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Neurolinguistic Psychotherapy for the Treatment of Depression Part II

by Nancy Blake(more info)

listed in nlp, originally published in issue 178 - January 2011

Note: Part I can be found at www.positivehealth.com/article-view.php?articleid=2860  

Submodalities - the Detailed Properties of our Mental Representations

Consider an image you are holding in your mind right now. Is it close or far away? Big or small? Two-dimensional, like a photograph, or three-dimensional ? Is it in colour, or black and white? Does it have an edge, or is it panoramic? These attributes have very strong connections to the way we feel about the scene we are mentally viewing.  This is true, whether we are remembering something from the past, or imagining something in the future.  Concerning a visual memory; we may speak of "reliving it, as though I was back there again", or of its having "faded", or of having "gained a perspective on it", or its having been embarrassing at the time but now seeming funny. 

REPRESENTATIONAL SYSTEMS
PERCEIVING
EXTERNAL
REPRESENTING INTERNALLY
CONSTRUCTING               REMEMBERING
VISUAL REPRESENTATIONAL SYSTEM
Seeing Visualising Future Visualising Past
AUDITORY REPRESENTATIONAL SYSTEM
HEARING
Words, Sounds, Music
IMAGINING SOUND
Words, Sounds, Music
Internal Dialogue
REMEMBERING PAST
Words, Sounds, Music
Internal Dialogue
KINAESTHETIC REPRESENTATIONAL SYSTEM
FEELING
Emotions, Sensations, (External, Internal) Motor Skills
IMAGINING FEELINGS
Emotions, Sensations, (External, Internal) Motor Skills
REMEMBERING FEELINGS
Emotions, Sensations, (External, Internal) Motor Skills
OLFACTORY REPRESENTATIONAL SYSTEM
SMELLING IMAGINING SMELLS REMEMBERING SMELLS
GUSTATORY REPRESENTATIONAL SYSTEM
TASTING IMAGINING TASTES REMEMBERING TASTES
There are thus roughly fifteen possible areas of attention, and virtually all behaviour consists of sequences of these. For purposes of writing out these sequences, we use the following notation:
Visual: V
External: Ve
Construct: Vc
Recall: Vr
Auditory: A
External: Ae
Construct: Ac
Recall: Ar
Kinaesthetic: K
External: Ke
Construct: Kc
Recall: Kr
Olfactory,
Gustatory
As the others

One very practical application of visual submodalities is in helping people deal with past traumatic events. A memory of a parent's death, if 'relived' can bring back all the grief, possibly guilt at feeling one hadn't done enough, all the conflicting and distressing emotions of the time.  Often the person who has been the most devoted carer will feel particularly unreasonable guilt, as though they should have been able to prevent it. Helped to imagine that they are watching the scene as though it had been filmed, or was a scene from their favourite TV drama, they may suddenly be able to 'see' that they had done all they could, feel sympathy and understanding towards the 'self' that was going through that event, and relinquish the inappropriate guilt that may have been contributing to sadness or depression.  The NLP term for a 'relived' memory is 'associated'. A memory that is 're-viewed' - seen from an outside perspective - is called 'dissociated.

Let us now direct our attention to auditory submodalities - volume, timbre, rhythm, pitch. And return to our depressed client (or self!). We are often prescribed 'positive affirmations' as an antidote to self-criticism. The problem is that we don't believe them. And we do believe the self-critical voice; after all, that's been going on all our lives, probably started by parents, siblings, teachers or school-mates - powerful figures in their day.  Ask your client to pay deliberate attention to this special internal voice. Is it telling them that they are attractive, intelligent, lovable? No?

This question typically gets a wry smile. Ask your client to tell you some of the words they are hearing. Are they true? Do they contain useful or helpful information? If they do, that information is worth retaining. If not, or if the information is delivered in a hostile, contemptuous, or sarcastic tone, then you can begin to work with submodalities. Where does the voice seem to come from? Is it loud, quiet, low or high-pitched, slow and deliberate, or rapid-fire? You can ask your client to experiment with moving it around, changing the volume, pitch or pace. As this is done, it will be dawning on your client that this is something he can control, play around with. He or she can begin to make changes which will have a different emotional impact, and he /she can find changes which may make it sound ridiculously pompous, or just ridiculous.

In my work, I often compress submodality work by suggesting that the client get the voice going (reinforcing the new idea that it is in their control!), then gradually speed it up. As it gets quicker, it also gets more high-pitched, sounding like Mickey Mouse, then just a series of squeaks, then goes out of the audible range, like one of those high-frequency dog whistles.  If the client finds she can do this, it usually makes them laugh - which is such a victory! The internal dialogue that used to make them miserable now just seems laughable. I then suggest that they teach themselves to notice that negative voice when it first begins, and turn up the speed immediately. If they do this enough times, their mind will begin to do it automatically.  With the negative feelings deleted, our client begins to experience some emotional space, some freedom to notice things that make them feel good.

Richard Bandler makes another suggestion. Think about the way that someone who loves you says your name - that gentle, loving tone. Or think about your own response to a baby, or a kitten or puppy. Whatever brings on that 'awwwwww - isn't it sweet' feeling and tone of voice. Now, let the negative internal dialogue begin, but immediately change the tone of the voice into that 'awwww...'

Surprising things happen here. The client may suddenly get a sense that the critical person who first said those words was someone who loved them, wanted the best for them, but didn't realize that criticism wasn't the best way to go about it. Or they may realize that the words make absolutely no sense. Or the words may change into more positive, loving ones.

Eye Accessing Cues

Sequences

The sequence which produced 'depression' probably started with a memory which made our client feel guilty or like a failure, (Vr) leading to feeling bad (K), followed by negative internal dialogue (ID) followed by feeling bad (K).  We intervened first at the first part of the sequence, to change the emotional effect of the memory (re-viewing instead of re-living), changing 'feeling bad' to 'feeling compassionate towards the person they were in the memory - still K, but not 'feeling bad'. Then we intervened at the point in the sequence when ID leads to K (feeling bad). Now the ID submodalities have been altered so that the person feels either laughter, or loved, or just all right, instead of feeling bad.

We can suggest that as well as practising these new ways of processing their thoughts, they take advantage of the fact that an upward gaze (look at the tops of the trees, the interesting roof-lines, the clouds) blocks the mental processes which can produce depression.

I hope this provides a clear description of the basic NLP concepts: representational systems, the eye movements related to representational systems, submodalities, and sequences as well as demonstrating their practical application in helping a person with depression.

As a therapist, healer, or self-healer, you will find these relatively simple and easy steps are more effective in dealing with depression that might seem at all possible. Richard Bandler would say, "Don't ask me to prove I'm right. Follow the directions, see if it works." You decide.

Abbreviations

Visual external - Ve
Visual remembered - Vr
Visual constructed - Vc
Auditory perception - sounds, words, or music - Ae
Auditory remembering - Ar
Auditory imagining - Ac sounds, words or music.
Kinaesthetic' external experience - Ke
Kinaesthetic internal remembering - Kr
Kinaesthetic imagining - Kc
Internal dialogue - ID

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About Nancy Blake

Nancy Blake BA CQSW, has worked in mental health settings since 1971. She served as Chair of the ANLP PCS (now the NLPtCA), on a National Working Party developing postgraduate standards for Psychotherapy (NVQ Level 5), and contributed to the document which led to NLP being accepted as a therapeutic modality by the European Association for Psychotherapy.  She has presented workshops at UKCP Professional Conferences on an NLP approach to working with victims of abuse, and in psychoneuroimmunology.  Recovering from ME since 1986, she is the co-author, with Dr Leslie O Simpson, of the book Ramsay’s Disease (ME) about ME, as well as A Beginner's Guide to ME / CFS (ME/CFS Beginner's Guides). Both titles are available both in paperback and Kindle formats on Amazon. Nancy was previously enrolled at Lancaster University in a PhD doctoral program; her thesis topic was Conflicting Paradigms of ME/CFS and how the Psychiatric Paradigm creates its Influence in contrast to the Medical Model. She may be contacted via alternatives@alternatives.karoo.co.uk  http://nancyblakealternatives.com/ Her books are available to purchase at www.amazon.co.uk/Nancy-Blake-BA-CQSW/e/B0089NS0RK/ref=ntt_dp_epwbk_0

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