Sanctuary for the Abused

Monday, June 13, 2022

Confusion Technique

ONE TECHNIQUE USED BY ABUSERS & SEDUCERS
Confusion Technique



The birth of Milton H. Erickson’s Confusion Technique:
Milton Erickson’s Collected Papers-Volume I-pg. 259

"One windy day as I was on my way to attend that first formal seminar on hypnosis conducted by Clark Hull in 1923 , a man came rushing around the corner of a building and bumped hard against me as I stood bracing myself against the wind. Before he could recover his poise to speak to me, I glanced elaborately at my watch and courteously, as if he had inquired the time of day, I stated “It’s exactly 10 minutes of two,” although it was actually closer to 4:00pm, and I walked on. About a half a block away I turned and saw him still looking at me, undoubtedly still puzzled and bewildered by my remark."
"I continued on my way to the laboratory and began to puzzle over the total situation and to recall various times I had made similar remarks to my classmates, and acquaintances and the resulting confusion, bewilderment, and feeling of mental eagerness on their part for some comprehensible understanding. Particularly did I recall the occasion on which my physics laboratory mate had told his friends that he intended to do the second (and interesting) part of a coming experiment. I learned of this, and when we collected our experimental material and apparatus and were dividing it up into two separate piles, I told him at the crucial moment quietly but with great intensity, “THAT SPARROW REALLY FLEW TO THE RIGHT, THEN SUDDENLY FLEW LEFT, AND THEN UP, AND I JUST DON’T KNOW WHAT HAPPENED AFTER THAT.” While he stared blankly at me, I took the equipment for the second part of the experiment and set busily to work with the equipment for the first part of the experiment. Not until the experiment was nearly completed did he break the customary silence that characterized our working together. He asked, “How come I’m doing this part? I wanted to do that part.” To this I replied simply, “It just seemed to work out naturally this way.”
Confusion techniques are techniques that disrupt the regular pattern of a person’s conscious processing strategy, thereby enabling the development of hypnotic processes. In the therapeutic context, confusion techniques utilize whatever the client is doing to inhibit hypnosis or other therapeutic developments as the basis for inducing those developments. More precisely put, is that such hypnotic techniques are naturalistic communications which disrupt rigid mentally set patterns.

Confusion techniques are based on the following assumptions:
1. There are many automatic and predictable patterns in a person’s behavioral processes, such as the handshake;

2. Disruption of any of these patterns creates a state of uncertainty dominated by undifferentiated arousal (e.g. confusion);

3. Most people strongly dislike the state of uncertainty, and are hence extremely motivated to avoid them;

4. The arousal will increase unless the person can attribute it to something (“this happened because …”);

5. As uncertainty increases, so does the motivation to reduce it;

6. The person who is highly uncertain will typically accept the first viable way by which the uncertainty can be reduced (e.g. suggestions to drop into hypnosis).

In accord with the utilization of these assumptions, most confusional techniques follow the basic steps listed below:

a) Identify pattern(s) of expression - identify a regular pattern such as a handshake, or a particular idiosyncratic pattern of the individuals, such as fiddling with the hair when nervous.

b) Align with the pattern - this involves pacing the client until the appropriate context arises. The application of rapport and respect is critical in this step to prevent the client from pulling away from the hypnotherapist.

c) Introduce confusion via interrupting or overloading the pattern - interruptions should be short and quick, usually entailing a few interruption patterns, e.g. the handshake induction involves, initial fluctuation of sensations upon the hand, followed by the lifting of the wrist with the opposite hand, a ghostly wondering look in the eyes followed with an imperceptible release of the hand being shook. This, in turn, should provide a bewilderment and uncertainty to be further utilized.

d) Amplify the confusion - once uncertainty is produced in the subject, the hypnotherapist continues to act in a completely congruent and meaningful way, which amplifies the client's confusion.

e) Utilize the confusion - at this point the client is willing to accept any simple suggestion to reduce or eliminate the confusion, at which time the hypnotherapist can simply state "That's right … go deeply into trance … now … John."

Clinical Applications of Confusion Techniques:
An Ericksonian hypnotherapist uses confusion to support the person by creating an opportunity to disengage from the rigid limits of normal ways of being and experience the "Self", in more nurturing ways. Confusion techniques can liberate a person from a false and limiting identity.

The hypnotherapist must develop, maintain, and communicate a belief that the client is an intelligent, capable, and unique individual deserving the utmost respect, and that the intent of hypnotic communication is to support the person.

Confusion should usually be introduced gradually, after rapport has been established with the client, perhaps after the 2nd or 3rd sessions. The hypnotherapist should establish that his intent is to fully respect and protect the client’s needs and values while stimulating his ability and desire to develop the desired changes. The hypnotherapist should also make clear that fulfilling these intentions will require that he communicates in a variety of ways, one of them being confusion.

In some circumstances, confusion techniques should not be used. This particularly applies to those already deeply confused, such as suicidal individuals, and people in grieving. With these people, confusion is already present – the hypnotherapist only needs to utilize it.

The client’s processes should be the basis for selecting or developing confusion techniques. The general utilization principle that "whatever a person is doing is exactly that which will allow trance to develop", can help the hypnotherapist realize what type of confusion technique might work, and how and when it should be applied.

Key elements & workings of Confusion Techniques:
The various forms of confusion techniques developed are based on the assumption that, as humans, we require understanding, and somewhat of a comprehension to what we experience, otherwise we tend to shut down and go inside, in order to possibly make sense of the confusing occurrence.

There are various techniques employed to do this, such as the handshake induction, pantomime, shock, and various forms of verbal techniques.

The handshake induction employs the method of confusion via a pattern interrupt. Any specific pattern, which has been learned and requires a sequence of steps from beginning to end, if interrupted causes a momentary point of confusion. The key to its use is via the operator catching the moment, and offering a simple suggestion such as, “Now, Alice…just drop … deeply into trance”. Given such an understandable, easy point of direction, the confused individual accepts the suggestion and follows it.

When employing the confusion technique verbally, steps are taken via verbal wording to overload the subject’s mental abilities. This can be done using a play on words such as “knows, nose, nos”. Furthermore, irrelevancies and nonsequiturs can also be employed to achieve the desired results.

Considerations when providing suggestions for confusion to set in are that the operator speaks in a casual, but earnest manner conveying an intent, and expectation of understanding. A steady flow of language with only enough pauses for the subject to almost begin a reply, yet constantly interrupted with new trains of thought.

Eventually the play with words becomes confusing, distracting, and inhibiting, which causes the subject to develop a need for some form of communication which can be readily comprehended, and easily responded to.

Thus, “the Confusion Technique is a play on words or communication of some sort that introduces progressively an element of confusion into the question of what is meant, thereby leading to an inhibition of response called for but not allowed to be manifested and hence to an accumulating need to respond”. “The culmination occurs in a final suggestion permitting a ready and easy response satisfying to the subject, and validated by each subject’s own, though perhaps unrecognized on a conscious level, of experiential learnings”.

Milton’s Confusion Technique as printed in “The Collected Papers”,
Volume I pgs. 258, 259"


"It is primarily a verbal technique, although pantomime can be used for confusional purposes as well as for communication. As a verbal technique, the Confusion Technique is based upon plays upon words, an involved example of which can be readily understood by the reader but not by the listener, such as “Write right right, not wright or write.” Spoken to attentive listeners with complete earnestness, a burden of constructing a meaning is placed upon them, and before they can reject it, another statement can be made to hold their attention. This play on words can be illustrated in another fashion by the statement that a man lost his left hand in an accident and thus his right (hand) is his left. Thus two words with opposite meanings are used correctly to describe a single object, in this instance the remaining hand. Then too, use is made of tenses to keep the subject in a state of constant endeavor to sort out the intended meaning. For example one may declare so easily that "the PRESENT and the PAST can be so readily summarized by the simple statement, “That which now IS WILL soon be WAS yesterday’s FUTURE even as it WILL BE tomorrow’s WAS.” Thus are the past, the present, and the future all used in reference to the reality of “today”.
The next item in the Confusion Technique is the employment of irrelevancies and non sequiturs, EACH OF WHICH TAKEN OUT OF CONTEXT appears to be a sound and sensible communication (i.e. - schizophasia or "word salad"). Taken IN CONTEXT they are confusing, distracting, and inhibiting and lead progressively to the subjects’ earnest desire for an actual need to receive some communication which, in their increasing state of frustration, they can readily comprehend and to which they can easily make a response. It is in many ways an adaptation of common everyday behavior, particularly seen in the field of humor, a form of humor this author has employed since childhood.

A primary consideration in the use of a Confusion Technique is the consistent maintenance of a general casual but definitely interested attitude and speaking in a gravely earnest, intent manner expressive of a certain, utterly complete expectation of their understanding of what is being said or done together with an extremely careful shifting of tenses employed. Also of great importance is a ready flow of language, rapid for the fast thinker, slower for the slower minded, but always being careful to give a little time for a response but never quite sufficient. Thus the subjects are led almost to begin a response, are frustrated in this by then being presented with the next idea, and the whole process is repeated with a continued development of a state of inhibition, leading to confusion and a growing need to receive a clear-cut, comprehensible communication to which they CAN MAKE a ready and full response."

Values of Confusion Techniques:
The values of the confusion technique are twofold. In experimental work it serves excellently to teach experimenter's a facility in the use of words, a mental agility in shifting their habitual patterns of thought, and allows them to make adequate allowances for the problems involved in keeping the subjects attentive and responsive. Also it allows experimenters to learn to recognize and to understand the minimal cues of behavioral changes within the subject. A final value is that long and frequent use of the confusion technique has many times effected exceedingly rapid hypnotic inductions under unfavorable conditions such as acute pain of terminal malignant disease and in persons interested but hostile, aggressive, and resistant.

The following was used by Milton Erickson on two separate accounts with different patients. Italicized words indicate tonal markings. “The Collected Papers”, Volume I pgs. 285, 286"
"You know and I know and the doctors you know know that there is one answer that you know that you don't want to know and that I know but don't want to know, that your family knows but doesn't want to know, no matter how much you want to say no, you know that the no is really a yes, and you wish it could be a good yes and so do you know that what you and your family know is yes, yet they still wish it were no. And just as you wish there were no pain, you know that there is but what you don't know is no pain is something you can know . And no matter what you knew no pain would be better than what you know and of course what you want to know is no pain and that is what you are going to know, no pain. [All of this is said slowly but with utter intensity and with seemingly total disregard of any interruption of cries of pain or admonitions of "Shut up".] Esther [John, Dick, Harry, or Evangeline, some family member or friend] knows pain and knows no pain and so do you wish to know no pain but comfort and you do know comfort and no pain and as comfort increases you know that you cannot say no to ease and comfort but you can say no pain and know no pain but you can say no pain and know no pain but know comfort and ease and it is so good to know comfort and ease and relaxation and to know it now and later and still longer and longer as more and more relaxation occurs and to know it now and later and still longer and longer as more and more and more relaxation and wonderment and surprise come to your mind as you begin to know a freedom and a comfort you have so greatly desired and as you feel it grow and grow you know, really know, that today, to-night, tomorrow, all next week and all next month, and at Esther's [John's] 16th birthday, and what a time that was, and those wonderful feelings that you had then seem almost as clear as if they were today and the memory of every good thing is a glorious thing "… (IF YOU THINK THAT WAS TOUGH, YOU SHOULD TRY RE-TYPING IT WITH ONE FINGER)
One can improvise indefinitely, but the slow, impressing, utterly intense, and quietly, softly emphatic way in which these plays on words and the unobtrusive introduction of new ideas, old happy memories, feelings of comfort, ease, and relaxation as presented usually results in an arrest of the patient's attention, rigid fixation of the eyes, the development of physical immobility, even catalepsy and of an intense desire to understand what the author so gravely and so earnestly is saying to them that their attention is sooner or later captured completely. Then with equal care the operator demonstrates a complete loss of fear, concern, of worry about negative words by introducing them as if to explain but actually to make further helpful suggestions.
"And now you have forgotten something, just as we all forget many things, good and bad, especially the bad because the good are good to remember and you can remember comfort and ease and relaxation and restful sleep and now you know that you need no pain and it is good to know no pain and good to remember, always to remember, that in many places, here, there, everywhere you have been at ease and comfortable and now that you know this, you know that no pain is needed but that you do need to know all there is to know about ease and comfort and relaxation and numbness and dissociation and the redirection of thought and mental energies and to know and know fully all that will give you freedom to know your family and all that they are doing and to enjoy unimpeded the pleasures of being with them with all the comfort and pleasure that is possible for as long as possible and this is what you are going to do."
"Usually the patients' attention can be captured in about five minutes, but one may have to continue for an hour or even longer. Also, and very important, one uses words that the patients understands. Both of the above patients were college graduates.

When such cases are referred to me, I make a practice of getting preliminary information of personality type, history, interests, education, and attitude, and then in longhand I write out a general outline of the order and frequency with which these special items of fact are worked into the endless flow of words delivered with such earnestness of manner.

Once the patients begin to develop a light trance, I speed the process more rapidly by jumping steps, yet retaining my right to mention pain so that patients know that I do not fear to name it and that I am utterly confident that they will lose it because of my ease and freedom in naming it, usually in a context negating pain in favor of absence of diminution or transformation of pain.

Then one should bear in mind that these patients are highly motivated, that their disinterest, antagonism, belligerence, and disbelief are actually allies in bringing about the eventful results, nor does this author ever hesitate to utilize what is offered. The angry, belligerent man can strike a blow that hurts his head and not notice it, the disbeliever closes his mind to exclude a boring dissertation, but that excludes the pain to, and from this there develops unwittingly in the patients a different state of inner orientation, highly conducive to hypnosis and receptive to any hypnotic suggestion that meets their needs; sensibly one always inserts the hypnotic suggestion that if ever the pain should come back enough to need medication, the relief from one or two tablets of aspirin will be sufficient. "And if any real emergency ever develops, a hypo will work far greater success than ever." Sometimes sterile water will suffice."

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Saturday, September 28, 2019

Captive Hearts, Captive Minds

Freedom and Recovery from Cults and Abusive Relationships

By Madeleine L. Tobias and Janja Lalich

Chapter one excerpts - The Cultic Relationship.

Cults may be large or small. What defines them is not their size but their behavior.

In addition to the larger, more publicized cults, there are small cults of less than a dozen members who follow a particular "guru"; "family cults," where the head of the family uses deceptive and excessive persuasion and control techniques; and probably the least acknowledged, the one-on-one cult.

The one-on-one cult is a deliberately manipulative and exploitative intimate relationship between two persons, often involving physical abuse of the subordinate partner. In the one-on-one cult, which we call a cultic relationship, there is a significant power imbalance between the two participants. The stronger uses his (of her) influence to control, manipulate, abuse, and exploit the other. In essence the cultic relationship is a one-on-one version of the larger group. It may even be more intense than participation in a group cult since all the attention and abuse is focused on one person, often with more damaging consequences.

Many marriages or domestic partnerships where there is spousal abuse may be characterized and explained in this way. Other one-on-one cults may be found in boss/employee situations, in pastor/worshipper milieus, in therapist/client relationships, in jailor/prisoner or interrogator/suspect situations, and in teacher/student environments (including academic, artistic, and spiritual situations - for example, a school professor, a yoga master, a martial arts instructor, or an art mentor). It is our hope that those who have suffered such individualized abuse will find much in this book to identify with and use in healing their pain.

Since the upsurge of both public and professional interest in the issue of domestic violence, there has been some recognition to the link between mind control and battering. Men or women who batter their partners sometimes use manipulative techniques similar to those found in cults. The most common include "isolation and the provocation of fear; alternating kindness and threat to produce disequilibrium; the induction of guilt, self-blame, dependency, and learned helplessness." The degree to which these features are present in a relationship affects the intensity of control and allows the relationship to be labeled cultic.

The similarities between cultic devotion and the traumatic bonding that occurs between battered individuals and their abusers are striking. An abused partner is generally made to submit to the following types of behaviors:

* early verbal and/or physical dominance,
* isolation/imprisonment
* fear arousal and maintenance
* guilt induction
* contingent expressions of "love"
* enforced loyalty to the aggressor and self-denunciation
* promotion of powerlessness and helplessness
* pathological expressions of jealousy
* hope-instilling behaviors
* required secrecy

When psychological coercion and manipulative exploitation have been used in a one-on-one cultic relationship, the person leaving such a relationship faces issues similar to those encountered by someone leaving a cultic group.
 
(NOTE FROM SITE OWNER: Battering includes: verbal, emotional, psychological & financial abuse)

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Sunday, July 21, 2019

How a Psychopath Conditions His Victims


by Claudia Moscovici

In previous posts I have shown how psychopaths camouflage their real evil identities and bad intentions, to appear normal and even better than normal partners to their victims. What may seem surprising to those who have not experienced personally the psychopathic bond is why their victims put up with it once the bait and switch occurs and Mr. Jekyll turns into Mr. Hyde. There’s no simple answer to this question, since the motivations and personalities of the victims themselves vary. Some stay out of fear, others out of extreme emotional dependency and love addiction, others because they, themselves, suffer from a personality disorder that bonds them to a psychopath. Today I’d like to delve into the question of why even relatively normal and healthy women can stay with psychopathic men after the initial luring phase is over and the relationship becomes overtly toxic.

Psychopaths are extremely skilled not just at pretending to be decent men, but also at dosing. As early as the luring phase of the relationship, when they appear to be loving and normal partners, they make deviant requests, under the guise of romantic love. For instance, they isolate their new partners from those who care about them–family and friends–by claiming that they’re so in love with them that they wish to spend as much time as possible together. If the psychopath’s partner wishes to go out with friends, he spreads gossip about those individuals, claiming that they were critical of her or of their relationship. Or the psychopath may state that he’s so much in love with his partner that he can’t bear to spend time apart from her.

Couched in these positive terms, many women allow their other, healthy, social relationships with family members and friends to slowly but surely deteriorate. The less support they have from others, the more such women invest themselves wholeheartedly in the psychopathic bond. Once he senses his power over her, the psychopath becomes more openly possessive and controlling. Psychopaths have an intuitive relationship barometer that tells them when they have achieved dominance over others and can demand more (and more and more…) from them.

Another way in which psychopaths condition their partners to accept a toxic relationship is by gradually pushing the envelope of deviant requests. Since psychopaths are easily bored and need constant thrills, they may initially ask their targets to make out in public, under the pretense that they’re so attracted to them that they can’t keep his hands off of them. In reality, however, psychopaths are not as attracted to their partners, even at the beginning of the relationship, as to the thrill of crossing the boundaries of public decency and demeaning their partners. Recall from my previous post that psychopaths are extreme narcissists who derive most pleasure from the dominance and victimization of others.

As soon as the victim complies with one perverse request, it becomes normative. After a short while, the psychopath will demand more indecent behavior from her, once again pretending that it stems from their great and special passion. Pretty soon, the victim finds herself complicit with his abnormal behavior, sometimes even addicted to it. Not surprisingly, this technique is often used by pimps to create loyalty and submission in the women and girls they ensnare into prostitution. What begins under the guise of romantic love and passion–something that most women yearn for–ends up being what it always was in reality and in the psychopath’s evil design: a form of sexual slavery.

Even partners who refuse to engage in the psychopath’s transgressive behavior–be it his scams, lies or sexual perversion–are inevitably poisoned by the toxic relationship if they continue to stay with him. The most common way in which a psychopath poisons his partner is to condition her to accept his abusive behavior as normal. This doesn’t have to be under the form of physical violence, although it can be. 

More commonly, however, any person who stays with a psychopath becomes gradually used to bigger and bigger doses of emotional abuse. 

When she catches the psychopath cheating on her for the first time, she may have a normal reaction and break up with him. But if she doesn’t have the strength to move on and later returns to him–since after bouts of promiscuity, a psychopath is likely to act repentant and romantic to lure back his main partner(s)–then the next times she discovers evidence of his cheating (or lying, or fraud), she puts up with it, or pretends she doesn’t know about it.

Denial becomes the shield that absorbs most of the emotional impact of his hurtful behavior. When denial is no longer possible, because his wrongdoings become too frequent and flagrant, she displaces her anger and resentment towards the other women in order to maintain the “integrity” of her relationship with him. If he cheated and lied, it’s the other women’s fault rather than his. She also blames those who point out the psychopath’s pathology rather than him for mistreating her. They’re the bearers of bad news, who expose the hollowness of the life she leads with him: a truth she can no longer face, after becoming so dependent on him. At some point, she becomes more invested in the false image of strength and of a wonderful relationship she has with the psychopath than in facing the dire reality and moving on, to achieve real strength in life and have the chance of having a non-pathological romantic relationship.

Eventually, after a long series of discoveries of infidelities and other kinds of bad behavior, she becomes used to it and finds some solace in the assumption that those flings mean nothing to him. In spite of his consistently unloving behavior, she convinces herself that the psychopath loves her and that she’s the most important woman in his life. His infidelity then becomes open and normative: what he used to do behind her back he does openly, before her eyes. What’s more, since psychopaths are sadists, he relishes seeing her suffer from a combination of jealousy, wounded pride and helpless love.

Any person intimately involved with a psychopath will be harmed. To offer an analogy, the cancer cells that are most dangerous are the few that resist the chemotherapy and multiply quickly in the body, to kill it. Psychologically, the most dangerous aspects of any victim of psychopathic seduction are the ones that survive and adapt to his mistreatment. Once she becomes inured to the constant lies, verbal abuse, cheating, etc, she allows those vices to multiply in the relationship and take over her life.

Just as the most pathological elements of a society adapt to and rise to the top of totalitarian regimes, and just as the most pathological individuals thrive in the life of crime of gangs, so the most pathological parts of a person adapt to and embrace the disorder of a psychopath. A psychopath trains his victim gradually into a form of submission–or acceptance of his deviant behavior–that annihilates everything that’s healthy about her personality and existence. Eventually, if she doesn’t find the strength to leave him, she’s reduced by the psychopath’s gradual poison to the shadow of the strong and healthy person she once was.

SOURCE

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Wednesday, July 18, 2018

Overcoming Triangulation in Love Relationships


Reginald B. Humphreys, Ph.D. , Kathleen P. Eagan, M.S.

from the book: Detoxifying Love Relationships: Solutions for Couples

Although the term triangulation may at first seem to be highly complex, it has a simple meaning. Triangulation refers to the tendency of certain individuals to become involved in love triangles. The person struggling with triangulation goes through a repetitive cycle of love relationships, in which two or more men are simultaneously involved with the same woman, or in which one man is simultaneously involved with two or more women.

The problem of triangulation in love relationships remains one of the most serious issues confronting modern society. Infidelity in love relationships, often caused by triangulation, destroys the marriages and lives of many individuals, couples, and families each year.

Theological and religious sources would maintain that the answer to this problem is already at hand, and that a strict observation of principles of loyalty and fidelity can eliminate the phenomena and effects of triangulation. However, much of today’s society is beyond the reach of religion, and so society’s growing epidemic of triangulation and infidelity is likely to continue to rage out of control unless solutions are found which transcend the limits of individual religions. Also, clinical experience reveals that even enthusiastic participants in religious activities are often crippled with the same triangulation tendencies of the non-religious.

Overcoming triangulation does require that the individual be grounded in some system of morality or other. However, the main issues in triangulation are inadequately understood by most, and therefore these crucial issues are not usually addressed in any adequate fashion. The two most important issues which should be addressed in order to fully understand and correct triangulation, are:

(1) the tendency of the individual to unconsciously reconstruct and reenact unhealthy love triangles which were present in the individual’s early childhood experiences with parents, and;

(2) repetitive attempts by the individual to symbolically "correct", "resolve", or "master" these historical issues and their ill effects, within current-day love triangles.
Only the well-analyzed person is usually aware of these two critical aspects of triangulation. On initial introduction of these ideas to patients in psychotherapy, it is common for both these notions to be rejected immediately as incorrect or inapplicable. However, the therapist will have to return to these ideas time after time, until the patient finally accepts and works on these two issues as the issues which are in control of the triangulation problem.

Many persons caught up in lifestyles riddled with triangulation claim that they would like to overcome this problem. However, the true motivation for this kind of self-correction rests entirely on the individual’s ability to deal with the two core issues. The more the person expresses opposition or indifference to these key insights, the worse that person’s prognosis for improvement becomes.
The person may protest that no love triangles or infidelity were present in the parents’ marriage. And while this may be factually true, this is where the person must learn to broaden their understanding of the nature of love triangles. The patient must eventually learn that he or she was the third party in the triangle, and that as a child, the individual became trapped in an envelope of triangulation dynamics which has left a life-long and deeply life-altering residual.

Patients often react with great intensity to the first discussion of these issues. The topic becomes controversial, and the patient may express disgust over the idea that it is possible that the child and parents are engaged in love-triangle dynamics. This disgust represent the deep unacceptability to the person of childhood triangulation feelings, and explains why the individual has felt forced to repress and hide these issues throughout life, although symbolically reenacting these in each new attempt at a love relationship.

As therapeutic work progresses, the individual may be even more resistant to the idea that within the early-childhood love triangle involving parents, that one of the parents may be loved obsessively, jealously, and possessively, while other parents may be loathed and hated with intensity that may reach homicidal proportions.

Rather than being in a context where the patient could have loved both parents in an appropriate way, the child is prematurely caught up in adult heterosexual dynamics, in which defenses of splitting may play a primary role. One parent is idealized as perfect, and becomes the repository for the child’s fantasies of perfection and omnipotence, while the other parent becomes the repository of everything that is hated, rejected, and scorned.

Being unable to accomplish the normal developmental task of establishing an integrated perception of parents which includes a realistic sense of both desirable and undesirable parental qualities, the patient also loses the ability to have an integrated perception of self. "Splitting of the self" occurs, and this non-integration of self-identity continues throughout the patient’s life unless this split is corrected in treatment.

Without such correction, the individual is condemned to compulsively repeat and reenact the unhealthy triangulation dynamics in the family of origin. These sexually-toned dynamics, impossible for the child to integrate, are re-enacted with each new person and relationship in life.

It is not difficult to understand why exposing the child to adult triangulation dynamics would have a life-long destructive impact. The child has literally had their childhood stripped away or stolen by the parents’ illness. The traumatic loss of childhood usually has lasting or permanent effects. The premature forcing of the child to cope with disturbing adult dynamics floods the child with unmanageable feelings and reactions, which leave an indelible effect. The child now is eroticized by the triangulation situation or thoughts of triangulation. Over time, only the triangular situation can "turn the person on". Without the psychological presence of a third party, feelings of love and eroticism are unattainable. Eventually, the only way to achieve a feeling of love and excitement requires that there be one person who is idealized, and another who can be rejected and symbolically "murdered" by rejection or elimination.

In the childhood situation either parent may be idealized, regardless of the sex of the child. Similarly, either parent may be hated with unconscious homicidal intensity.

Although few adults remember childhood erotic or retaliatory feelings, a few do have memories. The majority who do not remember the oedipal period of development (which is normal) must do their therapeutic work by reconstruction of events rather than direct recall. Adults may also deny any idealizing of current partners or any destructive motivation towards other partners. These feelings are usually so deeply buried that much work may be required for the person to see that each time they enact a love triangle, they are symbolically winning the idealized parent, and murdering or eliminating the hated one.

Persons with triangulation pathology (oedipal pathology) cut a destructive swath through humanity, retaliating against and symbolically "murdering" one "love partner" after another.

Especially characteristic of the "murderer" in these instances is a cold-heartedness and lack of remorse or sense of responsibility for the "victim" in the triangle. The person, having invested through splitting defenses all their rage toward one parent, can easily enjoy the disposal of the hated parent by disposal of the parental stand-in in the contemporary love triangle. If asked to reverse their infidelity, they may feel an utter coldness and unwillingness to alter their life course. They "must" murder the parent surrogate in order to fully "get off". Empathy or concern for their victim is impossible, and highly irrelevant. To do "what is profitable for oneself" becomes the only remaining remnant of a moral standard. The parent-surrogate is dehumanized and negated, as the child feels is justly deserved by the parent (surrogate) for having put the child through a traumatic loss of their own childhood, and the resulting lifelong ill effects.

Persons with triangulation pathology are often incapable of normal feelings of empathy or responsibility toward their "victims". Therefore, these persons can be easily thought of as being psychopathic, due to their unwillingness to adopt a responsible correction to their acting out, even when confronted. During the symbolic act of murdering the hated parent, their lack of remorse is obvious.

Confronting these behaviors in psychotherapy, the therapist becomes the only possible mechanism for correcting the defects of conscience that can allow the person to harm others in a wanton and indifferent fashion. The technique required in the psychotherapy of such individuals is highly specific. Two case vignettes are provided.

Patient N:

Patient N presented with a history of serial love relationships of varying degrees of duration. These were characterized by a rapid development of physical intimacy, immediate spending of all leisure time with the partner, a fusional quality of interaction, and then abrupt ending provoked by minor causes.

During the unfolding of one of these liaisons, therapist asked patient whether he had any perception regarding the eventual outcome of the current relationship. Patient revealed that he knew that he would eventually terminate the liaison. Over time, it was revealed that patient always had a perception that the relationship would end, but desired to experience whatever could be experienced as long as things could work out.

On questioning as to whether the respective feminine partners had a similar lack of concern over the future, i.e. an equivalent degree of comfort with a "no-strings, no-future" kind of expectation, the patient revealed that the current love object was not comfortable with this at all, and regularly requested a change in the status of the relationship to one with a serious future.

With analysis of new relationships and retrospective review of former ones, it became clear that Patient N was a "heartbreaker" in that each person he romanced experienced the termination of the relationship by him as traumatic and damaging. Patient N had left a string of depressed, brokenhearted women as victims of his psychopathic disregard of their lives and feelings.
Was N psychopathic, or merely neurotic? The answer to this crucial diagnostic question is often revealed by the patient’s response to the therapist’s verbal interventions.

Over time, the therapist asked N to recognize and acknowledge his destructive romantic patterns, and to come to terms with what it would mean about his character if he were to be willing to continue to inflict psychic pain and damage upon each new lover.
Although N may have always had a subliminal awareness of the implications of his relationship conduct, once it had been named and discussed in psychotherapy, the entire context could begin to shift. With his pattern now "on the table", patient could be asked to reverse his pattern and to adopt responsible conduct during new liaisons. N failed to do this, while acknowledging "I know that I should".
Triangulated patients can be expected to reject the therapist’s encouragement for them to give up exploitive relationships. These individuals are at the very brink of their developmental deficit, and need help to "bridge the gap" up to the next level of maturational sophistication.. At this juncture, the interventions of the therapist are critical. If the patient’s conscience development is ever to be solidified, there is no alternative except to succeed with the patient at this point. The therapist can no longer be a passive witness to the spectacle of abuse, but must now begin to operate according to the maxim that if the therapist cannot be part of the solution, they have become a part of the problem.

During the unfolding of one of N’s liaisons, at a highly opportune moment, the therapist asked N if he was planning on continuing with the relationship pattern as usual, and if so, inquired whether N would mind terminating therapy first, so that therapist could be saved from again witnessing the savage destruction of an innocent human being. Along with this, therapist acknowledged the fact that since N had continued his harmful conduct without interruption, that the therapy should now be considered to be failing anyway, further strengthening the appropriateness of terminating therapy at the current juncture.

Patient N’s subsequent choice to alter his relationship conduct was motivated by his desire to retain the therapeutic relationship, and to regain acceptance by the therapist. This factor works exactly in psychotherapy as it works in raising children. Children develop a conscience in order to retain parental acceptance, and if parents are flawed or passive in their teaching of conscience, or have deficient conscience themselves, then significant deficiencies in the child’s conscience development usually occur. To reverse the ill effects of this deficient parenting, the therapist assumes a parenting role in requiring the patient to either progress morally or exit treatment.
Beginning with Freud’s earliest observations regarding childhood oedipal issues, successful resolution of oedipal issues has been regarded as the fundamental cornerstone of conscience development. Without renunciation of the forbidden oedipal love object (parent), conscience formation is incomplete, and moral deficiency is inevitable and pervasive.

To correct the deficient adult conscience, the adult patient is always asked to renounce the inappropriate love object. If they choose to do so, even if with complaints, then they may be assumed to have occupied the neurotic spectrum of psychopathology. The more the patient resists the renunciation of the inappropriate love-object, the more the diagnosis should be psychopathic personality.

To expand on this important idea, it should be recognized that the neurotic triangulator can be persuaded to renounce inappropriate conduct, and feel remorse when the usually-repressed implications of their conduct are illuminated. No similar remorse or motivation for self-correction can be evoked in the psychopathic triangulator, who remains apathetic about the injury done to others, and never renounces the illicit love-object.
It is always tragic if the patient refuses to renounce the illicit partner in the current triangulation. Before the therapist brings this issue to the forefront, there always remains the possibility that the individual might choose a moral alternative. However, once the patient identifies with the psychopathic choice, then their personality becomes crystallized in alignment with a psychopathic orientation. At this point, the prognosis for the future begins to approach zero. However, occasionally the patient may leave therapy and return months or years later, as the "lessons" from the work on triangulation become gradually integrated. The patient returns to now deal in earnest with the issues previously analyzed.

Persons suffering from borderline personality disorder (BPD) also exhibit triangulation in their close relationships. These individuals are easily differentiated from oedipal neurotics by the pervasive presence of many other regressed symptoms, including profound depression, rage, poor impulse control, among others. In contrast, the neurotic is characterized by the central role which oedipal concerns take in the individual’s daily existence, along with a relative absence of other major symptoms.

Triangulated relationships and dynamics are sometimes suggestive of schizophrenia. A tipoff to the presence of an underlying schizophrenic process may be found in the degree of chaoticism of the triangulation patterns. For example, if a situation is already complicated by the presence of several love triangles, the most chaotic thing that could happen might be for the schizophrenic individual to add yet another triangulation to the situation by recruiting a new liaison. The more unpredictable, bizarre, or unfathomable a triangulation acting-out behavior seems, the more a schizophrenic process might be indicated. A diagnostic hypothesis of schizophrenia would of course require corroboration on other traditional diagnostic grounds.

In summary, triangulation phenomena are seen in small amounts in most relationships. Seriously harmful triangulation phenomena may occur in neurotic individuals, in psychopathic and borderline personalities, and in schizophrenia. Individuals at the treatable end of the spectrum, the neurotic end, are distinguished by the individual’s willingness to recognize and reverse the triangular acting-out, through renunciation of the illicit love-object (the triangulated relationship partner). The psychopathic patient refuses to revise their conduct, and becomes solidified in a non-empathic stance of willful abuse to the "victim" in the love triangle. The intractable patient refuses to stop reenacting the symbolic pattern of possession of the idealized parent, and "murder" or elimination of the opposing parent.

Patient Y:

Patient Y was a woman involved in a relationship which was fairly long-term, but unsatisfying. Patient Y had recently met another man who was desired, and the possibility of a liaison seemed of interest to both. Patient Y discussed her plans to see the new interest socially, citing her enhanced interest and feeling as compared to her current relationship.

Therapist advised the patient that since her feelings of new interest occurred before she had announced or decided upon leaving her current involvement, that her feelings of attraction could not be trusted as valid. Any feelings for a new person would tend to be idealizing as compared with her feelings for the individual in the more lasting relationship, which would tend to be more reality-based and less contaminated with idealizing fantasy. Only new, shallow relationships allow for deep idealization fantasies, and often promote splitting of toxic projections into the partner who has greater longevity of relationship with the individual.
Patient Y asked if the new love interest might not "work out" in spite of its inappropriate beginnings. The patient was advised that personal relationships which are built on the abuse and misfortune of others cannot later result in a valid relationship. The moral stain attached to the relationship from its inception is permanent, providing a built-in nullification of the validity of the relationship in all futures to come.

Patient was further advised that if the therapist were to witness the patient abusing her relationship partner in this fashion, that the therapist would be obliged to resign as therapist, as the commission of such actions by the patient would have profound implications that would tend to disqualify her as a valid candidate for future success in psychotherapeutic activities with that therapist.

Striking about the case of Y is that as soon as the barrier of resistance to renouncing the illicit love-object had been transcended, the patient was flooded with many critical perceptions of the new love interest, including an acute perception of severe flaws in the new person which had been obscured or repressed under the influence of intense idealization and idealizing defenses.

Patient Y’s gratitude to the therapist for "rescuing" her from the use of idealizing defenses with men she barely knew was profound. Her subsequent ability to succeed in her already-existing love relationship was attributed by her to her acquired ability to ignore and contain triangulation impulses, rather than being tempted to act on them.

In the cases of both patients N and Y, appreciation was eventually shown to the therapist for insisting that each patient achieve moral advancement when the patient was otherwise uninclined to advance. Each patient showed moral advance in other areas as well, as the generalized benefits of conquering triangulation dynamics began to accrue. Both preferred their developmental advances over their former acting out, and both went on to achieve fidelity and success in their respective love relationships.
In couples where neither party is in psychotherapy, the process is similar. The triangulating partner is usually confronted with their disloyalty by the other partner, and asked to renounce the illicit (triangulated) third party. However, the spouse, lover, or suitor of an individual rarely has the leverage and influence which are available to the therapist, and therefore rarely get a positive response to their request. Without the needed influence from a psychotherapist, the neurotic’s underlying potential to mature and transcend triangulation may never be fully realized.

Rationale for Interventions:

What is the nature of therapeutic change in these clinical examples? Why are these specific interventions indicated, and how may their effects be understood?
The original reason the individual acquired developmental arrest within the oedipal phase is that the child’s parents did not shield or protect the child from exposure to adult triangulation dynamics. Instead of being allowed to devote their inherent maturational capacities to the task of resolving their personal oedipal issues, the child’s life sphere is contaminated or saturated with the unfinished oedipal issues of each parent. The child automatically takes on the unfinished oedipal issues of each parent, as well as a new contamination that has to do with the way the particular childhood experiences originally unfolded. For example, if a child was used by one parent as a shield and buffer against the other parent, then the child’s oedipal disturbance will reflect this problem as well as each of the parent’s unresolved oedipal issues.

The adult with triangulation pathology cannot seem to take a stand based on conscience, fairness, and morality. The reason is clear: the child’s parents were unable to take a protective, empathic stance toward the child, by protecting the child from adult triangulation dynamics. The child therefore cannot take a protective stance toward anyone else whom they may harm within a love triangle. Empathy for the "victim" is impossible, as modeling of moral conduct by parents was inadequate.
Before the individual can take a empathic, moral stance which may be personally costly, this behavior must be modeled within the therapeutic relationship. The therapist must take a moral stand risking great cost (loss of the patient’s therapy) for the sake of the patient’s evolution. Also, the therapist must model a distaste and unwillingness to be a silent participant or accomplice in the degradation, harm, and destruction of any human being. In this special clinical circumstance, the therapist must momentarily shift into modeling empathy for the victim (of the love triangle) instead of empathy for the patient. In so doing, the therapist is not truly losing empathy with the patient, but has refocused the empathic connection on attempting to resonate with the patient’s latent capacity to function empathically and with conscience. Not until the patient is convinced regarding the necessity of maintaining empathy for all individuals at all times can the solidification of the individual’s conscience development be regarded as complete.

Parents use this same approach when they have empathy for a pet which a child has carelessly harmed, or for any sibling or other child whom their child may have hurt. Parents, like therapists treating adults with triangulation pathology, must ally themselves with the individual’s latent potential to function empathically if they hope to promote evolution of the empathic capacity of the individual. Without continuous functioning of the empathic faculty, conscience development remains arrested at the oedipal level.

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