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CH 11 Two-Chair Work For Conflict Splits
CH 11 Two-Chair Work For Conflict Splits
CH 11 Two-Chair Work For Conflict Splits
11
FOR CONFLICT SPLITS
If I can stay with my conflicting impulses long enough, the two opposing
forces will teach each other something and produce an insight that serves
them both. (R. A. Johnson, 1991, p. 86)
Lynn has come to therapy feeling depressed, worthless, and hopeless
about her life situation. She feels trapped in a marriage with two young chil-
dren and a husband who is a compulsive gambler. She has attempted to leave
the marriage on two separate occasions but each time returned. As therapy
progresses, it becomes clear that Lynn has difficulties valuing her own feel-
ings and needs and finds it difficult to act on her own behalf.
She comes to session 9 saying she has been feeling sad and edgy. She
reports having had trouble breathing several times during the week, almost
as if she were "suffocating." Through empathic exploration, the therapist
and client identify that she is feeling lonely and wants reassurance that things
"will be alright." She also expresses the desire to be reassured by someone
beside herself. As she puts it, she has given so much to others that now she is
beginning to "feel maybe like I've been ripped off."
She then goes on to describe situations in which she feels unable to
assert herself, such as recently with a neighbor, who often makes long dis-
tance calls on her phone without asking:
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Lynn: Yeah, like a big telephone bill comes and I notice it hasn't
been me, and you know I don't want to say something.
Therapist: Yeah, so you can see these potential conflicts, and you'd like
to just set the rules and say, "Don't use my phone," and yet it
is as if there would be some uneasiness in you. It's so hard to
just be yourself.
Lynn: Yeah, like I would think, "What have I done? I've been a
mean person." (crying) Actually, it's being myself that I have
problems with. Why can't I just do what I have to do, what I
feel is, you know, right?
This is a good example of a conflict between two aspects of self and
indicates that a two-chair dialogue task is an appropriate working method.
Lynn is struggling with how to express the more adaptive aspect of self (the
part that knows what is right), which constantly faces a more disapproving
aspect of self that judges her to be "mean" and unacceptable. This struggle
leads to a sense of despair. Two-chair dialogue is designed to target conflict
splits, that is, problems that arise when one part of the self attacks or blocks
the full expression of a more adaptive and fundamental aspect of self.
Two-chair tasks represent the gestalt therapy lineage of process-
experiential (PE) therapy. Fritz Perls, the founder of gestalt therapy, origi-
nally wrote about polar aspects of the self and interruptions to healthy organ-
ismic experiencing (Perls, 1969; Perls, Hefferline, &. Goodman, 1951). Over
the past 20 years, Greenberg and colleagues have adapted and developed the
two-chair dialogue task for working with a variety of conflicts (e.g., Greenberg,
1979, 1980, 1983, 1984a; Greenberg, Rice, & Elliott, 1993).
Conflicting aspects of self are frequently verbalized and expressed as
two parts in conflict—such as, "I'd like to, but I am afraid" or "I wish I could,
but I stop myself and often arise out of the person's developmental experi-
ences. Conflicts represent internalized standards set up in the early forma-
tive years. Partially out of habit, partially out of fear, one comes to live ac-
cording to already incorporated standards, edicts, and judgments about how
one "ought" to be, rather than engaging in a more discriminating process of
attending to and selecting what fits and will lead to greatest satisfaction of
needs. As a result, important needs get ignored, lost, or minimized.
Perls (1969) referred to the coercive or evaluative aspect of self as a
"top dog" that verbalizes the "shoulds," "oughts," and evaluations. It also
carries with it hostility, disgust, or contempt that feeds into feelings of hope-
lessness, powerlessness, and subsequent depressive or anxious states. It is the
specific dominance of the negative self-evaluating process that leaves the
person immobilized, anxious, depressed, and uncertain. At the same time, it
is important to stress that these processes are habitual and often occur out of
awareness. It is not as though people come to therapy necessarily conscious
of "beating up" on themselves. When brought to awareness, however, that is
indeed how it is felt.
For many client groups, particular forms of conflict split are the charac-
teristic marker (see chap. 14, this volume). For example, research has identi-
fied the negative evaluative critic with intense feelings of hostility or disgust
as important in clinical depression, where these feelings appear as perfec-
tionism and emotional blocking (Greenberg, Elliott, & Foerster, 1990;
Whelton & Greenberg, ZOOla; see also chap. 14, this volume). In addition,
conflict splits are also common in clients with anxiety disorders such as post-
traumatic stress and generalized anxiety disorders, where a critical aspect of
the self persistently frightens a vulnerable experiencing aspect as a protec-
tive strategy. Further, conflict splits are also central to substance abuse and
other habit disorders, where conflict typically exists between a distressed,
weak self aspect that engages in persistent self-harming behavior as a means
of distracting itself from emotional pain (a maladaptive self-soothing strat-
egy) and a healthier aspect of the self that is concerned about the self-harm
but is unable to stop it. This conflict is the basis of Miller and Rollnick's
(2002) motivational interviewing, a popular approach to substance abuse
treatment that has much in common with PE therapy. Finally, clients with
borderline and other disordered personality processes typically have impla-
cable splits that require extensive, careful work over time. With fragile cli-
ents, however, this type of work should be used with great care because it
may cause fragmenting experiences. Chair work should be initiated only at a
point in the therapy when therapist and client judge the client to be stable
enough and ready to handle it.
In this chapter, we describe how two-chair work is carried out in PE
therapy, emphasizing two-chair dialogue for self-evaluative ("critic") splits,
but also briefly touching on the closely related form of two-chair enactment
for self-interruption splits, in which one part of the self blocks or interferes
with the expression of primary feelings or needs.
The following pages will describe the client and therapist processes in-
volved in identification of the marker, initiation of the dialogue, and work-
ing through to resolution of the split.
The client and therapist processes involved in working through and deep-
ening the two-chair dialogue are explicated in the following sections.
The therapist has encouraged Lynn to voice her fears and to state what
she needs—to be liked. Statements of need often strengthen people and ori-
ent them toward goals. In addition, the client has acknowledged her fear but
realizes that although she does not want to feel neglected, it is more impor-
tant for her to stand up for herself. In other words, she would prefer to make
her needs clear and risk rejection, rather than to go unnoticed. The maximal
focus of attention on all aspects of her experience allows her to process what
is important to her as if she were living the experience. By acknowledging
what she does want, she gathers strength. In addition, the therapist's valida-
tion of both her fears and her needs has encouraged her own acceptance of
them. The sadness subsides and gives way to excitement. She feels more
equipped to confront whatever pain may result from her being neglected by
the other. With encouragement, she is now able to reaccess the developmen-
tal growth edge, which is "I do care about myself." Although the dialogue is
clearly on the path to resolution, as is often the case it loops around one more
time. Client and therapist run through the stages once more, albeit at a deeper
level. In the following segment, after an initial self-assertion, the therapist
moves the client to the other chair to get a response from the critic. The
critic's response leaves her feeling hurt and unloved:
Therapist: Yeah, you are saying you just feel like there is nothing you
can do, 'cause you just don't deserve anything, and I guess
this must leave you feeling pretty sad . . . ?
In addition, the therapist may want to use experiential teaching or for-
mulation to metacommunicate about why he or she is asking the client to
"stay with hopelessness." After all, this may seem like an odd or even insen-
sitive request, as the client may feel that the hopelessness is the problem that
he or she is trying to move away from. The therapist can explain, however,
that helpless feelings do in fact lead to anxiety and hopelessness to depres-
sion. The therapist can also validate the hopelessness, acknowledging that
although it is a painful feeling that the client tries to avoid, it is also very real
and the source of much difficulty. Further, the therapist can point out that
embedded within the experience of weakness are more primary feelings such
as sadness and anger, to which it is important to give expression. Such feel-
ings need to find expression, as this will ultimately lead to a change in view
of self and problems. Thus, the therapist might say,
Therapist: So, you feel pretty powerless. It's as if there is nothing you can
do. It's just this way, and you're stuck, (pause) And, you know,
it strikes me, no wonder you end up feeling discouraged!
Lynn: Yeah, I guess you're right. I really do feel like I don't deserve
it, and that makes me feel so ... worthless.
Therapist: Yes, it's just this feeling of worthlessness, but it's the hope-
lessness that we have to work with, 'cause it's weighing you
down and leaving you feeling depressed. I also sense that there
is some real sadness and pain underneath the hopelessness.
The goal is to access the emotional response that underlies the sense of
collapse or resignation. Sufficient empathic affirmation of underlying feel-
ings (e.g., sadness, anger) invariably leads to the emergence of the more pro-
active, healthy aspects of self, because primary adaptive emotions are natu-
rally self-assertive and growth oriented (see the chap. 7 discussion on empathic
affirmation).
Encouraging greater specificity in the critic. The other route to take in
dealing with powerlessness or defeat is what Lynn's therapist actually did
with her. The therapist can move the client back into the critic chair and
encourage the critic to be more specific in her criticisms. Such action can
There are various ways in which the critic softens: into fear or anxiety,
into contrition, into caring or compassion, and so on. Lynn's statements il-
lustrate several of these. Most often, a more benevolent stance toward the
self emerges, such as "I want to protect you." Fundamental needs and values
underlying the critic's anxiety associated with this protective stance also need
to be validated and explored. At this point in the dialogue, when the critic
begins to state its standards, values, and fears, the client should be encour-
aged to express feelings and needs to the experiencing chair.
Lynn: Yeah, I don't want to be left all alone. I want you to stick by
me.
Therapist: So what do you want from her?
After the critic softens, the sense of struggle or opposition between the
two sides vanishes, and the two sides enter a process of reflective negotiation
and problem solving. Clients will often spontaneously comment on their
new sense of wholeness, saying things such as, "Wow, it's as if she is over here
now" (pointing to other chair) or "I feel like the two sides have kind of come
together." From the therapist's perspective, there is a stronger sense of equal-
ity between the two parts and a sense of the two parts working together. It
seems that after the vulnerable emotions and associated needs that underlie
both sides have been expressed, the two sides are more compassionate to-
ward each other and are more motivated to work together. At this point the
therapist assumes a less active position, facilitating exploration and expres-
sion of feelings and needs from both sides so that they may find a more inte-
grated style of working together:
Although they can occur on their own or within any other task, self-
interruptions are particularly common in empty chair work (see chap. 12,
this volume), where clients run into blocks when attempting to fully express
emotions or needs to the imagined significant other. Either they hold back
the expression and full intensity of their feelings, or they have trouble access-
ing or stating needs. For example, men are sometimes afraid to express rage
for fear of losing control and hurting someone. Alternatively, clients inter-
rupt the expression of needs because they are afraid of not having them met
or because they fear feelings of devastation and disappointment. Moreover,
clients may interrupt full expression of their emotions and needs because
they have maladaptive fears such as of annihilation or loss of control.
In trauma-related unfinished business, avoidance processes and emo-
tional overcontrol are extremely common (Paivio & Nieuwenhuis, 2001).
Processes such as catastrophizing or guilt about experience, shutting down,
going numb, and dissociation were adaptive at the time of the traumatic
event but now interfere with the integration of the traumatic experience.
With particularly fragile clients, it may be best to explore these processes, at
least at first, through empathic work. Nevertheless, the successful working
through of self-interruption processes will eventually allow clients to toler-
ate and explore avoided painful material.
Blocks and self-interruptions are often related to internalized taboos
and subsequent beliefs and injunctions. For example, in spite of suffering
years of abuse under a domineering, abusive father, during empty chair work
an Italian Catholic client objected to telling his father of his true feelings of
hatred, saying, "You just don't talk back to your mother and father, let alone
say you hate them." Another client objected to telling her mother that she
needed her attention, love, and affection, because at the age of 13 she had
decided, "I will not get what I want, and it is better not to need anyone at
all."
The client may report self-interruptions that have occurred outside the
session, or, more commonly, a self-interruption may occur in real time dur-
ing the session. Clients also vary in the degree to which their self-interrup-
tions are explicitly expressed. Self-interruptions are most easily recognized
when three characteristics are present: (a) The person describes or begins to
express a feeling, need, or action; (b) a restriction or interruption of this
feeling, need, or action is described by the client or evidenced in the session,
and (c) the client expresses distress or discontent as a result of the interrup-
tion, including physical pain. Internally, the inner experience that goes with
self-interruption is that of feeling squeezed, blocked, or stopped. For example,
"Yesterday I started to get angry with my mom but then, it just went away. I
had a blinding headache for the rest of the night." In-session self-interrup-
tion splits may be observed when the client is unable to express an emotion
or need or is unable to complete the expression of it; when asked, he or she
describes feeling blocked or reports the onset of tightness in the chest or
throat or a headache. The following is another example from empty chair
work:
Therapist: Can you tell your granddad about how much you miss him?
How do you do that?
Client: I miss ... (pause; client makes a pained expression)
Therapist: What happens when you try to tell him?
Client: I can't say it—there's a big lump in my throat, and it just
won't come out. Suddenly I just feel small.
At times, the first indication of a self-interruption is an emotional or
physical symptom, such as feeling oppressed, burdened, or blocked, or a tight-
ness in the chest or a pain in the neck. In these cases, the primary feelings or
needs have been so efficiently interrupted that they may not be apparent. For
example, Jessica was a 19-year-old woman whose depression was linked to
unassertiveness. She usually did not get her needs met in relationships, but
instead ended up feeling taken advantage of. After a break in treatment, she
came into session 7 complaining that her neck hurt and that she had a feel-
ing of heaviness in her shoulders, like a large weight that was making her
slump. Subsequent two-chair work revealed this to be a self-interruption pro-
cess by which she habitually oppressed herself.
plish this, it is best to put the part of the self that is interrupting in the other
chair and to ask the client to enact holding the experiencing self back. Table
11.2 lists task resolution stages and facilitative therapist responses.
For example, after Jessica and her therapist empathically explored her
feeling of heaviness and pain in her shoulders, it became clear that they were
somehow related to her depression, and the therapist proposed a two-chair
enactment:
Therapist: I wonder if you could come over here and be the heaviness?
The two forms of two-chair work are central to PE therapy and are also
complex to master. To read more about these tasks, see Perls (1969),
Greenberg (1979, 1980, 1983), and Greenberg et al. (1993). Research on
two-chair dialogue is reviewed in Greenberg (1984a); Greenberg, Elliott, &.
Lietaer (1994); and Elliott, Greenberg, and Lietaer (2003). In addition, two
videotapes illustrating PE two-chair dialogue are available (American Psy-
chological Association, 1994; Psychological & Education Films, 1989). The
film Dawn (Psychological & Education Films, 1989) contains a nice example
of working with the collapsed self.