Family therapy researchers have conducted a variety of studies of brief approaches to family therapy (e.g., MRI, Solution Focused, Strategic). However, despite the fact that Milton Erickson’s approach to hypnosis and psychotherapy was a significant influence on these models, few family therapy researchers have studied Ericksonian hypnosis directly. Hypnosis is a way of communicating with the body to elicit psychological and physiological responses that are not organized by conscious awareness (Erickson, 1980i). Hypnosis becomes hypnotherapy when the context and the participants are oriented toward therapeutic change (Flemons, 2002). Employing the methodology of autoethnography (Ellis & Bochner, 2016) and using Interpersonal Process Recall (IPR) (Kagan, Krathwohl, & Miller, 1963) to conduct process research, the author explored the experience and understanding of both an Erickson-inspired hypnotherapist, Dr. Eric Greenleaf, and a client (herself) during a hypnotherapy session focused on addressing the issue of anxiety. Informed by what Bruner (1986) called a narrative mode of constructing the world, the author presents a narrative account of what transpired. Her analysis distinguishes six hypnotic holons—parts of a whole that are themselves wholes (Koestler, 1967)—that illuminate the co-creative nature of the hypnotherapeutic experience. Each holon indicates a particular kind of invitation extended by the hypnotherapist, the client’s response to that invitation, and what comes out of the interaction. The author also illuminates the particular qualities that the hypnotherapist brought to the interaction and discusses implications of the study for clinicians and researchers.

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Unresolved painful emotional experiences such as bereavement, trauma and disturbances in core relationships, are common presenting problems for clients of psychodrama or psychotherapy more generally. Emotional pain is experienced as a shattering of the sense of self and disconnection from others and, when unresolved, produces avoidant responses which inhibit the healing process. There is agreement across therapeutic modalities that exposure to emotional experience can increase the efficacy of therapeutic interventions. Moreno proposes that the activation of spontaneity is the primary curative factor in psychodrama and that healing occurs when the protagonist (client) engages with his or her wider social system and develops greater flexibility in response to that system. An extensive case-report literature describes the application of the psychodrama method in healing unresolved painful emotional experiences, but there is limited empirical research to verify the efficacy of the method or to identify the processes that are linked to therapeutic change. The purpose of this current research was to construct a model of protagonist change processes that could extend psychodrama theory, inform practitioners’ therapeutic decisions and contribute to understanding the common factors in therapeutic change. Four studies investigated protagonist processes linked to in-session resolution of painful emotional experiences. Significant therapeutic events were analysed using recordings and transcripts of psychodrama enactments, protagonist and director recall interviews and a range of process and outcome measures. A preliminary study (3 cases) identified four themes that were associated with helpful therapeutic events: enactment, the working alliance with the director and with group members, emotional release or relief and social atom repair. The second study (7 cases) used Comprehensive Process Analysis (CPA) to construct a model of protagonists’ processes linked to in-session resolution. This model was then validated across four more cases in Study 3. Five meta-processes were identified: (i) a readiness to engage in the psychodrama process; (ii) re-experiencing and insight; (iii) activating resourcefulness; (iv) social atom repair with emotional release and (v) integration. Social atom repair with emotional release involved deeply experiencing a wished-for interpersonal experience accompanied by a free flowing release of previously restricted emotion and was most clearly linked to protagonists’ reports of reaching resolution and to post session improvements in interpersonal relationships and sense of self. Acceptance of self in the moment increased protagonists’ capacity to generate new responses within each meta-process and, in resolved cases, there was evidence of spontaneity developing over time. The fourth study tested Greenberg’s allowing and accepting painful emotional experience model as an alternative explanation of protagonist change. The findings of this study suggested that while the process of allowing emotional pain was present in resolved cases, Greenberg’s model was not sufficient to explain the processes that lead to in-session resolution. The protagonist’s readiness to engage and activation of resourcefulness appear to facilitate the transition from problem identification to emotional release. Furthermore, experiencing a reparative relationship was found to be central to the healing process. This research verifies that there can be in-session resolution of painful emotional experience during psychodrama and protagonists’ reports suggest that in-session resolution can heal the damage to the sense of self and the interpersonal disconnection that are associated with unresolved emotional pain. A model of protagonist change processes has been constructed that challenges the view of psychodrama as a primarily cathartic therapy, by locating the therapeutic experience of emotional release within the development of new role relationships. The five meta-processes which are described within the model suggest broad change principles which can assist practitioners to make sense of events as they unfold and guide their clinical decision making in the moment. Each meta-process was linked to specific post-session changes, so that the model can inform the development of therapeutic plans for individual clients and can aid communication for practitioners when a psychodrama intervention is used for a specific therapeutic purpose within a comprehensive program of therapy.

The Introduction and Advanced Equine Assisted Family Therapy (EAFT) courses offered at Nova Southeastern University (NSU) provide graduate Marriage and Family Therapy (MFT) student therapists the space to learn about collaborating with horses for therapeutic and educational purposes. However, these courses also offer the potential for a unique dimension to self of the therapist development. Through these courses, student therapists are able to learn theory and application of an innovative experiential model for clients, but also utilize the activities to get to know themselves better as emerging therapists. The purpose of this study was to explore if and how the learning that occurs within the EAFT courses transfers into traditional talk therapy sessions. More specifically, the study explored how students utilized the experiential process of learning within the courses to further their understanding of the self of the therapist. The conversations that unfolded from reviewing MFT student therapists’ video recorded talk therapy sessions at the Brief Therapy Institute’s family therapy clinic served as the data. Interpersonal Process Recall (IPR) was used to inquire about this process, including specifically how it relates to self of the therapist development.

The Introduction to Equine Assisted Family Therapy course offered at Nova Southeastern University (NSU) provides Master’s and Doctoral level student therapists the opportunity to learn how to conduct an equine session and how to utilize horses as part of the therapeutic process. Students learn about the underlying theories and framework behind the equine activities and methodology, as well as participate in the equine activities themselves. For the purpose of this study, classroom discussions centered around processing the students’ experiences and were further enriched by viewing photographs and videos that had been taken of the students conducting the equine activities. The researcher utilized IPR as a qualitative methodology to create an improved perspective where students reflected on their experience and made connections with their professional and personal developments. The findings of this grounded theory study document how students reflected on their personal and clinical development. More specifically, the transcripts of the conversations that took place during class discussions and interviews from students who took the course a year earlier showed that students reflected on their personal awareness, created changes in their relationships, developed their self of the therapist, honed in on their clinical skills and started viewing therapy differently. This study confirmed the transformative nature that the Introduction to Equine Assisted Therapy course has on the students.