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Psychotherapy Volume 33/Winter 1996/Number 4

ELEMENTS OF THE SOCRATIC METHOD:


V. SELF-IMPROVEMENT

JAMES C. OVERHOLSER
Case Western Reserve University
The Socratic method includes the use of includes the use of systematic questioning (Over-
systematic questioning, inductive ,v holser, 1993a), inductive reasoning (Overholser,
19936), universal definitions (Overholser, 1994),
reasoning, universal definitions, and a and an attitude of disavowal of knowledge (Over-
disavowal of knowledge. The present holser, 1995). These components clarify the process
article describes a focus on self- of the Socratic method as used in psychotherapy.
improvement that often guides the clinical The Socratic method shares many similarities
application of the Socratic method. Self- with cognitive therapy. Both approaches share an
improvement is based on three general emphasis on the client's cognitive functioning and
ability to cope with adversity through rational be-
goals: self-knowledge, self-acceptance, havior. Bom approaches rely on frequent ques-
and self-regulation. Each of these goals is tioning and inductive reasoning. However, die So-
discussed in terms of the benefits it cratic method differs from cognitive therapy in
provides the client, obstacles that prevent several important ways. Cognitive therapy is typi-
or hinder its development, and the process cally structured and directive, with sessions orga-
nized around explicit agendas (Beck & Emery,
of improving it through psychotherapy. The 1985; J. Beck, 1995). The cognitive therapist is
focus on self-improvement in likely to assume the role of expert and take a direc-
psychotherapy is clarified through several tive stance in therapy, hi contrast, the hallmark of
briefcase examples. the Socratic method is self-discovery, hi order to
encourage self-discovery, the Socratic method em-
phasizes the "ignorance" of the therapist (Over-
Introduction holser, 1995). Furthermore, rather than empha-
The Socratic method can provide a useful ap- sizing a reduction of psychiatric symptoms, the
proach for clinical interviewing that is compatible Socratic method is more likely to address major life
with most forms of psychotherapy. Previous au- issues (e.g., "What personal qualities do you feel
thors have alluded to the use of the Socratic are most important for Jiving a good life?").
method as part of cognitive therapy (Beck & Em- A recent study has examined the perceived dif-
ergy, 1985; Beck, Rush, Shaw, & Emery, 1979; ferences between the Socratic method as com-
Beck, Wright, Newman, & Liese, 1993), rational- pared with rational-emotive therapy and client-
emotive therapy (Ellis, 1994), and psychody- centered therapy (Cautin, 1996). Subjects
namic therapy (Rychlak, 1968; Stein, 1991). included both college students and clients who
However, few authors have described the Socratic were receiving outpatient psychotherapy. After
method in adequate detail. The Socratic method listening to audiotaped presentations of the three
types of therapy, subjects rated each therapy vi-
gnette on specific dimensions. Compared to thera-
The author is indebted to Stacy Freiheit, Eden Silverman, pists who used rational-emotive therapy and
Mark Fine, Abe Wolf, Fred Zimring, Michelle Lee, Julia
client-centered therapy, therapists using the So-
Gemma, Robin Cautin, and Patti Watson for their valuable
cratic method were rated as more empathic, more
comments on earlier versions of this article.
Correspondence regarding this article should be addressed warm and friendly, more honest and sincere, and
to James C. Overholser, Ph.D., Department of Psychology, more collaborative. Thus, the Socratic method
Case Western Reserve University, 10900 Euclid Ave., Cleve- was perceived as optimal on several key dimen-
, OH 44106-7123. sions of psychotherapy process. Although the So-

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James C. Overholser

cratic method and cognitive therapy are similar mental disorders, or acute suicidal tendencies.
in many ways, the two approaches emphasize Also, the Socratic method can be difficult to im-
different aspects of the therapy process. Both plement with clients who are excessively talkative
therapeutic approaches focus on the client's cog- and who display tendencies for circumstantial or
nitions as central areas to be changed, but the tangential speech.
Socratic method emphasizes the client's self-dis- The present article describes the Socratic method
covery gently guided by the therapist. In cogni- as focused on the goal of self-improvement. An
tive therapy and rational-emotive therapy, the essential goal of the Socratic method is to facili-
therapist often assumes a more directive role of tate autonomy in the client. The Socratic method
teacher and repairman. encourages clients to self-reflect and examine
Although the Socratic method can be useful, their behavior and their life goals (Versenyi,
it is not appropriate for all clients or all problems. 1963). Three basic goals of the Socratic method
The selection of clients can influence the effec- of psychotherapy involve helping clients to under-
tiveness of the Socratic method. In general, the stand themselves, to accept themselves, and to
Socratic method seems to work best for clients regulate their emotions and behavior. These goals
who are verbal, intelligent, and motivated for correspond to the three domains underlying self-
therapy. These clients should prefer therapy that improvement: self-knowledge, self-acceptance,
is designed to help them confront chronic prob- and self-regulation. These interrelated areas often
lems of emotional distress or interpersonal diffi- serve as the focus of psychotherapy sessions (see
culties. Clients who are most appropriate for the Figure 1).
Socratic method are interested in self-exploration
and self-improvement as general goals of therapy. Self-knowledge
The Socratic method is not well-suited for clients The Socratic notion that the "unexamined life
who present with problems of psychosis, mental is not worth living" can play an important role in
retardation, organic mental problems, develop- psychotherapy (Lageman, 1989). Self-knowledge

SELF-KNOWLEDGE

SELF-ACCEPTANCE SELF-REGULATION
Figure I. The interplay between self-knowledge, self-acceptance, and self-regulation.

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is a broad category that includes insight into the you think your life would be like after working
presence and nature of one's psychological func- on "a good job" in computers for twenty years?"
tioning (Maikova & Berrios, 1992). Self- The client began to see how he had valued finan-
knowledge refers to an understanding of one's cial security over personal contentment. Many
behavior, emotions, cognitions, expectations, in- people choose careers because of financial oppor-
clinations, motives, and aspirations. Self-knowl- tunities or family pressure. This often leads to
edge includes an understanding of past events that dissatisfaction with one's work, and can result in
have affected the person as well as an appraisal of chronic feelings of frustration or resentment.
future goals and potential (Gergen, 1971). Self- Thus, self-knowledge can help clients make better
knowledge includes an understanding of one's choices about major life goals.
strengths and abilities as well as limitations. A second benefit of self-knowledge occurs
Often, self-knowledge involves an awareness of when clients begin to gain a new perspective that
broad life goals in terms of desirable personal reduces both maladaptive emotional reactions and
attributes. Because of the comprehensive nature destructive behaviors. When viewed from the
of self-knowledge, it is best viewed as an ongoing proper distance, difficult decisions become simple
process instead of a goal with a distinct end point and problems from daily life no longer appear
(Evans, 1990). overwhelming. Furthermore, when clients under-
Benefits of self-knowledge. Self-awareness can stand their motives for different behaviors, it can
help clients assess their priorities in terms of life- be easier for them to control or change their initial
long goals (Stalley, 1986). Through the Socratic reactions to different events.
method, clients can become more aware of who An adequate level of self-knowledge is a pre-
they are and who they want to become, in terms of requisite for more advanced interventions. With-
desirable personal attributes. Many clients benefit out adequate self-knowledge, clients are not ready
from distancing themselves from their daily rou- to proceed into areas of self-acceptance or self-
tine and beginning to appreciate their long-term regulation. If clients understand the motives that
goals. Without adequate self-knowledge, clients underlie their behavior, they can be in a better
may be driven by goals and values outside then- position to modify their behavior as needed.
conscious awareness (Schmid, 1983). For exam- Obstacles preventing adequate self-knowledge.
ple, one young adult male client had begun train- Accurate self-knowledge can be difficult to attain.
ing in computer science. However, he felt mildly Because self-knowledge requires an ability to be
depressed, empty, and dissatisfied with his life. aware of one's own shortcomings, some clients are
In therapy, he was asked about times when he overly defensive and may bereluctantto view their
felt interested or excited about different aspects situation openly. Self-awareness can be impeded by
of his life. He reported times when he was con- selective garnering of evidence, selective focusing
sumed by his hobby of painting and he became on particular events, and a misinterpretation of events
completely focused on his artistic expression. (Mele, 1987). Selective gathering of evidence can
When the therapy conversation shifted back onto hinder self-awareness. Clients play an active role
his college classes, both therapist and client no- in creating their perception of reality through their
ticed a dramatic shift in his mood and his energy expectations, attributions, and interpretations
level. He began to realize that he had been ne- (Moss, 1992). Clients may only seek information
glecting his long-standing interest in art. When that is consistent with their pre-established views
asked how he came to choose computer science (Gergen, 1971; Swann & Read, 1981).
as his major, he reported financial concerns. He Selective focusing on particular events occurs
was pursuing training in computers to increase when clients exaggerate the good or bad qualities
his chances of finding "a good job" after school. they see in themselves. Sometimes, clients at-
When asked what "a good job" meant to him, the tempt to block their awareness of negative feel-
client said a job that paid a high salary yet it was ings. For example, an adult female client com-
not overly competitive so he could find a job in plained of chronic depression despite always
the area. Therapist and client discussed the other presenting a cheerful facade to others. In therapy,
aspects of job satisfaction and the role that his she became aware of how she "buried" her nega-
personal interests could play in both his long- tive emotions by eating excessive amounts of ice
term career enjoyment and his career success. cream. The therapist labeled her spoon as a sym-
The therapist asked questions such as, "What do bolic shovel she used to bury her emotions under

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James C. Overholser

mounds of ice cream. The therapist helped her The search for self-knowledge does not mean
see that she needed her "shovel" twice,firstwhen privatereflectionaway from other people and life
she buried her emotions, and second to unbury events (Navia, 1985) but requires frequent input
them. Therapy focused on helping her learn to from others (Cassam, 1994). Clients benefit from
express her emotions directly and spontaneously a wide range of life experiences in order to learn
as they arose in different situations. This was a who they are and who they want to become. Ade-
lengthy process that occurred over several months quate self-knowledge involves an understanding
in therapy. She was praised for the direct expres- of the client inrelationto others (Annas, 1985).
sion of emotions, and she was helped to identify For example, one male client persistently behaved
the interpersonal consequences of expressing both in socially deviant ways. He needed to learn not
positive and negative emotions. In addition, she just to accept himself but how tofitin with society
needed to use psychotherapy sessions as a second and live by societal standards. Only by continu-
shovel to dig up her buried emotions from long ally interacting with others could he try new ways
past events. She held in a tremendous amount of of behaving and observe the effects on his rela-
anger towards her mother and much shame from tions with others. To facilitate self-exploration,
comments made by her father many years earlier. the therapist asked questions such as: "How do
Over the course of therapy, this client became more others react when you behave this way?"; "How
aware of her tendency to use food as a means of do you react when someone else treats you like
coping with negative emotional states, and began this?" Although this client resisted change be-
confronting her emotions more directly. cause accepting a different view would require
Self-deception involves a misrepresentation of different behaviors, his various social encounters
the evidence in order to avoid unpleasant emo- gave him opportunities to explore his behavior,
tions (Silver, Sabini, & Miceli, 1989). Some cli- his motives, and the value he placed on interper-
ents present a social facade whereby they try to sonal relationships.
appear a certain way in front of others. When The Socratic method encourages a self-
done long enough, clients may start to believe discovery process facilitated by the therapist's ques-
their own facade. For example, one female client tions (Overholser, 1993a). This self-discovery
reported a lifetime of difficulties related to her process can focus on specific issues, such as iden-
chronic alcohol abuse. This included two di- tifying patterns in behaviors or emotions (Over-
vorces, three arrests for drunken driving, and re- holser, 1993*). For example, one client with gen-
peatedly getting fired from various jobs. How- eralized anxiety learned to monitor situations
ever, she denied that she had a problem with associated with high versus low anxiety. Also,
alcohol and instead attributed her problems to she developed a more refined differentiation of
chronic depression. She believed that if she felt various mood states. Instead ofreportinga global
less depressed, she would no longer need to drink state of agitation throughout most days, she
alcohol. She was unable or unwilling to see that learned to differentiate anxiety from suppressed
she typically became depressed over the problems anger. This information helped her understand
caused by her alcohol abuse. situations that elicited different feelings and why
The process of improving self-knowledge. A she behaved as she did.
basic prerequisite of the Socratic method is that The self-discovery process also can focus on
clients are expected to say only what they believe. general issues pertaining to personal attributes
The Socratic dialogue must be based on honesty, and life goals. When clients clarify their views
sincerity, and genuineness. The therapist can use about their own life goals, they often develop a
a Socratic dialogue to help clients identify incon- broader perspective that helps them cope with
sistencies among beliefs or contradictions be- daily problems in a different manner (Overholser,
tween the client's beliefs and observed behavior 1994). For example, a recently divorced male
(Overholser, 1994). Typically, the focus is on client asked himself, "Why do I look at my life
long-term life goals concerning the client's per- as over instead of a new beginning?" Through a
sonal attributes,ratherthan occupational perform- series of questions, he was able to see that he had
ance or financial success. If clients see that their not yet let go of his "previous life" with his wife
daily behaviors conflict with their major life and kids. He was asked how his friends, his co-
goals, they should become motivated to change workers, his children and his minister would de-
their behavior orre-evaluatetheir goals. scribe the changes he had experienced since the

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divorce. He was asked how he would see a friend Self-acceptance


undergoing similar mid-life changes, and what he Self-acceptance refers to a general sense of ap-
would tell the Mend to help him cope with feel- proval of oneself as a whole. Self-acceptance
ings of sadness or loneliness. Also, he was asked should be based on a thorough and rational self-
how he would look back on these events in six evaluation, including an awareness of both
months, and in six years. Finally, he was asked strengths and weaknesses (Annas, 198S). This
to imagine a positive future in which he lost the can help clients live within their means and not
role of husband but retained the role of father. In exceed their limitations (Seeskin, 1987).
general, this client tended to focus on what he Benefits of self-acceptance. Self-acceptance
did not have and ignored the many positive things implies that clients are content with themselves,
he still had in his life. In therapy, he was able to including their flaws. However, self-acceptance
refocus his goals onto becoming a good father for does not mean that they become unmotivated to
his children despite being divorced from their change, but it provides a stable foundation on
mother. which to strive for improvements. Self-acceptance
Clients may be helped to examine persistent can promote emotional stability in clients. For
behavior patterns across diverse problem areas example, an adult female client complained about
(Overholser, 1993&). For example, a female cli- difficulties evaluating her life objectively. She
ent had persistent difficulties maintaining a job was asked to write a list of her success experi-
despite what she perceived as exemplary work ences. As she discussed the list in therapy, she
performance. When she was asked to write a list focused on negative aspects of each event. She
of the major events she had encountered, and was asked what made the event negative, and
what she had learned from them, she spontane- what could be seen as positive about each situa-
ously provided an identification of several domi- tion. Alternatively, she was asked what could be
nant themes across problems. She described re- seen as negative in some situations that initially
current problems with jealousy and resentment, appeared all positive. She began to see that each
feelings of betrayal and abandonment, and fre- experience involved a blending of success and
quent conflict with peers. In most work settings, failure. In one case, she worked as a school
she focused on issues of productivity and morality teacher and had great relationships with her stu-
while ignoring issues related to cooperative social dents and their parents, but was fired because of
functioning. Therapist and client discussed the financial cut-backs. She concluded that it was no
benefits that can be obtained from work produc- longer appropriate to view an experience as a
tivity and the risks involved when maintaining an "success" or a "failure" because all experiences
air of moral indignation toward co-workers. She included elements of both. Instead, she saw the
was asked how she had related to co-workers who benefit of examining her experiences in terms of
were productive but unfriendly. Then, she was both good and bad outcomes and how she had
asked how she related to co-workers who were learned from both good and bad aspects of an
friendly but unproductive. Over several ses- event. As she learned to appreciate the emotional
sions, she began to appreciate the neglected so- texture of the different events, she realized that
cial areas of her life. This type of dialogue even if she could have gone back in time and
helped her to identify aspects of her social func- prevented some of the negative events from hap-
tioning she needed to address in therapy (e.g., pening, she would not choose to do this because
cooperation, friendship, compassion, and car- she would lose part of herself.
ing for others). Self-acceptance can promote increased self-
Clients sometimes need to be encouraged to awareness by allowing clients an inner strength
take risks, to try new behaviors, and to be ready to tolerate a critical but realistic appraisal of then-
to learn from their mistakes. When clients have own strengths and weaknesses. Realistic stan-
started to make progress in therapy and then a dards help promote emotional stability. The open
set-back occurs, clients should retain the attitude acknowledgment and acceptance of one's limita-
mat they can learn from the events and often can tions helps clients become more balanced, inte-
use the set-back as a means of moving even fur- grated, and calm. Clients can develop the ability
ther ahead. Through these events, self-knowledge to appreciate the humor of their own deficiencies
can promote self-acceptance as a process of con- while also working to correct them (Zimmer-
tinual change and growth. man, 1980).

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Obstacles preventing self-acceptance. Self- ever, these negative emotions may be used to
acceptance can be hindered by a tendency to focus motivate clients to make changes in their behav-
on obtaining external goals and satisfying physi- ior. Clients can learn that if they engage in some
cal desires. Many clients convert their wants into behavior they do not like, they should be moti-
needs, and their desires into demands (Ellis, vated to stop it. This can help promote self-
1994). When external circumstances prevent cli- regulation. For example, an adult male client was
ents from obtaining certain desires, clients can being treated for compulsive checking. He asked
simply adjust their desires to correspond to goals his therapist, "Is this behavior normal?" When the
that are reasonably obtainable (Brickhouse & therapist discussed the rational safety concerns
Smith, 1994). For example, a young adult female behind making sure the stove is turned off, but
client was having difficulties getting accepted into described it as a habit that had become too ex-
medical school. Her GPA was low and she did not treme, it helped reduce the client's feelings of
perform well on the Medical College Admissions shame. As he felt moretolerantof his behavior,
Test. She was very upset because she believed he was able to discuss his habits in therapy and
that in order to be happy and fulfilled, she begin identifying areas to change. Self-acceptance
"needed" to get into medical school. She sought did not encourage him to accept his symptoms as
treatment for test anxiety and study skills training. part of his identity, but helped to enhance his
The therapist wanted to help the client improve self-knowledge and self-discipline. He learned to
her chances of admission, and both test anxiety accept himself, not as a stagnant entity, but as
and poor study skills were relevant to the client's someone who was willing to attempt to improve
poor performance. However, these did not seem himself in various ways. Furthermore, over the
to be the critical issues. Instead, career choice course of therapy, he frequently questioned
seemed more central. The client did not seem to whether he had made sufficient progress. He was
have a natural affinity for the biological sciences, helped to see himself similar to a mountain
and did not find these topics-inherently interest- climber; if he only looked up, he would see he
ing. Instead, she viewed medical school as a still had a long way to go. If he occasionally
means of becoming a physician, and she could stopped to look down, he could appreciate how
men help others. She did not see the daily work far he had come.
of a physician as being a natural extension of the Self-acceptance can be hindered by a lack of
skills required both to get into and to successfully self-knowledge, such as when clients have unreal-
graduate from medical school. Also, family mem- istic goals or standards for themselves. For exam-
bers had placed subtle but persistent pressure on ple, one client with depressive tendencies recently
her to become the first physician in the family. had started a new job. She frequently became
The therapist did not want to take away the cli- upset with herself during her job training because
ent's dreams of medical school, but it was not she felt she needed to learn tasks quickly. For
appropriate to provide study skills training to help her, getting it right meant doing perfectly the first
the client pursue a goal that was probably unob- time she did a task. She stated, "I hate myself
tainable and perhaps not truly desired. Instead, a for not being smart enough to do it right on my
series of discussions helped the client clarify her own the first time." She frequently implied that
view of a physician's job and the emotional and she felt she needed to be perfect in all areas of
psychological benefits from helping others. She her life. When the therapist confronted her with
focused on the personal feelings of gratification this irrational attitude, shetonedit down to state,
that come from helping others, and began explor- "I want to do well in some areas." However, she
ing other careers that provided similar opportuni- had a persistent tendency to focus on performing
ties to help people in need. She soon developed "A+" quality, striving for 120% performance.
strong interests in associated fields such as physi- When the therapist discussed an analogy between
cal therapy, recreational therapy, art therapy, and her self-evaluation and her appraisal of her son's
drama therapy that coincided very well with her performance in school, she stated that she would
natural abilities and long-term interests. She ap- be happy if he got all "B's." This was used to
plied and was accepted into a graduate training help her identify a middle range of performance
program in an allied health profession. betweentotalperfection and complete failure, and
Self-acceptance is hindered when clients feel then begin to re-calibrate her standards for self-
guilt or shame over an aspect of their life. How- evaluation. Gradually, she learnedtosee that 80%

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Self-improvement

or "B" performance is often sufficient for a posi- behavior as they struggle with daily challenges.
tive evaluation of herself. Clients can learn torewardtheir effort and prog-
Process of facilitating self-acceptance. In order ress, not simply the attainment of goals. Most
to foster self-acceptance, clients mustfirstunder- importantly, clients can learn to feel good about
stand themselves in a realistic and rational man- who they are, looking at themselves and then-
ner. Self-acceptance often requires that clients lives from the broad perspective provided by ade-
learn they can change their typical way of behav- quate self-knowledge. Clients are capable of con-
ing in a variety of situations. Clients can be en- trolling their own happiness by setting their own
couraged to explore different self-care behaviors, standards for performance and success. Lasting
different interpersonal styles, and different career happiness comes not from external goals nor
opportunities. As they experiment with different physical pleasures but from becoming a good per-
ways of dealing with common situations, clients son (twin, 1992; Reale, 1987). A Socratic dia-
can learn that it is alright to make mistakes as logue can help clients explore their life events
long as they learn from the events. For example, and long-term goals. After the goals of self-
a depressed male with low self-esteem saw him- improvement have been internalized, emotional
self as a "jerk" because he chose to stay in town stability can come from within the client and not
and work instead of joining his wife and children remain dependent on life stressors or interper-
on their week-long vacation at the beach. Al- sonal conflict.
though he had legitimate work obligations, this Clients can be helped to focus on the positive
"family vacation without dad" produced repeated aspects of their lives. For example, Socrates
conflict with his wife, and eventually led up to downplayed the negative aspects of his physical
his divorce. Even after being divorced for a year, appearance (e.g., bulging eyes) and instead em-
the client still tried to predict what his ex-wife phasized the positive qualities from a functional
would want him to do in various situations. When perspective (e.g., good vision). He emphasized
he described how his wife used to call him a that beauty and ugliness come not from what is
"jerk" because of minor disagreements, the thera- seen but how it is interpreted (Bumyeat, 1990).
pist asked him, "Are you a jerk?" This forced Socrates defined beauty as something that is well
the client to identify his own criteria for self- adapted to its function (Guthrie, 1971; Parker,
evaluation and explain why he was not a jerk. 1979). If something works well for its intended
The therapist encouraged him to find what he purpose, it should be praised and appreciated.
thought was right, not what his ex-wife told him When something causes emotional distress or re-
to do. He had been using an inappropriate evalua- duced ability to function, it should be changed
tor (his ex-wife) and inappropriate criteria (goals and improved.
set by his wife) to form his evaluation. Initially,
the client had obsessed about what he perceived Self-regulation
as mistakes from his past, such as working long Self-regulation refers to the ability to direct
hours instead of taking a vacation with his family. one's life in the manner desired by the individual.
This situation led to frequent disagreements and Socrates emphasized self-control (Chessick,
reduced intimacy with his wife. When the thera- 1982) or self-regulation throughout his lifetime.
pist asked, "What if you had acted differently at Socrates described the tripartite soul including
that time?" the client learned to tell himself "I reason, spirit (or emotions), and desire (or instinc-
can't go back to the past, what's done is done." tive appetites). Self-regulation requires an ability
Once he realized that he could not change his to control one's instinctive appetites and emotions
past, he was better prepared to make the most of (Tredennick & Waterfield, 1990) by using reason
his future. He began telling himself, "I am going to guide behavior. In a similar manner, Socrates
to do what I can do and that's all I can do." presented an analogy of a winged charioteer striv-
Eventually, the client was able to say, "I'm ba- ing to usereasonto control two horses, one noble
sically a good guy, I just married the wrong per- and the other unruly (full of spirit and desire).
son." He began to develop internal standards for Self-regulation requires self-knowledge to pro-
his self-evaluation. vide clients with an adequate understanding of
Self-acceptance can be fostered through the their emotions and desires.
generous use of self-praise and self-reinforcement. Benefits of self-regulation. Self-regulation can
Clients can learn to value themselves and their help clientsreducethe tendency to engage in mal-

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James C. Overholser

adaptive behaviors. When clients are capable of portantly when the client feels tired, in pain, or
self-regulation, they are no longer controlled by prompted by urges, passions, or pleasures (Reale,
their primitive urges (Kidd, 1994). The self- 1987). For example, Socrates espoused the im-
regulated person controls his/her passions rather portance of eating only when hungry, and drink-
than being controlled by them (Versenyi, 1963). ing only when thirsty. Furthermore, a person who
However, self-regulation does not require clients is hungry should hunger for food, not necessarily
to avoid pleasures when they are appropriately a particular type of food. Finally, Socrates en-
available, but just encourages clients not to focus couraged people to avoid immediately satisfying
on these transitory events (Irwin, 1992). The self- their every desire. In this way, the person will be
regulated person is capable of retaining flexibility assured to feel hungry at mealtimes, allowing the
and spontaneity. Self-discipline does not have to natural appetite to enhance theflavorof the meal
guide all behavior at all times. Instead, when (Parker, 1979). For example, an adult male had
problems develop, self-regulation can help con- difficulties controlling his weight over an eight
trol them. Self-regulation refers to the ability to year time span. He was successful in losing
control short-term impulses and desires in favor weight when he learned to eat only when he was
of long-term goals (Annas, 1985). hungry, not when he saw tasty foods or had time
Self-regulation can allow clients to pursue the to kill. When watching television at night, instead
life path they have rationally selected. When cli- of spontaneously seeing snack food and eating it,
ents focus on boredom, hunger, loneliness, or he began to ask himself if he was hungry or could
sexual arousal, the frequency and intensity of wait until breakfast the next morning. He was
these urges are likely to increase. Regulating surprised to find how many times he could hon-
one's urges does not mean attempting to suppress estly say he was not hungry, and how effective
or ignore them entirely. Instead, clients can learn this awareness was in helping to suppress his
to moderate their urges by focusing on long-term eating. He learned to not use food to cope with
interests, controlling specific emotions, and be- negative emotions, and began to view food as
haviors on the path to obtaining broader life goals. fuel, only consuming enough to get him to his
The goal of therapy can sometimes be viewed next meal. Also, he began to perceive sensations
as helping reason to control both emotions and of hunger prior to mealtimes as good feelings,
bodily desires (Reinhold, 1964). For example, a telling him he was effectively working towards
male client reported a series of relationship prob- his weight loss goal, and that the sensations of
lems. He was romantically involved with a hunger would help him appreciate his next meal.
woman he felt incapable of loving. When alone Finally, he learned that there were numerous
with the woman, he often succumbed to his sexual temptations and it required persistent effort to regu-
desires, and it conveyed to the woman his desire late thoughts and behaviors that could obstruct his
to establish a more lasting relationship. In ther- progress. Without the change in underlying atti-
apy, the client frequently expressed his rational tudes towards food and health, there would have
goals of ending this relationship and beginning been no change in behavior and no weight loss.
new with someone else sometime later. He was Self-regulation involves behaving in a manner
asked what guided his current behavior, and how that is consistent with one's long-term goals even
much his behavior was determined by his head when situational factors tend to elicit behaviors
versus his heart versus his hormones. He was that would be more enjoyable in the short-term.
asked what he wanted his social life to be like in Part of the difficulty lies in the tendency of most
5 days, 5 months, and 5 years. He began to see people to maximize their immediate pleasure and
the value of strengthening reason over desire in minimize their pain. However, short-term hedo-
order to help balance his short-term desires versus nism is often destructive in the long run. In many
his long-term goals. situations, the client's best interests may be aided
Obstacles inhibiting the development of self- when the appeal of pleasure is resisted (Brick-
regulation. Self-regulation can be inhibited by the house & Smith, 1994). Most clients can benefit
seeking of physical pleasures or the avoidance of from developing what has been called long-range
pains. Physical urges can be strong, and when hedonism (Ellis & Dryden, 1987), whereby cli-
satisfied, can be enjoyable. However, self- ents perform behaviors that are likely to enhance
regulation involves an ability to control one's be- their well-being over the long-term. Instead of
havior, not simply when it is easy but most im- responding to temporary physical pleasures, cli-

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ents can learn to focus on their long-term goals. was easier for him to express his feelings of stress
Clients do not need to eliminate, restrain, or frus- or frustration with his wife instead of acting out
trate their pleasures, but should identify the acts against her.
that bring long-term benefit and lasting satisfac- Clients tend to guide their behavior based on
tion (Brickhouse & Smith, 1994). a subjective estimate of the amount and intensity
Process of developing self-regulation. Self- of pleasure and pain likely to be obtained through
regulation often involves making maladaptive be- different courses of action. However, the estimate
haviors more difficult by emphasizing their unde- of an act's pleasure may be miscalculated by its
sirable features or by altering the environment to proximity. When pleasure is soon and pain is in
make these behaviors more difficult (Mele, the distant future (as in the case of overeating),
1987). Self-regulation also involves promoting the person is likely to see more pleasure than pain
new adaptive behaviors (Rosenbaum, 1993) by (Santas, 1979). Pleasures coming from immedi-
controlling the positive consequences that affect ate gratifications appear greater at the moment of
their behavior (Goldfried & Merbaum, 1973). desire (Grube, 19S8). The perceived pleasure will
Self-regulation is facilitated when clients are outweigh the expected pain, and the client will
aware of their natural tendencies and limitations. act accordingly. Effective self-regulation involves
This awareness can help clients avoid high risk a cognitive shift whereby clients learn to empha-
situations. For example, one client was suffering size long-term goals over short-term pleasures.
from chronic depression and alcohol abuse. He To accomplish this shift of focus, it is often help-
was able to learn that he typically abused alcohol ful to ask clients what they hope the situation
in certain places with specific people and at pre- would look like 10 years from now. After the
dictable times (especially when he was feeling long-term goals have been identified, the therapist
depressed). He was helped to learn to avoid peo- can begin helping clients to work towards their
ple and places that increased his risk for using goals.
alcohol, especially when he was feeling de- One aspect of self-regulation involves control-
pressed. He learned to think it through before he ling negative emotions (Rosenbaum, 1993).
placed himself in high risk situations. However, Sometimes clients resort to food or alcohol con-
he also learned that it was not always possible to sumption as a maladaptive means of suppressing
avoid high risk situations, such as immediately negative mood states (Morris & Reilly, 1987).
following a major argument with his girlfriend For example, a male client displayed frequent
and he was feeling sad and lonely. He needed to periods of acting-out whenever he became emo-
learn to suppress his destructive behaviors when tionally upset over problems in his close interper-
exposed to such situations. Finally, he needed to sonal relationships. His acting-out included im-
learn tofightoff urges that underlied his maladap- pulsively spending large sums of money on
tive behavior by asking himself, "Do I really want frivolous items, going on eating binges, experi-
a drink?"; "How will drinking help me improve encing bouts of intense anger, excessive alcohol
my situation?"; "Am I ready to deal with the consumption, suicidal ideation, and various sex-
consequences?" ual indiscretions (e.g., masturbating in a parked
Self-regulation can be used to manage very car and making expensive long-distance tele-
specific complaints as well as more general life phone calls for phone sex). Between sessions, the
issues. Specific problems can often be addressed client recorded when these maladaptive behaviors
by enhancing the client's ability to control a bad occurred, where they happened, and what situa-
habit. For example, an adult male client had re- tional or emotional factors had prompted them.
current difficulties maintaining a positive relation- Over time, he was helped to increase his aware-
ship with his wife. After fourteen years together, ness of situations and emotions that elicited these
their relationship had been neglectful and at times various problem behaviors. Therapy initially fo-
abusive. During therapy, he learned the impor- cused on reducing the impulsive spending be-
tance of the early stages of any encounter, and cause it had occurred frequently, it appeared least
began actively working to keep thefirstfew min- threatening to the client, and it seemed most ame-
utes of his time with his wife as pleasant as possi- nable to change. After he learned ways of control-
ble. Even on days when he felt stressed and worn ling his urges to overspend, the same principles
out from his job, he worked to keep the first few were used to help him control his impulses in the
minutes at home pleasant and sociable. Then, it other problem areas. His therapist tried to address

557
James C. Overholser

his problems in terms of both self-knowledge of by the Socratic method. The Socratic dialogue
life goals as well as self-regulation of maladaptive can help clients learn to explore their own values
impulses. He was helped to increase his reliance instead of blindly accepting values imposed by
on reason, and decrease his indulgence of various societal conventions or personal habits. More-
urges. He was able to learn to control his negative over, the Socratic method can help clients learn
emotions (anger, depression, lust) so they did not how to continue the process of self-exploration
grow uncontrollably and dominate his choice of and change outside of therapy sessions.
behaviors. The focus shifted from short-term Despite the clinical utility of the Socratic
pleasures to long-term hedonism. It can be essen- method, it is not without its limitations. Socrates
tial to start at the client's level of control and neglected the irrational aspects of human behavior
abilities and move from there (Martin & Po- and may have overemphasized the ability of hu-
land, 1980). mans to use reason to control their behavior
Therapy designed to promote self-regulation is (Chessick, 1982). Most clients initially lack the
not always easy. For example, one adult female ability to focus on long-term goals over short-
with chronic depression told her current therapist term satisfactions. Therapeutic change takes time
how a previous therapist had comforted her when and persistence. Only through a gradual process
she was feeling depressed (e.g., daily telephone of self-exploration can most clients become sensi-
calls, personal disclosure of therapist's own strug- tive to long-term interests and begin to balance
gles). The current therapist explained that depres- acceptance and change. Not all clients are capable
sion can be seen as a deep, dark hole of despair. to these kinds of cognitive shifts.
The previous therapist figuratively climbed down Although the goal of therapy may include ma-
into the hole and offered soft, warm blankets to jor changes in the client's personal attributes, the
help the client feel better. However, in the long focus within sessions may be narrow as therapist
run, this approach got the client accustomed to and client attempt to make specific changes in
the darkness and loneliness, and became depen- emotions and behaviors. Self-knowledge, self-
dent on the therapist for feeling safe and content. acceptance, and self-regulation can help clients
The current therapist was figuratively using ther- manage difficult times and stressful periods in
apy to remain above ground and hand down sticks their lives. By promoting a number of positive
(behavioral changes) and ropes (cognitive behaviors, the client can develop the desirable
changes) that could be used as tools to help the attributes capable of providing long-term content-
client build her own ladder so she could climb ment.
out of the hole. Hence, this client needed to toler-
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