Ego-state therapy
Encyclopedia
Ego-state therapy is a psychodynamic approach to treat various behavioural
Behavior
Behavior or behaviour refers to the actions and mannerisms made by organisms, systems, or artificial entities in conjunction with its environment, which includes the other systems or organisms around as well as the physical environment...

 and cognitive
Cognition
In science, cognition refers to mental processes. These processes include attention, remembering, producing and understanding language, solving problems, and making decisions. Cognition is studied in various disciplines such as psychology, philosophy, linguistics, and computer science...

 problems within a person. It uses techniques that are common in group
Group therapy
Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group...

 and family therapy
Family therapy
Family therapy, also referred to as couple and family therapy, family systems therapy, and family counseling, is a branch of psychotherapy that works with families and couples in intimate relationships to nurture change and development. It tends to view change in terms of the systems of...

, but with an individual patient, to resolve conflicts that manifest in a "family of self" within a single individual.

Distinct ego states -- in the most rigorous sense -- do not normally develop except in cases of multiple personality disorder. However, ego state therapy identifies and names facets of a patient's personality, e.g., the "frightened child" or "control freak
Control freak
In psychology-related slang, control freak is a derogatory term for a person who attempts to dictate how everything around them is done — "a control freak. Scared to let us have differences"...

". After the characteristics and function of each ego state are identified, the therapist
Psychotherapy
Psychotherapy is a general term referring to any form of therapeutic interaction or treatment contracted between a trained professional and a client or patient; family, couple or group...

 uses various psychotherapeutic techniques (e.g. behavioral, cognitive, analytic, or humanistic therapies) to achieve a kind of internal diplomacy. Ego state therapy may use hypnosis
Hypnosis
Hypnosis is "a trance state characterized by extreme suggestibility, relaxation and heightened imagination."It is a mental state or imaginative role-enactment . It is usually induced by a procedure known as a hypnotic induction, which is commonly composed of a long series of preliminary...

, but is not necessarily required to do so. Ego state therapy has sometimes been able to resolve complex psychodynamic problems relatively quickly.

The concept of segmentation of personality has been around for many years. The creation of ego-state therapy is attributed to John G. Watkins
John G. Watkins
John G. Watkins is a United States psychologist best known for his work in the areas of hypnosis, dissociation, and multiple personalities. With his wife, Helen Watkins, he developed ego-state therapy, which uses analysis of underlying personalities rather than traditional talk therapy to find the...

.

Psychological Process

In the development of the human personality, there are two processes that are essential: integration and differentiation. Through integration a person learns to put concepts together, like a shirt
Shirt
A shirt is a cloth garment for the upper body. Originally an undergarment worn exclusively by men, it has become, in American English, a catch-all term for almost any garment other than outerwear such as sweaters, coats, jackets, or undergarments such as bras, vests or base layers...

 and a pair of trousers
Trousers
Trousers are an item of clothing worn on the lower part of the body from the waist to the ankles, covering both legs separately...

, to build more complex units known as clothes. By differentiation the person separates general concepts into specific meaning, such as the differences between a comfortable shirt and an uncomfortable shirt. Such differentiation allows humans to experience one set of behaviours in a different situation to another.

Psychological processes do not exist on an either/or basis. Things such as moods
Mood (psychology)
A mood is a relatively long lasting emotional state. Moods differ from emotions in that they are less specific, less intense, and less likely to be triggered by a particular stimulus or event....

 and emotion
Emotion
Emotion is a complex psychophysiological experience of an individual's state of mind as interacting with biochemical and environmental influences. In humans, emotion fundamentally involves "physiological arousal, expressive behaviors, and conscious experience." Emotion is associated with mood,...

s like depression
Depression (mood)
Depression is a state of low mood and aversion to activity that can affect a person's thoughts, behaviour, feelings and physical well-being. Depressed people may feel sad, anxious, empty, hopeless, helpless, worthless, guilty, irritable, or restless...

, anxiety
Anxiety
Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. The root meaning of the word anxiety is 'to vex or trouble'; in either presence or absence of psychological stress, anxiety can create feelings of fear, worry, uneasiness,...

, and fear
Fear
Fear is a distressing negative sensation induced by a perceived threat. It is a basic survival mechanism occurring in response to a specific stimulus, such as pain or the threat of danger...

 exist on a continuum with differing degrees of intensity. It is the same with differentiation-dissociation. Disorders such as multiple personality disorder are often in the extreme end of the continuum that begins with normal differentiation. It is a matter of intensity. Therefore, the general principle of personality formation in which the process of separation has resulted in discrete segments, called ego states, with boundaries that are more or less permeable.

Ego states exist as a collection of perception
Perception
Perception is the process of attaining awareness or understanding of the environment by organizing and interpreting sensory information. All perception involves signals in the nervous system, which in turn result from physical stimulation of the sense organs...

s, cognition
Cognition
In science, cognition refers to mental processes. These processes include attention, remembering, producing and understanding language, solving problems, and making decisions. Cognition is studied in various disciplines such as psychology, philosophy, linguistics, and computer science...

s and affects in organised clusters. An ego state may be defined as an organized system of behavior and experience, whose elements are bound together by common principle. When one of these states is invested with ego energy
Libido
Libido refers to a person's sex drive or desire for sexual activity. The desire for sex is an aspect of a person's sexuality, but varies enormously from one person to another, and it also varies depending on circumstances at a particular time. A person who has extremely frequent or a suddenly...

, it becomes "the self" in the here and now. This state is executive and experiences the other states which are then invested with object energy
Object relations theory
Object relations theory is a psychodynamic theory within psychoanalytic psychology. The theory describes the process of developing a mind as one grows in relation to others in the environment....

.

Ego states vary in their volume. A large ego state may include all the various behaviors activated in one's occupation. A small ego state are the behaviours one experiences in a simple action, such as using a mobile phone
Mobile phone
A mobile phone is a device which can make and receive telephone calls over a radio link whilst moving around a wide geographic area. It does so by connecting to a cellular network provided by a mobile network operator...

. They may represent current modes of behavior and experiences or, as with hypnotic age regression
Age regression
-Age Regression in Myths and Mainstream Fiction :Age regression is a popular theme in transformation fiction involving the physical and/or mental reduction in age. This age regression often occurs via magic, including potions or the legendary fountain of youth, or from a science fiction plot device...

, include many memories, postures, feelings, etc that were apparently learned at an earlier age. They may be organised into different dimensions. For example, an ego state may be built around the age of 10. Another one may represent patterns of behavior toward a father
Father
A father, Pop, Dad, or Papa, is defined as a male parent of any type of offspring. The adjective "paternal" refers to father, parallel to "maternal" for mother...

 or authority figures and thus overlap with experiences from the age of 10. Behaviors to accomplish a similar goal may be uniquely different from one ego state to another, especially in true multiple personalities.

Hypnosis

Hypnosis
Hypnosis
Hypnosis is "a trance state characterized by extreme suggestibility, relaxation and heightened imagination."It is a mental state or imaginative role-enactment . It is usually induced by a procedure known as a hypnotic induction, which is commonly composed of a long series of preliminary...

 is a process to assist focus and dissociation. Through hypnosis, the therapist can focus on a single ego state or segment of personality and dissociate other parts. Many practitioners today are hypnotically activating covert ego states and announcing that they have discovered another multiple personality. Although multiple personalities are usually studied through hypnosis, they should be diagnosed only when the ego states can become overt spontaneously and when the main personality is generally amnesic to what occurs when the alter is overt and executive. When a covert ego state can be induced to emerge only through hypnosis, we do not consider this as a true multiple personality, and it should not be diagnosed. Ego states are commonly found through student volunteers for hypnotic studies. Because hypnosis is a form of dissociation, it is not surprising to find that good hypnotic subjects often manifest covert ego states in their personalities without being mentally ill.
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