Professional Documents
Culture Documents
Within the field of psychology, it is well recognized that the psychotherapists personal development is intrinsically important for
achieving professional success. The expansion of self-awareness has
been identified as an essential component for the professional development of psychotherapists (Baker, 2002). Although this perspective is
widely recognized, relatively little has been written about specific
methodologies for psychotherapists to develop self-awareness and to
care for self more effectively.
Vincent Valente, MS, 5050 Santa Monica Ave. #13, San Diego, CA 92107
(valentevincent@hotmail.com) is a Marriage and Family Therapy intern at Childrens
Outpatient Psychiatry, 11770 Bernardo Plaza Ct., San Diego, CA 92128, USA. Antonio
Marotta, PhD, is a faculty member in the Department of Counseling and School Psychology at San Diego State University, 5500 Campanile Dr., San Diego, CA 92182, USA.
Reprint and correspondence should be addressed, Vincent Valente.
Contemporary Family Therapy 27(1), March 2005 2005 Springer Science+Business Media, Inc.
DOI: 10.1007/s10591-004-1971-4
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PROFESSIONAL DEVELOPMENT
Many clinical training models focus not only on developing the
technical skills of the therapist, but also on emphasizing the internal
balance and the personal integration of the clinician (Aponte &
Winter, 2000). Proponents assert that by fostering personal integration, therapists will be able to engage their clients with a greater
range of options, insight, and creativity. When therapists are able to
address and resolve their own personal issues, their selective psychological blinders can diminish, enabling them to be more effective
with a variety of clients.
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Therapist Burnout
Due to the nature of their work, therapists may be particularly at
risk for burnout. Skovholt (2001) distinguishes the type of burnout
typically experienced by helping professionals as caring burnout.
According to this theory, the therapists level of empathic attachment
to the client is of central importance for the clients progress in therapy. Caring burnout is the result of a decreased ability to professionally attach with a client because of the cumulative depletion caused by
the inevitable separation generated over many previous cycles of
attachment and detachment between therapist and client.
Regulating the effects of stimulation, energy, and stress in order
to achieve a balanced life can be a challenge for therapists. Skovholt
(2001) asserts that therapists are prone to high levels of stress and
over-arousal not only because of the necessity to focus on the needs of
others but also because of the lack of influence they commonly experience when dealing with the organizational politics and policies
within the work place.
It is not uncommon for therapists to engross themselves so deeply
in the care of others that they neglect to take care of their own mental
wellbeing. Grosch and Olsen (1994) contend that therapists may
consciously or unconsciously develop a belief system that relies on
relieving the distress of others to raise ones own self-esteem and sense
of vitality. These rescue fantasies can become an addiction and may
function to allow therapists to avoid confronting their own needs and
personal wounds.
For therapists to reach an optimum level of self-regulation, they
must work to prevent their energy from being consumed by a single
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Meditation
Meditation, which can be practiced in many forms, aids in the
deepening of ones spiritual self by relaxing the body and mind, thus
allowing self-awareness to blossom. Research on meditation (Shapiro
& Walsh, 1984) has found that a consistent routine of meditation helps
individuals become less defensive, more impartial and even-tempered,
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Yoga
The development of the spiritual self through meditation does not
require one to follow any specific religious doctrine, and the practice
can be compatible with any existing religious orientation or spiritual
belief. There is a plethora of various methods and styles of meditation
ranging from seated meditations to meditations with movement, such
as yoga, Qi Gong, and Tai Chi. The movement involved in yoga not
only prepares the mind and body for sitting meditation, but is itself a
meditation. Beyond being a meditation, yoga is a system of physical
and mental practices aimed at intellectual and spiritual growth.
Yoga is one of the six orthodox systems of Indian philosophy and
has been used for millennia to study, explain, and experience the
complexities of the mind and human existence (Feuerstein, 1998).
Patanjali, an ancient yoga sage, defines yoga as a technique used to
still the mental fluctuations of the mind to reach the central reality of
the true self (Iyengar, 1966). Patanjalis Yoga Sutras, dated around
200 C.E., outlines a skillful way of conducting life that fosters moderation and harmony (Becker, 2000). These guidelines, which include
ethical and moral standards of living in addition to postural and
breathing exercises, are used to foster spiritual growth and evolve
ones consciousness.
Though the physical practice is only a fraction of the whole of
yoga, research has demonstrated that the practice of these physical
aspects alone can have positive effects on physical health (Garfinkel,
Singhal, Katz, Allan, Resheter, & Schumacher, 1998). Other
research has shown that the practice of yoga postures and breath
control can lead to positive psychological benefits (Berger & Owen,
1992; Schell, Allolio, & Schonecke, 1994; Wood, 1993). Still other
research has demonstrated that yoga has also been useful in
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RESEARCH QUESTIONS
The intent of this study was to explore the impact of a regular
practice of yoga in the personal and professional lives of psychotherapists and to uncover any specific benefits that may be particularly
important in addressing the special needs of psychotherapists. Hence,
the questions were: What are the perceptions of psychotherapists who
engage in a regular practice of yoga regarding the impact yoga has
made in their personal and professional lives? Can the effects of yoga
facilitate professional growth in ones career in psychotherapy? Can
the effects of yoga assist in addressing the unique self-care needs of
psychotherapists?
POPULATION
Participants were selected on the basis of the number of years
practicing psychotherapy and frequency with which they practiced
yoga. They consisted of six practicing psychotherapists who routinely
included yoga in their daily lives. Of the psychotherapists, three were
marriage and family therapists, two were licensed clinical social
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METHODOLOGY
Data were collected through an audio-taped interview with each
participant, conducted by the first author. Semi-structured, openended interviews were conducted at the participants homes and offices. The interviews consisted of both direct and indirect questions and
averaged 4560 minutes. Participants were first asked about the
general impact that yoga had made in their lives. Then specific
questions were posed in an attempt to identify and clarify the significant effects.
RESULTS
Four major themes have been identified from content analysis of
the interviews as salient features common in the lives of these psychotherapists: internal/self awareness, balance, acceptance of self and
others, and yoga as a way of life.
Internal/Self-awareness
Yoga, according to the reports of the respondents, enhanced the
therapists ability to bring into awareness not only what their bodies
were feeling and communicating but also their thoughts, emotions,
and patterns of cognition. While practicing yoga, one is encouraged to
focus on what is happening inside the body. These psychotherapists
indicated that continuously paying attention to the bodys internal
sensations and functioning was a valuable exercise, because it helped
them become more aware of the effects of those internal processes on
their thoughts and behavior. This benefit has extended into their
everyday lives, both providing internal awareness even when they
were not physically performing yoga postures and bringing awareness
of self-care needs.
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Balance
Balance refers to therapists ability to regulate the stimulation
and demands of their environment to achieve harmony in their lives
and prevent burnout. On the physiological level, the therapists we
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interviewed felt that their yoga practice helped to calm their central
nervous system, reduce anxiety, reduce mental stress and fatigue,
helped them to relax, and gave them overall feelings of being more
centered and grounded. At some level, they felt clients are aware of
and affected by their therapists level of centeredness, which can be a
powerful influence in the therapy they receive. These therapists
explained that by helping to bring more balance into their lives, yoga
has been a powerful aid in helping them to be more effective and
competent therapists.
These therapists also said that yoga has assisted them in regulating many aspects of their outside environment and has given them
the initiative to slow down their lives and take time to reflect. They
reported being more selective of the time and energy that is spent
engaging in activities and with others. It was important for them to
make more room for quietness in their lives and not to get pulled into
the drama of external stimulation in the environment.
Balance of ones emotional states was also reported to be a positive
effect of yoga. These therapists reported that yoga had a significant
influence in carrying them through difficult emotional periods in their
lives. Whether by helping to manage depressive episodes, family of
origin issues, or the inevitable emotional fluctuations in life, they
pointed to the emotional stability that yoga fosters as a critical factor
in their healthy functioning. It was noted that simply visualizing ones
self in certain yoga postures during challenging moments while
working with clients can help to facilitate the emotional stability
necessary to be effective with these clients.
The ability to achieve balance in the various aspects of their lives,
aided by their yoga regimen, was reported by these professional as a
major component in the prevention of burnout. Common signs of
burnout include irritability and depersonalization towards ones clients. The burnout mentality, as one therapist described it, is often
characterized by ambivalence and results when therapists lose the
sense of each clients uniqueness. They highlighted that psychotherapists can slip into a pattern of taking on their clients burdens. This
often unrecognized pattern can be dangerous in that it frequently
leads to emotional depletion and eventually to burnout. These therapists observed that practicing yoga helped to cultivate compassion and
empathic engagement with their clients while simultaneously fostering a sense of detachment from their clients burdens. These therapists
illustrated that practicing yoga has helped to increase the longevity of
their careers, by helping them to recognize signs of burnout.
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IMPLICATIONS
There are important implications from this study in the areas of
burnout prevention and the development of the self of the therapist.
The intent of the study was to obtain data regarding how psychotherapists were affected by the effects of their yoga practice, and
though significant effects were reported by these therapists, generalizing the results is difficult, given the small sample size. Larger,
representative sampling and a more diverse population, regarding
ethnicity, gender, and geographic location, could provide additional
data to expand on these findings. Further studies could be aimed at
distinguishing between the personal development obtained through
the training and practice in psychotherapy and the development
gained from engaging in a regular practice of yoga. The results of this
study may be used to develop further research that targets specific
applications of the effects of yoga that may benefit the psychotherapy
community.
The results of this study do, however, provide additional considerations in addressing the self-care and professional development
issues of psychotherapists. When addressing burnout prevention, it is
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important to consider the most common factors that lead to the condition, such as high levels of stress and frantic schedules. Once a high
stimulation lifestyle has been developed, it may be quite difficult to
function at any other pace (Grosch & Olsen, 1994). At its present
speed, modern society fosters high stimulation consumption. A regular
practice of yoga can be beneficial to help relieve high stress levels and
anxiety related to the hurry sickness type of lifestyle. More importantly, a yoga practice seems to affect peoples lives at a deeper level
and does not only treat these surface symptoms but can also create
significant alterations in ones entire lifestyle. The transformation
that yoga may induce seems to target the second-order change necessary to combat the persistent influx of the societal demands and
expectations that may lead therapists to a path of burnout.
Aspects of burnout that have been shown to be common among
psychotherapists consist of symptoms of emotional exhaustion and
depersonalization (Ackerly et al., 1998). Because emotional exhaustion may result from difficulties in the attachment-detachment cycle
between therapist and client, (Skovholt, 2001) yoga may be particularly useful. Yoga seems to foster an ability to empathetically attach to
another person and yet remain unattached, which may be helpful for
those likely to experience the emotional exhaustion type of burnout.
Yoga also seems to foster an acceptance and appreciation for the
uniqueness of others which may help to prevent depersonalization.
Family of origin work with its emphasis on differentiation has
been suggested as a means of burnout prevention and professional
development (Grosch & Olsen, 1994). Yoga seems to foster the ability
to be in emotional contact with others yet still autonomous in ones
own emotional functioning, which is the heart of differentiation. In
this respect, yoga seems to be an ideal practice to supplement family of
origin work for therapists seeking personal and professional development.
Research findings indicate that a key aspect of developing the self
of the therapist consists of developing self-awareness (Aponte &
Winter, 2000; Baker, 2002; Coster & Mahoney, 1995; Schwebel, 1997;
Strupp, 1996). This is particularly true when one is looking to develop
cultural awareness and competency (Baker, 1999; Hardy & Laszloffy,
2002). Though this perspective is widely recognized, little has been
written about specific methodologies recommended for psychotherapists to develop self-awareness. Engaging in their own psychotherapy
is currently a requirement of many graduate programs. Though
personal psychotherapy is likely to provide much self-awareness and
self-understanding for their professional growth, the financial and
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