‘built – up’ one at a time. MALAN’s TRIANGLES ( Reference – Malan D ( 1979) Individual Psychotherapy & the Science of Psychodynamics – Butterworth ) Defence Anxiety ( caused by feelings ) (D) ( A ) Hidden Feelings (H) ( Often an impulse & from early age ) No 1:- The Triangle of conflict : - Feelings – Anxiety and Defences The above shows the triangular relationship ( this can also apply to Group Dynamics) and Malan’s hypothesis is that the Defence is in reaction to the Anxiety which in turn is rooted in the Hidden Feelings
- 2. THERAPIST TRAINING: Aspects of Relationships – Couples and Families © Peter Creagh 2010 Malan.doc USING MALAN’s TRIANGLES TO ASSIST CLIENTS But how can this assist in the Counselling Room ?. Malan goes on to introduce his second and related triangle which indicates how we might bring the unconscious into the conscious and thereby give clients understanding and choices. He links this with the major psychodynamic concept of ‘transference & counter-transference’ Other ( O) Transference ( T) ( usually current or recent past ) ( usually here and now & relate to Counsellor) Parent ( P) Parental Figure ( usually distant past ) No 2 :- Link Triangle – ( Other – Transference – Parental Figure ) The above triangle shows the link in the present with the major figure of the past. The encounter and relationship with ‘the Other’ here in the present evokes a mixture of thoughts, feelings , attitudes and behaviours which have a ‘transferred’ link with a past parental figure. The next step, for the Counsellor, is to use this insight to inform the therapeutic alliance in the counselling room.
- 3. THERAPIST TRAINING: Aspects of Relationships – Couples and Families © Peter Creagh 2010 Malan.doc THE THERAPEUTIC LINK - PUTTING IT ALL TOGETHER Working with the anxiety ( A) – defence ( D) & ( hidden) feelings (H) D A O O/T T O/P T/P H P The second triangle has THREE links O/P Feelings directed at other are derived from those directed towards parent O/T Some form of similar feelings are directed at both Other and Therapist T/P Transference feelings are derived from feelings about Parents. NOTES : 1. Each triangle is stood on its apex to denotes ‘below the surface ‘ 2. Aim of counselling is to reach beneath Defence & Anxiety towards hidden feelings. 3. Other Triangle shows how these links can provide client with INSIGHT by tracing present back to past. 4. There is a notion of ‘time’ in second triangle i.e. current and past 5. Interventions by counsellor can be guided by these triangles and assisting clients to make the links. 6. When clients are ‘blocked’ look for patterns- what are they defending against ? A COMPLEMENTARY EXERCISE NOW FOLLOWS
- 4. THERAPIST TRAINING: Aspects of Relationships – Couples and Families © Peter Creagh 2010 Malan.doc Handling the Anxiety - MALAN’s TRIANGLES EXPERIENTIAL EXERCISE HOW WE HANDLE UNCONSCIOUS FEELINGS 1. Think of a feeling you like to keep to yourself and note this down. 2. Think of a particular circumstance you MIGHT BE IN where YOU are ANXIOUS that this ( feeling above ) might get known or be felt by and /or noticed by somebody else. 3. Now ask yourself ‘What defence / defences might I employ to reduce or prevent this ? 4. Share the total experience with a partner. 5. Reflect on whole exercise with the large group.