What’s awareness got to do with anything? People turn up for therapy because they’re unhappy with an aspect of themselves, their lives, their relationships. They are looking for something to change. Often people show up in the hope that they can change the behaviour of someone else; if only the other person could be different THEN they’d be happy. A lesson quickly learned is that we can never change other people. We can change ourselves and by doing so things (and people) shift around us.
So what is this process of changing oneself?
Cognitive Behavioural Therapy (CBT) focuses on behaviour change through changing habitual (negative) thought patterns. As a client, you will be encouraged to identify the thoughts and belief systems that contribute to your feelings of unhappiness. The thought patterns themselves will be examined and challenged, and you will then find that this alters your behaviour, and you start to feel better about yourself. This is a way of directly confronting ‘the problem’ head on and trying to change it. Makes sense.
Psychoanalytic therapy has more emphasis on tackling deep-seated, unconscious patterns of the client’s inner world which are revealed largely through how they relate to the therapist. These patterns are believed to have developed during childhood, and may well have gone unchallenged into adulthood. Through taking time to explore and understand their inner ‘map’, the client can then begin to make changes.
Other forms of therapy will take a view that a key component of the work is developing awareness, for example awareness of what you are thinking or feeling, how you are behaving, what is going on in your body and how you are relating to others and the environment around you.
Ironically, this attention to awareness is not done in order to change anything, but to highlight what is already there. By the counsellor listening carefully and reflecting back, the client is thereby able to see and understand their life more clearly, including areas where they are not paying attention and have less awareness. This is the real meat of the work, and is surprisingly transformative. Somehow this process activates the client’s resources which will in turn allow growth and change to happen. The counsellor has helped the client to accept who they are and how they are, and this in turn opens up new possibilities.