active involvement of the patient is so important, the clinician
should avoid fixating on what the patient must stop doing.
Growth-oriented therapy focuses on what the patient can start
doing.
Next, it is important to recognize that life involves a process of
reciprocal determinism. The world of human ideas and experiential
reality is impacted by the physical universe. At the same time,
human thinking provides impetus for the events of the external
world. Erickson alluded to this dynamic while referring to the centuries-
old philosophy, "As a man thinketh, so he is" (Erickson and
Rossi, 1979, p. 262). In the case above, the man was given a new
perspective on arthritis. Erickson explains, "Although he still
limps a little, he has a nice healthy attitude." In other words, the
man learned to think better of his situation and adapt to his physical
limitations.
Erickson used this case to illustrate the importance of accepting
and finding use for the patient's disability. This is the essence of
adaptation and resiliency. It can be said in very general terms that
where adaptation and resiliency end, death begins.
In order not to be immobilized by life's challenges, a person must
have the capacity to accept undesirable circumstances. This idea
was communicated well by Tyler Hamilton, a cycling contestant in
the 2003 Tour de France. During the first stage of the race, he was
in a crash that fractured his collarbone. Despite intense pain he
managed to complete the race and take fourth place. When asked
how he was able to accomplish this remarkable feat, Hamilton
said that he learned to accept the pain. Once he stopped struggling
against it he was able to make the necessary adjustments in posture,
balance, and thinking. This is perhaps what Erickson meant
when he described rigid inflexibility as the most general problem
to be dealt with in psychotherapy (Zeig, 1980).
Flexibility and adaptation are as essential to resiliency as acceptance
is to learning. If a person continues to struggle and fight
intractable changes to the environment, mind, or body, energy is
wasted and recovery is hindered. For instance, Betty Alice
Erickson recalls the case of a five-year-old boy who was traumatized
after witnessing a terrible automobile accident. The little boy
- 5 -
|