Background
Information
When I began practicing psychotherapy in the 1950s,
I became convinced that low self-esteem was a common denominator
in most, if not all,
of the varieties of personal distress I encountered in my practice
(Branden, 1969). I saw low self-esteem as both a predisposing causal
factor of psychological problems and also as a consequence. This
lesson will briefly outline: (a) What self-esteem is; (b) why it
is an urgent need; (c) what its attainment depends on; and (d) how
the clinician can nurture it in psychotherapy.
Some clients’ problems
are direct expressions of an underdeveloped self-esteem. Examples
include: shyness; timidity; fear of self-assertion,
intimacy, or human relationships; and lack of participation in
life. Other issues can be understood as consequences of the denial
of poor
self-esteem; i.e., as defenses against the reality of the problem.
Examples of such defenses include: controlling and manipulative
behavior; obsessive-compulsive rituals; inappropriate aggressiveness;
fear-driven
sexuality; and destructive forms of ambition. All of these consequences
are driven by the desire to experience efficacy, control, and personal
worth. Problems that manifest as poor self-esteem also contribute
significantly to the continuing deterioration of self-esteem.
A
primary task of psychotherapy is to help strengthen self-esteem.
I believe that self-esteem can and should be addressed explicitly,
and that it should set the context of the entire therapeutic enterprise.
Even when the client is not working on self-esteem issues directly,
even when therapy is focused instead on solving specific problems,
problem solving can be accomplished by framing or contextualizing
the process in such a way as to make it explicitly self-esteem-strengthening.
Almost
all therapeutic orientations help clients confront previously avoided
conflicts or challenges. My technique differs in that I
typically ask questions like, “How do you feel about
yourself when you avoid an issue you know, at some level, needs
to be dealt
with? And
how do you feel about yourself when you master your avoidance impulses
and confront the threatening issue?” In other words,
I frame the process in terms of its consequences for self-esteem.
I want
clients to notice how their choices and actions affect their experience
of themselves.
Definition of Self-Esteem
Self-esteem is the experience
of being competent to cope with the basic challenges of life and
of being worthy of happiness. It consists
of two components: (1) Self-efficacy—confidence in one’s
ability to think, learn, choose, and make appropriate decisions,
and, by extension, to master challenges and manage change; and
(2) self-respect—confidence in one’s right to be happy,
and, by extension, confidence that achievement, success, friendship,
respect,
love, and fulfillment are appropriate for oneself (Branden, 1994).
To
illuminate this definition, consider the following: If a client
felt inadequate to face the challenges of life, if he or she lacked
fundamental self-trust or confidence in his or her mind, a clinician
would recognize the presence of a self-esteem deficiency, no matter
what other assets the client possessed. The same would be true
if a client lacked a basic sense of self-respect, felt unworthy
of the
love or respect of others, felt unentitled to happiness, or was
fearful of asserting thoughts, wants, or needs.
Self-efficacy and
self-respect are the dual pillars of healthy self-esteem; if either
one is absent, self-esteem is impaired.
They are the defining
characteristics of the term because of their fundamentality; they
represent not derivative or secondary meanings of self-esteem,
but its essence. (For a critique of other definitions, see Branden,
1994.)
The Need for Self-Esteem
How people experience themselves
impacts upon every moment of their existence. Their self-evaluation
is the basic context in which
they act and react, choose their values, set their goals, meet
the challenges
of life. Their responses to events are shaped in part by who and
what they think they are—how competent and worthy they perceive
themselves to be. Of all the judgments they pass in life, none
is more important than the judgment they pass on themselves.
To
say that self-esteem is a basic human need is to say that it makes
an essential contribution to the life process; that it is
indispensable
to normal and healthy development; that it has value for survival.
Without positive self-esteem, psychological growth is stunted.
Positive self-esteem operates, in effect, as the immune system
of consciousness,
providing resistance, strength, and a capacity for regeneration.
When
self-esteem is low, resilience in the face of life’s adversities
is diminished. Clients crumble before vicissitudes that a healthier
sense of self could vanquish. They tend to be more influenced by
the desire to avoid pain than to experience joy; negatives have
more power over them than positives (Branden, 1984).
This does not
mean that they are necessarily incapable of achieving any real
values. Some persons may have the talent and drive to
achieve a great deal in spite of a poor self-concept—like
the highly productive workaholic who is driven to prove his worth
to say, a
father who predicted he would amount to nothing. However clients
who have low self-esteem will be less effective—less creative—than
they potentially could be; it also means that they will be crippled
in their ability to find joy in their achievements. Nothing they
do will ever feel like enough.
Those who do exhibit a realistic
confidence in their mind and value—who
feel secure within themselves—tend to experience the world
as open to them and to respond appropriately to challenges and
opportunities. Self-esteem empowers, energizes, and motivates.
It inspires persons
to achieve and allows them to take pleasure and pride in their
achievements. It allows them to experience satisfaction.
High self-esteem
seeks the challenge and stimulation of worthwhile and demanding
goals. Reaching such goals nurtures healthy self-esteem.
Low self-esteem seeks the safety of the familiar and undemanding,
which in turn further weakens self-esteem.
The more solid a client’s
self-esteem, the better equipped he or she is to cope with adversity
in their personal lives or their
careers. The higher a client’s self-esteem, the more ambitious
he or she will tend to be, not necessarily in a career or a financial
sense, but in terms of what he or she hopes to experience in life—emotionally
intellectually, creatively, spiritually. The lower the client’s
self-esteem, the less he or she aspires to; moreover, he or she
is less likely to achieve set goals.
Either path tends to be self-reinforcing
and self-perpetuating. The higher the client’s self-esteem,
the more open, honest, and appropriate his or her communications
are likely to be, which reinforces
a positive self-concept. The lower the client’s self-esteem,
the more muddy evasive, and inappropriate his or her communications
are likely to be because of uncertainty about his or her own thoughts
and feelings and/or fear of the listener’s response. This,
in turn, further diminishes self-concept.
The higher the client’s
self-esteem, the more disposed he or she is to form nourishing
rather than toxic relationships. Vitality
and expansiveness in others are naturally more appealing to persons
of good self-esteem than are emptiness and dependency (Branden,
1981). The healthier their self-esteem, the more inclined they
are to treat
others with respect, benevolence, good will, and fairness—such
persons do not tend to perceive others as a threat, and self-respect
is the foundation of respect for others.
Those who have healthy
self-esteem are not quick to interpret relationships in malevolent,
adversarial terms. They do not approach encounters
with automatic expectations of rejection, humiliation, treachery,
or betrayal. Contrary to the belief that an individualistic orientation
inclines one to antisocial behavior, research shows that a well-developed
sense of personal value and autonomy correlates significantly with
kindness, generosity, social cooperation, and a spirit of mutual
aid (Waterman, 1981, 1984).
Finally, research reveals that high
self-esteem is one of the best predictors of personal happiness
(Meyers, 1992). Logically enough,
low self-esteem correlates with unhappiness.
Roots of Self-Esteem
On what does healthy self-esteem
depend? What factors have an impact?
There is reason to believe
that we may come into this world with certain inherent differences
that may make it easier or harder
to attain healthy self-esteem—differences pertaining to energy,
resilience, disposition to enjoy life, etc. I suspect that in future
years we will learn that genetic inheritance is an important contributing
factor in the ability to develop a healthy self-concept (Ornstein,
1993).
Upbringing, of course, is critical to self-esteem
development. No one can say how many persons suffer ego damage
in their early
years,
before the ego is folly formed; in such cases, it may be all but
impossible for healthy self-esteem to emerge later, short of intense
psychotherapy. Research suggests that one of the best ways to have
good self-esteem is to have parents who model healthy self-esteem,
as Coopersmith’s “The Antecedents of Self-Esteem” (1967)
demonstrates.
Children who have the best chance of acquiring the
foundation for healthy self-esteem tend to have parents who:
• Raise them with love and respect
• Allow them to experience consistent and benevolent acceptance
• Give them the supporting structure of reasonable roles and appropriate
expectations
• Do not assail them with contradictions
• Do not resort to ridicule, humiliation, or physical abuse as a means
of controlling them
•
Project that they believe in the child’s competence and goodness
However,
no research has ever found the resold of healthy parenting to be
inevitable. Coopersmith’s work, for example, clearly
showed that it is not. His study provided many examples of adults
who appeared to have been raised superbly by the standards indicated
above, and yet became insecure, self-doubting adults. And there
are many who emerge from appalling backgrounds, but who do well
in school,
form stable and satisfying relationships, have a powerful sense
of their own value and dignity, and, as adults, satisfy any rational
criterion of good self-esteem.
Although we may not know all the
biological or developmental factors that influence self-esteem,
we know a good deal about
the specific
(volitional) practices that can raise or lower it. We know that
an honest commitment to understanding inspires self-trust, and
that
an avoidance of the effort has the opposite effect. We know that
people who live mindfully feel more competent than those who
live mindlessly. We know that integrity engenders self-respect
and that
hypocrisy does not. We “know” all this implicitly,
although it is astonishing how rarely psychologists discuss such
matters.
Clinicians cannot work on self-esteem directly because
self-esteem is a consequence—a product of internally generated
practices. If clinicians understand what those practices are,
they can work
with others in such a way as to facilitate or encourage their
actualization. Interventions can be designed with that end in
view. But the practices
themselves can arise only within the client and can only be caused
by the client.
“The Six Pillars of Self-Esteem”
What,
then, are these practices? More than three decades of study have
convinced me that six practices are crucial and fundamental:
• The Practice of Living Consciously
• The Practice of Self-Acceptance
• The Practice of Self-Responsibility
• The Practice of Self-Assertiveness
• The Practice of Living Purposefully
• The Practice of Integrity
When these practices are absent, self-esteem
necessarily suffers. When and to the extent that they are an integral part
of a
person s life, self-esteem is strengthened.
The Practice of Living Consciously:
If clients lives
and well-being depend on the appropriate use of their consciousness,
then the extent to which they honor “sight
over blindness” is the single most important determinant
of their self-efficacy and self-respect. One cannot feel
competent in
life while wandering around (at work, dealing with superiors,
subordinates, associates, customers, or in marriages or in
relations with one’s
children) in a self-induced mental fog. Those who attempt
to exist unthinkingly and evade discomforting facts suffer
a deficiency
in their sense of worthiness. They know their defaults, whether
or not
anyone else does.
A thousand times a day, each person must
choose the level of consciousness at which to function. Gradually,
over time,
a
person establishes
a sense of the kind of person he or she is, depending on
the choices made and the degree of rationality and integrity
exhibited.
If,
at the end of therapy, a client functioned no more consciously
than
at the beginning, we would have to question the efficacy
of the therapeutic enterprise. In therapy, one can encourage
consciousness
by:
• Creating an environment in which thought and exploration are safe
• Using a wide repertoire of interventions that remove obstructions
to awareness (Branden, 1973, 1983, 1984, 1987, 1993, 1994)
• Making the client aware of the self-destructive consequences of willful
blindness
• Specific exercises aimed at energizing consciousness (Branden, 1994)
Tom,
age 44, who was the CEO of an insurance benefits business, said that his business
was growing rapidly, that he needed
to hire a new
high-level consultant, and that he was afraid of hiring
someone who might be more brilliant than himself. Rather than work
on the problem
in my office, I gave him a home-work assignment: for
the next two weeks, he was to write six to ten endings everyday
for the incomplete
sentence, “If I bring a higher level of consciousness
to my fear of hiring a brilliant consultant—.” At
the end of two weeks, he reported that he had resolved
the issue to his
complete
satisfaction; he proceeded to hire a brilliant consultant
with whom he continues to have an outstanding working
relationship.
The exercise I gave Tom, by its repetitiveness,
and by the implications of the words in the stem, stimulated
his creativity
and problem-solving
abilities. A further benefit was that the solution was
entirely his own, which enhanced his self-esteem.
The
Practice of Self-acceptance:
At the deepest level, self-acceptance
is the virtue of commitment to the value of one’s own person.
It is not the pretense at a self-esteem one does not possess, but
rather the primary act of
self-value that serves as the basis for dedication to
achieving self-esteem. It is expressed, in part, through the willingness
to accept—to
make real to oneself without denial or evasion—that
we think what we think, feel what we feel, have done
what we have
done,
and are what we are.
Self-acceptance is the refusal to
regard any part of ourselves—our
bodies, our fears, our thoughts, our actions, our dreams—as
alien, as “not me.” It is the willingness
to experience, rather than disown, whatever may be the
facts of one’s being
at a particular moment. It is the refusal to engage in
an adversarial relationship with oneself. It is the willingness
to say of any emotion
or behavior, “This is an expression of me—not
necessarily an expression I like or admire—but
an expression of me nonetheless, at least at the time
it occurred.” It is the virtue of realism—of
respect for reality—applied to the self. Thus,
if I am confronted with a mistake I have made, in accepting
that it is
mine, I am
free to learn from it and do better in the future. I
cannot learn from
a mistake I cannot accept having made. Self-acceptance
is the precondition of change and growth.
Mary, age 39,
a lawyer, became indignant at the idea of self-acceptance
and said, “I’ve got lousy self-esteem! And
you’re
asking me to accept that?” I responded, “If
you don’t
accept that you have the problem, how do you plan to
solve it? Self-esteem begins with respect for reality.”
Can
therapy can be called successful if the client fails
to grow in self-acceptance? One of the ways we can teach
self-acceptance
in therapy is by dealing with total acceptance—no
condescension, no sarcasm or ridicule, no quarreling
with clients’ feelings—absolute,
relentless (and unsentimental) respect.
An important aspect of my work, unfortunately beyond
the scope of this lesson, is the identification and integration
of the
client’s
subpersonalities (Branden, 1994). This can be viewed
as a field within the broader field of self-acceptance,
but is actually something of
a specialty in its own right. Many clinicians have observed
that whenever one learns to own and integrate a previously
unrecognized
or denied “part,” one feels stronger and
more complete; self-esteem is strengthened.
The Practice
of Self-responsibility:
To feel competent to live and
be worthy of happiness, the client needs to experience a sense
of control over
his
other existence.
This requires that the client be willing to take responsibility
for actions and the attainment of goals—which means
that he or she takes responsibility for his or her life
and well-being.
The
practice of self-responsibility entails these realizations:
• I am responsible for the achievement of my desires.
• I am responsible for my choices and actions.
• I am responsible for the level of consciousness I bring to my work.
• I am responsible for the level of consciousness I bring to my relationships.
•
I am responsible for my behavior with other people—coworkers,
associates, customers, spouse, children, friends.
• I am responsible for how I prioritize my time.
• I am responsible for the quality of my communications.
• I am responsible for my personal happiness.
• I am responsible for choosing the values by which I live.
• I am responsible for raising the level of my self-esteem.
In my opinion,
one of the most important moments in therapy occurs when the client finally
realizes (however this is achieved)
that no one is coming: No one is coming to redeem their childhood;
no one is coming to make them happy; no one is coming to rescue
them. If they wish their life to improve, they will have
to do something different themselves. One day in group therapy, a client
with a sense of humor challenged me: “You always say that
no one is coming. But you came!” “Correct,” I
admitted, “but
I came to say that no one is coming.”
The Practice
of Self-assertiveness:
Self-assertiveness is the
virtue of appropriate self-expression—of
honoring one’s needs, wants, values, and convictions,
and seeking rational forms of their expression in
reality. Its opposite is the
surrender to timidity, which consists of consigning
oneself to a perpetual underground where everything
that one is lies hidden or
still born. The client who is not self-assertive
usually seeks to avoid confrontation with someone
whose values differ, or wants to
please, placate, or manipulate someone, or is trying
simply to “belong.”
Healthy self-assertion
entails the willingness to confront rather than evade
the challenges of life
and to strive
for mastery.
When the client expands the boundaries of his or
her ability to cope,
he or she expands self-efficacy and self-respect.
A continuing refrain in my work with clients is: “Your
wants are important. Your life is important. Whether
or not you are happy is important.”
This message
(like everything else I do) is always underscored
and amplified by sentence-completion
exercises. (I explain
this process
in detail below.) The sentence stem, “If someone
had taught me my wants were important—” typically
elicits such endings as: “I’d care more
about them; I’d take them more
seriously; I’d think about them; I’d
exert more energy on my own behalf; I’d be
more assertive; I’d treat
myself with more respect.”
Repetitive exercises
of this kind stimulate shifts of consciousness and
behavior that are experienced
by the
client as originating
entirely from within. Clients are helped to identify
what their most important
wants are and then to develop action plans for their
attainment (if possible).
A typical group therapy
exercise that I use asks all members of the group to identify some
important
desire
in their
life. Sitting
in
groups of three, they are asked to work with the
question, “If
I were to convert this desire into a conscious purpose,
what would I need to do?” Action plans develop
out of the group’s
brainstorming.
The Practice of Living Purposefully:
Life has been
defined as a process of self-sustaining and self-generated action
(Rand, 1961). Purpose,
then, is the
very essence of
the life process. Through our purposes, we organize
our behavior, giving it
focus and direction. Through our goals, we create
the sense of
structure that allows us to experience control over
our existence. To live
purposefully is to use your powers for the attainment
of goals we have selected, such as: studying, raising
a family,
earning
a living,
starting a business, bringing a new product into
the marketplace, solving a scientific problem, or
building
a vacation home.
Our goals lead us forward; they call for the exercise
of our faculties
and
energize our existence.
To observe that purposefulness
is essential to folly realized self-esteem should not be understood
to
mean that the measure
of a client’s
worth is his or her external achievements. We admire
achievements—in
others and in ourselves—and it is natural and
appropriate for us to do so. But this is not the
same thing as saying that
achievements
are the real measure (or grounds) of self-esteem.
The root of self-esteem is not tangible achievements,
but those internally
generated practices
that, among other things, make it possible to achieve.
By
way of teaching purposefulness, I typically ask clients
to explore the following ideas:
If you were to operate
5% more purposefully on the job—or in
your marriage—or in your relationship with
your children—or
in therapy itself—what do you imagine you might
do differently? Would there be advantages for you
in doing that? What might the
obstacles be? Would you be willing to experiment
for, say, 30 days with operating
more purposefully in order to discover what happens
and whether you like it?
(Why 5%? Because it is not
intimidating. Anyone can accomplish 5%!)
The Practice
Of Integrity:
As a person matures and develops his or her own values
and standards (or absorbs them from others), the
issue of personal
integrity
assumes increasing importance in self-assessment.
Integrity is the integration
of ideals, convictions, standards, beliefs, and behavior.
When behavior is congruent with professed values
(when ideals and
practice match),
a person is said to have integrity. Those who behave
in ways that conflict with their own judgment of
what is appropriate
lose face
in their own eyes. If the policy becomes habitual,
they trust
themselves less or cease to trust themselves at all.
When
a breach of integrity wounds self-esteem, only the practice of
integrity can heal it. At the simplest
level,
personal
integrity entails such questions as, “Am
I honest, reliable, and trustworthy? Do I keep my
promises?
Do I do the things I say
I admire, and avoid
the things I say are despicable?”
To understand why lapses of integrity are detrimental
to self-esteem, consider what a lapse of integrity
entails. If I act in contradiction
to a moral value held by some one else but not by
me, I
may or may not be wrong, but I cannot be faulted
for having betrayed
my convictions.
If, however, I act against what I myself regard as
right, if my actions clash with my expressed values,
then I
act against
my judgment.
I
betray my mind. Hypocrisy, by its very nature, is
self-invalidating. A default on integrity undermines
me and contaminates
my sense of self. It damages me as no external rebuke
or rejection
can
damage me.
Rebecca, age 40, was a physician with a
suburban practice affiliated with a small local hospital.
If the combined
days her patients
spent in the hospital annually passed a certain number,
Rebecca and her
husband were rewarded by the hospital with a luxurious
cruise. When she knew their insurance was adequate,
she often found
her self recommending
a longer hospital stay for her patients than was
strictly necessary. She came to therapy because of
mysterious
bouts of anxiety
and depression. “I’ve
got a wonderful husband—we’ve got a great
home and a great life—I don’t know what’s
the matter with me.”
When I learned of Rebecca’s
arrangement with the hospital, I inquired how she
felt about it. Instantly, she became defensive,
and, in fact, canceled her next two appointments.
When she returned to my office, she complained of
a new problem: insomnia. When I reopened
the question of her dealings with the hospital, she
said angry, “Well,
I suppose I do feel a little guilty, it’s stupid
to feel guilty. I mean, who am I really hurting?”
Although
symptoms such as Rebecca’s could have many
possible causes, I suspected her anxiety, depression,
and insomnia were
mostly rooted in this issue. She was violating her
deep sense of right and
wrong, and no rationalization could protect her self-esteem.
Therapy did not proceed easily.
At one point, Rebecca
wondered aloud if perhaps she should drop therapy
and attack her problem with tranquilizers
and antidepressants.
The
break through occurred when I proposed an experiment: “Would
you be willing—for the next 2 months—to
prescribe only hospital stays you’re convinced
are medically necessary? And let’s see what
happens.” She agreed. Within 10 days,
her symptoms began to disappear.
Psychologists do
not talk much about integrity. In today’s
world, many people find the word incongruously old-fashioned.
It does not sound “scientific.” And yet,
we do need principles to guide our lives, and the
principles we accept must
be reasonable,
because if we betray them , our self-esteem will
suffer. Integrity is one of the guardians of mental
health.
The Self-Esteem Sentence-Completion Program
Central
to all of my work is a self-esteem-building program I designed,
which integrates the six pillars
and which
is given to most of
my clients. Sentence-completion work is a deceptively
simple yet uniquely
powerful tool for raising self-understanding, self-esteem,
and
personal effectiveness. It rests on the premise that
all of us have more knowledge
than we normally are aware of—more wisdom than
we use, more potentials than typically are displayed
in our behavior.
Sentence completion stimulates insight
and integration, and can be used for many different
purposes. The
purpose here
is to use
a 30-week
program to build self-esteem—and, concurrently,
to improve overall effectiveness at work and in relationships.
A rather
complex set of premises and assumptions about motivation
are embedded in
this exercise; during the course of therapy, most
of these are made explicit sooner or later.
The procedure
essentially consists of the client writing an incomplete
sentence (a “stem”) and adding different
endings; the sole requirement is that each ending
be a grammatical completion
of the sentence. The client should work as rapidly
as possible, with no pauses to “think.” The
therapist should tell the client that any ending
is fine. The client can work with a notebook,
typewriter,
or computer.
First thing in the morning, before proceeding
with the day’s
business, the client should sit down and write the
first stem. Then, as rapidly as possible, without
pausing for reflection, the client
should write as many endings for that sentence as
he or she can in 2 or 3 minutes. The therapist should
instruct the client not to worry
if the endings are literally true, make sense, or
are “profound”;
the purpose is to write anything … but write
something. The client should complete the remaining
stems in the same fashion.
The therapist should instruct
the client to proceed with the day’s
business after all stems have been completed. The
exercise should be completed every day, Monday-Friday
for the first week, always
before the start of the day’s business. The
client should not read what was written the day before.
Naturally, there will
be many
repetitions, but new endings inevitably will occur.
In
doing this exercise, the client should empty his
or her mind of any expectations concerning what will
happen
or what
is “supposed” to
happen. The therapist should instruct the client
to invent an ending if his or her mind goes absolutely
blank, but not to stop with the
excuse that he or she cannot do the exercise. An
average session should not take longer than 10 minutes.
If it takes much longer,
the client is “thinking” (rehearsing,
calculating) too much.
At some point each weekend,
the client should reread what has been written for
the week, and then write
a minimum
of six
endings for
this stem:
If any of what I wrote this week is true,
it might be helpful if I—
If the client finds this program
helpful, it is often useful to start it over again.
Some of my clients
use this program
three or four
times, always with new results.
Discussion of Sentence
Completion:
When a client is given a sentence stem and asked
to keep repeating it (either orally or in writing),
the
process
tends to act
as a stimulant to new associations and integrations,
both of which
lay
the groundwork
for subsequent shifts in feelings and behavior. It
is not uncommon for a client to say something like, “My
pattern became so clear to me—and its futility
or destructiveness so devastatingly obvious—that
I found I could no longer continue it. I had to try
something different. I found myself driven to experiment
with
these new learnings.”
The value of having a
client work with the same set of stems for a week
(or longer) is that the repetitiveness
helps to
counteract the inclination to dismiss unpleasant
realities; it also encourages
and facilitates absorption of the insights that “spontaneously” tend
to surface. When working with sentence completion
with the client in the office rather than as a homework
assignment, the therapist
should offer new stems that are inspired by significant
endings to previous ones, so that the client develops
an awareness that
goes
progressively deeper. (Branden, 1983, 1987, 1993).
For example, exploring the influence of a client’s mother
in his or her development, the therapist might offer
a chain of stems
as follows:
Mother was always—
With Mother I felt—
Mother always seemed to expect—
One of the things I wanted from Mother and did not
get was—
Mother speaks through my voice when I tell myself—
One of the ways I’m still trying to win Mother’s
love is—
If it turns out I am more than my mother’s child—
I am becoming aware—
This last stem often is used at the end
of a chain to facilitate integration and the articulation of
insights. Alternates
to accomplish the same end include:
I’m beginning
to suspect—
If any of what I’m saying is true—
What I hear myself saying is—
Conclusion
If a therapist perceives the building
of self-esteem as central to his or her work, specific issues must
be addressed.
They
can be summarized
in the form of questions:
• By what means do I propose to assist my client to live more consciously?
• How will I teach self-acceptance?
• How will I facilitate a higher level of self-responsibility and autonomy?
• How will I encourage a higher level of self-assertiveness?
• How will I inspire greater integrity in everyday living?
• What can I do to nurture autonomy?
•
How can I contribute to the client’s enthusiasm for life?
• How can I help liberate blocked potentials?
• How can I assist the client to deal with conflicts and challenges
in ways that will extend his or her field of comfort, competence,
and mastery?
• How do I assist the client in freeing himself or herself from irrational
fears?
• How do I assist the client in freeing himself or herself from the
lingering pain of old wounds and traumas?
• How can I assist the client to recognize, accept, and integrate denied
and disowned aspects of the self?
If one’s
aim is to build self-esteem in psychotherapy, perhaps
the first step is to become aware that these are
questions the therapist needs to ask—and
answer.
References
Branden, N. (1969). “The Psychology
of Self-Esteem.” Los
Angeles: Nash Publishing.
Branden, N. (1973). “The Disowned Self.” New York:
Bantam Books.
Branden, N. (1981). “The Psychology of Romantic Love.” New
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Branden, N. (1983). “The Psychology of Romantic Love.” New
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Branden, N. (1984). “Honoring the Self.” New York:
Bantam Books.
Branden, N. (1987). “How to Raise Your Self-Esteem.” New
York: Bantam Books.
Branden, N. (1993). “The Art of Self-Discovery.” New
York: Bantam Books.
Branden, N. (1994). “The Six Pillars of Self-Esteem”.” New
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Coopersmith, S. (1981). “The Antecedents of Self-Esteem” (2nd
ed.). Palo Alto, CA: Consulting Psychologists Press, Inc.
Ornstein, R. (1993). “The Roots of the Self.” San
Francisco: Harper Collins Publishers.
Meyers, D. C. (1992). “The Pursuit of Happiness.” New
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Rand, A. (1961). “For the New Intellectual.” New
York: Random House.
Waterman, A. S. (1981). “Individualism and Interdependence.” The
American Psychologist, 36(7), 762-773.
Waterman, A. S. (1984). “The Psychology of Individualism.” New
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