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Paradox and Spontaneity with Schizophrenic Communication
Austin
 

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Schizophrenics may tell you that they have phobias. But like the guy with a phobia of making pictures of himself, they may have phobias of cinemas and televisions. This kind of blows away any notion of the standard double dissociation approach and places a great need of flexibility upon the practitioner.

I got this lady to make movies of how she would be when she didn't have the phobia and how she would like to behave. Then I made her tell me endlessly over and over and over again of how she would be when she finally had received help for her phobia. I kept this up until she finally lost her temper with me and got up to leave. I immediately switched back into the role of a therapist.

Her paradox was matched with the non-mirror image reverse, because I was acting in the frame of being her therapist and yet simultaneously, I was not being her therapist. Maintaining her anger at me, I asked her how specifically I could help her with her phobia, thus switching role into that of therapist. Her role was now of being assertive ("I'M LEAVING!!") rather than that of the helpless screaming wreck that she had behaved like previously.

On these spontaneity-paradox themes, Watzlawick and crew give the following great example:

A headmaster announces that to his pupils that there will be an unexpected examination during the next week, i.e., on any day from Monday mrough to Friday. The students - who seem to be an unusually sophisticated bunch - point out to him that unless he violates the terms of his own announcement and does not intend to give an unexpected examination some time next week, there can be no such examination. For, they argue, if no examination has been held by Thursday evening, then it cannot be held unexpectedly on Friday, since Friday would be the only day left. But if Friday can be ruled out as the possible examination day, Thursday can be ruled out for the same reason. Obviously, on Wednesday evening there would be only two days left: Thursday and Friday. Friday, as already shown, can be ruled out. This leaves only Thursday, so that an examination held on Thursday would no longer be unexpected. By the same reasoning of course, Wednesday, Tuesday and eventually also Monday can be eliminated: There can be no unexpected examination. It may be assumed that the headmaster listens to their 'proof in silence and then, on, say, Thursday morning holds the examination. From the very moment of his announcement he had planned to hold it on that morning. They, on the other hand, are now faced with a totally unexpected examination - unexpected for the very reason that they had convinced themselves that it could not be unexpected.
The recursive paradoxical logic that follows here is something that occurs regularly in the behaviour of the schizophrenic (but is by no means unique to this 'condition'). One man, a 'chronic paranoid-schizophrenic' became convinced during the course my first session with him that I could read his thoughts. What was in fact happening was that rapport was well developed and he was exaggerated with his analogue marking that made following his process easy.

Thus he found himself in an interesting bind. He didn't want to think his thoughts 'too loudly' in case I would 'overhear' something he wished to keep private. However, how could he keep these things private unless he thought of what they were first?

Rapport could have been lost. Traditionally, the practitioner would have performed some 'reality orientation' and attempted to bring the client back on track. However, I knew that if I denied that I could read his thoughts, then I would be negating the phenomena he was experiencing, thus denying the evidence of his senses.

How would he have made sense of that information?

Experience suggested to me that he would either construct a belief/delusion in order to explain his experience (like the tribal notion: "If we kill some goats, the volcano God will be nice to us") or would rapidly experience some schizophrenic overwhelm.

Neither experience would have been useful for the outcomes that I was intending.

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